Spare the child
Updated: 2011-03-16 08:06
With fathers spending more time on childcare, it's important for pediatricians to pay attention to dads' mental health. Provided to China Daily
Men who become depressed after having a child, similar to postpartum depression, are more likely to hit their young children.
Just like new moms, new fathers can be depressed, and a study found a surprising number of sad dads spanked their 1-year-olds. About 40 percent of depressed fathers in a survey said they'd spanked kids that age, versus just 13 percent of fathers who weren't depressed. Most dads also had had recent contact with their child's doctor ?a missed opportunity to get help, authors of the study said.
The American Academy of Pediatrics and many child development experts warn against spanking children of any age. Other studies have shown that kids who are spanked are at risk of being physically abused and becoming aggressive themselves.
The researchers say spanking is especially troubling in children who are only 1, because they could get injured and they "are unlikely to understand the connection between their behavior and subsequent punishment".
The study was released online on Monday in the journal Pediatrics.
The authors analyzed data on 1,746 fathers from a nationally representative survey in 16 large US cities, conducted in 1999-2000. Lead author Dr Neal Davis says that was the most recent comprehensive data on the subject, and he believes it is relevant today. Depression among fathers is strongly tied to unemployment rates, which are much higher now than a decade ago, he says.
The men were questioned about depression symptoms, spanking and interactions with their 1-year-olds, but weren't asked why they spanked or whether it resulted in physical harm.
Overall, 7 percent of dads had experienced recent major depression.
Some likely had a history of depression, but in others it was probably tied to their children's birth, similar to postpartum depression in women, Davis says. A pediatrician now with Intermountain Healthcare in Murray, Utah, Davis did the research while at the University of Michigan.
Postpartum depression is more common in women, by some estimates as many as 25 percent develop it shortly after childbirth. Severe cases have been linked with suicide and with deaths in children including several high-profile drownings.
Less is known about depression in new dads and the study raises important awareness about an under-recognized problem, says Dr Craig Garfield, an assistant pediatrics professor at Northwestern University and co-author of a Pediatrics editorial.
With fathers increasingly spending time on childcare, including taking their kids to routine doctor visits, it's important for pediatricians to pay attention to dads' mental health, Garfield says. Close to 80 percent of depressed and non-depressed dads had recent contact with their child's doctor, according to the study.
Davis says his office is working on screening dads for depression and offering referrals to mental health services - a practice he and his co-authors recommend for all pediatricians.
Chris Illuminati, a Lawrenceville, New Jersey, writer and stay-at-home dad with a 1-year-old son, says he read postpartum brochures the pediatrician gave his wife during an office visit. He says he found himself silently answering yes to questions about symptoms.
Illuminati says he'd never experienced depression, but starting from the time his son was a few months old, he began feeling unusually down, sleep-deprived, trapped and resentful toward a baby who slept fitfully and had disrupted his life.
The 33-year-old father stresses that he loves his little boy and has never spanked him, but has felt the frustration that might lead others to do so.
"There have been times when I've wanted to, but I've pulled back," Illuminati says.
Overall, 15 percent of fathers had recently spanked their children. Besides being more likely to spank, depressed dads were less likely to read to their kids - an activity the researchers called part of positive parenting.
About equal numbers of depressed and non-depressed dads reported other positive interactions, such as playing games with their kids.
The researchers say reading requires more focus, that may be difficult when depressed. Illuminati says he had been finding ways to avoid his son once his wife got home from work, and realized he probably needed help.
"I didn't know who to talk to. I felt like a wuss if I mentioned it to anyone," he says.
Blogging about fatherhood helped, he says, and his sadness has mostly subsided now that his son is older.
"It should be studied," Illuminati says. "The hardest part is going to be getting guys to talk about it ... or even recognize it."
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