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This systematic review thematically synthesised qualitative research exploring men’s experiences of their partner’s postnatal mental health problems and their impact on men’s emotional wellbeing, relationships and support needs. Maternal postnatal mental health problems impact women and their infants. Recognition of the role that men play in supporting women’s’ recovery and infants’ development is growing. However, less is known about how maternal postnatal mental health problems affect men and how they wish to be supported.
A systematic review of the literature was conducted in January 2018 by searching five electronic databases (PsycINFO, EMBASE, MEDLINE, PubMed and Web of Science). Qualitative research studies published in English exploring men’s experiences of having a partner with postnatal mental health problems were included. Twenty papers met the inclusion criteria and were appraised for methodological quality. Data were thematically synthesised.
In addition to nineteen subthemes, 5 main themes were identified: (1) Being a father, (2) Being a partner, (3) Experiencing negative emotions, (4) The ways in which men cope and (5) Where support is needed.
Maternal postnatal mental health problems impacted men’s roles of being a father and a partner and gave rise to negative emotions. Men coped with these experiences in a number of ways, which were both helped and hindered by personal, social and professional factors. Participants’ coping methods were understood in relation to Coping Theory. Recommendations for perinatal mental health professionals included the need for increased public awareness of postnatal mental health.
Areias, M., Kumar, R., Barros, H., & Figueiredo, E. (1996). Correlates of postnatal depression in mothers and fathers. British Journal of Psychiatry, 169(1), 36–41. https://doi.org/10.1192/bjp.169.1.36.
Atkins, S., Lewin, S., Smith, H., Engel, M., Fretheim, A., & Volmink, J. (2008). Conducting a meta-ethnography of qualitative literature: lessons learnt. BMC Medical Research Methodology, 8(1), 21. https://doi.org/10.1186/1471-2288-8-21.
Ballard, C. G., Davis, R., Cullen, P. C., Mohan, R. N., & Dean, C. (1994). Prevalence of postnatal psychiatric morbidity in mothers and fathers. British Journal of Psychiatry, 164(6), 782–788. https://doi.org/10.1192/bjp.164.6.782.
Barnett-Page, E., & Thomas, J. (2009). Methods for the synthesis of qualitative research: a critical review. BMC Medical Research Methodology, 9(1), 59. https://doi.org/10.1186/1471-2288-9-59.
*Bell, L., Feeley, N., Hayton, B., Zelkowitz, P., Tait, M., & Desindes, S. (2016). Barriers and facilitators to the use of mental health services by women with elevated symptoms of depression and their partners. Issues in Mental Health Nursing, 37(9), 651–659. https://doi.org/10.1080/01612840.2016.1180724.
*Beestin, L., Hugh-Jones, S., & Gough, B. (2014). The impact of maternal postnatal depression on men and their ways of fathering: an interpretative phenomenological analysis. Psychology and Health, 29(6), 717–735. https://doi.org/10.1080/08870446.2014.885523.
*Boddy, R., Gordon, C., MacCallum, F., & McGuinness, M. (2017). Men’s experiences of having a partner who requires mother and baby unit admission for first episode postpartum psychosis. Journal of Advanced Nursing, 73(2), 309–409. https://doi.org/10.1111/jan.13110.
Burgess, A. (2011). Fathers’ roles in perinatal mental health: causes, interactions and effects. New Digest, 53, 24–29.
Cooke, A., Smith, D., & Booth, A. (2012). Beyond PICO: the SPIDER tool for qualitative evidence synthesis. Qualitative Health Research, 22(10), 1435–1443. https://doi.org/10.1177/1049732312452938.
Critical Appraisal Skills Programme (2018). CASP qualitative checklist. https://casp-uk.net/casp-tools-checklists/.
Cummings, E. M., & Watson O’Reilly, A. (1997). Fathers in family context: effects of marital quality on child adjustment. In M. E. Lamb (Ed.), The role of the father in child development (pp. 49–65). Hoboken, NJ: John Wiley & Sons Inc.
*Davey, S. J., Dziurawiec, S., & O’Brien-Malone, A. (2006). Men’s voices: postnatal depression from the perspective of male partners. Qualitative Health Research, 16(2), 206–220. https://doi.org/10.1177/1049732305281950.
de Montigny, F., & Lacharite, C. (2004). Fathers’ perceptions of the immediate postpartal period. Journal of Obstetric, Gynecologic & Neonatal Nursing, 33(3), 328–339. https://doi.org/10.1177/0884217504266012.
*Doucet, S., Letourneau, N., & Blackmore, E. R. (2012). Support needs of mothers who experience postpartum psychosis and their partners. Journal of Obstetric, Gynecologic, & Neonatal Nursing, 41(2), 236–245. https://doi.org/10.1111/j.1552-6909.2011.01329.x.
Dudley, M., Roy, K., Kelk, N., & Bernard, D. (2001). Psychological correlates of depression in fathers and mothers in the first postnatal year. Journal of Reproductive and Infant Psychology, 19(3), 187–202. https://doi.org/10.1080/02646830124397.
Edhborg, M., Lundh, W., Seimyr, L., & Widstrom, A. (2003). The parent-child relationship in the context of maternal depressive mood. Archives of Women’s Mental Health, 6(3), 211–216. https://doi.org/10.1007/s00737-003-0020-x.
*Engqvist, I., & Nilsson, K. (2011). Men’s experience of their partner’s postpartum psychiatric disorders: narratives from the Internet. Mental Health in Family Medicine, 8(3), 137–146.
*Everignham, C. R., Heading, G., & Connor, L. (2006). Couples’ experiences of postnatal depression: a framing analysis of cultural identity, gender and communication. Social Science & Medicine, 62(7), 1745–1756. https://doi.org/10.1016/j.socscimed.2005.08.039.
*Feeley, N., Bell, L., Hayton, B., Zelkowitz, P., & Carrier, M.-E. (2016). Care for postpartum depression: what do women and their partners prefer? Perspectives in Psychiatric Care, 52(2), 120–130. https://doi.org/10.1111/ppc.12107.
Fletcher, R. J., Matthey, S., & Marley, C. G. (2006). Addressing depression and anxiety among new fathers. The Medical Journal of Australia, 185(8), 461–463.
Folkman, S., & Lazarus, R. S. (1980). An analysis of coping in a middle-aged community sample. Journal of Health and Social Behavior, 21(3), 219–239. https://doi.org/10.2307/2136617.
Folkman, S., Lazarus, R. S., Dunkel-Schetter, C., DeLongis, A., & Gruen, R. J. (1986). Dynamics of a stressful encounter: cognitive appraisal, coping, and encounter outcomes. Journal of Personality and Social Psychology, 50(5), 992.
Genesconi, L., & Tallandini, M. (2009). Men’s psychological transition to fatherhood: an analysis of the literature, 1989-2008. Birth, 36(4), 305–317. https://doi.org/10.1111/j.1523-536x.2009.00358.x.
Goodman, J. H. (2005). Becoming an involved father of an infant. Journal of Obstetric, Gynecologic, and Neonatal Nursing, 34(2), 190–200. https://doi.org/10.1177/0884217505274581.
Goodman, J. H. (2008). Influences of maternal postpartum depression on fathers and on father–infant interaction. Infant Mental Health Journal, 29(6), 624–643. https://doi.org/10.1002/imhj.20199.
Greenhalgh, R., Slade, P., & Spilby, H. (2000). Fathers’ coping styles, antenatal preparation and experiences of labour and the postpartum. Birth, 27(3), 177–184. https://doi.org/10.1046/j.1523-536x.2000.00177.x.
Grube, M. (2005). Inpatient treatment of women with postpartum psychiatric disorders—the role of the male partners. Archives of Women’s Mental Health, 8(3), 163–170. https://doi.org/10.1007/s00737-005-0087-7.
*Habel, C., Feeley, N., Hayton, B., Bell, L., & Zelkowitz, P. (2015). Causes of women’s postpartum depression symptoms: men’s and women׳s perceptions. Midwifery, 31(7), 728–734. https://doi.org/10.1016/j.midw.2015.03.007.
*Henshaw, E. J., Durkin, K. M., & Snell, R. J. (2016). First-time parents’ shared representation of postpartum depressive symptoms: a qualitative analysis. Social Science & Medicine, 160, 102–110. https://doi.org/10.1016/j.socscimed.2016.05.025.
Heron, J., Gilbert, N., Dolman, C., Shah, S., Beare, I., Dearden, S., & Muckelroy, N., et al. (2012). Information and support needs during recovery from postpartum psychosis. Archives of Women’s Mental Health, 15(3), 155–165. https://doi.org/10.1007/s00737-012-0267-1.
Hossain, Z., Field, T., Gonzales, J., Malphurs, J., & Del Valle, C. (1994). Infants of “depressed” mothers interact better with their non-depressed fathers. Infant Mental Health Journal, 15(4), 348–356. https://doi.org/10.1002/1097-0355(199424)15:43.0.CO;2-Y.
Howard, L. M., Molyneaux, E., Dennis, C.-L., Rochat, T., Stein, A., & Milgrom, J. (2014). Non-psychotic mental disorders in the perinatal period. The Lancet, 384(9956), 1775–1788. https://doi.org/10.1016/S0140-6736(14)61276-9.
Kowlessar, O., Fox, J. R., & Wittkowski, A. (2014). First-time fathers’ experiences of parenting during the first year. Journal of Reproductive and Infant Psychology, 33(1), 4–14. https://doi.org/10.1080/02646838.2014.971404.
Lazarus, R. S., & Folkman, S. (1984). Stress, appraisal, and coping. New York: Springer.
*Letourneau, N., Duffett-Leger, L., Dennis, C. L., Stewart, M., & Tryphonopoulos, P. D. (2011). Identifying the support needs of fathers affected by post-partum depression: a pilot study. Journal of Psychiatry and Mental Health Nursing, 18(1), 41–47. https://doi.org/10.1111/j.1365-2850.2010.01627.x.
*Letourneau, N., Tryphonopoulos, P. D., Duffett-Leger, L., Stewart, M., Benzies, K., Dennies, C., & Joschko, J. (2012). Support intervention needs and preferences of fathers affected by postpartum depression. Journal of Perinatal Neonatal Nursing, 26(1), 69–80. https://doi.org/10.1097/JPN.0b013e318241da87.
Lever Taylor, B. L., Billings, J., Marant, N., & Johnson, S. (2017). How do women’s partner’s view perinatal mental health services? A qualitative meta-synthesis. Clinical Psychology & Psychotherapy, 25(1), 112–129. https://doi.org/10.1002/cpp.2133.
*Marrs, J., Cossar, J., & Wroblewska, A. (2014). Keeping the family together and bonding: a father’s role in a perinatal mental health unit. Journal of Reproductive and Infant Psychology, 32(4), 340–354. https://doi.org/10.1080/02646838.2014.920951.
Matud, M. P. (2004). Gender differences in stress and coping styles. Personality and Individual Differences, 37(7), 1401–1415. https://doi.org/10.1016/j.paid.2004.01.010.
McCubbin, H. I., & Patterson, J. M. (1983). The family stress process: the double ABCX model of adjustment and adaptation. Marriage & Family Review, 6(1–2), 7–37. https://doi.org/10.1300/J002v06n01_02.
*Meighan, M., Davis, M. W., Thomas, S. P., & Droppleman, P. G. (1999). Living with postpartum depression: the father’s experience. American Journal of Maternal Child Nursing, 24(4), 202–208. https://doi.org/10.1097/00005721-199907000-00009.
*Mizukoshi, M., Ikeda, M., & Kamibeppu, K. (2016). The experiences of husbands of primiparas with depressive or anxiety disorders during the perinatal period. Sexual & Reproductive Healthcare: Official Journal of Swedish Association of Midwives, 8, 42–48. https://doi.org/10.1016/j.srhc.2016.02.002.
Moher, D., Shamseer, L., Clarke, M., Ghersi, D., Liberati, A., Petticrew, M., & Shekelle, P., et al. (2015). Preferred reporting items for systematic review and meta-analysis protocols (PRISMA-P) 2015 statement. Systematic Reviews, 4(1), 1 https://doi.org/10.1186/2046-4053-4-1.
Morgan, M., Matthey, S., Barnett, B., & Richardson, C. (1997). A group programme for postnatally depressed women and their partners. Journal of Advanced Nursing, 26(5), 913–920. https://doi.org/10.1046/j.1365-2648.1997.00433.x.
*Muchena, G. (2007). Men’s experiences of partners’ postnatal mental illness. Nursing Times, 103(48), 32–33.
*Nicholls, K., & Ayers, S. (2007). Childbirth‐ related post‐ traumatic stress disorder in couples: a qualitative study. British Journal of Health Psychology, 12(4), 491–509. https://doi.org/10.1348/135910706×120627.
National Institute for Health and Clinical Excellence (NICE) (2014). Antenatal and postnatal mental health: clinical management and service guidelines (Clinical Guideline 192). London: NICE. http://www.nice.org.uk/guidance/cg192.
NHS England (2016). Perinatal involvement and support for partner/significant other (Mental Health Program of Care Scheme MH7). https://www.england.nhs.uk/nhs-standard-contract/cquin/pres-cquin/.
Paulson, J., & Blazemore, S. (2010). Prenatal and postpartum depression in fathers and its association with maternal depression: a meta-analysis. Journal of the American Medical Association, 303(19), 1961–1969. https://doi.org/10.1001/jama.2010.605.
Phares, V., Lopez, E., Fields, S., Kamboukos, D., & Duhigm, A. M. (2005). Are fathers involved in paediatric research and treatment? Journal of Paediatric Psychology, 30(8), 631–643. https://doi.org/10.1093/jpepsy/jsi050.
Plunkett, C., Peters, S., & Wittkowski, A. (2016). Mothers’ experiences of recovery from postnatal mental illness: a systematic review of the qualitative literature and metasynthesis. JSM Anxiety and Depression, 1(4), 1019.
*Reid, H., Wieck, A., Matrunola, A., & Wittkowski, A. (2017). The experiences of fathers when their partners are admitted with their infants to a psychiatric mother and baby unit. Clinical Psychology and Psychotherapy, 24(4), 919–931. https://doi.org/10.1002/cpp.2056.
Robertson, E., & Lyons, A. (2003). Living with puerperal psychosis: a qualitative analysis. Psychology and Psychotherapy: Theory, Research and Practice, 76(4), 411–431. https://doi.org/10.1348/147608303770584755.
Thomas, J., & Harden, A. (2008). Methods for the thematic synthesis of qualitative research in systematic reviews. BMC Medical Research Methodology, 8(1), 45 https://doi.org/10.1186/1471-2288-8-45.
Tong, A., Flemming, K., McInnes, E., Oliver, S., & Craig, J. (2012). Enhancing transparency in reporting the synthesis of qualitative research: ENTREQ. BMC Medical Research Methodology, 12(1), 181. https://doi.org/10.1186/1471-2288-12-181.
Turner, B., Garrett, C., & Wittkowski, A. (2017). Male partners of women admitted to MBUs in the UK: a survey of available psychological and psychological interventions. Women’s Health Research, 1(1), 25–36.
*Webster, A. (2002). The forgotten father: the effect on men when partners have PND. Community Practitioner, 75(10), 390–393.
Wood, A. F., Meighan, M., Thomas, S. P., & Droppleman, P. G. (1997). The downward spiral of postpartum depression. MCN, The American Journal of Maternal Child Nursing, 22, 308–317.
*Wyatt, C., Murray, C., Davies, J., & Jomeen, J. (2015). Postpartum psychosis and relationships: their mutual influence from the perspective of women and significant others. Journal of Reproductive and Infant Psychology, 33(4), 426–442. https://doi.org/10.1080/02646838.2015.102718.
- The Experiences of Male Partners of Women with Postnatal Mental Health Problems: A Systematic Review and Thematic Synthesis
Debbie M. Smith
- Springer US
Journal of Child and Family Studies
Print ISSN: 1062-1024
Elektronisch ISSN: 1573-2843