PDF(Pubmed)
Abstract：
UNASSIGNED: Paternal perinatal mental illness (PPMI), which affects around one in 10 fathers, is under-recognised despite increasing awareness of men\'s mental health in the perinatal period. Social stigma and men\'s reluctance to seek help exacerbate this gap. Neglecting the mental health needs of new fathers not only puts them at increased risk for mental illness themselves, but also has a profound and long-lasting impact on their families, children and their own self-esteem as they navigate their new role in the family dynamic.
UNASSIGNED: This meta-review systematically identifies instruments assessing PPMI symptoms, evaluates their psychometric properties and applicability, presents key findings from studies using these tools, and identifies gaps and limitations in the literature on PPMI symptom assessment.
UNASSIGNED: A systematic literature review was conducted using search strategies applied to PubMed, PsycNet APA, Cochrane, and Web of Science, supplemented by hand searches. Relevant information was extracted from each included study. Extracted data were analysed narratively to address the research questions.
UNASSIGNED: Findings identified limitations and gaps in current screening practices. While the Edinburgh Postnatal Depression Scale (EPDS) is the most widely used screening tool for both fathers and mothers, it inadequately captures atypical depressive symptoms in men. Cutoff scores lack consensus, and instrument sensitivity varies significantly due to cultural and sociodemographic factors. A number of other screening tools have been identified, most of which are more general and not specifically designed for perinatal mental health.
UNASSIGNED: This meta-review broadens perspectives on PPMI screening instruments, highlighting key themes, patterns, and differences across the included reviews. While a variety of screening tools are used, the review underscores the necessity for tools specifically tailored to fathers during the perinatal period.
UNASSIGNED: This meta-review systematically identifies instruments assessing PPMI symptoms, evaluates their psychometric properties and applicability, presents key findings from studies using these tools, and identifies gaps and limitations in the literature on PPMI symptom assessment.
UNASSIGNED: A systematic literature review was conducted using search strategies applied to PubMed, PsycNet APA, Cochrane, and Web of Science, supplemented by hand searches. Relevant information was extracted from each included study. Extracted data were analysed narratively to address the research questions.
UNASSIGNED: Findings identified limitations and gaps in current screening practices. While the Edinburgh Postnatal Depression Scale (EPDS) is the most widely used screening tool for both fathers and mothers, it inadequately captures atypical depressive symptoms in men. Cutoff scores lack consensus, and instrument sensitivity varies significantly due to cultural and sociodemographic factors. A number of other screening tools have been identified, most of which are more general and not specifically designed for perinatal mental health.
UNASSIGNED: This meta-review broadens perspectives on PPMI screening instruments, highlighting key themes, patterns, and differences across the included reviews. While a variety of screening tools are used, the review underscores the necessity for tools specifically tailored to fathers during the perinatal period.
摘要：
■父亲围产期精神疾病（PPMI），影响到大约十分之一的父亲，尽管人们越来越认识到围产期男性的心理健康。社会污名化和男性不愿寻求帮助加剧了这种差距。忽视新父亲的心理健康需求不仅会增加他们自己患精神疾病的风险，但也对他们的家庭产生了深远而持久的影响，孩子们和他们自己的自尊，因为他们在家庭动态中导航他们的新角色。
■本元综述系统地确定了评估PPMI症状的仪器，评估它们的心理测量特性和适用性，提供使用这些工具的研究的关键发现，并确定PPMI症状评估文献中的差距和局限性。
■使用应用于PubMed的搜索策略进行了系统的文献综述，心理网络APA，科克伦,和WebofScience,辅以手工搜索。从每个纳入的研究中提取相关信息。对提取的数据进行了叙述性分析，以解决研究问题。
■研究发现了当前筛查实践中的局限性和差距。虽然爱丁堡产后抑郁量表（EPDS）是父亲和母亲使用最广泛的筛查工具，它不能充分捕捉到男性的非典型抑郁症状。截止分数缺乏共识，由于文化和社会人口因素，仪器的灵敏度差异很大。已经确定了许多其他筛查工具，其中大多数是更普遍的，不是专门为围产期心理健康设计的。
■本元综述拓宽了PPMI筛查工具的视角，突出关键主题，模式,以及包含的评论之间的差异。虽然使用了各种筛选工具，该审查强调了在围产期为父亲量身定制的工具的必要性。
■本元综述系统地确定了评估PPMI症状的仪器，评估它们的心理测量特性和适用性，提供使用这些工具的研究的关键发现，并确定PPMI症状评估文献中的差距和局限性。
■使用应用于PubMed的搜索策略进行了系统的文献综述，心理网络APA，科克伦,和WebofScience,辅以手工搜索。从每个纳入的研究中提取相关信息。对提取的数据进行了叙述性分析，以解决研究问题。
■研究发现了当前筛查实践中的局限性和差距。虽然爱丁堡产后抑郁量表（EPDS）是父亲和母亲使用最广泛的筛查工具，它不能充分捕捉到男性的非典型抑郁症状。截止分数缺乏共识，由于文化和社会人口因素，仪器的灵敏度差异很大。已经确定了许多其他筛查工具，其中大多数是更普遍的，不是专门为围产期心理健康设计的。
■本元综述拓宽了PPMI筛查工具的视角，突出关键主题，模式,以及包含的评论之间的差异。虽然使用了各种筛选工具，该审查强调了在围产期为父亲量身定制的工具的必要性。
