| المساهمون: |
Baldoni, F., Matthey, S., Agostini, F., Caretti, V., Minghetti, M., Giannotti, M., D’Autilia, B., Spelzini, F., the PAPA Team |
| الوصف: |
THE SCREENING OF AFFECTIVE PERINATAL DISORDERS IN FATHERS: PRELIMINARY VALIDATION DATA OF THE PERINATAL ASSESSMENT OF PATERNAL AFFECTIVITY (PAPA) Baldoni Franco (1), Matthey Stephen (2), Agostini Francesca (1), Caretti Vincenzo (3), Minghetti Mattia (1), Giannotti Michele (1), D’Autilia Benedetta (1), Spelzini Federico (4), & the PAPA Team (1) Department of Psychology, University of Bologna, Italy (2) University of Sydney - South West Sydney Local Health District, Sydney, Australia (3) LUMSA University, Roma, Italy (4) Obstetrics and Gynecology Operating Unit, Infermi Hospital Rimini, AUSL Romagna, Italy franco.baldoni@unibo.it The assessment of perinatal affective disorders in fathers is a still unresolved problem, and currently no screening tool is sufficiently credited. The most common early screening instruments, like the EPDS, even when validated for fathers, do not take into account that men are usually less prone to reveal any psychological difficulty and tend to repress discomfort assuming externalizing strategies like: alcohol abuse, smoking, drug addiction or other maladjusted behaviors. As a consequence of their indefinite clinical features, these problems are often under-assessed or undiagnosed. The Perinatal Assessment of Paternal Affectivity (PAPA) (Baldoni, Matthey, Agostini, Schimmenti, & Caretti, 2016) is a new questionnaire for the screening of high-risk fathers during the perinatal period. It is the first tool for evaluating affective problems in males, considering different dimensions highlighted by recent research. It is fast and easy to administer, ethnic and socio-cultural influences are also considered. The incoming preliminary data from the Italian multicentric validation study of the PAPA, involving many public services (AUSLs Romagna, Cagliari, 15 Alta Padovana, Torino, Foggia and Roma1), will be presented. 600 couples of fathers and mothers (1200 parents) were involved in the study. All participants, at the 7th-8th month prenatal and at 3rd month postnatal, completed the following questionnaires: PAPA, CES-D, SCL-90-R, ASA, PSS, DAS and EPDS. Preliminary findings showed significant association between PAPA total and single scale scores with many scores on CES-D, SCL-90-R, ASA, PSS and DAS (P< .05). These data confirm the PAPA as a useful screening tool for the assessment of perinatal affective disorders in fathers. Despite it doesn’t allow an accurate diagnosis, it provides a simple and practical guide to the detection of high-risk fathers. In these cases, a more thorough diagnostic assessment and a possible treatment are required. |
