Evidence map›Paper›PMID 42605181›Full record

ArticleNursing open2026

Investigating the Edinburgh Postnatal Depression Scale Cut-Off Point and Predictors of Paternal Postnatal Depression in Fathers: A Cross-Sectional Study.

Zahra Jamshidi Khanimani, Mahboubeh Hajifoghaha, Ali Mohammad Keshtvarz Hesam Abadi, Arvin Hedayati, Zahra Yazdanpanahi

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Article in Nursing open, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

Authors and funding

5 authors.

Zahra Jamshidi KhanimaniDepartment of Midwifery, Student Research Center, School of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran.ORCID https://orcid.org/0009-0005-0267-1144
Mahboubeh HajifoghahaDepartment of Midwifery and Reproductive Health, School of Nursing and Midwifery Affiliated to Shiraz University of Medical Sciences, Shiraz, Iran.ORCID https://orcid.org/0000-0001-8614-3878
Ali Mohammad Keshtvarz Hesam AbadiDepartment of Biostatistics, Shiraz University of Medical Sciences, Shiraz, Iran.ORCID https://orcid.org/0000-0002-9579-9833
Arvin HedayatiMedicine Research Center for Psychiatry and Behavior Science Ebnesina Hospital, Hafez Hospital Shiraz University of Medical Sciences, Shiraz, Iran.ORCID https://orcid.org/0000-0002-7960-1452
Zahra YazdanpanahiMaternal-Fetal Medicine Research Center, Department of Midwifery, Faculty Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran.ORCID https://orcid.org/0000-0001-9050-9924

Funding

Shiraz University of Medical Sciences 26402
6 · The paper itself

Abstract

aimTo determine the optimal Edinburgh Postnatal Depression Scale cutoff and identifying risk factors and predictors of paternal postpartum depression.

designCross-sectional.

methodsThis study was conducted on 240 eligible fathers using a multi-stage sampling method. Data were collected using a survey about demographic and fertility characteristics and the Edinburgh Postnatal Depression Scale. Then, 77 participants were examined by an experienced psychiatrist via a diagnostic interview based on The Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition. A receiver operating characteristic curve was used to determine the optimal cut-off point of the questionnaire to identify those at risk for paternal postnatal depression.

resultsIn this study of Iranian fathers, a score greater than 7 was identified as the optimal Edinburgh Postnatal Depression Scale cut-off for detecting paternal postnatal depression with established sensitivity and specificity. This cut-off determined the frequency of paternal postnatal depression. A significant relationship was found between the groups from the Edinburgh Postnatal Depression Scale and factors such as life satisfaction, satisfaction with sex life, the gender of the child, pregnancy complications, the gender of previous children and history of abortion.

conclusionPaternal postnatal depression has a relatively high frequency. IMPLICATIONS FOR THE PROFESSION AND/OR PATIENT CARE: Screen fathers for paternal postnatal depression using appropriate tools and ensure timely referral and management. IMPACT: The identified Edinburgh Postnatal Depression Scale cutoff improves screening accuracy for paternal postpartum depression and facilitates early intervention in postnatal care. REPORTING

methodWe followed relevant EQUATOR guidelines and reported our observational study according to STROBE guidelines. PATIENT OR PUBLIC CONTRIBUTION: No patient or public contribution (Due to the nature of the data collection and analysis involved in this study, patient or public involvement in its design, conduct, reporting, or dissemination was not applicable).

Indexed as

Depression, PostpartumFathersPsychiatric Status Rating ScalesAdultCross-Sectional StudiesFemaleHumansIranMaleRisk FactorsROC CurveSurveys and QuestionnairesEdinburgh postnatal depression scalefatherspaternal postnatal depressionpostpartum depressionpostpartum periodrisk factor

Identifiers

PMID42605181
PMCPMC13478714

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.