Discrepancies between self- and partner-reported maternal depressive symptoms during pregnancy: roles of maternal
Sarah G Curci1,2, Angela J Narayan2, Erin L Todd2
1Department of Psychiatry, University of Colorado Anschutz Medical Campus, Aurora, Colorado, USA.
Maternal depressive symptoms during pregnancy are common but often go undetected. Partner reports on maternal depressive symptoms offer meaningful insights beyond self-report, yet little is known about the psychological and relational factors that shape partner reports. In 85 mother-father dyads assessed during pregnancy, we examined associations between self-reported and father-reported maternal depressive symptoms and predictors of informant discrepancies. While father-reported maternal depressive symptoms were moderately correlated with maternal self-reports, 39% of dyads disagreed on whether mother met clinical thresholds. Fathers' self-reported depressive symptoms predicted higher father-reported maternal depressive symptoms. Maternal-reported attachment avoidance was associated with fathers underreporting maternal depressive symptoms relative to maternal self-reports, while maternal-reported attachment anxiety was associated with fathers overreporting maternal depressive symptoms relative to maternal self-reports. Findings underscore the relational context of perinatal mental health. Including fathers as both informants and targets of care could improve identification and treatment of perinatal depression.
Maternal depressive symptoms during pregnancy are common but often go undetected. Partner reports on maternal depressive symptoms offer meaningful insights beyond self-report, yet little is known about the psychological and relational factors that shape partner reports. In 85 mother-father dyads assessed during pregnancy, we examined associations between self-reported and father-reported maternal depressive symptoms and predictors of informant discrepancies. While father-reported maternal depressive symptoms were moderately correlated with maternal self-reports, 39% of dyads disagreed on whether mother met clinical thresholds. Fathers' self-reported depressive symptoms predicted higher father-reported maternal depressive symptoms. Maternal-reported attachment avoidance was associated with fathers underreporting maternal depressive symptoms relative to maternal self-reports, while maternal-reported attachment anxiety was associated with fathers overreporting maternal depressive symptoms relative to maternal self-reports. Findings underscore the relational context of perinatal mental health. Including fathers as both informants and targets of care could improve identification and treatment of perinatal depression.
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