{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,16]],"date-time":"2026-10-16T18:45:10Z","timestamp":1792176310752,"version":"4.4.0"},"reference-count":43,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2026,5,11]],"date-time":"2026-05-11T00:00:00Z","timestamp":1778457600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,5,11]],"date-time":"2026-05-11T00:00:00Z","timestamp":1778457600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100021829","name":"Office of Diversity and Inclusion, Weill Cornell Medicine","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100021829","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Gynecology &amp; Obste"],"published-print":{"date-parts":[[2026,11]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To evaluate the effectiveness of a motivation\u2010based intervention for fathers to enhance empathy and egalitarian gender\u2010role attitudes, aiming to prevent maternal postpartum depressive symptoms.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      This was a single\u2010blind, parallel\u2010group randomized controlled trial conducted at a regional hospital in Japan. Eligible couples were recruited during the postpartum stay if the mother had a full\u2010term birth and no psychiatric history. From October 2023 to November 2024, 262 fathers were enrolled and randomly assigned to the intervention or control group. The brief online intervention was delivered at 1\u2009month postpartum. Follow\u2010up assessments were conducted at 3\u2009months (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u2009221) and 6\u2009months (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u2009220). The primary outcome was maternal depressive symptoms (Japanese version of the Edinburgh Postnatal Depression Scale [EPDS]). Secondary outcomes included paternal gender\u2010role attitudes, empathy, childcare and housework involvement, and paternal depressive symptoms.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Sociodemographic variables were comparable between study arms. Maternal postpartum depression (EPDS\u2009\u2265\u20099) was 4.5% in the intervention group and 9.3% in the control groups (adjusted odds ratio [aOR] 0.45; 95% confidence interval [CI]: 0.14\u20131.50). With respect to paternal outcomes, the intervention arm significantly reduced traditional gender\u2010role attitudes at 3\u2009months (\u22121.74; 95% CI: \u22123.08 to \u22120.40) and 6\u2009months (\u22121.52; 95% CI: \u22122.98 to \u22120.07), but no significant differences were observed in mother\u2010rated paternal empathy or childcare and housework involvement.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The intervention shifted paternal gender\u2010role attitudes towards greater equality and flexibility, but did not produce measurable changes in paternal behavior or maternal depressive symptoms. Further studies are needed to confirm these findings.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Trial Registration<\/jats:title>\n                    <jats:p>\n                      The trial was registered with the UMIN Clinical Trials Registry (trial registration number: UMIN000051884. URL:\n                      <jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" xlink:href=\"https:\/\/center6.umin.ac.jp\/cgi-open-bin\/ctr\/ctr_view.cgi?recptno=R000058421\">https:\/\/center6.umin.ac.jp\/cgi\u2010open\u2010bin\/ctr\/ctr_view.cgi?recptno=R000058421<\/jats:ext-link>\n                      ).\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/ijgo.71063","type":"journal-article","created":{"date-parts":[[2026,5,11]],"date-time":"2026-05-11T14:10:40Z","timestamp":1778508640000},"page":"731-740","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Motivating paternal empathy and egalitarian attitudes to prevent maternal postpartum depressive symptoms: A randomized controlled trial"],"prefix":"10.1002","volume":"175","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8591-4607","authenticated-orcid":false,"given":"Shuhei","family":"Terada","sequence":"first","affiliation":[{"name":"Department of Public Health Institute of Science Tokyo  Tokyo Japan"},{"name":"Center for Well\u2010being Research Advancement Institute of Future Science, Institute of Science  Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9764-6067","authenticated-orcid":false,"given":"Ayako","family":"Morita","sequence":"additional","affiliation":[{"name":"Department of Public Health Institute of Science Tokyo  Tokyo Japan"},{"name":"Center for Well\u2010being Research Advancement Institute of Future Science, Institute of Science  Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aya","family":"Isumi","sequence":"additional","affiliation":[{"name":"Center for Well\u2010being Research Advancement Institute of Future Science, Institute of Science  Tokyo Japan"},{"name":"Department of Health Policy Institute of Science Tokyo  Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chiharu","family":"Ugajin","sequence":"additional","affiliation":[{"name":"Department of Public Health Institute of Science Tokyo  Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yu Par","family":"Khin","sequence":"additional","affiliation":[{"name":"Department of Public Health Institute of Science Tokyo  Tokyo Japan"},{"name":"Center for Well\u2010being Research Advancement Institute of Future Science, Institute of Science  Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shiori","family":"Shakagori","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Behavioral Sciences Institute of Science Tokyo  Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Takeo","family":"Fujiwara","sequence":"additional","affiliation":[{"name":"Department of Public Health Institute of Science Tokyo  Tokyo Japan"},{"name":"Center for Well\u2010being Research Advancement Institute of Future Science, Institute of Science  Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,5,11]]},"reference":[{"key":"e_1_2_11_2_1","first-page":"S338","article-title":"Mental disorders\/difficulties in the postpartum period","volume":"31","author":"Zivoder I","year":"2019","journal-title":"Psychiatr Danub"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1177\/1745506519844044"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11920-022-01334-3"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajp.2020.102353"},{"issue":"1","key":"e_1_2_11_6_1","first-page":"194","article-title":"The important role of partner support in Women's mental disorders during the perinatal period. 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