Babalarda Evlilik Uyumunun Doğum Sonrası Depresyon Yaygınlığına Etkisi

Öz

Amaç: Doğum sonrası dönem, ailenin tüm üyelerini etkileyebilen ve stresli durumları beraberinde getirebilen bir süreçtir. Bu dönemde karşılaşabileceğimiz sorunlardan biri olan doğum sonrası depresyon süreci daha da zorlaştırabilir. Bu çalışma, evlilik uyumunun babalarda doğum sonrası depresyon yaygınlığına etkisini incelemek amacıyla yapıldı. Gereç ve Yöntem: Çalışma, Ocak-Nisan 2019 tarihlerinde aile sağlığı merkezlerine rutin sağlık hizmeti almak amacıyla başvuran 450 babanın katılımıyla gerçekleştirildi. Veri toplamak için yapılandırılmış bir Katılımcı Bilgi Formu, Evlilik Uyum Testi ve Edinburgh Doğum Sonrası Depresyon Ölçeği kullanıldı. Bulgular: Çalışmada, babaların Edinburgh Doğum Sonrası Depresyon Ölçeği toplam puanın 5.96±6.09, Evlilik Uyum Testi toplam puanın ise 42.97±9.67 olduğu ve ölçeklerin toplam puanları arasında negatif yönde orta derecede istatistiksel olarak anlamlı bir ilişki saptandı (r=0,447, p=0,000). Sonuç: Bu çalışmada eşler arasındaki evlilik uyumunun babalarda doğum sonrası depresyonu etkilediği, evlilik ilişkisi iyi olan babaların daha düşük depresyon risklerine maruz kaldıkları görüldü

Anahtar Kelimeler

• Doğum sonrası dönem
• evlilik
• depresyon
• babalar

Effect of the Marital Adjustment on the Prevalence of Postpartum Depression in Fathers

Öz

Objective: The postpartum period is a process that can affect all members of the family and bring about stressful situations. Postpartum depression, which is one of the problems that we may encounter during this period, can complicate the process further. This study was conducted to analyze the effect of marital adjustment on the prevalence of postpartum depression in fathers. Material and Method: This study was performed in January-April 2019 with the participation of 450 fathers who presented to family health centers for routine healthcare services. A structured Participant Information Form, the Marriage Adjustment Test, and the Edinburgh Postpartum Depression Scale were used to collect data. Results: In the study, it was found that the mean total Edinburgh Postnatal Depression Scale and Marital Adjustment Test scores of the participants were 5.96±6.09 and 43.6±9.67, respectively, and there was a statistically significant negative relationship between their mean Edinburgh Postnatal Depression Scale score and mean Marital Adjustment Test score (r=0.447, p=0.000). Conclusion: In this study, it was discerned that the marital adjustment between spouses affected postpartum depression in fathers, and fathers who had well-adjusted marital relationships were exposed to a lower risk of depression.

Anahtar Kelimeler

• Postpartum period
• marriage
• depression
• fathers

Kaynakça

1. 1. Bruno A, Celebre L, Mento C, Rizzo A, Silvestri MC, Stefano R, … & Muscatello MRA. When Fathers Begin to Falter: A Comprehensive Review on Paternal Perinatal Depression. Int J Environ Res Public Health.2020; 17(4): 1139. doi: 10.3390/ijerph17041139.
2. 2. Paulson J, Bazemore SD. Prenatal and Postpartum Depression in Fathers and Its Association With Maternal Depression. A Meta-analysis. Author Affiliations Article Informatio. JAMA. 2010; 303(19): 1961-1969. doi:10.1001/jama.2010.605.
3. 3. Slomian J, Honvo G, Emonts P, Reginster JY, & Bruyère O. Consequences of maternal postpartum depression: A systematic review of maternal and infant outcomes. Womens Health (Lond). 2019; 15: 40-52. doi: 10.1177/1745506519844044.
4. 4. Webber E, Benedict J. Postpartum depression: A multi-disciplinary approach to screening, management and breastfeeding support. Arch Psychiatr Nurs. 2019; 33(3): 284-289. doi: 10.1016/j.apnu.2019.01.008.
5. 5. Serhan N, Ege E, Ayrancı U, Kosgeroglu N. Prevalence of postpartum depression in mothers and fathers and its correlates. J Clin Nurs. 2013; 22(1-2): 279-84.
6. 6. Bitew T, Hanlon C, Medhin G, Fekadu A. Antenatal predictors of incident and persistent postnatal depressive symptoms in rural Ethiopia: a population-based prospective study. Reprod Health. 2019; 4: 16(1)- 28. doi: 10.1186/s12978-019-0690-0.
7. 7. Gümüş BA, Keskin G, Alp N, Özyar S, Karsak A. Postpartum depresyon yaygınlığı ve ilişkili değişkenler. New Symposium Journal. 2012; 50 (3): 145– 154.
8. 8. Yalçın H. Relationship between marital adjustment and socio-demographic characteristics. Journal of Education and Training Research. 2014; (3): 2146-9199.

9. 9. Johansson M, Benderix Y, & Svensson I. Mothers’ and fathers’ lived experiences of postpartum depression and parental stress after childbirth: a qualitative study. Int J Qual Stud Health Well-being. 2020; 15(1): 1722564. doi: 10.1080/17482631.2020.1722564.
10. 10. Peker GC, Reader AC, Tekiner AS, & Dağlı Z. Postpartum Depression in Fathers and Evaluation of Effective Factors. Konuralp Medical Journal. 2016; 8 (2):141-146.
11. 11. Locke-Wallace, A. (1999). Marital Adjustment Test: Is it stili relevant for the 1990's? Psychological Reports, 81, 419-434.
12. 12. Tutarel, S. Marriage Adjustment Scale Adaptation Study. 3P Magazine. 1999; 7: 50-57.
13. 13. Engindeniz, N. (1996). Validity and reliability study of the Turkish version of the Edinburgh Postpartum Depression Scale. Unpublished Master Thesis, Ege University Institute of Health Sciences, İzmir.
14. 14. Koh YW, Chui CY, Tang TK, & Lee AM. The Prevalence and risk factors of paternal depression from the antenatal to the postpartum period and the relationships between antenatal and postpartum depression among fathers in Hong Kong. Depression Research and Treatment Research Article. 2014; 3: 25-38. https://doi.org/10.1155/2014/127632.
15. 15. Roubinov DS, Luecken LJ, Crnic KA, & Gonzales NA. Postnatal depression in Mexican American fathers: demographic, cultural, and familial predictors. J Affect Disord. 2014; 7: 12-25. doi: 10.1016/j.jad.2013.09.038.
16. 16. Shaheen NA, Altiq Y, Thomas A, Alanazi HA, Alzahrani ZE, Younis B, Mohamed SAR, & Hussein A. Paternal Postnatal Depression Among Fathers of Newborn in Saudi Arabia. Am J Mens Health. 2019; 13(1): 1-10. 1557988319831219. doi: 10.1177/1557988319831219.
17. 17. Saxbe DE, Schetter CD, Guardino CM, Ramey S, Shalowitz M, Thorp J, & Vance M. Sleep quality predicts persistence of parental postpartum depressive symptoms and transmission of depressive symptoms from mothers to fathers. Ann Behav Med. 2016; 50(6): 862–875. doi: 10.1007/s12160-016-9815-7.