Current and Past Maternal Depression, Maternal Interaction Behaviors, and Children’s Externalizing and Internalizing Symptoms

Relations among past maternal depressive disorder, current depressive symptoms, current maternal interaction behaviors, and children's adjustment were examined in a sample of 204 women and their young adolescent offspring (mean age = 11.86, SD = 0.55). Mothers either had (n = 157) or had not (n = 57) experienced at least one depressive disorder during the child's life. Mothers and children participated in a problem-solving task, video-taped for later coding. Mothers with current depressive symptoms and those with histories of chronic/severe depressive disorders displayed fewer positive behaviors toward their children; mothers with current depressive symptoms also showed more negative behaviors with their children. The relation between mothers' depression history and their behavior during the interaction with their child was partially mediated by mothers' current mood state. Moreover, high levels of maternal negativity and low levels of positivity during the problem-solving task were related to children's externalizing problems. Maternal positivity partially mediated the relation between maternal depression and children's externalizing symptoms. These findings highlight the importance of providing parenting interventions for depressed mothers.     

Parents’ Reports of Children’s Internalizing Symptoms: Associations with Parents’ Mental Health Symptoms and Substance Use Disorder

This brief report examined the unique associations between parents’ ratings of child internalizing symptoms and their own depression and anxiety in families with parental substance use disorder (SUD). Further, we examined whether parental SUD (father only, mother only, both parents) was related to discrepancy in mothers’ and fathers’ reports of children’s internalizing symptoms. Participants were 97 triads (fathers, mothers) in which one or both parents met criteria for SUD. Polynomial regression analyses were conducted to examine whether father-mother reports of child internalizing symptoms had unique associations with parents’ own symptoms of depression and anxiety while controlling for child gender, child age, and SUD diagnoses. Controlling for fathers’ symptoms and other covariates, mothers experiencing more depression and anxiety symptoms reported more symptoms of child internalizing symptoms than did fathers. Mothers’ and fathers’ SUD was associated with higher anxiety symptoms among mothers after controlling for other variables. A second set of polynomial regressions examined whether father-mother reports of child internalizing symptoms had unique associations with parents’ SUD diagnoses while controlling for child gender and child age. After controlling for mothers’ symptoms and other covariates, parents’ reports of children’s internalizing symptoms were not significantly associated with either parent’s SUD or parental SUD interactions (i.e., both parents have SUD diagnoses). Taken together, mothers’ ratings of children’s internalizing symptoms may be accounted for, in part, by her reports of depression and anxiety symptoms.     

Effects of Parental Acceptance-Rejection on Children’s Internalizing and Externalizing Behaviors: A Longitudinal,Multicultural Study

Journal of Child and Family Studies - Grounded in Interpersonal Acceptance-Rejection Theory, this study assessed children’s (N?=?1315) perceptions of maternal and paternal...     

The Role of Fathers’ Depressive Symptoms and Lax and Over-Reactive Discipline in Children’s Externalizing and Internalizing Behaviors

This study examined the role of fathers’ depressive symptoms and lax and over-reactive discipline in children’s externalizing and internalizing behavior problems in a community sample of 36 fathers and their children. Correlational analyses provided considerable support for the expected associations between the study variables. When a regression-based approach recommended by Baron and Kenny (J Personal Soc Psychol 51:1173–1182, 1986) was applied to the data in order to determine whether fathers’ discipline mediated the association between their depressive symptoms and children’s behavior problems, results indicated that fathers’ lax discipline mediated the link between fathers’ depressive symptoms and children’s father-reported internalizing behaviors. In contrast, fathers’ depressive symptoms and lax discipline were independent predictors of children’s father- and mother-reported externalizing behaviors.     

Correction to: Effects of Parental Acceptance-Rejection on Children’s Internalizing and Externalizing Behaviors: A Longitudinal,Multicultural Study

Journal of Child and Family Studies -     

Externalizing and Internalizing Problems: Associations with Family Adversity and Young Children’s Adrenocortical and Autonomic Functioning

Research on Child and Adolescent Psychopathology - The development of child mental health problems has been associated with experiences of adversity and dysregulation of stress response systems;...     

The Relations Among Maternal Depression,Maternal Criticism,and Adolescents’ Externalizing and Internalizing Symptoms

This study examined the relations between maternal criticism and externalizing and internalizing symptoms in adolescents who varied in their risk for psychopathology. Both maternal-effects and child-effects models were examined. The sample consisted of 194 adolescents (mean age = 11.8~years) and their mothers; 146 mothers had a history of depressive disorders and 48 did not. When adolescents were in 6th and 8th grade, maternal criticism was measured with the five-minute speech sample and adolescents symptoms were assessed with the Child Behavior Checklist. Maternal criticism was significantly associated with both adolescents externalizing and internalizing symptoms, beyond the contribution of the chronicity/severity of mothers depression history. Maternal criticism did not mediate the relation between maternal depression and adolescent symptoms. In contrast, adolescent externalizing behaviors mediated the relation between chronicity/severity of maternal depression history and maternal criticism in 6th grade. Prospective analyses showed that adolescents externalizing symptoms in 6th grade significantly predicted maternal criticism in 8th grade, controlling for maternal depression history and prior maternal criticism. Results are discussed in terms of the importance of examining child-effects models in studies of maternal criticism.     

Family Support in Children’s Mental Health: A Review and Synthesis

A comprehensive review of structured family support programs in children’s mental health was conducted in collaboration with leadership from key national family organizations. The goals were to identify typologies of family support services for which evaluation data existed and identify research gaps. Over 200 programs were examined; 50 met criteria for inclusion. Programs were categorized by whether they were delivered by peer family members, clinicians, or teams. Five salient components of family support were identified: (a) informational, (b) instructional, (c) emotional, (d) instrumental, and (e) advocacy. Clinician-led programs were heavily represented (n = 33, 66%), followed by family-led (n = 11, 22%), and team-delivered (n = 6, 12%) programs. Key differences between programs delivered by clinicians or by peer family members were found in the degree of emphasis, research methodology, and outcomes. However, the content of the components was similar across all three program types. There are both important differences in emphasis across typologies of family support provided by clinicians, family members, or teams as well as important similarities in content. Family-delivered support may be an important adjunct to existing services for parents, although the research base remains thin. A research agenda to promote more rigorous evaluations of these services especially those delivered by peer family members is critical.     

Evidence-Based Treatments in Community Mental Health Settings: Use and Congruence With Children’s Primary Diagnosis and Comorbidity

Research on Child and Adolescent Psychopathology - Many evidence-based treatments (EBTs) have been identified for specific child mental health disorders, but there is limited research on the use of...     

African American Children’s Racial Discrimination Experiences and Mental Health

Journal of Child and Family Studies - The current study examined how African American children’s experiences of perceived personal racial discrimination and perceived vicarious racial...     

Association Between Independent Reports of Maternal Parenting Stress and Children’s Internalizing Symptomatology

Although considerable research has investigated parenting stress and children’s externalizing behavior problems, comparatively less has considered parenting stress in relation to children’s internalizing difficulties. Even less research on parenting stress has incorporated children’s report of their internalizing symptoms or the potential mediating role of children’s attributional style. The current study hypothesized that children’s independent reports of internalizing symptoms would be associated with mothers’ reports of parenting stress through children’s attributional style. A community sample of 92 mother–child dyads participated. Results suggest maternal parenting stress from both child and parent sources were significantly associated with children’s anxious and depressive symptoms. Parenting stress was associated with children’s internalizing symptoms partially mediated by children’s maladaptive attributional style, primarily negative attributions for positive outcomes. Findings are discussed in terms of future directions to tease apart specific areas of parenting stress that may be most pertinent as well as to explore other cognitive mechanisms in children that may relate to parenting stress and children’s adjustment.     

Children’s Maternal Support-Seeking: Relations to Maternal Emotion Socialization Responses and Children’s Emotion Management

The present study examined children’s support-seeking of mothers (SSM) as a moderator of the association between maternal emotion socialization responses and children’s emotion management. Participants included 119 mother–child dyads (63 boys, M age = 9.61 years, 73.1 % Caucasian). Maternal emotion socialization was assessed via observed mother–child interactions and child report. Analyses indicated several main effects such that child-reported maternal reward responses were associated with stronger child emotion management, whereas perceived maternal punishment and neglect were associated with poorer child emotion management. Regarding the significant interactions, observed maternal general unsupportive socialization responses were negatively associated with emotion management. Additionally, for children low in SSM, child-reported maternal overriding of children’s emotions was positively associated with better emotion management. Support-seeking of mothers may mitigate the risk of some unsupportive maternal socialization responses and may be an adaptive strategy in middle childhood in particular contexts.     

Interaction Effects between Maternal Lifetime Depressive/Anxiety Disorders and Correlates of Children��s Externalizing Symptoms

We investigated the interaction effects between mother??s lifetime depressive/anxiety disorders and psychosocial correlates of 6 to 11 year-old children??s self-reported externalizing symptoms in the Quebec Child Mental Health Survey. A representative subsample of 1,490 Quebec children aged 6 to 11 years was selected from the original sample. We conducted multiple linear regression analyses using externalizing symptoms as reported by children through the Dominic questionnaire and multiple child, family and socioeconomic characteristics. Two variables interacted significantly with mother??s lifetime depressive/anxiety disorders to predict 6 to 11 year-old children??s self-reported externalizing symptoms: physical/sexual abuse and mother??s caring behaviours. Results underline the main contribution of mother-child relationship and stressful events in the association between mother??s lifetime depressive/anxiety disorders and children??s externalizing symptoms. It is suggested to develop preventive intervention programs oriented towards children of lifetime depressed/anxious parents who also report parent-child relational difficulties.     

Parental Migration and Rural Left-Behind Children’s Mental Health in China: A Meta-Analysis Based on Mental Health Test

Parental migration has been an important predictor of left-behind children’s developmental outcomes. Based on the ecological model of rural left-behind children’s development, we systematically reviewed studies related to rural left-behind children’s mental health in China and investigated left-behind children’s mental health and its influencing factors. Thirty-two studies involving 28,629 participants met the inclusion criteria were included in our meta-analysis to compare mental health of left-behind children and non-left-behind children. Twenty-two studies involving 8,634 participants were included in gender difference meta-analysis. The results indicated that left-behind children report more mental health problems than non-left-behind children, left-behind girls were confronted with higher level of mental health problems than left-behind boys, left-behind children in primary school and junior high school reported more mental health problems than those in senior high school, and self-guardian children have more serious mental health problems than children guarded by grandparents, former generation, and single parent. Implications for future practice were analyzed from family, school, and government perspectives.     

Cognitive Performance in Adolescence: Links With Early Maternal Stimulation and Children’s Anxious Behaviors

Abstract

This study tested a developmental model of cognitive performance in adolescence and explored potential mechanisms explaining the relations of early maternal stimulation and children’s anxious behaviors with adolescents’ cognitive performance. We utilized the NICHD SECCYD dataset (n?=?1,112). Measures included questionnaires, coded observations, and self-report measures from infancy to adolescence. Results revealed that children who experienced greater early maternal stimulation and less anxious behaviors had better cognitive performance at age 15. Children’s English self-efficacy, the quality of child–teacher relationships, and children’s behavioral classroom engagement in middle childhood mediated the relation between early maternal stimulation and adolescent cognitive performance. Identifying pathways from earlier maternal and children’s characteristics to children’s later cognitive performance is an important step toward further understanding why early precursors have a long lasting impact on cognitive performance, and has implications for educational settings.     

Relations Between Parents’ Anxiety Symptoms,Marital Quality,and Preschoolers’ Externalizing and Internalizing Behaviors

Our objective was to expand understanding of the associations between fathers’ and mothers’ anxiety symptoms, their perceptions of marital quality, and their children’s maladjustment behaviors. Sixty Israeli families with a child aged 3–5 participated. Mothers and fathers completed self-report questionnaires assessing parents’ anxiety symptoms, marital dissatisfaction, and marital overt conflict, and child internalizing and externalizing behaviors. The actor–partner interdependence mediation model (APIMeM) design with distinguishable dyads within a path analysis framework was used. Findings showed that marital dissatisfaction of both mothers and fathers partially mediated the links between mothers’ anxiety and child behaviors. For externalizing behaviors, actor and partner effects were found, so that mothers’ anxiety symptoms predicted mothers’ own marital dissatisfaction (actor effect) and fathers’ marital dissatisfaction (partner effect), which, in turn were linked with children’s externalizing behaviors. As for internalizing behaviors, only actor effect was found, so that mothers’ anxiety symptoms were linked with maternal dissatisfaction, which, in turn, was linked with child internalizing behaviors. For fathers’ anxiety symptoms, the APIMeM indicated only direct effects on both internalizing and externalizing behaviors. These findings highlight the risk associated with parental anxiety and the contribution of the marital relations to children’s adjustment and are discussed in light of Bronfenbrenner’s ecological model and Emotional Security Theory.     

Delivering Diagnoses: Parents as Translators and Withholders of Children’s Mental Health Diagnoses

There is a lack of research on how mental health diagnoses are delivered and explained to children and the effectiveness of these strategies. This qualitative study examines how emerging adults recall the delivery of mental health diagnoses in childhood and how they suggest these diagnoses should be delivered to children. Semi-structured interviews were conducted with 42 emerging adults (aged 18–22) who were diagnosed with attention deficit hyperactivity disorder (ADHD), depressive disorders, generalized anxiety disorder (GAD), and/or bipolar disorder in childhood. Findings reveal that parents, rather than mental health professionals, often inform children of their diagnoses. The data suggest that parents often act as translators of diagnostic information, acting as liaisons between mental health professionals and their children. The paper explores ways in which parents and mental health professionals withhold diagnoses from children, and how this affects children’s experiences. Drawing on their own experiences, participants offer suggestions regarding the best ways to deliver diagnoses to children. Findings suggest that adults should share mental health diagnoses openly with children. Implications for social workers and other allied health professionals who support families when children are diagnosed are discussed.     

Psychological Androgyny and Children’s Mental Health: A New Look with New Measures

We evaluated Bem’s (1981, 1993) thesis that psychological androgyny—perceiving the self to possess characteristics of both genders—is associated with healthy adjustment and minimal gender-polarizing cognition. Prior studies testing Bem’s ideas have yielded ambiguous results, mainly because self-perceptions of gender-typed attributes have been inferred narrowly from self-perceptions of expressive and instrumental personality traits. We administered measures of gender identity (self-perceived similarity to a gender) that more clearly capture self-perceptions of attributes typical of a gender, and we examined conjoint influences of same-gender typicality and other-gender typicality on children’s self-esteem, internalizing problems, felt pressure for gender differentiation, and sexist ideology. Two studies were conducted with ethnically/racially diverse samples of preadolescent children in the southeastern United States. In Study 1 (N?=?305, M _age?=?10.8 years), androgynous children (i.e., children who saw themselves as similar to both genders) reported high self-esteem, evidenced few internalizing problems, and reported feeling little pressure for gender differentiation. In Study 2 (N?=?236, M _age?=?11.3 years), androgynous boys reported few sexist beliefs. Children with other patterns of gender identity (e.g., high same-gender typicality coupled with low other-gender typicality) sometimes showed similar correlates, but each other pattern of gender identity was associated with poor adjustment or strong gender-differentiating cognition on at least one dependent variable whereas androgyny never was. Results support Bem’s thesis that persons who perceive themselves as possessing characteristics of both genders enjoy mental health advantages over those who perceive themselves as possessing characteristics of only one.     

Do State Mental Health Plans Address the New Freedom Commission’s Goals for Children’s Mental Health?

The latest initiative to address mental health needs of the nation, including those of children and youth, is the President’s New Freedom Commission on Mental Health (NFC). The NFC formulated a benchmark of six goals and related recommendations toward which the U.S. should strive, including the recommendation that each state develop a comprehensive mental health plan. It is not clear, however, whether the states’ developed plans address the goals established by the NFC and to what degree. This project provides a summary of 50 state mental health plans regarding children and youth in the U.S. by examining components that address each of the six NFC goals and is a test of federal leadership on a state issue. Results indicate that state mental health plans addressed the NFC goals to differing degrees with specific attention to children and youth mental health services. Overall, the NFC goal of eliminating disparities in mental health services was addressed most completely, while the NFC goal of understanding that mental health and physical health are associated was addressed least often. The information provided by this analysis represents a first step in gaining a comprehensive picture about public policies for the mental health of children, adolescents, and their families.