Araştırma Makalesi
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İlk kez baba olanlarda doğum sonu depresyon ve psikososyal belirleyicileri

Yıl 2021, Cilt: 46 Sayı: 2, 452 - 459, 30.06.2021
https://doi.org/10.17826/cumj.840392

Öz

Amaç: Bu araştırma ilk kez baba olanlarda doğum sonu depresyon ve psikososyal belirleyicilerini saptamak amacıyla yapıldı.
Gereç ve Yöntem: Araştırma ilişkisel tanımlayıcı tipte yapıldı. Araştırmanın örneklemini, Türkiye’nin doğusunda bulunan bir ilin merkez ilçelerine bağlı iki farklı Aile Sağlığı Merkezine kayıtlı 3-6 aylık bebeği olan 250 baba oluşturdu. Veriler Kişisel Bilgi Formu, Edinburg Postpartum Depresyon Skalası (EPDS), Sürekli Kaygı Ölçeği ve Çok Boyutlu Algılanan Sosyal Destek Ölçeği ile toplandı. Doğum sonu depresyonun belirleyicilerini incelemek için çoklu doğrusal regresyon analizi kullanıldı.
Bulgular: Araştırmada babaların %18.8’inde (n=42) doğum sonu depresyon riski olduğu belirlendi (EPDS≥12). Babalarda doğum sonu depresyon ile sürekli kaygı arasında pozitif yönde, depresyon ile sosyal destek ve sosyal destek alt boyutları (aile, arkadaş ve özel insan) arasında negatif yönde anlamlı ilişki olduğu belirlendi. Regresyon analizi sürekli kaygının, sosyal desteğin ve aile tarafından verilen sosyal desteğin babalarda doğum sonu depresyonun önemli belirleyicileri olduğunu gösterdi.
Sonuç: Araştırmadan elde edilen bulgular sonucunda yüksek kaygı düzeyinin, yetersiz sosyal desteğin ve yetersiz aile desteğinin doğum sonu dönemdeki babalarda depresyonun önemli belirleyicileri olduğunu göstermektedir. 3-6 aylık bebeği olan babalarda depresyon riskini azaltmak için kaygılarının giderilmesi ve sosyal desteklerinin artırılması yardımcı olabilir.

Kaynakça

  • Ahlborg T, Misvaer N, M. A. (2009). Perception of marital quality by parents with small children: a follow-up study when the firstborn is 4 years old. J Fam Nurs, 15, 237–263.
  • Akcan, G. (2018). Travman ı n Psikolojik Bile ş enleri-Post Travmatik Stres Bozuklu ğ u Psycholog ı cal Components of Trauma-Post-Traumat ı c Stress D ı sorder Trav manın Psikolojik Bileşenleri- Post Travmatik Stres Bozukluğu Psychologıcal Components of Trauma- Post-Trauma. December.
  • Becström C, Wahn HE, Yiong WK, Skouteris H, Pier C, Richardson B, M. J. (2011). Correlates of ante-and postnatal depression in fathers: a systematic review. Journal of Affective Disorders, 27, 67–73.
  • Bergström, M. (2013). Depressive Symptoms in New First-Time Fathers: Associations with Age, Sociodemographic Characteristics, and Antenatal Psychological Well-Being. Birth, 40(1), 32–38. https://doi.org/10.1111/birt.12026
  • Cameron, E. E., Sedov, I. D., & Tomfohr-Madsen, L. M. (2016). Prevalence of paternal depression in pregnancy and the postpartum: An updated meta-analysis. Journal of Affective Disorders, 206, 189–203. https://doi.org/10.1016/j.jad.2016.07.044
  • Ceyhun Peker, G. (2016). Babalarda Doğum Sonu Depresyonu ve Etkili Olan Faktörlerin Değerlendirilmesi. Konuralp Tıp Dergisi, 8(2). https://doi.org/10.18521/ktd.63664
  • Da Costa, D., Danieli, C., Abrahamowicz, M., Dasgupta, K., Sewitch, M., Lowensteyn, I., & Zelkowitz, P. (2019a). A prospective study of postnatal depressive symptoms and associated risk factors in first-time fathers. Journal of Affective Disorders, 249(September 2018), 371–377. https://doi.org/10.1016/j.jad.2019.02.033
  • Da Costa, D., Danieli, C., Abrahamowicz, M., Dasgupta, K., Sewitch, M., Lowensteyn, I., & Zelkowitz, P. (2019b). A prospective study of postnatal depressive symptoms and associated risk factors in first-time fathers. Journal of Affective Disorders, 249(February), 371–377. https://doi.org/10.1016/j.jad.2019.02.033
  • Dubeau, D., Girard, M., Lacharite, C., & Devault, A. (2013). Psychosocial factors associated with paternal postnatal depression. 150, 44–49. https://doi.org/10.1016/j.jad.2013.01.048
  • Edward, K. leigh, Castle, D., Mills, C., Davis, L., & Casey, J. (2015). An Integrative Review of Paternal Depression. American Journal of Men’s Health, 9(1), 26–34. https://doi.org/10.1177/1557988314526614
  • Field, T. (2018). Paternal Prenatal, Perinatal and Postpartum Depression: A narrative review. Journal of Anxiety & Depression, 1(1), 1–16. https://doi.org/10.46527/2582-3264.102
  • Giallo, R., D’Esposito, F., Cooklin, A., Mensah, F., Lucas, N., Wade, C., & Nicholson, J. M. (2013). Psychosocial risk factors associated with fathers’ mental health in the postnatal period: Results from a population-based study. Social Psychiatry and Psychiatric Epidemiology, 48(4), 563–573. https://doi.org/10.1007/s00127-012-0568-8
  • Goodman, J. H. (2004). Paternal postpartum depression, its relationship to maternal postpartum depression, and implications for family health. Journal of Advanced Nursing, 45(1), 26–35. https://doi.org/10.1046/j.1365-2648.2003.02857.x
  • Gray, P. B., Reece, J. A., Coore-Desai, C., Dinnall-Johnson, T., Pellington, S., Bateman, A., & Samms-Vaughan, M. (2018). Patterns and predictors of depressive symptoms among Jamaican fathers of newborns. Social Psychiatry and Psychiatric Epidemiology, 53(10), 1063–1070. https://doi.org/10.1007/s00127-018-1566-2
  • Lee, Y., & Fagan, J. (2012). Do Late Adolescent Fathers Have More Depressive Symptoms Than Older Fathers ? 1366–1381. https://doi.org/10.1007/s10964-011-9717-8
  • Matthey, S., Barnett, B., Ungerer, J., & Waters, B. (2000). Paternal and maternal depressed mood during the transition to parenthood. Journal of Affective Disorders, 60(2), 75–85. https://doi.org/10.1016/S0165-0327(99)00159-7
  • Musser, A. K., Ahmed, A. H., Foli, K. J., & Coddington, J. A. (2013). Paternal Postpartum Depression: What Health Care Providers Should Know. Journal of Pediatric Health Care, 27(6), 479–485. https://doi.org/10.1016/j.pedhc.2012.10.001
  • Nath, S., Psychogiou, L., Kuyken, W., Ford, T., Ryan, E., & Russell, G. (2016). The prevalence of depressive symptoms among fathers and associated risk factors during the first seven years of their child ’ s life : findings from the Millennium Cohort Study. BMC Public Health, 1–13. https://doi.org/10.1186/s12889-016-3168-9
  • Paulson, J. F., Bazemore, S. D., Prevalence, H. E., & Fac, R. (2010). CLINICIAN ’ S CORNER Prenatal and Postpartum Depression in Fathers. Methods, 303(19), 1961–1969.
  • Ramchandani, P., Stein, A., Evans, J., & O’Connor, T. G. (2005). Paternal depression in the postnatal period and child development: A prospective population study. Lancet, 365(9478), 2201–2205. https://doi.org/10.1016/S0140-6736(05)66778-5
  • Serhan N, Ege E, A. U. ve ark. (2013). Prevalence of postpartum depression in mothers and fathers and its correlates. J Clin Nurs, 22, 279–284.
  • Serhan, N., Ege, E., Ayranci, U., & Kosgeroglu, N. (2013). Prevalence of postpartum depression in mothers and fathers and its correlates. Journal of Clinical Nursing, 22(1–2), 279–284. https://doi.org/10.1111/j.1365-2702.2012.04281.x
  • Takehara, K., Suto, M., Kakee, N., Tachibana, Y., & Mori, R. (2017). Prenatal and early postnatal depression and child maltreatment among Japanese fathers. Child Abuse and Neglect, 70(July), 231–239. https://doi.org/10.1016/j.chiabu.2017.06.011
  • Tarsuslu, Bedia; Durat, Gulgun; Altınkaynak, S. (2020). Postpartum Depression in Fathers and Associated Risk Factors: A Systematic Review. Turkish Journal of Psychiatry, X, 1–11.
  • Thomas JE, Bonér AK, H. I. (2011). Fathering in the first few months. Scand J Caring Sci, 25, 499–509.
  • Wee YK, Skouteris H, Pier C, Richardson B, M. J. (2011). Correlates of ante-and postnatal depression in fathers: a systematic review. Journal of Affective Disorders, 130, 358–377.
  • Wilson, S., & Durbin, C. E. (2010). Effects of paternal depression on fathers’ parenting behaviors: A meta-analytic review. Clinical Psychology Review, 30(2), 167–180. https://doi.org/10.1016/j.cpr.2009.10.007
  • Zhang, Y., Zhang, L., Wei, H., Researcher, A., Zhang, Y., & Researcher, A. (2016). Post partum depression and the psychosocial predictors in fi rst-time fathers from northwestern China. Midwifery, 35, 47–52. https://doi.org/10.1016/j.midw.2016.01.005

Postpartum depression and its psychosocial determinants in first-time fathers

Yıl 2021, Cilt: 46 Sayı: 2, 452 - 459, 30.06.2021
https://doi.org/10.17826/cumj.840392

Öz

Purpose: The aim of this study was to determine postpartum depression and psychosocial determinants in fathers for the first time.
Materials and Methods: The research was conducted in relational descriptive type. The study sample, a province in eastern Turkey, located in the central district connected to two different Family Health Center registered in the postpartum period (3-6 months), which has created 250 father. The data were collected with a Personal Information Form, Edinburgh Postpartum Depression Scale (EPDS), Trait Anxiety Scale, and Multidimensional Scale of Perceived Social Support. Multiple linear regression analysis was used to examine the predictors of postpartum depression.
Results: In the study, it was determined that 18.8% (n = 42) of fathers had a risk of postpartum depression (EPDS≥12). There was a positive correlation between postpartum depression and trait anxiety in fathers, and a negative significant relationship between depression and social support and social support sub-dimensions (family, friends, and private person). Regression analysis showed that trait anxiety, social support, and family social support were important determinants of postpartum depression in fathers.
Conclusion: Findings show that high anxiety level, insufficient social support and insufficient family support are important determinants of depression in postpartum fathers. To reduce the risk of depression in postpartum fathers, relieving their anxiety and increasing their social support may help.

Kaynakça

  • Ahlborg T, Misvaer N, M. A. (2009). Perception of marital quality by parents with small children: a follow-up study when the firstborn is 4 years old. J Fam Nurs, 15, 237–263.
  • Akcan, G. (2018). Travman ı n Psikolojik Bile ş enleri-Post Travmatik Stres Bozuklu ğ u Psycholog ı cal Components of Trauma-Post-Traumat ı c Stress D ı sorder Trav manın Psikolojik Bileşenleri- Post Travmatik Stres Bozukluğu Psychologıcal Components of Trauma- Post-Trauma. December.
  • Becström C, Wahn HE, Yiong WK, Skouteris H, Pier C, Richardson B, M. J. (2011). Correlates of ante-and postnatal depression in fathers: a systematic review. Journal of Affective Disorders, 27, 67–73.
  • Bergström, M. (2013). Depressive Symptoms in New First-Time Fathers: Associations with Age, Sociodemographic Characteristics, and Antenatal Psychological Well-Being. Birth, 40(1), 32–38. https://doi.org/10.1111/birt.12026
  • Cameron, E. E., Sedov, I. D., & Tomfohr-Madsen, L. M. (2016). Prevalence of paternal depression in pregnancy and the postpartum: An updated meta-analysis. Journal of Affective Disorders, 206, 189–203. https://doi.org/10.1016/j.jad.2016.07.044
  • Ceyhun Peker, G. (2016). Babalarda Doğum Sonu Depresyonu ve Etkili Olan Faktörlerin Değerlendirilmesi. Konuralp Tıp Dergisi, 8(2). https://doi.org/10.18521/ktd.63664
  • Da Costa, D., Danieli, C., Abrahamowicz, M., Dasgupta, K., Sewitch, M., Lowensteyn, I., & Zelkowitz, P. (2019a). A prospective study of postnatal depressive symptoms and associated risk factors in first-time fathers. Journal of Affective Disorders, 249(September 2018), 371–377. https://doi.org/10.1016/j.jad.2019.02.033
  • Da Costa, D., Danieli, C., Abrahamowicz, M., Dasgupta, K., Sewitch, M., Lowensteyn, I., & Zelkowitz, P. (2019b). A prospective study of postnatal depressive symptoms and associated risk factors in first-time fathers. Journal of Affective Disorders, 249(February), 371–377. https://doi.org/10.1016/j.jad.2019.02.033
  • Dubeau, D., Girard, M., Lacharite, C., & Devault, A. (2013). Psychosocial factors associated with paternal postnatal depression. 150, 44–49. https://doi.org/10.1016/j.jad.2013.01.048
  • Edward, K. leigh, Castle, D., Mills, C., Davis, L., & Casey, J. (2015). An Integrative Review of Paternal Depression. American Journal of Men’s Health, 9(1), 26–34. https://doi.org/10.1177/1557988314526614
  • Field, T. (2018). Paternal Prenatal, Perinatal and Postpartum Depression: A narrative review. Journal of Anxiety & Depression, 1(1), 1–16. https://doi.org/10.46527/2582-3264.102
  • Giallo, R., D’Esposito, F., Cooklin, A., Mensah, F., Lucas, N., Wade, C., & Nicholson, J. M. (2013). Psychosocial risk factors associated with fathers’ mental health in the postnatal period: Results from a population-based study. Social Psychiatry and Psychiatric Epidemiology, 48(4), 563–573. https://doi.org/10.1007/s00127-012-0568-8
  • Goodman, J. H. (2004). Paternal postpartum depression, its relationship to maternal postpartum depression, and implications for family health. Journal of Advanced Nursing, 45(1), 26–35. https://doi.org/10.1046/j.1365-2648.2003.02857.x
  • Gray, P. B., Reece, J. A., Coore-Desai, C., Dinnall-Johnson, T., Pellington, S., Bateman, A., & Samms-Vaughan, M. (2018). Patterns and predictors of depressive symptoms among Jamaican fathers of newborns. Social Psychiatry and Psychiatric Epidemiology, 53(10), 1063–1070. https://doi.org/10.1007/s00127-018-1566-2
  • Lee, Y., & Fagan, J. (2012). Do Late Adolescent Fathers Have More Depressive Symptoms Than Older Fathers ? 1366–1381. https://doi.org/10.1007/s10964-011-9717-8
  • Matthey, S., Barnett, B., Ungerer, J., & Waters, B. (2000). Paternal and maternal depressed mood during the transition to parenthood. Journal of Affective Disorders, 60(2), 75–85. https://doi.org/10.1016/S0165-0327(99)00159-7
  • Musser, A. K., Ahmed, A. H., Foli, K. J., & Coddington, J. A. (2013). Paternal Postpartum Depression: What Health Care Providers Should Know. Journal of Pediatric Health Care, 27(6), 479–485. https://doi.org/10.1016/j.pedhc.2012.10.001
  • Nath, S., Psychogiou, L., Kuyken, W., Ford, T., Ryan, E., & Russell, G. (2016). The prevalence of depressive symptoms among fathers and associated risk factors during the first seven years of their child ’ s life : findings from the Millennium Cohort Study. BMC Public Health, 1–13. https://doi.org/10.1186/s12889-016-3168-9
  • Paulson, J. F., Bazemore, S. D., Prevalence, H. E., & Fac, R. (2010). CLINICIAN ’ S CORNER Prenatal and Postpartum Depression in Fathers. Methods, 303(19), 1961–1969.
  • Ramchandani, P., Stein, A., Evans, J., & O’Connor, T. G. (2005). Paternal depression in the postnatal period and child development: A prospective population study. Lancet, 365(9478), 2201–2205. https://doi.org/10.1016/S0140-6736(05)66778-5
  • Serhan N, Ege E, A. U. ve ark. (2013). Prevalence of postpartum depression in mothers and fathers and its correlates. J Clin Nurs, 22, 279–284.
  • Serhan, N., Ege, E., Ayranci, U., & Kosgeroglu, N. (2013). Prevalence of postpartum depression in mothers and fathers and its correlates. Journal of Clinical Nursing, 22(1–2), 279–284. https://doi.org/10.1111/j.1365-2702.2012.04281.x
  • Takehara, K., Suto, M., Kakee, N., Tachibana, Y., & Mori, R. (2017). Prenatal and early postnatal depression and child maltreatment among Japanese fathers. Child Abuse and Neglect, 70(July), 231–239. https://doi.org/10.1016/j.chiabu.2017.06.011
  • Tarsuslu, Bedia; Durat, Gulgun; Altınkaynak, S. (2020). Postpartum Depression in Fathers and Associated Risk Factors: A Systematic Review. Turkish Journal of Psychiatry, X, 1–11.
  • Thomas JE, Bonér AK, H. I. (2011). Fathering in the first few months. Scand J Caring Sci, 25, 499–509.
  • Wee YK, Skouteris H, Pier C, Richardson B, M. J. (2011). Correlates of ante-and postnatal depression in fathers: a systematic review. Journal of Affective Disorders, 130, 358–377.
  • Wilson, S., & Durbin, C. E. (2010). Effects of paternal depression on fathers’ parenting behaviors: A meta-analytic review. Clinical Psychology Review, 30(2), 167–180. https://doi.org/10.1016/j.cpr.2009.10.007
  • Zhang, Y., Zhang, L., Wei, H., Researcher, A., Zhang, Y., & Researcher, A. (2016). Post partum depression and the psychosocial predictors in fi rst-time fathers from northwestern China. Midwifery, 35, 47–52. https://doi.org/10.1016/j.midw.2016.01.005
Toplam 28 adet kaynakça vardır.

Ayrıntılar

Birincil Dil Türkçe
Konular Kadın Hastalıkları ve Doğum
Bölüm Araştırma
Yazarlar

Hacer Ünver 0000-0002-5406-4566

Tuba Uçar 0000-0002-4450-6826

Yayımlanma Tarihi 30 Haziran 2021
Kabul Tarihi 23 Ocak 2021
Yayımlandığı Sayı Yıl 2021 Cilt: 46 Sayı: 2

Kaynak Göster

MLA Ünver, Hacer ve Tuba Uçar. “İlk Kez Baba Olanlarda doğum Sonu Depresyon Ve Psikososyal Belirleyicileri”. Cukurova Medical Journal, c. 46, sy. 2, 2021, ss. 452-9, doi:10.17826/cumj.840392.