Abstract
ObjectiveThe aim of this study is to examine the association between workplace and community social capital and fathers' postpartum depression and anxiety at 3 months after delivery in Japan.MethodsFathers who had babies delivered in two obstetric clinics in Tokyo, Japan were recruited to take part in the study (response rate = 76.2%). Participants completed questionnaires measuring workplace and community social capital, depression, and anxiety at 1 week and a follow-up at 3 months post-delivery (N = 398). Multiple linear regression analyses were performed with multiple imputation for missing data (at most, N = 60, 15.1%).ResultsCommunity social capital was inversely associated with both depressive symptoms (β = −0.21, 95%CI = −0.33 to −0.08) and anxiety (β = −0.38, 95%CI = −0.66 to −0.11) at 3 months, after adjusting for covariates. No association was found between workplace social capital and depressive symptoms and anxiety.ConclusionPaternal community social capital, but not workplace social capital, was shown to be a preventive factor for paternal depression and anxiety up to 3 months post-delivery. To prevent paternal mental health problems during the postpartum period, an intervention to promote paternal community, rather than workplace, social capital may be warranted.
Highlights
Paternal mental health problems, such as depression and anxiety during the perinatal period, are common issues [1, 2] presenting a public health concern, in addition to maternal perinatal mental health
We show the correlations among workplace social capital, community social capital, social participation in the last year before delivery, and number of people who can be consulted about parenting in Supplementary Table 1
A significant but weak correlation was found between workplace social capital and community social capital (r = 0.17, p < 0.01)
Summary
Paternal mental health problems, such as depression and anxiety during the perinatal period, are common issues [1, 2] presenting a public health concern, in addition to maternal perinatal mental health. Previous studies estimated that 8.4% of fathers across North and South America, the United Kingdom, Asia, and Australia/Oceania [3, 4], and 8.8% of those in Japan [5] showed paternal depression within 1-year postnatal. Postnatal paternal depression is associated with poor satisfaction with the marital relationship [6, 7], increased maternal depression [8], poor father-infant interaction [9, 10], poor child development [10], and increased child maltreatment [5]. A previous study found that paternal postnatal depression is associated with. A previous study suggests that, in addition to treatment for depression, assessment and treatment of paternal anxiety are needed [13]
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