Paternal Leave and Fathers' Mental Health A Rapid Literature Review

Main Article Content

Lloyd Philpott
John Goodwin
Mohamad M. Saab


Background: Several countries have introduced paternal leave policies in order to encourage and involve fathers in caregiving. Besides supporting fathers’ involvement, paternal leave may have other consequences such as health improvements. Paternity leave could potentially improve mental health outcomes by reducing stress and anxiety associated with work–family conflict. It can be hypothesized that paternal leave has a positive effect on men’s mental health; however, there have been no recent attempts to review the literature pertaining
to such outcomes.

Purpose: The aim of this rapid review of the literature was to evaluate the evidence from studies that explored the effect of paternal leave on men’s mental health.

Design: Rapid literature review

Methods: The review was guided by the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. Electronic databases CINAHL Plus with Full Text, Academic Search Complete, MEDLINE, APA PsycArticles, APA PsycInfo, Social Sciences Full Text (H.W. Wilson), SocINDEX with Full Text, and ERIC were searched for studies that met the inclusion criteria.

Findings: A total of 337 records were identified from the electronic database search. Nine studies met the inclusion criteria. The findings suggest that fathers experience mental health benefits as a result of availing of parental leave. The length of leave availed by fathers had an impact on their mental health, with longer duration of paternity leave associated with higher levels of mental well-being. Flexible leave impeded fathers from fully engaging in their paternal role or their employment duties.

Conclusion: The mental health benefits of parental leave usually associated with mothers are also extended to fathers, highlighting the importance of this statutory entitlement.


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Article Details

Men’s Health Across the Lifespan
Author Biographies

Lloyd Philpott, University College Cork, Cork, Republic of Ireland

School of Nursing and Midwifery, Brookfield Health Sciences Complex, University College Cork, Cork, Republic of Ireland

John Goodwin , University College Cork, Cork, Republic of Ireland

Dr Johnny Goodwin, PhD, MA, PGDip, Bsc (Hons), BA (Hons), ALCM, PG Cert TLHE, Dip Mgmt, RPN

Mental Health Nursing Undergraduate Programme Lead

School of Nursing and Midwifery

University College Cork


Twitter: @jgoodwinnurse

UCC Profile:

ResearchGate Profile:

Mohamad M. Saab , University College Cork, Cork, Republic of Ireland

Dr Mohamad M. Saab, PhD, MSc, PGDTLHE, RGN

University Lecturer
MSc Advanced Practice Year 1 Coordinator
Catherine McAuley School of Nursing and Midwifery
Brookfield Health Sciences Complex

University College Cork

College Road T12 AK54



1. Chesley N, Flood S. Signs of change? At-home and breadwinner parents’ housework and child-care time. J Marriage Fam. 2017;79(2):511–34.
2. Harrington B. The new dad: The career-caregiving conundrum. In: Grau Grau M, las Heras Maestro M, Riley Bowles H, editors. Engaged fatherhood for men, families and gender equality, healthcare, social policy, and work perspectives. Springer; 2021. p. 197–213.
3. Pfitzner N, Humphreys C, Hegarty K. Engaging men as fathers: How gender influences men’s involvement in Australian family health services. J Fam Issues. 2018;39(16):3956–85.
4. Duvander A-Z, Trude L, Synøve N. Parental leave policies and continued childbearing in Iceland, Norway, and Sweden. Demogr Res 2019;40:1501–28.
5. Organization for Economic Cooperation and Development (OECD). Doing better for families. Paris: OECD Publishing; 2011.
6. Radcliffe LS, Cassell C. Flexible working, work–family conflict, and maternal gatekeeping: The daily experiences of dual-earner couples. J Occup Organ Psychol. 2015;88(4):835–55.
7. Ugreninov E. Can family policy reduce mothers’ sick leave absence? A causal analysis of the Norwegian paternity leave reform. J Fam Econ Issues. 2013;34(4):435–46.
8. Organization for Economic Cooperation and Development. Parental leave systems [Internet]. [cited 2021 Aug 12]. Available from: file:///D:/Parental%20leave%20systems%20paternity%20OECD.pdf
9. Adema WC, Clarke A, Frey V. Paid parental leave: Lessons from OECD countries and selected U.S. states. OECD Social, Employment and Migration Working Papers, No. 172. Paris: OECD Publishing; 2015.
10. Moss P. International review of leave policies and research [Internet]. [cited 2021 Aug 11]. Available from:
11. Organization for Economic Cooperation and Development. Background brief on fathers’ leave and its use [Internet]. 2016. Available from:
12. Philpott LF, Leahy-Warren P, FitzGerald S, et al. Stress in fathers in the perinatal period: A systematic review. Midwifery. 2017;55:113–27.
13. Rollè L, Gullotta G, Trombetta T, et al. Father involvement and cognitive development in early and middle childhood: A systematic review. Front Psychol, 2019;10:2405.
14. Chung H, van der Lippe T. Flexible working, work–life balance, and gender equality: Introduction. Soc Indic Res. 2020;151:365–81.
15. Evertsson M, Katarina B, Jeylan E. Fathers on call? A study on the sharing of care work between parents in Sweden. Demogr Res. 2018;39:33–60.
16. Lee BC, Modrek S, White JS, et al. The effect of California’s paid family leave policy on parent health: A quasi-experimental study. Soc Sci Med. 2020;251:112915.
17. Philpott LF, Savage E, FitzGerald S, et al. Anxiety in fathers in the perinatal period: A systematic review. Midwifery. 2019;76:54–101.
18. Earle S, Hadley R, Men’s views and experiences of infant feeding: A qualitative systematic review. Matern Child Nutr. 2018;14(3):e12586.
19. Leach LS, Poyser C, Cooklin AR, et al. Prevalence and course of anxiety disorders (and symptom levels) in men across the perinatal period: A systematic review. J Affect Disord. 2016;190:675–86.
20. Philpott LF, Leahy–Warren P, Savage E. Paternal perinatal depression: A narrative review. Int J Mens Soc Community Health. 2020;3(1):1–15.
21. Cameron EE, Sedov ID, Tomfohr-Madsen LM. Prevalence of paternal depression in pregnancy and the postpartum: An updated meta-analysis. J Affect Disord. 2016;206:189–203.
22. Fisher SD. Paternal mental health: Why is it relevant? Am J Lifestyle Med. 2017;11(3):200–11.
23. Torche F, Rauf T. The transition to fatherhood and the health of men. J Marriage Fam. 2010;83(2):446–65.
24. Richardson N, Carroll P. It’s not rocket science: The case from Ireland for a policy focus on men’s health. Int J Mens Soc Community Health. 2018;1(1):23–35.
25. Baker P. From the margins to the mainstream: Advocating the inclusion of men’s health in policy. A scoping study. London: Global Action on Men’s Health.
26. Haedt-Matt AA, Pamela K. Revisiting the affect regulation model of binge eating: A meta-analysis of studies using ecological momentary assessment. Psychol Bull. 2011;137(4):660–81.
27. Yogman MW, Amelia ME. The role of fathers in child and family health. In: Grau Grau M, las Heras Maestro M, Riley Bowles H, editors. Engaged fatherhood for men, families and gender equality, healthcare, social policy, and work perspectives. Springer; 2021. p. 15–31.
28. Gogineni R, Fallon AE. The adoptive father. In: Brabender VM, Fallon AE, editors. Working with adoptive parents. Hoboken: Wiley; 2015. p. 89–104.
29. Khangura S, Konnyu K, Cushman R, et al. Evidence summaries: The evolution of a rapid review approach. Syst Rev. 2012;1:110.
30. Pluye P, Hong QN. Combining the power of stories and the power of numbers: Mixed methods research and mixed studies reviews. Annu Rev Public Health. 2014;35:29–45.
31. Scottish Intercollegiate Guidelines Network’s (SIGN). Sign grading system 1999–2012 [Internet]. 2019 [cited 2021 Sept 13]. Available from:
32. Feldman R, Sussman AL, Zigler E. Parental leave and work adaptation at the transition to parenthood: Individual, marital, and social correlates. J Appl Dev Psychol. 2004;25(4):459–79.
33. Lidbeck M, Bernhardsson S, Tjus T. Division of parental leave and perceived parenting stress among mothers and fathers. J Reprod Infant Psychol. 2018;36(4):406–20.
34. Edhborg M, Carlberg M, Simon F, et al. “Waiting for better times”: Experiences in the first postpartum year by Swedish fathers with depressive symptoms. Am J Mens Health. 2016;10(5):428–39.
35. Chan KL, Emery CR, Fulu E, et al. Association among father involvement, partner violence, and paternal health: UN multi-country cross-sectional study on men and violence. Am J Prev Med. 2017;52(5):671–9.
36. Philpott LF, Corcoran P. Paternal postnatal depression in Ireland: Prevalence and associated factors. Midwifery. 2018;56:121–7.
37. Byun SY, Won SY. Are they ideological renegades? Fathers’ experiences on taking parental leave and gender dynamics in Korea: A qualitative study. Gender Work Organ. 2020;27(4):592–614.
38. Brandth B, Kvande E. Fathers and flexible parental leave. Work Employ Soc. 2016;30(2):275–90.
39. Nishigori H, Obara T, Nishigori T, et al. The prevalence and risk factors for postpartum depression symptoms of fathers at one and 6 months postpartum: An adjunct study of the Japan Environment & Children’s Study. J Matern Fetal Neonatal Med. 2020;33(16):2797–804.
40. Fatherhood Institute. Research summary: Paternity leave [Internet]. [cited 2021 Sept 10]. Available from: file:///D:/Fatherhood%20Institute%20(2014)%20Research%20Summary%20Paternity%20Leave.pdf
41. Van Niel MS, Bhatia R, Riano NS. The impact of paid maternity leave on the mental and physical health of mothers and children: A review of the literature and policy implications. Harv Rev Psychiatry. 2020;28(2):113–26.
42. Schindler-Ruwisch J, Eaves T. Maternity leave in America during a pandemic: The impact of leave on family wellbeing. Fam Syst Health. 2021.
43. Aitken Z, Garrett CC, Hewitt B, Keogh L, Hocking JS, Kavanagh AM. The maternal health outcomes of paid maternity leave: A systematic review. Soc Sci Med. 2015;130:32–41.
44. Avendano M, Berkman LF, Brugiavini A, et al. The long-run effect of maternity leave benefits on mental health: Evidence from European countries. Soc Sci Med. 2015;132:45–53.
45. Jou J, Kozhimannil KB, Abraham JM, et al. Paid maternity leave in the United States: Associations with maternal and infant health. Matern Child Health J. 2018;22(2):216–25.
46. Petts RJ, Knoester C. Paternity leave-taking and father engagement. J Marriage Fam. 2018;80(5):1144–62.
47. Petts RJ, Knoester C, Waldfogel J. Fathers’ paternity leave-taking and children’s perceptions of father-child relationships in the United States. Sex Roles. 2020;82(3):173–188.
48. Burnett SB, Gatrell CJ, Cooper CL, et al. Fathers at work: A ghost in the organizational machine. Gender Work Organ. 2013;20(6):1–15.
49. Holmelin NB. Competing gender norms and social practice in Himalayan farm management. World Dev. 2019;122:85–95.
50. Healy M, Hall D, Shanahan D, et al. HSE rainbow badge: Practice guide for healthcare professionals. Dublin: Health Service Executive; 2021.
51. Australian government flexible paid parental leave days [Internet]. [cited 2021 Sept 23]. Available from:
52. Citizens Information. Paternal leave [Internet]. Citizens Information. [cited 2021 Sept 30]. Available from:
53. Her Majesty’s government modern workplaces: Government response on flexible parental leave. London: Department for Business, Innovation and Skills; 2012.
54. Närvi J, Salmi M. Quite an encumbrance? Work-related obstacles to Finnish fathers’ take-up of parental leave. Community Work Fam. 2019;22(1):23–42.
55. Darwin Z, Galdas P, Hinchliff S, et al. Fathers’ 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. BMC Pregn Childbirth. 2017.
56. Philpott LF. Paternal postnatal depression: How midwives can support families. Br J Midwifery. 2012;6(24):470–7.
57. Xiangxian W. The difficult transition to the “new” caring fatherhood: An examination of paternity leave. Soc Sci China. 2020;41(1):182–202.