"What about the Dads?" Exploring PMAD Among Men

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Tubrick, Carolyn

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2025-05-17

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Purpose: The purpose of this scholarly project is to explore the screening tools and referral for treatment of Perinatal Mood and Anxiety Disorder (PMAD) among fathers during the first trimester of pregnancy up to one year postpartum. Background: Recent statistics indicate that 17% of women and 10% of men are diagnosed with PMAD and 3 in 100 couples are diagnosed with PMAD which contributes to mental health medical costs of up to $300 billion annually. PMAD is underrecognized and undertreated and needs to be addressed to prevent poor family outcomes like infant neglect, substance abuse, and physical abuse. Methods: A review of the relevant literature was completed to examine the existing evidence exploring PMAD among fathers, the types of PMAD screening tools available for use in clinical practice and their evidence for use in fathers, and potential pathways for referral and treatment of those fathers screening positive for PMAD. Results: Twenty-one articles published between 2019-2024 were selected including eight Level 1 evidence articles and 13 Level IV evidence articles. Conclusions: Evidence shows that fathers should be screened prenatally and postnatally using the EPDS tool. Further screening for perinatal PTSD may be warranted in the setting of a traumatic birth experience. Early intervention pathways should be established if fathers screen positive for PMAD. Keywords: Fathers, Perinatal, PMAD, Depression, EPDS, EPDS-P, paternal PMAD screening.

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Creighton University

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Copyright is retained by the Author. A non-exclusive distribution right is granted to Creighton University.

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