Perinatal depression may be comorbid with marital discord, divorce, family violence (verbal and / or physical), substance use and abuse, child abuse and neglect,
failure to implement the injury - prevention components from anticipatory guidance (eg, car safety seats and
electrical plug covers), 10
failure to implement preventive health practices for the child (eg, Back to Sleep), 10, — , 13 and difficulty managing chronic health conditions such as asthma or disabilities in the young child.11, 14 Families with a depressed parent (ie, any parental depression) overutilize health care and emergency facilities.14 Studies of families of a person with major depression that began
before 30 years of age demonstrate that the parent, siblings, and children are 3 to 5 times more likely to have major depression themselves.