Maternal Depressive Symptoms and Child Externalizing Problems: Moderating Effects of Emotionally Maltreating Parenting Behaviors

While prior research has examined the relationship between maternal depressive symptoms and child externalizing behaviors, little research has focused specifically on the moderating effects of observed parenting behaviors on this relationship. This study was conducted to investigate the role of emotionally maltreating parenting behaviors, which were hypothesized to exacerbate the strength of the relationship between maternal depressive symptoms and child behavior problems. Maternal depressive symptoms, child externalizing problems, and emotionally maltreating parenting behaviors were assessed in a community sample of 62 mother–child dyads (with children age 8–11 years). Results indicated the overall model was significant, after controlling for maternal race, as was the interaction between maternal depressive symptoms and emotionally maltreating parenting behaviors. Based on these findings, future research is needed to identify potential protective factors that may prevent depressive symptoms from negatively affecting parenting behaviors, with the attendant goal of decreasing risk for emotional maltreatment.     

Dyadic Flexibility in Early Parent–Child Interactions: Relations with Maternal Depressive Symptoms and Child Negativity and Behaviour Problems

Lower levels of parent–child affective flexibility indicate risk for children's problem outcomes. This short‐term longitudinal study examined whether maternal depressive symptoms were related to lower levels of dyadic affective flexibility and positive affective content in mother–child problem‐solving interactions at age 3.5 years (N = 100) and whether these maternal and dyadic factors predicted child emotional negativity and behaviour problems at a 4‐month follow‐up. Dyadic flexibility and positive affect were measured using dynamic systems‐based modelling of second‐by‐second affective patterns during a mother–child problem‐solving task. Results showed that higher levels of maternal depressive symptoms were related to lower levels of dyadic affective flexibility, which predicted children's higher levels of negativity and behaviour problems as rated by teachers. Mothers' ratings of child negativity and behaviour problems were predicted by their own depressive symptoms and individual child factors, but not by dyadic flexibility. There were no effects of dyadic positive affect. Findings highlight the importance of studying patterns in real‐time dyadic parent–child interactions as potential mechanisms of risk in developmental psychopathology. Copyright © 2012 John Wiley & Sons, Ltd.     

The Relation Between Co-rumination, Maternal Depressive Symptoms and Child Psychopathology

Little is known about which processes explain the well-established link between maternal and child symptomatology. Interpersonal coping processes may be worth exploring, as depressed mothers have characteristic coping styles that may influence interactions with their children. We examined two interpersonal coping processes as potential factors explaining how depressive symptomatology in mothers impacts child psychopathology: parent-child co-rumination (dwelling on negative affect, over-analyzing problems) and impaired problem-solving. We analyzed 198 aggressive children (most of whom also had elevated internalizing symptoms) who engaged in structured discussions with their mothers. Coders rated the extent to which dyads problem-solved and co-ruminated during discussions, and mothers filled out questionnaires assessing maternal and child symptoms. Path analysis tested whether higher levels of co-rumination and poor problem-solving statistically mediated the relation between depressive symptoms in mothers and child internalizing and externalizing behaviour. Maternal depressive symptomatology was correlated with greater child symptoms, higher rates of co-rumination and poorer problem-solving. Statistical mediation was non-significant. Results support the established link between maternal depression and child psychopathology, and suggest that dysphoric mothers and their children engage in maladaptive coping interactions.     

Maternal Emotion Socialization,Depressive Symptoms and Child Emotion Regulation: Child Emotionality as a Moderator

This study tested a model of children's emotionality as a moderator of the links between maternal emotion socialization and depressive symptoms and child emotion regulation. Participants were 128 mother–preschooler dyads. Child emotion expression and emotion regulation strategies were assessed observationally during a disappointment task, and a principal component analysis revealed three factors: passive soothing (including sadness and comfort seeking), negative focus on distress (including anger, focus on distress and low active distraction) and positive engagement (including positive emotion, active play and passive waiting, which was loaded negatively). Hierarchical linear regression models revealed that child positive emotionality (PE) and negative emotionality (NE) moderated the links between maternal support/positive emotion expression and child emotion regulation strategies. In particular, children's low PE exacerbated the association between lack of maternal support and child passive soothing, whereas high PE enhanced the association between maternal positive expression and reduced negative focus on distress. Furthermore, the associations of mothers' support and reduced passive soothing and negative focus on distress, as well as the association between mothers' positive expression and child positive engagement, were stronger for children with low levels of NE, compared with those with average and high levels of NE. Findings partially support a diathesis–stress model in understanding the effects of both child characteristics and the familial influence on child emotion regulation. Copyright © 2016 John Wiley & Sons, Ltd.     

Maternal and Paternal Predictors of Child Depressive Symptoms: An Actor-Partner Interdependence Framework

Family members are theorized to influence each other via transactional or systems related processes; however, the literature is limited given its focus on mother–child relationships and the utilization of statistical approaches that do not model interdependence within family members. The current study evaluated associations between self-reported parental affect, parenting behavior, and child depressive symptoms among 103 mother–father–child triads. Children ranged in age from 8 to 12 years. Higher maternal negative affect was associated with greater maternal and paternal harsh/negative parenting behavior. While maternal negative affect was directly associated with child depressive symptoms, paternal negative affect was indirectly associated with child depressive symptoms via paternal harsh/negative behavior. In a separate model, maternal positive affect was indirectly associated with child depressive symptoms via maternal supportive/positive behavior. These results highlight the importance of simultaneously modeling maternal and paternal characteristics as predictors of child depressive symptoms.     

Maternal Depressive Symptoms and Child Social Preference During the Early School Years: Mediation by Maternal Warmth and Child Emotion Regulation

This longitudinal study examined processes that mediate the association between maternal depressive symptoms and peer social preference during the early school years. Three hundred and fifty six kindergarten children (182 boys) and their mothers participated in the study. During kindergarten, mothers reported their level of depressive symptomatology. In first grade, teachers rated children’s emotion regulation at school and observers rated the affective quality of mother-child interactions. During second grade, children’s social preference was assessed by peer nomination. Results indicated that mothers’ level of depressive symptomatology negatively predicted their child’s social preference 2 years later, controlling for the family SES and teacher-rated social preference during kindergarten. Among European American families, the association between maternal depressive symptoms and social preference was partially mediated by maternal warmth and the child’s emotion regulation. Although the relation between maternal depressive symptoms and children peer preference was stronger among African American families than Europrean American families, its mediation by the maternal warmth and child’s emotion regulation was not found in African American families.     

Timing of Early Maternal Mental Health and Child Cortisol Regulation

Maternal mental health problems can negatively impact children's physiological stress regulation. Yet, little is known of their long‐term effects, especially related to the timing of maternal symptoms. We examined how maternal mental health problems during pregnancy versus in the early postpartum period predict children's cortisol levels and diurnal patterns at 10–12 years. Participants were a selection (N = 102) of an original sample of 805 Finnish families, who were followed from the second trimester of pregnancy (T1) to child's age of 2 months (T2) and 12 months (T3), and again at child's age of 10–12 years (T4). Based on the timing of psychological distress and depressive symptoms (T1–T3), the mothers could be assigned to three distinct mental health trajectory groups: mothers with prenatal mental health problems (n = 15), mothers with early postpartum mental health problems (n = 15) and mothers without mental health problems (n = 72). Children's cortisol (T4) was measured by saliva samples through five within‐1‐day assessments. The results show that maternal prenatal mental health problems predicted a relatively steep increase of child cortisol from awakening to 1 h later, indicating an intensified cortisol awakening response (CAR). Mothers' early postpartum mental health problems instead predicted a reduced CAR. Both maternal prenatal and postnatal mental health problems thus predicted children's later stress regulation, but in unique ways. We discuss the specific roles of direct biochemical effects during pregnancy and postpartum mother–infant interaction quality as modifiers of the hypothalamic–pituitary–adrenal system. Copyright © 2015 John Wiley & Sons, Ltd.     

Maternal and Paternal Depressive Symptoms and Child Maladjustment: The Mediating Role of Parental Behavior

This study examined parental behaviors as mediators in links between depressive symptoms in mothers and fathers and child adjustment problems. Participants were 4,184 parents and 6,048 10- to 15-year-olds enrolled in the 1998 and 2000 cycles of the Canadian National Longitudinal Survey of Children and Youth. Mothers and fathers self-reported symptoms of depression at Times 1 and 2 and their children assessed parental nurturance, rejection, and monitoring and self-reported internalizing and externalizing problems and prosocial behavior at Time 2. Hierarchical linear modeling showed evidence of mediation involving all three domains of parental behavior. Findings supported the hypothesis that the quality of the child's rearing environment is one mechanism that carries risk to children of depressed parents. Interventions for parents whose symptoms of depression interfere with parenting responsibilities could help reduce the risk of some childhood disorders.     

Maternal Relationship Insecurity and Depressive Symptoms as Moderators of Home Visiting Impacts on Child Outcomes

The purpose of this study was to determine the extent to which maternal relationship insecurity and severe depressive symptoms moderate home visiting impacts on developmental and behavioral outcomes in 2-year old children. In an experimental trial of the Healthy Families Alaska home visiting program, families (N = 249) were randomly assigned to home visiting (n = 126) or community services as usual (n = 123). Maternal severe depressive symptoms (CES-D ≥ 24) and relationship insecurity were measured using the Center for Epidemiologic Studies Depression Scale and the Attachment Style Questionnaire at baseline. Child cognitive and psychomotor development and behavior problems were measured with the Bayley Scales of Infant Development and the Child Behavior Checklist at follow-up. The results revealed that home visiting significantly impacted three outcomes—child cognitive development, internalizing behavior, and externalizing behavior. Home visiting impacts were limited to subgroups defined by maternal depressive symptoms and relationship insecurity. Home visiting improved cognitive development (B = 6.02, p < .03), and decreased internalizing behavior (B = ?3.83, p = .02) and externalizing behavior problems (B = ?3.74, p = .03) in children of mothers with either severe depressive symptoms or high levels of discomfort with trust at baseline, but not both. Family engagement in home visiting seems to play a role in mediating these moderating effects. These findings reflect the importance of screening for maternal relationship insecurity and depressive symptoms to distinguish family subgroups likely to benefit from home visiting from those for whom an enhanced service model might be needed.     

Effects of Maternal Depression Symptoms and Alcohol Use Problems on Child Internalizing and Externalizing Behavior Problems

Empirical evidence suggests maternal behavioral health problems are significant predictors of child behavioral health difficulties, but it is unclear of the specific relation of maternal alcohol use problems and depression symptoms with child internalizing and externalizing behavior problems. The purpose of the study is to examine the impact of maternal depression symptoms and alcohol use problems on children’s internalizing and externalizing behavior problems over a period of 5 years. Implications for intervention may differ depending on which type of maternal behavioral health concerns predicts which child behavior problem. A total of 1874 families eligible for Early Head Start participated. Maternal depression symptoms and alcohol use problems were assessed when children were in preschool, and internalizing and externalizing behavior problems were assessed when children were in fifth grade. Clinical internalizing behavior problems was best predicted by maternal depression symptoms, whereas clinical externalizing behavior problems was best predicted by maternal alcohol use problems. Children were almost twice as likely to have clinical internalizing behavior problems when mothers exhibited very elevated depression symptoms compared to when mothers displayed minimal symptoms. A similar relation was found with maternal alcohol use problems and clinical externalizing behavior problems. Our findings highlight the importance of understanding and treating various kinds of behavioral health concerns in mothers of young children.     

Paternal Postnatal and Subsequent Mental Health Symptoms and Child Socio‐Emotional and Behavioural Problems at School Entry

Research on the effect of paternal mental health problems, particularly on young children, is based predominantly on clinical levels of depression. Furthermore, potential mediators such as marital discord have often been overlooked. This longitudinal community study assessed the association between paternal mental health symptoms in a community sample (N = 705) assessed at 3 months postnatally (Edinburgh Postnatal Depression Scale) and 36 months (General Health Questionnaire) and children's socio‐emotional and behavioural problems at 51 months (Strengths and Difficulties Questionnaire) as reported by mother, father and teacher. Controlling for socioeconomic status and maternal mental health symptoms at 3 and 36 months, paternal postnatal depressive symptoms predicted more father‐reported child problems at 51 months but, in contrast to previous findings, not mother‐reported problems. Paternal mental health symptoms at 36 months predicted both maternal and paternal reports of child problems at 51 months controlling for both paternal and maternal postnatal symptoms. Paternal mental health symptoms at 3 and 36 months were not significant predictors of teacher‐reported child problems. Postnatal marital discord and paternal mental health problems at 36 months both mediated the relationship between paternal postnatal symptoms and later child emotional and behavioural problems. Child gender did not moderate the relationship. Implications for interventions are discussed. Copyright © 2013 John Wiley & Sons, Ltd.     

Maternal Mental Health and Child Adjustment Problems in Response to the COVID-19 Pandemic in Families Experiencing Economic Disadvantage

Research on Child and Adolescent Psychopathology - Parents living in low-income contexts shouldered disproportionate hardships during the COVID-19 pandemic with consequences to maternal mental...     

Influence of Maternal Depressive Symptoms on Ratings of Childhood Behavior

This study uses information collected on two occasions from a probability sample of families with 5- to 12-year-old children (N = 1151) participating in a general population study in 1983 and follow-up in 1987. It evaluated the importance of maternal bias in the assessment of child behavior by comparing the relative strengths of association between maternal depression and childhood behavior and between maternal depression and mother reporting errors. Conduct problems and hyperactivity were measured as latent criterion variables constructed from mother, teacher, and youth (aged 12 to 16 years) ratings and their associations with maternal depression were modeled using covariance structure analysis. The analyses revealed that maternal depression was associated significantly with conduct problems ( = .35) and hyperactivity ( = .38) among 5- to 7-years-olds in 1983 but not 4 years later in 1987. None of the associations between maternal depression and mother reporting errors were significant. Among 8- to 12-year-olds in 1983, maternal depression was associated significantly not only with conduct problems ( = .17) and hyperactivity ( = .15) but also with mother rating errors of these behaviors ( = .13 and .17, respectively). Four years later in 1987 when this cohort was 12 to 16 years old, the only significant association was between maternal depression and conduct disorder ( = .25). Although evidence exists for associations between maternal depressed mood and mother rating errors, there also appears to be a substantive association between maternal depression and childhood behavior.     

Maternal and Paternal Depressive Symptoms as Predictors of Toddler Adjustment

In this study we explored the relation between maternal and paternal depressive symptoms and toddler adjustment in a community sample, testing direct, additive, and interactive models of parental depressive symptoms and child adjustment. Participants were 49 families with 30-month-old children. Data were collected on maternal and paternal depressive symptoms and marital quality, as well as on toddler internalizing and externalizing behavior. The data supported an additive, but not interactive, model of prediction to externalizing behavior, such that maternal and paternal symptoms each accounted for unique variance in the prediction of toddler externalizing. Models predicting toddler internalizing were not significant. Maternal reports of marital quality, but not paternal reports of marital quality, reduced the magnitude of the relation between symptoms and child externalizing when entered as a covariate. Implications for depression screening of parents are discussed.     

Understanding Strengths in Relation to Complex Trauma and Mental Health Symptoms within Child Welfare

Strengths can have a potent effect in mitigating the impact of trauma on mental health needs and functioning. Yet, evidence is limited on the role that strengths may have in ameliorating trauma-related or mental health symptoms over time. Providing a comprehensive assessment that includes strengths, as well as needs, is an important step in making appropriate service recommendations for youth in child welfare. This study assessed 7,483 children and adolescents entering an intensive stabilization program through the Illinois child welfare system. The interaction of individual, child strengths in relation to complex trauma exposure, traumatic stress symptoms, risk behaviors, and other mental health needs were examined. Results indicated strengths are relatively stable over time and inversely associated with several negative outcomes, including risk behaviors (?.32, p?<?.001), emotional/ behavioral needs (?.33, p?<?.001) and overall functioning (?.47, p?<?.001). Traumatic stress symptoms were also related to increases in these negative outcomes. Overall, strengths had a buffering effect on traumatic stress symptoms and outcomes over time. The role of strengths in relation to traumatic stress symptoms, however, was less consistent. Youth with histories of complex trauma exposure had significantly fewer useable strengths than youth without this exposure. However, strengths improved for both youth with and without complex trauma exposure over the course of stabilization services. These findings suggest that early identification and development of child strengths can mitigate risk-taking behaviors, mental health, and functional difficulties among youth in the child welfare system. Implications for more targeted trauma-informed and strengths-based assessment, and treatment/service planning are discussed.     

Self-Perceived Competence as a Mediator Between Maternal Feedback and Depressive Symptoms in Adolescents

Self-report, other-report, clinical interview, and behavioral observations of evaluative maternal feedback (e.g., positive feedback, criticism), adolescent depressive symptoms, and self-perceived competence were obtained from 72 adolescents and their mothers. Most path analyses supported the hypothesis that adolescent self-perceived competence completely mediates the relation between negative maternal feedback and adolescent depressive symptoms, even after controlling for prior levels of depression. Consistent with Cole's competency-based model of depression (D. A. Cole, 1990), these results suggest that high levels of negative maternal feedback (coupled with low levels of positive feedback) are associated with adolescent negative self-perceptions, which in turn place adolescents at risk for depressive symptoms.