Towards effective screening for paternal perinatal mental illness: a meta-review of instruments and research gaps

Philipp Schöch1,2, Laura Hölzle1,2, Astrid Lampe3

  • 1Department of Psychiatry, Psychotherapy, Psychosomatics, and Medical Psychology, Division of Psychiatry I, Medical University Innsbruck, Innsbruck, Austria.

PubMed

Insights

Paternal perinatal mental illness (PPMI) is under-recognized in fathers, with current screening tools inadequately assessing male symptoms. New, father-specific assessment tools are needed to address these gaps and improve paternal mental health care.

Area of Science:

  • Perinatal Mental Health
  • Men's Mental Health
  • Psychometrics

Background:

  • Paternal perinatal mental illness (PPMI) affects approximately 10% of fathers.
  • Social stigma and reluctance to seek help contribute to under-recognition of PPMI.
  • Neglecting paternal mental health impacts fathers, families, and children.

Purpose of the Study:

  • To systematically identify and evaluate instruments for assessing PPMI symptoms.
  • To assess the psychometric properties and applicability of these instruments.
  • To identify gaps and limitations in PPMI symptom assessment literature.

Main Methods:

  • Conducted a systematic literature review across multiple databases (PubMed, PsycNet APA, Cochrane, Web of Science).
  • Supplemented database searches with hand searches.
  • Performed narrative analysis of extracted data from included studies.

Main Results:

  • The Edinburgh Postnatal Depression Scale (EPDS) is widely used but inadequately captures atypical male depressive symptoms.
  • Lack of consensus on cutoff scores and variable instrument sensitivity due to socio-demographic factors.
  • Many identified tools are general and not specific to perinatal mental health in fathers.

Conclusions:

  • Current screening practices for PPMI have limitations and gaps.
  • Existing tools, including EPDS, are not optimally suited for fathers.
  • There is a critical need for screening instruments specifically designed for paternal perinatal mental health.
Abstract

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