Male callers to an Australian perinatal depression and anxiety help line—Understanding issues and concerns

Fletcher, Richard; StGeorge, Jennifer; Newman, Louise; Wroe, Jaime

doi:10.1002/imhj.21829

Cited by 11 publications

(12 citation statements)

References 59 publications

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“…Most of the findings reported to date have focused on the experience of mothers. The role of fathers in fostering healthy attachment with the infant to support developmental outcomes for infants is also important 13,14 More recent findings indicate that fathers of babies admitted to NICU experience symptoms of trauma, depression and anxiety 9,10,15 . A meta‐analysis review of paternal depression identified rates of up to 10.4% over the perinatal period with higher rates 3‐6 months postpartum 16 .…”

Section: Introductionmentioning

confidence: 99%

“…A meta‐analysis review of paternal depression identified rates of up to 10.4% over the perinatal period with higher rates 3‐6 months postpartum 16 . NICU mothers and fathers also report a higher likelihood of depression when there is relationship distress, 10 with relationship breakdown being cited as a reason for fathers contacting perinatal helplines for mental health support 15 . However, research examining the experience of fathers in NICU settings is in its infancy and no study has examined the experience of fathers drawn from regional and remote communities.…”

Section: Introductionmentioning

confidence: 99%

“…The role of fathers in fostering healthy attachment with the infant to support developmental outcomes for infants is also important 13,14 More recent findings indicate that fathers of babies admitted to NICU experience symptoms of trauma, depression and anxiety. 9,10,15 A meta-analysis review of paternal depression identified rates of up to 10.4% over the perinatal period with higher rates 3-6 months postpartum. 16 NICU mothers and fathers also report a higher likelihood of depression when there is relationship distress, 10 with relationship breakdown being cited as a reason for fathers contacting perinatal helplines for mental health support.…”

mentioning

confidence: 99%

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Psychological impact of neonatal intensive care unit admissions on parents: A regional perspective

Dickinson

Vangaveti

Slater

2022

Australian J Rural Health

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Objective This study aimed to report the prevalence of adverse psychological symptoms and health behaviours of parents who had a baby admitted to a regional neonatal intensive care unit to spotlight mental health care in these unique settings. Design This was a prospective, prevalence‐based study using quantitative data. Setting The study was conducted at the Townsville University Hospital, Queensland. Participants Participants comprised 114 parents of 79 infants enrolled in the study (mothers = 69 and fathers = 45). Main outcome measures Trauma, depression, anxiety, stress, alcohol and drug use, prior mental health history and bonding experience were assessed by standardised self‐report questionnaires and a structured diagnostic interview within 2 weeks and at 3 months post‐admission to neonatal intensive care unit. Results Clinically significant acute trauma symptoms (16% of mothers only), depression (22% mothers; 4% of fathers), anxiety (27% mothers; 11% fathers) and stress (24% mothers; 13% fathers) were reported within the first 2 weeks after their baby was admitted to the neonatal intensive care unit. Notably, 18% of parents reported engaging in harmful alcohol use behaviour within 2 weeks post‐birth; 29% of fathers continued to report risky drinking at 3 months. At 3 months, 21%, 8% and 6% of mothers met diagnostic criteria for generalised anxiety disorder, major depressive disorder and post‐traumatic stress disorder, respectively. Conclusion Screening for psychological distress and alcohol use of parents of neonatal intensive care unit babies can ensure that support services are made available post‐discharge to optimise family function and development of the preterm infant.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

mentioning

confidence: 99%

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Psychological impact of neonatal intensive care unit admissions on parents: A regional perspective

Dickinson

Vangaveti

Slater

2022

Australian J Rural Health

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“…In a sample of 102 men who had experienced a stressful life event, a moderate correlation was reported between depression and externalizing (r = 0.32) indicated by 11 items including having a "short fuse, " punching something, or yelling at someone. Importantly, it is not that women do not experience anger in the context of depression because research indicates they do (40,46). Instead, the contention is that observable symptoms align with gender-based socialized expectancies whereas current diagnostic criteria and screening instruments are weighted toward to female symptom presentations (33,44).…”

Section: Introductionmentioning

confidence: 99%

Profiles of Depressive Symptoms and Anger in Men: Associations With Postpartum Family Functioning

et al. 2020

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Background: Evidence suggests that men commonly experience depression as feelings of anger; yet, research has not investigated what this means for the manifestation of depressive symptoms in the early years of fatherhood and for key indicators of family functioning.Methods: Using data from a longitudinal cohort study of men at the normative age for entering fatherhood (28–32 years), we conducted latent class analyses to identify patterns of depressive symptoms and 3 sub-types of state anger (feeling; verbal; physical). We then assessed whether class membership was associated with paternity status (n = 535). In a subsample of fathers of infants aged up to 18 months (n = 162), we prospectively assessed associations with paternal-infant bonding, co-parenting, perceived social support, paternal involvement in childcare and alcohol use up to 2 years later.Results: Five classes emerged that differentiated men by anger and depressive symptom severity and by the degree to which men endorsed the feeling of wanting to express anger physically. Compared to the reference class with minimal symptoms, fathers had a higher probability of being in either the mild or most severe symptom classes. Men in symptomatic classes were at higher risk of lower levels of social support, co-parenting problems, and paternal-infant bonds. Class membership was not associated with alcohol use or paternal involvement in childcare.Conclusions: Our results reveal patterns of co-existing symptoms of depression and anger in fathers of infants that will be relevant to men's own need for support, their family safety, partner mental health and child developmental outcomes.

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“…The programme has demonstrated high acceptability among fathers including those with high levels of distress. 9 The messages from SMS4dads were tailored to partners of mothers with SMI by a team of clinicians and researchers with experience in identifying fathers' needs and the treatment of new mothers with SMI. 10 One aim of the current study was to assess the acceptability and perceived usefulness of messaging for partners of mothers with SMI.…”

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confidence: 99%

Supporting partners of mothers with severe mental illness through text – a feasibility study

Fletcher

StGeorge

Rawlinson

et al. 2020

Australas Psychiatry

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Objective: During the perinatal period, partners of mothers with severe mental illness (SMI) play an important role in managing the new baby and supporting the mothers’ wellbeing. Providing information via mobile phone on infant care, partner support and self-care may assist partners in their support role. Method: Partners (n = 23) of mothers with SMI were enrolled in a partner-focused SMS service sending brief texts 14 times per month for a maximum of 10 months. Partners (n = 16) were interviewed on exit and their responses analysed for acceptability and perceived usefulness of the texts. Results: Partners remained with the programme and expressed high acceptability of the texts. Participants identified effects such as increased knowledge of and interaction with their baby; effective support for their partner; and reassurance that ‘things were normal’. Few partners sought support for their own mental health. Conclusions: Texts supplied to mobile phones of partners of new mothers with SMI may increase partners’ support. The texts in this study were acceptable to partners and were reported to enhance a partner’s focus on the mother’s needs, raise the partner’s awareness of the infant’s needs, and support the partner’s confidence and competence in infant care.

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Male callers to an Australian perinatal depression and anxiety help line—Understanding issues and concerns

Abstract: We would like to thank the Perinatal Anxiety and Depression Australia (PANDA) national helpline for providing the de-identified data for analysis.

Cited by 11 publications

References 59 publications

Psychological impact of neonatal intensive care unit admissions on parents: A regional perspective

Psychological impact of neonatal intensive care unit admissions on parents: A regional perspective

Profiles of Depressive Symptoms and Anger in Men: Associations With Postpartum Family Functioning

Supporting partners of mothers with severe mental illness through text – a feasibility study

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