Anxiety in fathers in the perinatal period: a systematic review

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dc.contributor.author Philpott, Lloyd F.
dc.contributor.author Savage, Eileen
dc.contributor.author FitzGerald, Serena M.
dc.contributor.author Leahy-Warren, Patricia
dc.date.accessioned 2019-08-13T14:52:15Z
dc.date.available 2019-08-13T14:52:15Z
dc.date.issued 2019-05-28
dc.identifier.citation Philpott, L. F., Savage, E., FitzGerald, S. and Leahy-Warren, P. (2019) 'Anxiety in fathers in the perinatal period: A systematic review', Midwifery, 76, pp. 54-101. doi: 10.1016/j.midw.2019.05.013 en
dc.identifier.volume 76 en
dc.identifier.startpage 54 en
dc.identifier.endpage 101 en
dc.identifier.issn 0266-6138
dc.identifier.uri http://hdl.handle.net/10468/8312
dc.identifier.doi 10.1016/j.midw.2019.05.013 en
dc.description.abstract Background: Fatherhood in the perinatal period can be a time of great excitement, happiness and joy. However, a growing body of literature indicates that fathers are at risk for elevated levels of anxiety symptoms during the perinatal period. Purpose: The purpose of this systematic review is to determine the prevalence and levels of anxiety in fathers during the perinatal period, identify the risk factors and impact of anxiety, and establish if there are effective interventions that reduce father's anxiety. Design: Systematic review. Methods: A systematic review protocol was developed and registered with PROSPERO (reference number: CRD42017073760). The review was guided by the PRISMA reporting process. Electronic databases Medline, CINAHL, Embase, the Cochrane Library, PsycARTICLES, PsycINFO, and Psychology were searched to identify eligible studies. Studies that researched fathers during the perinatal period were included if anxiety was the primary focus of the research or was an outcome or dependent variable. Data were extracted and presented in narrative form including tables and figures. Findings: Thirty-four studies met the inclusion criteria. Findings from these studies indicate that fathers experience anxiety in the perinatal period, particularly at the time of birth. Anxiety increased from the antenatal period to the time of birth, with a decrease in anxiety from the time of birth to the later postnatal period. The prevalence of anxiety ranged between 3.4% and 25.0% during the antenatal period and 2.4% and 51.0% during the postnatal period. Factors contributing to anxiety included lower education levels, lower income levels, lower co-parenting support, lower social support, work-family conflict, a partner’ anxiety and depression, and being present during a previous birth. Anxiety had a negative impact on fathers’ mental health, physical health, social relationships and parenting skills. Anxiety contributed to stress, depression, fatigue and lower paternal self-efficacy. Five studies reported on interventions to reduce anxiety and all the studies found that anxiety significantly decreased following the intervention. Key conclusion: Fathers experience increased anxiety from the antenatal period to the time of birth, with a decrease in anxiety from the time of birth to the later postnatal period. Anxiety during the perinatal period that can impact negatively on fathers physical and mental health, and social relationships. en
dc.format.mimetype application/pdf en
dc.language.iso en en
dc.publisher Elsevier en
dc.relation.uri http://www.sciencedirect.com/science/article/pii/S0266613819301214
dc.rights © 2019 Elsevier Ltd. All rights reserved. This manuscript version is made available under the CC-BY-NC-ND 4.0 license en
dc.rights.uri http://creativecommons.org/licenses/by-nc-nd/4.0/ en
dc.subject Fathers en
dc.subject Men's health en
dc.subject Mental health en
dc.subject Perinatal en
dc.subject Anxiety en
dc.subject Systematic review en
dc.title Anxiety in fathers in the perinatal period: a systematic review en
dc.type Article (peer-reviewed) en
dc.internal.authorcontactother Lloyd F. Philpott, Nursing & Midwifery, University College Cork, Cork, Ireland. +353-21-490-3000 Email: lloyd.philpott@ucc.ie en
dc.internal.availability Full text available en
dc.check.info Access to this article is restricted until 12 months after publication by request of the publisher en
dc.check.date 2020-05-25
dc.date.updated 2019-08-13T14:46:28Z
dc.description.version Accepted Version en
dc.internal.rssid 496469332
dc.description.status Peer reviewed en
dc.identifier.journaltitle Midwifery en
dc.internal.copyrightchecked No
dc.internal.licenseacceptance Yes en
dc.internal.IRISemailaddress e.savage@ucc.ie en
dc.internal.IRISemailaddress lloyd.philpott@ucc.ie en


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© 2019 Elsevier Ltd. All rights reserved. This manuscript version is made available under the CC-BY-NC-ND 4.0 license Except where otherwise noted, this item's license is described as © 2019 Elsevier Ltd. All rights reserved. This manuscript version is made available under the CC-BY-NC-ND 4.0 license
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