Mitigating the effect of persistent postnatal
depression on child outcomes through an intervention to treat depression and improve parenting: a randomised controlled trial.
[17] The effects of maternal
depression on child outcomes may also be moderated by higher levels of maternal sensitivity, [18] suggesting that policies aimed at increasing parental sensitivity, in addition to those reducing parental depression, may be effective in improving child outcomes.
Not exact matches
Mothers reported more symptoms of psychological distress24, 25 and low self - efficacy.26, 27 And, although mothers report more depressive symptoms at the time their infants are experiencing colic, 28,29 research
on maternal
depression 3 months after the remittance of infant colic is mixed.30, 31 The distress mothers of colic infants report may arise out of their difficulties in soothing their infants as well as within their everyday dyadic interactions.32 The few studies to date that have examined the long - term consequences of having a colicky
child, however, indicate that there are no negative
outcomes for parent behaviour and, importantly, for the parent -
child relationship.
«While the maternal
depression and
child outcome literature is well established, there are fewer studies
on paternal
depression,» the researchers write.
They focused
on adoptive families to limit the possibility that shared genes contributed to links between parents» symptoms of
depression and
children's
outcomes, and to isolate more fully the environmental impact of being raised by a depressed parent.
Using data from a sample of 2,615 active duty military families, living at designated military installations with a
child ages 3 - 17, a group of researchers led by Dr. Patricia Lester, of the University of California, Los Angeles (UCLA) Semel Institute for Neuroscience and Human Behavior, examined the impact of FOCUS
on behavioral health
outcomes, including
depression, anxiety, and
child pro-social behavior over two follow up assessments.
Paternal
depression is associated negative
child outcomes, including emotional and behavioral problems.14 Although paternal
depression does not expose fetuses and infants to the same intrauterine / physiological risks as maternal
depression, paternal genetic and psychosocial factors may act directly
on the
child and indirectly through their effect
on maternal well - being.5, 15
We previously reported the demographic and clinical characteristics of the mother -
child pairs before the commencement of maternal treatment.14 Our focus herein is
on the symptomatic and behavioral functioning of the
children assessed 3 months after the initiation of treatment of maternal
depression by a team of evaluators not involved in maternal treatment and unaware of maternal
outcomes.
Efficacy (as a continuous
outcome), measured by the overall mean change scores
on depressive symptom scales (self - rated or assessor - rated), for example,
Children's
Depression Rating Scale (CDRS - R) 32 and Hamilton
Depression Rating Scale (HAMD) 33 from baseline to endpoint.
The impact of maternal
depression on child academic and socioemotional
outcomes.
Main
Outcome Measures
Child diagnoses based on the Kiddie Schedule for Affective Disorders and Schizophrenia; child symptoms based on the Child Behavior Checklist; child functioning based on the Child Global Assessment Scale in mothers whose depression with treatment remitted with a score of 7 or lower or whose depression did not remit with a score higher than 7 on the Hamilton Rating Scale for Depres
Child diagnoses based
on the Kiddie Schedule for Affective Disorders and Schizophrenia;
child symptoms based on the Child Behavior Checklist; child functioning based on the Child Global Assessment Scale in mothers whose depression with treatment remitted with a score of 7 or lower or whose depression did not remit with a score higher than 7 on the Hamilton Rating Scale for Depres
child symptoms based
on the
Child Behavior Checklist; child functioning based on the Child Global Assessment Scale in mothers whose depression with treatment remitted with a score of 7 or lower or whose depression did not remit with a score higher than 7 on the Hamilton Rating Scale for Depres
Child Behavior Checklist;
child functioning based on the Child Global Assessment Scale in mothers whose depression with treatment remitted with a score of 7 or lower or whose depression did not remit with a score higher than 7 on the Hamilton Rating Scale for Depres
child functioning based
on the
Child Global Assessment Scale in mothers whose depression with treatment remitted with a score of 7 or lower or whose depression did not remit with a score higher than 7 on the Hamilton Rating Scale for Depres
Child Global Assessment Scale in mothers whose
depression with treatment remitted with a score of 7 or lower or whose depression did not remit with a score higher than 7 on the Hamilton Rating Scale for D
depression with treatment remitted with a score of 7 or lower or whose
depression did not remit with a score higher than 7 on the Hamilton Rating Scale for D
depression did not remit with a score higher than 7
on the Hamilton Rating Scale for
DepressionDepression.
Background Both maternal and paternal
depression during the perinatal period are associated with adverse effects
on child outcomes.
The results in Tables 2 and 3 also indicate that concurrent risks (most consistently maternal
depression and stressful life events) and maternal life history risks (most consistently giving birth before age 20 and leaving home before 18 years of age) exerted a consistent and generalized effect
on children's health
outcomes at 2 years of age.
Methods In a large cohort study, the Avon Longitudinal Study of Parents and
Children (n = 14541 pregnancies), we aimed to (i) investigate the relative influences of parental postnatal
depression and marital conflict
on child outcomes and to attempt to determine the pathway (s) of risk; (ii) investigate the impact of two types of antenatal stress (parental
depression and marital conflict)
on child outcomes; and (iii) determine the relative contributions of antenatal and postnatal risk.
Middle Class African American Mothers» Depressive Symptoms Mediate Perceived Discrimination and Reported
Child Externalizing Behaviors McNeil, Harris - McKoy, Brantley, Fincham, & Beach (2014) Journal of
Child and Family Studies, 23 (8) View Abstract Presents results of a study that explored the effects of perceived discrimination
on youth
outcomes and examined the potential mediating role of maternal
depression.
For instance, in their prospective study among young adolescents, Garber and Flynn (Garber and Flynn, 2001) found that negative self - worth develops as an
outcome of low maternal acceptance, a maternal history of
depression and exposure to negative interpersonal contexts, such as negative parenting practices, early history of
child maltreatment, negative feedback from significant others
on one's competence, and family discord and disruption.
On social - emotional measures, foster
children in the NSCAW study tended to have more compromised functioning than would be expected from a high - risk sample.43 Moreover, as indicated in the previous section, research suggests that foster
children are more likely than nonfoster care
children to have insecure or disordered attachments, and the adverse long - term
outcomes associated with such attachments.44 Many studies of foster
children postulate that a majority have mental health difficulties.45 They have higher rates of
depression, poorer social skills, lower adaptive functioning, and more externalizing behavioral problems, such as aggression and impulsivity.46 Additionally, research has documented high levels of mental health service utilization among foster
children47 due to both greater mental health needs and greater access to services.
These longitudinal studies have used interview and maternal report measures to track the course of maternal
depression, observational measures of parenting and mother -
child interaction to assess specific aspects of parenting and the mother -
child relationship, and
outcome measures focused
on children's social - emotional and cognitive development, school readiness and overall adjustment.4
First, associations between
depression and cortisol in pregnancy were not found in one large population based cohort study20 and may only be significant in the presence of antidepressant medication21 or co-morbid anxiety.22 Second, studies that tested either direct associations between antenatal maternal cortisol levels
on infant or
child outcomes or the mediational role of antenatal cortisol in associations between antenatal
depression and
outcomes yield mixed findings and typically have relied
on small samples.23 Postpartum
depression has been associated with a range of problems in infants» and young
children's development.
As noted in the previous chapter, health inequalities can be fairly broadly defined to include differences in: specific health
outcomes (such as low birthweight, obesity, long - term conditions, accidents); health related risk factors that impact directly
on children (such as poor diet, low levels of physical activity, exposure to tobacco smoke); as well as exposure to wider risks from parental / familial behaviours and environmental circumstances (maternal
depression and / or poor physical health, alcohol consumption, limited interaction, limited cognitive stimulation, poor housing, lack of access to greenspace).
Murray, L., Fiori - Cowley, A., Hooper, R. and Cooper, P. (1996) «The Impact of Postnatal
Depression and Associated Adversity
on Early Mother - Infant Interactions and Later Infant
Outcome»,
Child Development, 67/5, pp 1891 - 1914.
Mother -
child conflict and its moderating effects
on depression outcomes in a preventive intervention for adolescent
depression.
Summary: (To include comparison groups,
outcomes, measures, notable limitations) The present study examines the relationship among parent characteristics (hostility,
depression, and overall parenting skills) and
child bullying and the effects of the ACT Parents Raising Safe Kids (ACT - PRSK) program [now called the ACT Raising Safe Kids Program]
on reducing early childhood bullying.
[21] Research
on the
children of depressed mothers indicates that having a father who is also depressed is associated with worse
outcomes for
children and adolescents than those accompanying maternal
depression alone.
(B) Genetic / constitutional factors: while it has generally been assumed that associations between maternal
depression and poor
child outcome arise because of the impact of maternal factors
on the
child, recent research has highlighted the fact that relations between parents and their
children are bidirectional in their influence.24 The possibility therefore needs to be addressed that poor
child outcome, parenting difficulties, and even maternal
depression itself may all be influenced by infant factors.
Extensive data were collected
on mothers» demographic characteristics, health history, including maternal history of asthma, prenatal and postnatal maternal psychological distress (anxiety,
depression or stress), maternal social support (specifically the extent of partner / spouse support) and
children's birth and health
outcomes including breastfeeding status (at 3 months) from the APrON surveys completed at prenatal or postnatal clinic visits or sent in by mail.
Interestingly, Herwig et al. (2004) have simultaneously considered maternal parenting and
depression, couple satisfaction and social support in their associations with
child outcomes, reporting the predictive role of maternal parenting and couple satisfaction and the indirect influence of
depression and social support
on child development.
On the other hand, stress factors can be responsible for adverse
child outcomes in the absence of maternal
depression.
Previous studies of the long - term effects of maternal postpartum
depression (PPD)
on child development have mostly focused
on a limited set of
outcomes, and have often not controlled for risk factors associated with maternal
depression.
Prior research has established the influence of maternal
depression on the
child's behavioral and emotional health3, 27,28 and its relevance for pediatric practice.29, 30 Several studies have analyzed the independent effects
on children of mothers» and fathers» mental health, but few have examined the more clinically relevant question of how the mental health of parents jointly influences
child outcomes.16, 31,32 The largest study of the joint effects of mothers» and fathers» mental health
on children was a population - based study of twins and their parents.16 Similar to our results, the combination of maternal and paternal
depression was associated with the largest increase in
children's depressive symptoms.
Assessed the impact of
child characteristics (ASD severity, behaviour, social skills, empathy)
on parent
outcomes (anxiety,
depression, stress, parenting - specific stress).
Research
on parenting programme indicates parents experience reductions in both stress and
depression following completion of the intervention (Bennett et al. 2013), which has a positive consequence
on child outcomes.
Explored gender differences in parents
on measures of positive and negative psychological wellbeing (anxiety,
depression, stress, positive perceptions) and the impact of
child characteristics (ASD symptoms, adaptive behaviours, behavioural and emotional concerns)
on parent
outcomes.