{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,11]],"date-time":"2026-06-11T02:33:00Z","timestamp":1781145180224,"version":"3.54.1"},"reference-count":57,"publisher":"American Medical Association (AMA)","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JAMA Netw Open"],"abstract":"\n Importance<\/jats:title>\n Paternal psychiatric disorders during the perinatal period can affect the health of the entire family; however, these conditions have often been underrecognized, and little is known about their incidence and timing of onset.<\/jats:p>\n <\/jats:sec>\n \n Objective<\/jats:title>\n To investigate incidence patterns of new-onset diagnosed psychiatric disorders among men in Sweden before, during, and after a partner\u2019s pregnancy.<\/jats:p>\n <\/jats:sec>\n \n Design, Setting, and Participants<\/jats:title>\n This prospective cohort study used linked national register data for all fathers of children born in Sweden between January 1, 2003, and December 31, 2021, with follow-up from 1 year before to 1 year after pregnancy. Data were analyzed from October 1, 2024, to March 31, 2025.<\/jats:p>\n <\/jats:sec>\n \n Exposures<\/jats:title>\n The time during pregnancy and 1 year after childbirth (post partum) were considered the risk periods, while 1 year before pregnancy (before conception) was used as the reference period.<\/jats:p>\n <\/jats:sec>\n \n Main Outcomes and Measures<\/jats:title>\n Annual and weekly incidence rates (IRs) of clinical diagnoses of any psychiatric disorder and 9 type-specific disorders were calculated and standardized by age and calendar year. Adjusted Poisson regression analysis was used to further estimate incidence rate ratios (IRRs) of psychiatric disorders during and after pregnancy compared with before conception.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n This study included 1\u202f915\u202f722 births from 1\u202f096\u202f198 fathers (mean [SD] age at childbirth, 33.8 [6.2] years) in Sweden. IRs of any diagnosed psychiatric disorder were lower during pregnancy (eg, pregnancy week 1: IR, 5.50 [95% CI, 4.69-6.31] per 1000 person-years) and the early postpartum period (eg, postpartum week 1: IR, 5.19 [95% CI, 4.41-5.97] per 1000 person-years) than in the corresponding preconception weeks (eg, preconception week 1: IR, 7.00 [95% CI, 5.97-8.04] per 1000 person-years); they returned to comparable rates later post partum. This pattern was also observed for IRRs of anxiety, alcohol use, and drug use (ie, the use of nonalcohol, nontobacco psychoactive drugs) disorders. IRRs of depression (eg, postpartum weeks 45-49: IRR, 1.30 [95% CI, 1.12-1.52]) and stress-related disorders (eg, postpartum weeks 45-49: IRR, 1.36 [95% CI, 1.15-1.61]), however, showed a notable 30% increase toward the end of the first postpartum year. In contrast, IRRs of diagnosis of tobacco use disorder, attention-deficit\/hyperactivity disorder, bipolar disorder, or psychosis remained relatively stable before, during, and after pregnancy.<\/jats:p>\n <\/jats:sec>\n \n Conclusions and Relevance<\/jats:title>\n In this nationwide cohort study, fathers in Sweden were less likely to be diagnosed with a psychiatric disorder during a partner\u2019s pregnancy and early post partum than before conception, but IRs returned to comparable levels thereafter. These incidence patterns may reflect transient protection and delayed detection during the transition to fatherhood and support the need for paternal mental health surveillance, particularly for increased depression and stress-related disorders in the late postpartum period.<\/jats:p>\n <\/jats:sec>","DOI":"10.1001\/jamanetworkopen.2026.2725","type":"journal-article","created":{"date-parts":[[2026,3,23]],"date-time":"2026-03-23T15:30:22Z","timestamp":1774279822000},"page":"e262725","source":"Crossref","is-referenced-by-count":3,"title":["Psychiatric Disorders Among Fathers in Sweden Before, During, and After Partner Pregnancy"],"prefix":"10.1001","volume":"9","author":[{"given":"Nanyan","family":"Xiang","sequence":"first","affiliation":[{"name":"Department of Urology, Health Data Science Laboratory, Innovation Institute for Integration of Medicine and Engineering, Frontiers Science Center for Disease-Related Molecular Network, West China Hospital, Sichuan University, Chengdu, Sichuan, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jing","family":"Zhou","sequence":"additional","affiliation":[{"name":"Institute of Environmental Medicine, Karolinska Institutet, Stockholm, Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yifei","family":"Lin","sequence":"additional","affiliation":[{"name":"Department of Urology, Health Data Science Laboratory, Innovation Institute for Integration of Medicine and Engineering, Frontiers Science Center for Disease-Related Molecular Network, West China Hospital, Sichuan University, Chengdu, Sichuan, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yihui","family":"Yang","sequence":"additional","affiliation":[{"name":"Institute of Environmental Medicine, Karolinska Institutet, Stockholm, Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Miriam","family":"Martini","sequence":"additional","affiliation":[{"name":"Institute of Environmental Medicine, Karolinska Institutet, Stockholm, Sweden"},{"name":"Department of Medical Epidemiology and Biostatistics, Karolinska Institutet, Stockholm, Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bowen","family":"Tang","sequence":"additional","affiliation":[{"name":"Institute of Environmental Medicine, Karolinska Institutet, Stockholm, Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yufeng","family":"Chen","sequence":"additional","affiliation":[{"name":"Institute of Environmental Medicine, Karolinska Institutet, Stockholm, Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fotios C.","family":"Papadopoulos","sequence":"additional","affiliation":[{"name":"Psychiatry, Department of Medical Sciences, Uppsala University, Uppsala, Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emma","family":"Fransson","sequence":"additional","affiliation":[{"name":"Institute of Environmental Medicine, Karolinska Institutet, Stockholm, Sweden"},{"name":"Department of Women\u2019s and Children\u2019s Health, Uppsala University, Uppsala, Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alkistis","family":"Skalkidou","sequence":"additional","affiliation":[{"name":"Department of Women\u2019s and Children\u2019s Health, Uppsala University, Uppsala, Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jin","family":"Huang","sequence":"additional","affiliation":[{"name":"Department of Urology, Health Data Science Laboratory, Innovation Institute for Integration of Medicine and Engineering, Frontiers Science Center for Disease-Related Molecular Network, West China Hospital, Sichuan University, Chengdu, Sichuan, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Donghao","family":"Lu","sequence":"additional","affiliation":[{"name":"Department of Urology, Health Data Science Laboratory, Innovation Institute for Integration of Medicine and Engineering, Frontiers Science Center for Disease-Related Molecular Network, West China Hospital, Sichuan University, Chengdu, Sichuan, China"},{"name":"Institute of Environmental Medicine, Karolinska Institutet, Stockholm, Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"10","published-online":{"date-parts":[[2026,3,23]]},"reference":[{"issue":"1","key":"zoi260116r1","doi-asserted-by":"publisher","first-page":"54","DOI":"10.1177\/2156869320912520","article-title":"The long-term impact of parental mental health on children\u2019s distress trajectories in adulthood.","volume":"11","author":"Kamis","year":"2021","journal-title":"Soc Ment Health"},{"issue":"7","key":"zoi260116r2","doi-asserted-by":"publisher","first-page":"2023","DOI":"10.1007\/s00787-024-02607-3","article-title":"The patient and the family: investigating parental mental health problems, family functioning, and parent involvement in child and adolescent mental health services (CAMHS).","volume":"34","author":"Wirehag Nordh","year":"2025","journal-title":"Eur Child Adolesc Psychiatry"},{"key":"zoi260116r3","doi-asserted-by":"publisher","DOI":"10.1016\/j.ssmmh.2023.100197","article-title":"Parents\u2019 mental health and the social-emotional development of their children aged between 24 and 59 months in low-and middle-income countries: a systematic review and meta-analyses.","volume":"3","author":"Honda","year":"2023","journal-title":"SSM Ment Health"},{"issue":"5","key":"zoi260116r4","doi-asserted-by":"publisher","first-page":"836","DOI":"10.1542\/peds.2013-3262","article-title":"A longitudinal study of paternal mental health during transition to fatherhood as young adults.","volume":"133","author":"Garfield","year":"2014","journal-title":"Pediatrics"},{"issue":"1","key":"zoi260116r5","doi-asserted-by":"publisher","first-page":"395","DOI":"10.1186\/s12905-025-03933-7","article-title":"Exploring the connection between maternal mental health and partnership, parental role, and satisfaction with various aspects of life using pairfam data: a cross-sectional analysis.","volume":"25","author":"F\u00f6rster","year":"2025","journal-title":"BMC Womens Health"},{"issue":"8","key":"zoi260116r6","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2023.29159","article-title":"Paternal depression and risk of depression among offspring: a systematic review and meta-analysis.","volume":"6","author":"Dachew","year":"2023","journal-title":"JAMA Netw Open"},{"key":"zoi260116r7","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyt.2020.563287","article-title":"The relationship between paternal and maternal depression during the perinatal period: a systematic review and meta-analysis.","volume":"11","author":"Thiel","year":"2020","journal-title":"Front Psychiatry"},{"key":"zoi260116r8","doi-asserted-by":"publisher","DOI":"10.3389\/fpubh.2024.1393729","article-title":"Towards effective screening for paternal perinatal mental illness: a meta-review of instruments and research gaps.","volume":"12","author":"Sch\u00f6ch","year":"2024","journal-title":"Front Public Health"},{"issue":"1","key":"zoi260116r9","doi-asserted-by":"publisher","first-page":"198","DOI":"10.1111\/jomf.12646","article-title":"Parenthood and well-being: a decade in review.","volume":"82","author":"Nomaguchi","year":"2020","journal-title":"J Marriage Fam"},{"issue":"4","key":"zoi260116r10","doi-asserted-by":"publisher","first-page":"305","DOI":"10.1111\/j.1523-536X.2009.00358.x","article-title":"Men\u2019s psychological transition to fatherhood: an analysis of the literature, 1989-2008.","volume":"36","author":"Genesoni","year":"2009","journal-title":"Birth"},{"key":"zoi260116r11","doi-asserted-by":"publisher","DOI":"10.1016\/j.midw.2020.102738","article-title":"Sleep, mental health and wellbeing among fathers of infants up to one year postpartum: a scoping review.","volume":"88","author":"Wynter","year":"2020","journal-title":"Midwifery"},{"key":"zoi260116r12","doi-asserted-by":"publisher","first-page":"363","DOI":"10.1016\/j.jad.2024.07.008","article-title":"Longitudinal trajectories and associated risk factors of paternal mental illness in the nine years surrounding the transition to fatherhood.","volume":"362","author":"Scarlett","year":"2024","journal-title":"J Affect Disord"},{"issue":"4","key":"zoi260116r15","doi-asserted-by":"publisher","first-page":"102","DOI":"10.1192\/bji.2021.2","article-title":"Perinatal mental health around the world: priorities for research and service development in Norway.","volume":"18","author":"H\u00f8ivik","year":"2021","journal-title":"BJPsych Int"},{"key":"zoi260116r17","doi-asserted-by":"publisher","first-page":"189","DOI":"10.1016\/j.jad.2016.07.044","article-title":"Prevalence of paternal depression in pregnancy and the postpartum: an updated meta-analysis.","volume":"206","author":"Cameron","year":"2016","journal-title":"J Affect Disord"},{"issue":"19","key":"zoi260116r18","doi-asserted-by":"publisher","first-page":"1961","DOI":"10.1001\/jama.2010.605","article-title":"Prenatal and postpartum depression in fathers and its association with maternal depression: a meta-analysis.","volume":"303","author":"Paulson","year":"2010","journal-title":"JAMA"},{"key":"zoi260116r19","doi-asserted-by":"publisher","first-page":"130","DOI":"10.1016\/j.jad.2021.09.056","article-title":"Pregnancy and postpartum psychiatric episodes in fathers: a population-based study on treatment incidence and prevalence.","volume":"296","author":"Madsen","year":"2022","journal-title":"J Affect Disord"},{"issue":"21","key":"zoi260116r20","doi-asserted-by":"publisher","first-page":"2582","DOI":"10.1001\/jama.296.21.2582","article-title":"New parents and mental disorders: a population-based register study.","volume":"296","author":"Munk-Olsen","year":"2006","journal-title":"JAMA"},{"issue":"11","key":"zoi260116r21","doi-asserted-by":"publisher","first-page":"1038","DOI":"10.1001\/archpediatrics.2010.184","article-title":"Incidence of maternal and paternal depression in primary care: a cohort study using a primary care database.","volume":"164","author":"Dav\u00e9","year":"2010","journal-title":"Arch Pediatr Adolesc Med"},{"issue":"1","key":"zoi260116r22","doi-asserted-by":"publisher","first-page":"109","DOI":"10.1007\/s10654-022-00947-5","article-title":"The Swedish medical birth register during five decades: documentation of the content and quality of the register.","volume":"38","author":"Cnattingius","year":"2023","journal-title":"Eur J Epidemiol"},{"key":"zoi260116r23","doi-asserted-by":"publisher","first-page":"215","DOI":"10.1007\/978-1-59745-423-0","article-title":"The Swedish Multi-generation Register.","volume":"675","author":"Ekbom","year":"2011","journal-title":"Methods Mol Biol"},{"key":"zoi260116r25","doi-asserted-by":"publisher","DOI":"10.1016\/j.lanepe.2024.101105","article-title":"Sex differences in clinically diagnosed psychiatric disorders over the lifespan: a nationwide register-based study in Sweden.","volume":"47","author":"Yang","year":"2024","journal-title":"Lancet Reg Health Eur"},{"issue":"5","key":"zoi260116r27","first-page":"467","article-title":"ADHD diagnostic trends: increased recognition or overdiagnosis?","volume":"119","author":"Abdelnour","year":"2022","journal-title":"Mo Med"},{"issue":"3","key":"zoi260116r28","doi-asserted-by":"publisher","first-page":"359","DOI":"10.1007\/s10654-025-01221-0","article-title":"Diagnostic accuracy in the Swedish National Patient Register: a review including diagnoses in the outpatient register.","volume":"40","author":"Everhov","year":"2025","journal-title":"Eur J Epidemiol"},{"issue":"4","key":"zoi260116r29","doi-asserted-by":"publisher","first-page":"3070","DOI":"10.3390\/ijerph20043070","article-title":"Experiences with family planning amongst persons with mental health problems: a nationwide patient survey.","volume":"20","author":"Schonewille","year":"2023","journal-title":"Int J Environ Res Public Health"},{"issue":"6","key":"zoi260116r30","doi-asserted-by":"publisher","DOI":"10.1002\/dev.22152","article-title":"Long-term effects of father involvement in childhood on their son\u2019s physiological stress regulation system in adulthood.","volume":"63","author":"Choi","year":"2021","journal-title":"Dev Psychobiol"},{"issue":"5","key":"zoi260116r31","doi-asserted-by":"publisher","first-page":"756","DOI":"10.1002\/imhj.22008","article-title":"Fathers\u2019 help seeking behavior and attitudes during their transition to parenthood.","volume":"43","author":"Ghaleiha","year":"2022","journal-title":"Infant Ment Health J"},{"issue":"11","key":"zoi260116r32","doi-asserted-by":"publisher","first-page":"2118","DOI":"10.11124\/JBISRIR-2017-003773","article-title":"Mental health and wellbeing during the transition to fatherhood: a systematic review of first time fathers\u2019 experiences.","volume":"16","author":"Baldwin","year":"2018","journal-title":"JBI Database System Rev Implement Rep"},{"issue":"9","key":"zoi260116r33","doi-asserted-by":"publisher","first-page":"2056","DOI":"10.1093\/humrep\/den154","article-title":"Prevalence of psychiatric disorders in infertile women and men undergoing in vitro fertilization treatment.","volume":"23","author":"Volgsten","year":"2008","journal-title":"Hum Reprod"},{"issue":"8","key":"zoi260116r34","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2018-028866","article-title":"The Uppsala-Stockholm Assisted Reproductive Techniques (UppStART) study.","volume":"9","author":"Iliadou","year":"2019","journal-title":"BMJ Open"},{"issue":"1","key":"zoi260116r35","doi-asserted-by":"publisher","first-page":"45","DOI":"10.1186\/s12884-017-1229-4","article-title":"Fathers\u2019 views and experiences of their own mental health during pregnancy and the first postnatal year: a qualitative interview study of men participating in the UK Born and Bred in Yorkshire (BaBY) cohort.","volume":"17","author":"Darwin","year":"2017","journal-title":"BMC Pregnancy Childbirth"},{"issue":"6","key":"zoi260116r36","doi-asserted-by":"publisher","first-page":"2248","DOI":"10.1111\/jocn.17684","article-title":"Struggles of fatherhood: a prospective study on the incidence of paternal postpartum depression and associated factors.","volume":"34","author":"Chua","year":"2025","journal-title":"J Clin Nurs"},{"key":"zoi260116r37","doi-asserted-by":"publisher","DOI":"10.1016\/j.eclinm.2025.103512","article-title":"Help-seeking in perinatal fathers: a scoping review of needs, barriers, facilitators, and access to support.","volume":"89","author":"Mancinelli","year":"2025","journal-title":"EClinicalMedicine"},{"key":"zoi260116r39","doi-asserted-by":"publisher","DOI":"10.1016\/j.yhbeh.2025.105740","article-title":"Hormonal changes in first-time human fathers in relation to paternal investment.","volume":"171","author":"Rilling","year":"2025","journal-title":"Horm Behav"},{"issue":"9","key":"zoi260116r40","doi-asserted-by":"publisher","DOI":"10.1111\/jne.12721","article-title":"It takes two! Exploring sex differences in parenting neurobiology and behaviour.","volume":"31","author":"Rajhans","year":"2019","journal-title":"J Neuroendocrinol"},{"issue":"2","key":"zoi260116r41","doi-asserted-by":"publisher","first-page":"75","DOI":"10.1016\/S0165-0327(99)00159-7","article-title":"Paternal and maternal depressed mood during the transition to parenthood.","volume":"60","author":"Matthey","year":"2000","journal-title":"J Affect Disord"},{"issue":"1","key":"zoi260116r42","doi-asserted-by":"publisher","first-page":"675","DOI":"10.1186\/s12884-023-05966-y","article-title":"Screening fathers for postpartum depression in a maternal-child health clinic: a program evaluation in a midwest urban academic medical center.","volume":"23","author":"Wainwright","year":"2023","journal-title":"BMC Pregnancy Childbirth"},{"issue":"1","key":"zoi260116r43","doi-asserted-by":"publisher","first-page":"754","DOI":"10.1186\/s12888-024-06206-z","article-title":"Exploring paternal postpartum depression and contributing factors in Ethiopia: a systematic review and meta-analysis.","volume":"24","author":"Kitil","year":"2024","journal-title":"BMC Psychiatry"},{"issue":"2","key":"zoi260116r44","first-page":"35","article-title":"Sad dads: paternal postpartum depression.","volume":"4","author":"Kim","year":"2007","journal-title":"Psychiatry (Edgmont)"},{"issue":"3","key":"zoi260116r45","first-page":"5","article-title":"Trauma in fathers following complicated childbirth: the need for intervention.","volume":"17","author":"Thomas","year":"2021","journal-title":"Infant"},{"issue":"1","key":"zoi260116r46","doi-asserted-by":"publisher","first-page":"309","DOI":"10.1038\/s41380-025-03212-9","article-title":"Maternal psychiatric disorders before, during, and after pregnancy: a national cohort study in Sweden.","volume":"31","author":"Br\u00e4nn","year":"2026","journal-title":"Mol Psychiatry"},{"issue":"3","key":"zoi260116r47","doi-asserted-by":"publisher","first-page":"290","DOI":"10.1001\/jamapsychiatry.2018.3667","article-title":"Association of maternal and paternal depression in the postnatal period with offspring depression at age 18 years.","volume":"76","author":"Gutierrez-Galve","year":"2019","journal-title":"JAMA Psychiatry"},{"issue":"1","key":"zoi260116r48","doi-asserted-by":"publisher","first-page":"435","DOI":"10.1186\/s12887-019-1775-1","article-title":"Maternal and paternal perinatal depressive symptoms associate with 2- and 3-year-old children\u2019s behaviour: findings from the APrON longitudinal study.","volume":"19","author":"Letourneau","year":"2019","journal-title":"BMC Pediatr"},{"issue":"3","key":"zoi260116r49","doi-asserted-by":"publisher","first-page":"229","DOI":"10.7326\/0003-4819-129-3-199808010-00012","article-title":"Interactions between the hypothalamic-pituitary-adrenal axis and the female reproductive system: clinical implications.","volume":"129","author":"Chrousos","year":"1998","journal-title":"Ann Intern Med"},{"issue":"7","key":"zoi260116r50","doi-asserted-by":"publisher","first-page":"1186","DOI":"10.1111\/aogs.14109","article-title":"Risk factors for postpartum depressive symptoms among fathers: a systematic review and meta-analysis.","volume":"100","author":"Ansari","year":"2021","journal-title":"Acta Obstet Gynecol Scand"},{"key":"zoi260116r52","doi-asserted-by":"publisher","first-page":"71","DOI":"10.1111\/acps.12609","article-title":"Changes in attitudes, intended behaviour, and mental health literacy in the Swedish population 2009-2014: an evaluation of a national antistigma programme.","volume":"134","author":"Hansson","year":"2016","journal-title":"Acta Psychiatr Scand"},{"issue":"1","key":"zoi260116r53","doi-asserted-by":"publisher","first-page":"58","DOI":"10.1002\/wps.21160","article-title":"The social determinants of mental health and disorder: evidence, prevention and recommendations.","volume":"23","author":"Kirkbride","year":"2024","journal-title":"World Psychiatry"},{"key":"zoi260116r54","doi-asserted-by":"publisher","first-page":"23","DOI":"10.1186\/s13033-020-00356-9","article-title":"Prevention and early intervention in youth mental health: is it time for a multidisciplinary and trans-diagnostic model for care?","volume":"14","author":"Colizzi","year":"2020","journal-title":"Int J Ment Health Syst"},{"issue":"1","key":"zoi260116r55","doi-asserted-by":"publisher","first-page":"27","DOI":"10.1111\/acps.13804","article-title":"Prevalence and incidence of attention deficit\/hyperactivity disorder in Denmark: a national register-based open cohort study.","volume":"152","author":"Gr\u00f8ntved","year":"2025","journal-title":"Acta Psychiatr Scand"},{"issue":"11","key":"zoi260116r56","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2019.14344","article-title":"Trends in the prevalence and incidence of attention-deficit\/hyperactivity disorder among adults and children of different racial and ethnic groups.","volume":"2","author":"Chung","year":"2019","journal-title":"JAMA Netw Open"},{"issue":"6","key":"zoi260116r57","doi-asserted-by":"publisher","first-page":"719","DOI":"10.1097\/EDE.0000000000001905","article-title":"Impact of washout duration to account for left truncation in register-based epidemiologic studies: estimating the risk of mental disorders.","volume":"36","author":"Plana-Ripoll","year":"2025","journal-title":"Epidemiology"},{"key":"zoi260116r13","unstructured":"Mental health support for new and expectant mothers. Ministry of Health Singapore. May 10, 2021. Accessed June 5, 2025. https:\/\/www.moh.gov.sg\/newsroom\/mental-health-support-for-new-and-expectant-mothers"},{"key":"zoi260116r14","unstructured":"Nationella riktlinjer f\u00f6r v\u00e5rd vid depression och \u00e5ngestsyndrom. Socialstyerlsen. Accessed May 9, 2025. https:\/\/www.socialstyrelsen.se\/publikationer\/nationella-riktlinjer-for-vard-vid-depression-och-angestsyndrom--stod-for-styrning-och-ledning-2021-4-7339\/"},{"key":"zoi260116r16","unstructured":"Perinatal mental health screening in Australia. Australian Institute of Health and Welfare. November 15, 2024. Accessed March 2, 2026. https:\/\/www.aihw.gov.au\/reports\/mothers-babies\/perinatal-mental-health-screening-australia\/contents\/what-is-perinatal-mental-health-and-psychosocial-s\/perinatal-mental-health-screening-and-identifying"},{"key":"zoi260116r24","unstructured":"Multi-generation register 2016: a description of content and quality. Statistics Sweden. 2016. Accessed Accessed January 12, 2026. https:\/\/www.scb.se\/contentassets\/95935956ea2b4fa9bcaab51afa259981\/ov9999_2016a01_br_be96br1702eng.pdf"},{"key":"zoi260116r26","unstructured":"National Patient Register. Socialstyerlsen. 2019. Accessed May 9, 2025. https:\/\/www.socialstyrelsen.se\/en\/statistics-and-data\/registers\/national-patient-register\/"},{"key":"zoi260116r38","unstructured":"Paternal perinatal mental health: evidence review. Scottish Government. 2024. Accessed September 22, 2025. https:\/\/www.gov.scot\/publications\/paternal-perinatal-mental-health-evidence-review\/pages\/9\/"},{"key":"zoi260116r51","unstructured":"National Patient Register: Statistical register\u2019s production and quality. Socialstyerlsen. 2023. Accessed May 21, 2025. https:\/\/www.socialstyrelsen.se\/globalassets\/sharepoint-dokument\/dokument-webb\/statistik\/production-and-quality-of-the-patient-register.pdf"}],"container-title":["JAMA Network Open"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/jamanetwork.com\/journals\/jamanetworkopen\/articlepdf\/2846841\/xiang_2026_oi_260116_1773672738.20009.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,23]],"date-time":"2026-03-23T15:30:24Z","timestamp":1774279824000},"score":1,"resource":{"primary":{"URL":"https:\/\/jamanetwork.com\/journals\/jamanetworkopen\/fullarticle\/2846841"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,3,23]]},"references-count":57,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2026,3,2]]}},"URL":"https:\/\/doi.org\/10.1001\/jamanetworkopen.2026.2725","relation":{},"ISSN":["2574-3805"],"issn-type":[{"value":"2574-3805","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,3,23]]}}}