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Published on: September 23, 2020
Male callers to an Australian perinatal depression and anxiety help line-Understanding issues and concerns
Richard Fletcher1, Jennifer StGeorge1, Louise Newman2
1Family Action Centre, Faculty of Health and Medicine, University of Newcastle, New South Wales, Callaghan, 2308, Australia.
Insights
Fathers contacting a national helpline often worry about their partner's mental health and relationship stability. Many men also express their own mental health concerns and difficulties with fatherhood during the perinatal period.
Area of Science:
- Perinatal Mental Health
- Fathers' Mental Health
- Parent-Infant Relationships
Background:
- Growing awareness of men's challenges in the perinatal period.
- Partner relationship issues and vulnerability factors increase mental health risks for fathers.
- Limited understanding of fathers' help-seeking behaviors for perinatal mental health issues.
Purpose of the Study:
- To examine fathers' contacts with the Perinatal Anxiety and Depression Australia (PANDA) National Helpline.
- To identify fathers' needs for assistance, relationship issues, and support requirements.
- To understand fathers' concerns regarding their own and their partner's mental health.
Main Methods:
- Analysis of helpline contacts from fathers (N = 129).
- Categorization of caller concerns including mental health, relationship issues, and support needs.
- Comparison of reported mental health concerns with community data.
Main Results:
- 70% of male callers reported concerns about the mother's mental health.
- 57% of callers were concerned about relationship breakdown.
- 43% of men raised issues about their own mental health, with elevated rates of anxiety and depression concerns compared to community data.
- Fathers reported difficulties with the fathering role and emotional regulation (guilt, frustration).
- Concerns were raised about the impact of maternal mental state on the father-infant relationship.
Conclusions:
- Men require significant support when a mother experiences perinatal mental health problems.
- Fathers are at risk of distress and mental health challenges during the perinatal period.
- Helpline services are crucial for addressing fathers' diverse needs in perinatal care.
Abstract:
There is increasing recognition of the issues facing men in the perinatal period. Vulnerability factors and issues in the partner relationship contribute to mental health risk and can impact the quality of the father-infant relationship. Yet, there is limited understanding of fathers' help-seeking when they or their partner are experiencing mental health issues in the context of caring for a new baby. The present study examines fathers' contacts with the Perinatal Anxiety and Depression Australia (PANDA) National Helpline. The study reviewed contacts from fathers and their identified needs for assistance, relationship issues, and support needs; 70% of male callers (N = 129) reported concerns about the mother's mental health, and 57% were concerned about relationship breakdown. Significant numbers of men raised issues about their own mental health (43%) and many were concerned about the impact of maternal mental state on the relationship with the infant. When compared to community data, there were elevated rates of concerns about depression and anxiety. Men also described difficulties with the fathering role and with regulating their own feelings of guilt and frustration. These findings highlight the needs of men for support when a mother experiences perinatal problems and also the risk for distress in fathers.
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