Father’s Perspectives on Family Relationships and Mental Health Treatment Participation in the Context of Maternal Postpartum Depression

Abstract

Objective: To understand the perspectives of fathers whose partners experienced postpartum depression, particularly (1) views on how fathers and family relationships were impacted by maternal PPD, and (2) attitudes regarding inclusion of fathers within the treatment process.Methods: We conducted qualitative interviews with 8 postpartum couples using a semi-structured protocol, and administered questionnaires assessing demographics, depression, and family functioning. We abstracted data from hospital records regarding the mother’s depressive episode. We summarized quantitative data using descriptive statistics, and analyzed interview transcripts using qualitative analysis techniques, focusing specifically on fathers’ input on postpartum relationships and treatment involvement.Results: Over one-third of fathers had elevated symptoms of depression, and family functioning scores suggested that most couples were experiencing dysfunction in their relationships. Qualitative analysis identified three major categories of themes, and subthemes in each category. Major themes included: (1) fathers’ experiences during the postpartum period, including not understanding postpartum mental health conditions and desiring more information, experiencing a range of emotions, and difficulty of balancing work with family; (2) fathers’ views on postpartum relationships, such as communication problems, empathy for partner, and relationship issues with other family members; (3) fathers’ attitudes toward postpartum treatment, including openness to be involved, perceived benefits, and barriers and facilitators to the inclusion of partners in treatment.Conclusion: Though barriers exist, many fathers are motivated to be included in the treatment process. In addition to supporting maternal wellbeing, fathers view treatment as a means to improve issues in the couple or family system, such as communication difficulties.

Risk factors of paternal postpartum depression among Latino fathers: Treatment implications

“…He would spend more time at work, finding it difficult to articulate his feelings with his therapist and wife (Hernandez et al, 2022). Another study found that fathers had difficulty understanding postpartum mental health conditions while experiencing a wide range of difficult emotions for them to articulate (Battle et al, 2021). Experiences of paternal PPD are characterized by the inability to cope, emotional lability, and dysphoria, making it increasingly challenging for these fathers to enable adaptive coping techniques (Letourneau et al, 2011).…”

Looking Beyond the Mother: Investigating Relationship Characteristics and Postpartum Depression Risk Factors

“…For example, the interaction between parents' mental health statuses may accentuate PPD symptoms in the mother [4]. And the father may influence the mother's likelihood of PPD through their communication quality, relationship satisfaction, and social support [5,6]. PPD knowledge, coping skills, and mental health attitudes can also influence the father's ability to aid the mother in preventing PPD [7].…”

“…How confident are you that you will be able to [were able to] help your partner cope with mental health struggles after the baby is [was] born?4 How prepared to you think you are [were] for these changes? (i.e., all physical, mental, relational changes that may occur postpartum)5 Perceived Stress Scale6 How do you think your relationship will [did] change after the baby is [was] born? A lot worse -a lot better…”