RT Journal Article
SR Electronic
T1 Major paternal depression and child consultation for developmental and behavioural problems
JF British Journal of General Practice
JO Br J Gen Pract
FD British Journal of General Practice
SP 180
OP 185
DO 10.3399/bjgp09X407063
VO 59
IS 560
A1 Shreya Davé
A1 Lorraine Sherr
A1 Rob Senior
A1 Irwin Nazareth
YR 2009
UL http://bjgp.org/content/59/560/180.abstract
AB Background It is well established that maternal depression is associated with enhanced child consultation for developmental and behaviour problems, but there is a dearth of research on paternal depression and child outcome.Aim To assess the association of major paternal depressed mood and child consultation for developmental and behaviour problems.Design of study Cross-sectional study.Setting General practices in London and Hertfordshire, UK.Method Fathers of children aged 4–6 years were recruited via 13 general practices. A sample of 248 biological father and mother dyads completed measures on depressive syndrome (Patient Health Questionnaire), child consultations with health professionals for developmental and behaviour problems, fathering, couple relationship quality, alcohol misuse, other psychiatric impairment, and sociodemographic factors.Results Eight out of 248 fathers (3%) had a major depressive syndrome. Sixty-five out of 247 (26%) fathers reported they were responsible for taking their child to see the doctor at least half the time compared with mothers. Children of fathers with a major depressive syndrome were almost nine times more likely to have consulted a health professional for speech and language problems (adjusted odds ratio [OR] = 8.67, 95% confidence interval [CI] = 1.99 to 37.67, P = 0.004) and seven times more likely to have consulted for externalising behaviour problems (adjusted OR = 6.98, 95% CI = 1.00 to 48.76, P = 0.05).Conclusion Children of fathers with major depression were more likely to consult for speech and language problems and externalising behaviour problems. A longitudinal study is recommended to identify causal mechanisms.