International Journal of Reproductive BioMedicine
ISSN: 2476-3772
The latest discoveries in all areas of reproduction and reproductive technology.
The prevalence of postpartum depression and associated characteristics in fathers of newborns in Yazd City in 2023: A cross-sectional study
Published date: Dec 03 2025
Journal Title: International Journal of Reproductive BioMedicine
Issue title: International Journal of Reproductive BioMedicine (IJRM): Volume 23, Issue No. 10
Pages: 843 – 852
Authors:
Abstract:
Background: Most research on postpartum depression (PPD) has predominantly focused on mothers, leaving a gap in understanding fathers’ experiences and help-seeking behaviors.
Objective: This study aims to investigate the paternal PPD, addressing its complex causes and ultimately improving family health.
Materials and Methods: In this cross-sectional study, 270 fathers of newborns who referred to healthcare centers in Yazd, Iran from September 2023-September 2024 were enrolled. Participants were asked to fill the Edinburgh questionnaire to examine the prevalence and contributing factors of PPD.
Results: A total of 270 fathers participated, with 146 daughters and 124 sons. The average depression score was 8.7 ± 6.2. The study found no significant difference in depression rates based on fathers’ education level (p = 0.09), the number of children (p = 0.1), or history of newborn neonatal intensive care unit hospitalization (p = 0.5). However, a significant correlation was identified between depression and monthly income (p = 0.002) and having a baby girl (p = 0.03). Overall, 81 fathers (30%) reported experiencing depression.
Conclusion: The findings highlight the need for long-term planning to address paternal depression, emphasizing that healthcare systems should not only focus on maternal mental health but also recognize the psychological challenges faced by fathers. Supporting fathers is crucial for the well-being of both mothers and newborns.
Keywords: Postpartum depression, Fathers, Mental health, Depression
References:
[1] Nurbaeti I, Deoisres W, Hengudomsub P. Postpartum depression in Indonesian mothers: Its changes and predicting factors. Pacific Rim Int J Nurs Res 2018; 22: 93–105.
[2] Carlson K, Mughal S, Azhar Y, Siddiqui W. Perinatal depression. [updated 2025 Jan 22]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2025.
[3] Bradshaw H, Riddle JN, Salimgaraev R, Zhaunova L, Payne JL. Risk factors associated with postpartum depressive symptoms: A multinational study. J Affect Disord 2022; 301: 345–351.
[4] Scarff JR. Postpartum depression in men. Innov Clin Neurosci 2019; 16: 11–14.
[5] Yousef I, Javed HA, Naeem R, Ikram A. Exploring the manifestation of post-partum depression in men. Pakistan J Human Soc Sci 2023; 11: 3636–3648.
[6] Mladenovic D, Kostic S, Ivanovic K, Jovanovic I, Petronijevic M, Petronijevic M, et al. Depressive symptoms during pregnancy and the postpartum period: A tertiary hospital experience. Medicina (Kaunas) 2024; 60: 1288.
[7] Álvarez-García P, García-Fernández R, Martín-Vázquez C, Calvo-Ayuso N, Quiroga-Sánchez E. Postpartum depression in fathers: A systematic review. J Clin Med 2024; 13: 2949.
[8] Mazza M, Kotzalidis GD, Avallone C, Balocchi M, Sessa I, De Luca I, et al. Depressive symptoms in expecting fathers: Is paternal perinatal depression a valid concept? A systematic review of evidence. J Pers Med 2022; 12: 1598.
[9] Gutierrez-Galve L, Stein A, Hanington L, Heron J, Lewis G, O’Farrelly C, et al. Association of maternal and paternal depression in the postnatal period with offspring depression at age 18 years. JAMA Psychiatry 2019; 76: 290–296.
[10] Mizunuma N, Yamada K, Kimura T, Ueda Y, Takeda T, Tabuchi T, et al. Mental health risks in pregnancy and early parenthood among male and female parents following unintended pregnancy or fertility treatment: A cross-sectional observational study. BMC Pregnancy Childbirth 2024; 24: 860.
[11] Hajipoor S, Pakseresht S, Niknami M, Atrkar Roshan Z, Nikandish S. The relationship between social support and postpartum depression. J Holistic Nurs Midwif 2021; 31: 93–103.
[12] Goodman SH, Garber J. Evidence-based interventions for depressed mothers and their young children. Child Dev 2017; 88: 368–377.
[13] Shariat M, Abedinia N, Charousaei H, Fatahi F. The relationship between paternal postpartum depression and psychosocial variables: A longitudinal study in Iran. J Family Reprod Health 2022; 16: 272–281.
[14] Duan Z, Wang Y, Jiang P, Wilson A, Guo Y, Lv Y, et al. Postpartum depression in mothers and fathers: A structural equation model. BMC Pregnancy Childbirth 2020; 20: 537.
[15] Kamalifard M, Hasanpoor Sh, Babapour Kheiroddin J, Panahi S, Bayati Payan S. Relationship between Fathers’ depression and perceived social support and stress in postpartum period. J Caring Sci 2014; 3: 57–66.
[16] Najary Forushani S, Namdarpour F. Modeling structural equations of the effect of stress and perceived social support on the postpartum depression considering the mediator role of vulnerable personality in the mothers. Int Arch Health Sci 2023; 10: 63–69.
[17] Zarei Salehabadei M, Amini L, Haghani Sh, Sadeghi Avval Shahr H. Postpartum depression and paternal-infant attachment in Iranian fathers. J Reprod Infant Psychol 2025; 43: 1–14.
[18] Suto M, Isogai E, Mizutani F, Kakee N, Misago C, Takehara K. Prevalence and factors associated with postpartum depression in fathers: A regional, longitudinal study in Japan. Res Nurs Health 2016; 39: 253–262.
[19] Galini Moghadam T, Moeindarbary S, Vafi Sani F, Salehi A, Ahmadi A, Khorasani F, et al. Validation of the persian version of edinburgh postnatal depression scale in iranian women. Journal of Pediatric Perspectives 2020; 8: 12081–12089.
[20] Shamsikhani S, Soleimani N, Saedi M, Shamsikhani S, Matourypour P, Soleimani H. [Investigation of predisposing factors of paternal postpartum depression]. Iran J Pediatr Nurs 2016; 4: 51–55. (In Persian)
[21] Cameron EE, Sedov ID, Tomfohr-Madsen LM. Prevalence of paternal depression in pregnancy and the postpartum: An updated meta-analysis. J Affect Disord 2016; 206: 189–203.
[22] Fang Y, Luo J, Boele M, Windhorst D, Van Grieken A, Raat H. Parent, child, and situational factors associated with parenting stress: A systematic review. Eur Child Adolesc Psychiatry 2024; 33: 1687–1705.
[23] Norhayati MN, Nik Hazlina NH, Aniza AA. Functional status of women with and without severe maternal morbidity: A prospective cohort study. Women Birth 2016; 29: 443–449.
[24] Le K, Nguyen M. Son preference and health disparities in developing countries. SSM Popul Health 2022; 17: 101036.
[25] Jain A, Tyagi P, Kaur P, Puliyel J, Sreenivas V. Association of birth of girls with postnatal depression and exclusive breastfeeding: An observational study. BMJ Open 2014; 4: e003545.