Depression and anger in fathers of unsettled infants: A community cohort study
Fallon Cook1,2, Rebecca Giallo1,2, Zvezdana Petrovic1
1Parenting Research Centre, The Royal Children's Hospital, Melbourne, Victoria, Australia.
Insights
Fathers experiencing unsettled infant behavior reported increased depressive symptoms and anger towards their infant by four months, with these issues persisting. Targeted interventions are needed for paternal mental health and infant care.
Area of Science:
- Psychiatry
- Developmental Psychology
- Pediatrics
Background:
- Paternal mental health is crucial for infant well-being.
- Infant unsettled behavior can significantly impact parental stress and mental health.
- Limited research exists on the specific challenges faced by fathers concerning infant sleep and behavior.
Purpose of the Study:
- To investigate the association between unsettled infant behavior and fathers' depressive symptoms.
- To explore the relationship between infant sleep and crying problems and fathers' cognitions (anger, doubt) about infant sleep.
- To examine the link between infant behavior and fathers' own sleep quality and quantity.
Main Methods:
- A community cohort of 102 fathers and their infants was studied.
- Data were collected at infant ages of 4 weeks, 4 months, and 6 months.
- Fathers reported on infant sleep/crying, their depressive symptoms, sleep cognitions, and personal sleep using adjusted regression models.
Main Results:
- Infant sleep problems at 4 and 6 months correlated with increased paternal depressive symptoms, anger, and doubt.
- Infant cry problems at 4 and 6 months were associated with paternal anger, doubt, and depressive symptoms.
- Fathers reporting infant sleep issues also reported poorer personal sleep quantity and quality.
Conclusions:
- Fathers of unsettled infants exhibit heightened depressive symptoms and anger by 4 months, which continue for at least two months.
- Paternal mental health, particularly depressive symptoms and anger, is significantly linked to infant behavior and sleep problems.
- Evidence-based interventions are necessary to support fathers facing these challenges.
Aim:
To examine the relationship between unsettled infant behaviour and fathers' depressive symptoms, cognitions surrounding infant sleep (anger, doubt), and personal sleep, in a community cohort.
Methods:
Data were collected from 102 fathers of healthy infants at 4 weeks, 4 months and 6 months of age. Measures included father report of infant sleep and crying problems, depressive symptoms, cognitions about infant sleep and own sleep quality and quantity. Data were analysed using adjusted regression models.
Results:
Sleep problems at 4 months of age were associated with increased depressive symptoms (adjusted mean difference 2.64 (1.27-4.00)), doubt (adjusted mean difference 1.82 (0.40-3.25)), anger (adjusted mean difference 1.86 (0.51-3.20)), poor personal sleep quantity (adjusted odds ratio (OR) 0.21; 95% confidence interval (CI) 0.09-0.51) and quality (adjusted OR 0.20; 95% CI 0.08-0.51); and at 6 months of age, with increased depressive symptoms (adjusted mean difference 2.56 (1.28-3.84)), anger (adjusted mean difference 1.63 (0.40-2.87)), poor personal sleep quantity (adjusted OR 0.14; 95% CI 0.05-0.38) and quality (adjusted OR 0.28; 95% CI 0.11-0.72). Infant cry problems at 4 months were associated with increased anger (adjusted mean difference 1.98 (0.60-3.36)) and doubt (adjusted mean difference 1.55 (0.05-3.05)); and at 6 months, with increased depressive symptoms (adjusted mean difference 3.04 (1.59-4.69)), anger (adjusted mean difference 2.73 (1.29-4.17)) and less personal sleep (adjusted OR 0.22; 95% CI 0.07-0.71).
Conclusion:
Fathers of unsettled infants reported greater anger towards their infant and increased depressive symptoms by 4 months infant age, with these symptoms persisting 2 months later. Evidence-based interventions are needed for these fathers.
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