Abstract
BackgroundSystematic reviews have established that partner support protects against perinatal mood problems. It is therefore a key target for interventions designed to prevent maternal and paternal depression and anxiety. Nonetheless, the extant literature is yet to be translated into specific actions that parents can implement. Prevention efforts aiming to facilitate reciprocal partner support within the couple dyad need to provide specific guidance on how partners can support one another to reduce their vulnerability to perinatal depression and anxiety.MethodTwo panels of experts in perinatal mental health (21 consumer advocates and 39 professionals) participated in a Delphi consensus study to establish how partners can support one another to reduce their risk of developing depression and anxiety during pregnancy and the postpartum period.ResultsA total of 214 recommendations on how partners can support each other were endorsed by at least 80 % of both panels as important or essential in reducing the risk of perinatal depression and anxiety. The recommendations were grouped under the following categories: becoming a parent, supporting each other through pregnancy and childbirth, communication, conflict, division of labor, practical support, emotional support, emotional closeness, sexual satisfaction, using alcohol and drugs, encouraging self-care, developing acceptance, and help-seeking.ConclusionThis study established consensus between consumers and professionals in order to produce a set of guidelines on how partners can support each other to prevent depression and anxiety during pregnancy and following childbirth. It is hoped that these guidelines will inform the development of perinatal depression and anxiety prevention efforts.Electronic supplementary materialThe online version of this article (doi:10.1186/s12888-016-0721-0) contains supplementary material, which is available to authorized users.
Highlights
Systematic reviews have established that partner support protects against perinatal mood problems
Depression and anxiety are common among parents during the perinatal period, with meta-analyses indicating that perinatal depression affects 12.9 of mothers [4] and 10.0 % of fathers [5]
We identified 214 recommendations grouped under 13 categories, nine of which corresponded to partner factors in our systematic review and meta-analysis of risk and protective factors associated with perinatal depression and anxiety that partners can potentially modify
Summary
Systematic reviews have established that partner support protects against perinatal mood problems. It is a key target for interventions designed to prevent maternal and paternal depression and anxiety. Prevention efforts aiming to facilitate reciprocal partner support within the couple dyad need to provide specific guidance on how partners can support one another to reduce their vulnerability to perinatal depression and anxiety. The high prevalence of perinatal depression and anxiety and low rates of help-seeking [6] indicate a need for effective prevention approaches that target all parents [9]. The current study aimed to identify how we can enhance partner support and relationship satisfaction for both partners in the couple dyad, to reduce men and women’s vulnerability to perinatal mood problems. We deliberately aimed to be inclusive of mothers and fathers in both opposite-sex and same-sex relationships
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