Postpartum depression in mothers and fathers: a structural equation model
Zhizhou Duan1,2, Yuanyuan Wang3,4, Ping Jiang1
1Institute of Mental Health, Suzhou Guangji Hospital, Affiliated Guangji Hospital of Soochow University, Soochow University, No. 11 Guangqian Road, Jiangsu Province, 215137, Suzhou, PR China.
BMC Pregnancy and Childbirth
|September 16, 2020
Summary
Maternal postpartum depression (PPD) directly impacts paternal PPD, and maternal marital satisfaction mediates this relationship. Interventions should address both parents' mental health and relationship dynamics.
Area of Science:
- Psychiatry
- Mental Health
- Sociology
Background:
- Postpartum depression (PPD) is a significant global mental health issue.
- Limited research exists on the interplay between paternal and maternal PPD in the Chinese context.
- Understanding these dynamics is crucial given rising global concerns.
Purpose of the Study:
- To investigate the correlation between maternal PPD, mother-in-law/daughter-in-law relationship satisfaction, marital satisfaction, and paternal PPD.
- To explore the underlying mechanisms of PPD in both mothers and fathers within couples.
Main Methods:
- A survey of 950 couples was conducted between March 2017 and December 2018.
- Standardized questionnaires assessed demographics, in-law relationships, marital satisfaction, and PPD symptoms.
- Structural Equation Modelling (SEM) analyzed the relationships and mediating effects.
Main Results:
- 4.4% of couples experienced depressive symptoms in both partners.
- Maternal marital satisfaction significantly mediated paternal PPD (B = -0.114, p < 0.01).
- Maternal PPD had a direct effect on paternal PPD (B = 0.31, p < 0.001).
Conclusions:
- This study is the first to examine the complex relationships between maternal PPD, relationship satisfaction, and paternal PPD.
- Future PPD interventions must holistically address maternal and paternal mental health.
- Interventions should consider identified mechanisms contributing to PPD in both parents.
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