The Role of Marital Satisfaction and Paternal Attachment in Relation to Depression During the Transition to Fatherhood: Evidence from Turkey.

BACKGROUND: Fathers may experience psychological difficulties during the transition to parenthood, and depressive symptoms during the antenatal period may be associated with fathers' well-being and adjustment to the paternal role. Marital satisfaction and paternal attachment may be important psychosocial factors associated with fathers' mental health during this period. This study aimed to examine the relationships among marital satisfaction, paternal attachment, and depressive symptoms among expectant fathers. METHODS: A descriptive cross-sectional study design was employed. The study was approved by the Van Yüzüncü Yıl University Non-Interventional Clinical Research Ethics Committee (20 December 2024; Approval No. 2024/13-07). Institutional permission was obtained from the hospital where the study was conducted. Written and verbal informed consent was obtained from all participants, and the study was conducted in accordance with the principles of the Declaration of Helsinki. Data were collected between January 2025 and September 2025 at a hospital located in the Eastern Anatolia Region of Türkiye. The study was completed with 336 fathers. Data collection instruments included the Personal Information Form, Marital Life Scale (MLS), Paternal-Antenatal Attachment Questionnaire (PAAQ), and Edinburgh Postpartum Depression Scale (EPDS). Multiple regression analysis and forest plot analysis were performed. RESULTS: A statistically significant difference was observed between EPDS scores and MLS, PAAQ, educational status, spouse's educational status, place of residence, family type, income status, spousal attendance at antenatal visits, and history of depression (p < 0.05). The regression model was statistically significant (F(9326) = 14.4, p < 0.001) and explained 26.4% of the variance in EPDS scores (R2 = 0.284). In the adjusted regression model, MLS, educational level, PAAQ, and family type were significantly negatively associated with EPDS scores, whereas a history of depression was significantly positively associated with EPDS scores (p < 0.05). CONCLUSIONS: Higher marital satisfaction and paternal attachment were associated with lower depressive symptoms among expectant fathers, whereas a history of depression was associated with higher depressive symptoms. These findings highlight the importance of considering marital and attachment-related factors when assessing fathers' psychological well-being during the antenatal period.