{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T16:14:38Z","timestamp":1790784878727,"version":"4.1.0"},"reference-count":95,"publisher":"MDPI AG","issue":"1","license":[{"start":{"date-parts":[[2020,12,23]],"date-time":"2020-12-23T00:00:00Z","timestamp":1608681600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JPM"],"abstract":"<jats:p>Previous studies documented gender-related differences in the expression of Perinatal Affective Disorders. However, little attention has been paid to screening the male population during the perinatal period. This study was based on three aims: (1) to investigate the mental health of expectant fathers based on their levels of depression, anxiety, addiction, anger attacks\/hostility, and somatization, identifying psychological profiles; (2) to analyze the association between these profiles and the individual variable of perceived stress; (3) and to examine the association between these profiles and the couple\u2019s variable of marital adjustment. A total of 350 Italian expectant fathers in the last trimester of pregnancy were asked to fill in questionnaires concerning perceived stress, dyadic adjustment, psychiatric symptomatology, and depression. Three different clusters were found: \u201cpsychologically healthy men\u201d (68%) with low levels of symptoms on all the scales; \u201cmen at risk of externalized behavioral problems\u201d (17.1%), characterized by one or more addictive or risky behaviors and moderate levels of scales scores; and \u201cmen experiencing psychological distress\u201d (14.9%), with the highest scores on all the scales. A significant association emerged among the perceived stress, marital adjustment, and cluster membership. These results highlight the importance of screening fathers in perinatal health services, which are still predominantly mother-centered, and underscore the necessity to create tailored and personalized interventions.<\/jats:p>","DOI":"10.3390\/jpm11010010","type":"journal-article","created":{"date-parts":[[2020,12,23]],"date-time":"2020-12-23T08:38:43Z","timestamp":1608712723000},"page":"10","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":14,"title":["Screening for Early Signs of Paternal Perinatal Affective Disorder in Expectant Fathers: A Cluster Analysis Approach"],"prefix":"10.3390","volume":"11","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5771-4117","authenticated-orcid":false,"given":"Sonia","family":"Mangialavori","sequence":"first","affiliation":[{"name":"Department of Human Sciences, LUMSA University of Rome, 00193 Rome, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6314-6977","authenticated-orcid":false,"given":"Michele","family":"Giannotti","sequence":"additional","affiliation":[{"name":"Department of Psychology and Cognitive Sciences, University of Trento, 38068 Rovereto, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0678-5465","authenticated-orcid":false,"given":"Marco","family":"Cacioppo","sequence":"additional","affiliation":[{"name":"Department of Human Sciences, LUMSA University of Rome, 00193 Rome, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Federico","family":"Spelzini","sequence":"additional","affiliation":[{"name":"Department of Obstetrics &amp; Gynecology, Hospital of Infermi of Rimini, 47923 Rimini, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Franco","family":"Baldoni","sequence":"additional","affiliation":[{"name":"Department of Psychology, University of Bologna, 40127 Bologna, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2020,12,23]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"7","DOI":"10.1002\/tre.681","article-title":"Men and perinatal depression","volume":"10","author":"Madsen","year":"2019","journal-title":"Trends Urol. 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