Maternal depression and child adjustment: a longitudinal analysis

This study examined the relation between maternal depression and child adjustment. Two major issues were addressed. First, to assess the specificity to depression of observed child adjustment difficulties, four groups of female subjects were included: clinically depressed psychiatric patients, nondepressed psychiatric patients, nondepressed medical patients, and nondepressed nonpatients. Second, to assess the stability of the observed effects, data were collected early in the patients' treatment and again approximately 8 weeks later. The results indicated that the depressed mothers described their children as having various behavior problems; interestingly, interviewers also rated these children as demonstrating disturbed behavior. Although the offspring of the depressed mothers were the most impaired children in the sample, the lack of significant differences between children of the depressed and the nondepressed psychiatric patients suggests that child adjustment is more strongly related to the presence of maternal psychopathology than it is to diagnostic status. Finally, children of the psychiatric patients continued to demonstrate problems at the second assessment. Implications of these results for models of depression are discussed, and directions for future research are offered.     

Maternal depression and its relationship to life stress,perceptions of child behavior problems,parenting behaviors,and child conduct problems

This study examined the relationship of reported maternal depression to prior and current life stressors, and to mother perceptions of child adjustment, parenting behaviors, and child conduct problems. Forty-six depressed mothers and 49 nondepressed mothers and their clinic-referred children (aged 3-8 years) participated. Depressed mothers were more critical than nondepressed mothers, but the behavior of children of depressed and nondepressed mothers showed no significant differences. Depressed mothers were more likely to have experience child abuse, spouse abuse, or more negative life events than nondepressed mothers. Maternal reports of stress related to mother characteristics and to negative life events were the most potent variables discriminating depressed from nondepressed mother families.     

Preschoolers' response to maternal sadness: Relationships with maternal depression and emotional availability

Previous research has documented that children of depressed mothers are at risk for a variety of emotional/behavioral problems and impairments in mother-child interaction. Depressed mothers have been characterized as withdrawn and unavailable. The present study examined behavior of preschool children of depressed and nondepressed mothers in response to their mothers' feigned sadness. The study assessed maternal depression and maternal emotional availability to determine how these related to preschoolers' expression of empathy. Sixty-two mothers and their 3 1/2-year-olds participated in the study. Mother-child interaction was coded from four tasks: free play, eating a snack, problem solving, and sadness simulation. Children of depressed mothers were not less empathic than children of nondepressed mothers. However, the mother's mood on day of testing related to child response. Maternal emotional availability interacted with the credibility/intensity of her simulation of sadness to predict child empathy.     

The impact of postpartum depressed mood on mother-infant interaction: Like mother like baby?

The purpose of this study was to test the hypothesis that mothers with depressed mood would exhibit less optimal interaction than their nondepressed counterparts and that their infants would show similar deficits in interactional behavior. Twenty-two mothers and their 2-month-old infants were videotaped in to-minute free-play segments in a laboratory playroom, and their interactions were coded using both time-sampling and global clinical ratings of behavior. Mothers with depressed mood were judged significantly lower on overall positive interaction, Expressivity/Affective Involvement, and Responsivity/ Sensitivity than were nondepressed mothers. Infants of mothers with depressed mood were rated significantly lower than infants of nondepressed mothers on corresponding interaction domains. Mothers with depressed mood were also rated as more variable than nondepressed mothers along a continuum of withdrawal to controlling/intrusive behavior. Contrary to prediction, level of maternal stimulation and infant activity did not differ as a function of depression in maternal mood. We conclude that mild to moderate symptoms of maternal depression may have salient but selective effects on mother-infant interaction.     

Maternal depression: Effects on social cognition and behavior in parent-child interactions

The social interactions of depressed and nondepressed mothers and their preschool-age children were observed and mothers' perceptions of child behavior assessed. Depressed mothers, as a group, exhibited more negative behavior than controls; however, no differences were found for maternal positive behavior or contingent responding. There was a high degree of reciprocity between child and mother behavior in both groups and there was a trend for children of the depressed mothers to be more negative than the control children. The results with cognitive measures were consistent with depressive realism in perception of social interactions: Depressed mothers recalled more negative child behavior than nondepressed mothers; however, these perceptions paralleled the observed interactions. Overall, the results suggest that maternal depression is associated with negative parent-child interactions and more negative, albeit fairly accurate, perceptions of child behavior.This study is based on portions of a doctoral dissertation completed in the Department of Psychology at the University of Iowa. I appreciate the guidance of my advisors Michael O'Hara and Donald K. Routh and committee members Leonard Feldt, John Knutson, and Sue Rosner.     

Infants of “depressed” mothers interact better with their nondepressed fathers

To determine whether infants of “depressed” mothers interact better with their nondepressed fathers, twenty-six 3- to 6-month-old infants were videotaped during face-to-face interactions with their parents. The “depressed” mother group consisted of twelve 3- to 6-month-old infants and their “depressed” mothers and nondepressed fathers. The control group was composed of 14 nondepressed mothers and nondepressed fathers and their 3- to 6-month-old infants. In the “depressed” mother group, the nondepressed fathers received better interaction ratings than the “depressed” mothers. In turn, the infants received better interaction ratings when they interacted with their nondepressed fathers than with their “depressed” mothers. In contrast, nondepressed fathers and mothers and their infants in the control group did not differ on any of their interaction ratings. These findings suggest that infants' difficult interaction behaviors noted during interactions with their “depressed” mothers may not extend to their nondepressed fathers. The data are discussed with respect to the notion that nondepressed fathers may “buffer” the effects of maternal depression on infant interaction behavior.     

Object perception in 5-month-old infants of clinically depressed and nondepressed mothers

Five-month-old infants of clinically depressed and nondepressed mothers were familiarized to a wholly novel object and afterward tested for their discrimination of the same object presented in the familiar and in a novel perspective. Infants in both groups were adequately familiarized, but infants of clinically depressed mothers failed to discriminate between novel and familiar views of the object, whereas infants of nondepressed mothers successfully discriminated. The difference in discrimination between infants of depressed and nondepressed mothers is discussed in light of infants' differential object processing and maternal sociodemographics, mind-mindedness, depression, stress, and interaction styles that may moderate opportunities for infants to learn about their world or influence the development of their perceptuocognitive capacities.     

Family interaction patterns and childhood depression

Rehm's (1977) self-control model for depression and Bandura's (1977) concept that children internalize external controls placed upon them are united to predict family interaction patterns that may contribute to the etiology or maintenance of depression in children. Families of depressed, nondepressed, and nonclinic children were compared on rates of, and criteria for, parental and self-reinforcement. Mother-father-child interactions were sequentially coded to reveal that mothers of depressed and nonclinic children both set very high criteria for rewarding their children, compared to mothers of clinic/nondepressed children. However, mothers of depressed children rewarded their depressed children at much lower rates than mothers of either clinic/nondepressed or nonclinic children. These factors, taken together, are discussed in terms of their possible etiological role in childhood depression.     

Depressed mothers' assessments of their neonates' behaviors

Neonates were assessed at delivery and again at 1 month by examiners and by their depressed or nondepressed mothers. Examiner assessments were conducted using the Brazelton Neonatal Behavioral Assessment Scale (NBAS). Maternal assessments were conducted by mothers using a simplified version of the NBAS, the Mother's Assessment of the Behavior of her Infant (MABI). Examiners rated neonates of depressed mothers lower than infants of nondepressed mothers on state organization. At delivery, newborn infants of depressed mothers were given lower state regulation scores by their mothers than by the examiners and, 1 month later, examiners’ state regulation ratings were as negative as those of the depressed mothers. Conversely, infants of nondepressed mothers were given higher social interaction scores by their mothers than by the examiners, and 1 month later, examiner ratings of social interaction were as positive as those of the nondepressed mothers. These findings suggest that infants of depressed mothers may be placed at risk by prenatal influences and by risks associated with maternal perceptions. Perceptions of infants appear to be colored by maternal depression status as early as the immediate postpartum period and, though “subjective,” these perceptions are predictive of infant outcomes.     

The mediating role of maternal responsiveness in some longer term effects of postnatal depression on infant development

We hypothesized a mediating role for low maternal responsiveness in certain child developmental deficits found previously to be associated with postnatal depression. Forty depressed inpatients and 48 control (non-depressed) mothers and their infants were followed until 42 months postpartum. Mother–infant interactions were impaired at 6 months postpartum in the depressed group. Subsequent cognitive deficits were found in children's Full Scale IQ on the Wechsler Preschool Primary Scale of Intelligence (Revised) at 42 months of age. Statistical modeling of the mediation hypothesis confirmed that these effects were overwhelmingly explained by lowered maternal responsiveness at 6 months. Similarly, increased temperamental difficulties were apparent in children of depressed mothers but were not correlated with maternal responsiveness. Male infants of depressed mothers were disproportionately vulnerable (compared to females) to impaired cognitive abilities associated with maternal depression. The data concur with previous work and provide empirical support for the theoretical prediction that early disturbances of the mother–infant interaction will mediate some developmental deficits in the children of depressed mothers.     

Interactions between depressed and nondepressed Latina mothers and their premature infants

The impact of depression upon mother–infant interaction was studied longitudinally in a sample of very low income, immigrant Latina mothers with premature, very low birth weight infants. Both maternal characteristics and infant characteristics were examined using a rating scale which measured feeding interactions. Results indicate that mothers who were depressed at one month did not interact differently with their premature infants than nondepressed mothers. In addition, infants of mothers who were depressed at one month did not interact differently with their mothers than infants of nondepressed mothers. There were no differences between groups of mothers who remained depressed across the one-year period and groups whose scores reflected no depression or changes in depression levels. These findings challenge previous assumptions about interactions between depressed mother–infant dyads. Results indicate the need to broaden study attention to include socioeconomic, cultural, and life circumstances of families that may have greater impact on child outcomes than single assessments of maternal depression. Such studies may lead to changes in the way services are delivered and the types of interventions provided to non-mainstream families. © 1997 Michigan Association for Infant Mental Health     

Depressed mothers' and their infants' interactions with nondepressed partners

Twenty depressed adolescent mothers were videotaped interacting with their own infant and with the infant of a nondepressed mother. In addition, nondepressed mothers were videotaped with their own infant as well as with the infant of a depressed mother. Depressed mothers showed less facial expressivity than nondepressed mothers and received less optimal interaction rating scale scores (a summary score for state, physical activity, head orientation, gaze, silence during gaze aversion, facial expressions, vocalizations, infantized behavior, contingent responsivity, and gameplaying). This occurred independent of whether they were interacting with their own infant versus an infant of a nondepressed mother, suggesting that depressed mothers display less optimal behaviors to infants in general. The infants of both depressed and nondepressed mothers received better head orientation and summary ratings when they were interacting with another mother, perhaps because the other mother was more novel. Infants of nondepressed mothers, in particular, had better summary ratings (state, physical activity, head orientation, gaze, facial expressions, fussiness, and vocalizations) than the infants of depressed mothers when interacting with depressed mothers. Thus, it may be that infants of nondepressed mothers are generally better interaction partners than infants of depressed mothers. Another related possibility is that they persist longer in trying to elicit a response from mothers less responsive than their own, given that they have learned to expect a response to their behavior.     

Children's Adjustment in a Climate of Political Violence: Comparing Mother and Child Reports

There is a dearth of research on parent and child reports regarding a parent’s parenting and its contribution to a child’s adjustment. Therefore, the current study examined: (a) the differences between mother and child reports of aspects of maternal parenting (i.e., care and control), among both boys and girls; (b) which parenting report (i.e., mother’s or child’s) makes a stronger contribution to mother and child reports of the child’s adjustment in the context of political violence. One hundred and twenty-one mother-child dyads (children aged seven to 12 years old (M?=?10.02, SD?=?1.03)), who were exposed to prolonged political violence, participated in this study. Maternal care and control were assessed by mother and child reports on the Parental Bonding Instrument. Child’s adjustment was assessed both by mother’s report of child’s total difficulties and child’s self-report of posttraumatic stress symptoms (PTSS). Results revealed that both the mothers of girls and the girls themselves reported higher care, in comparison to mothers of boys and the boys themselves, while mothers of boys and the boys themselves reported higher control. Higher maternal control, as reported by the child, was associated with the child’s self-reported PTSS. Higher maternal control, as reported by the mother, was associated with the child’s total difficulties, as reported by the mother. However, maternal care, whether reported by mother or child, was not found to be associated with the child’s adjustment. School-aged children and their mothers were in agreement regarding maternal dimensions and their contribution to children’s adjustment.     

The Effect of Maternal Depressed Mood on Infant Emotional Reaction in a Surprise‐Eliciting Situation

The purpose of this study is to examine the claim that an infant's ability to respond appropriately to an emotional situation varies according to the emotional state of the mother. Surprise expressions in mother and child were examined both in terms of paralinguistic aspects of surprise vocalizations as well as facial expressions. Seventy‐two infants and their mothers (mean age=8 months, range=5–11 months) were video‐ and audiotaped in their homes. Half of the infants, matched for age and gender, had mothers who reported depressed mood. Infants of mothers with depressed mood showed significantly fewer components of facial expressions of surprise compared with infants of nondepressed mothers. Mothers with depressed mood exclaimed surprise with a significantly lower pitch (mean F₀=386.13 Hz ) compared to nondepressed mothers (mean F₀=438.10 Hz ). Furthermore, mothers with depressed mood showed fewer associations between elements of emotional expression than the nondepressed group. Infants' expressions of surprise are influenced by maternal mood, resulting in reduced expression of the emotion in infants of mothers with depressed mood. These results are discussed in terms of coordination of vocal parameters in mother–infant dyadic interaction.     

Affective interactions of depressed and nondepressed mothers and their children

The expressed affect of clinically depressed and nondepressed mothers as measured by the Schedule for Affective Disorders and Schizophrenia: Lifetime Version (SADSL) and their children (1 1/2 to 3 1/2 years) was observed in seminatural situations. The objectives were to investigate how maternal depression enters into affective interactions between mother and child and how the affect patterns of mother and child are related. Fortynine unipolar and 24 bipolar depressed mothers and 45 nondepressed mothers were observed on 2 days, 2 weeks apart, for a total of 5 h. Each minute was coded for the predominant affect of mother and child. Affects relevant to depression (anxioussad, irritableangry, downcast, pleasant, tenderaffectionate) were coded. Depressed mothers expressed significantly more negative affect than did control mothers. Mothers' expressed affect and their selfreports of affect on days of observation were unrelated. Mother's and child's affects, measured on different days, were significantly correlated. Unipolar mothers and mothers severely depressed spent significantly more time in prolonged bouts of negative affect. There was significant synchrony between their bouts and the negative bouts of their daughters. Gender of child was related to mother's and child's affect, and to relations between mother's and child's affect.     

Attributional style and self-control behavior in depressed and nondepressed children and their parents

Do the reformulated model of learned helplessness and the self-control model apply to clinically depressed children? Are the related cognitive patterns specific to depression? Are the cognitive deficits associated with depression learned from one's parents? To address these questions this investigation examined three groups of children (ages 8–12) and their parents: nonclinic (n =25),nondepressed clinic (n=22),and depressed clinic (n=15).Children were diagnosed depressed on the basis of Kiddie-SADS interview data. Depressed clinic children self-reported more depression, had a more depressive attributional style, and had more self-control problems. There were more depressed mothers in the clinic than in the nonclinic sample. Depressed clinic children had more depressed mothers than did nondepressed clinic children. There were no differences among the three groups of parents in their cognitive patterns. No relationship was found between the attributional style and self-control behavior of children and their parents.     

Developing a family-based depression prevention program in urban community mental health clinics: a qualitative investigation

Extensive research documents that children of depressed mothers are at a significantly higher risk for developing a variety of socioemotional difficulties than children of nondepressed mothers. Yet, little prevention research has been conducted for this population, and low-income, minority, and urban families are rarely included. To address this deficit, we are developing the Protecting Families Program (PFP), a family-based multicomponent depression prevention program for mothers in treatment at urban community mental health agencies and their school-aged children. To inform intervention development and begin relationship building with the agencies, patient and staff focus groups were conducted in the participating agencies. Eighteen mothers with depression participated, and eight major themes were identified: (1) depression symptoms, (2) generational legacy, (3) parenting difficulties, (4) child problems, (5) social support, (6) stressful life events, (7) therapy and other helpful activities, and (8) desired treatment. In the focus groups with 10 mental health providers, the five major themes identified were parenting difficulties, lack of social support, life stress, current mental health practices, and intervention development. The findings support the multicomponent design of PFP, which focuses on increasing knowledge of depression, enhancing social support, and improving parenting skills. The study helped clarify many of the challenges of conducting research in a community mental health system.     

Effects of maternal negativity and of early and recent recurrent depressive disorder on children's false belief understanding

Research has shown that children of depressed mothers are at risk for problems in a variety of developmental domains; however, little is known about the effects of maternal depression on children's emerging understanding of false beliefs. In this study, 3 false belief tasks were administered to 5-year-old children whose mothers had either met criteria for major depressive disorder within the first 20 months of the child's life (n = 91) or had never been depressed (n = 50). Significant difficulties in performance were found among the children of depressed mothers, especially those whose mothers had experienced early and recent recurrent depressive disorder. Regardless of diagnostic status, children whose mothers exhibited negativity during problem-solving tasks administered at an earlier developmental period also were less likely to demonstrate false belief understanding. These effects remained even after child verbal ability was controlled.     

Maternal Affective Disorder and Children’s Representation of Their Families

Children’s perceptions of family relationship are related to their later emotional and social adjustment. This is of particular relevance in the context of family stressors such as maternal affective disorder. This study investigated the effects of maternal postnatal depression and anxiety on children’s family representations. In our sample of postnatally depressed mothers we also explored marital conflict as mediator between maternal psychopathology and children’s representations. Family drawings of 235 4–5 year-old children (93 control, 53 depressed and 89 anxious) were examined. When compared to controls, children of depressed, but not of anxious mothers, were more likely to draw themselves as less prominent than other family members and to represent a dysfunctional family, less likely to represent themselves with a happy face and showed a greater tendency of drawing bizarre pictures. Marital conflict mediated the association between maternal depression and dysfunctionality in drawings.     

Infants of depressed mothers show less “depressed” behavior with their nursery teachers

This study investigated whether infants' “depressed” behavior (i.e., less positive affect and lower activity levels) noted during their interactions with their depressed mothers generalized to their interactions with their nondepressed nursery teachers. Field et al. (1988) reported that infants of depressed mothers also show “depressed behavior” when interacting with nondepressed female adults, suggesting that the infants develop a generalized “depressed mood style” of interaction. However, in that study the adults were also strangers to the infants, confounding the results. In the present study, eighteen 3-month-old infants interacted with their depressed mothers and also with their nondepressed familiar teachers in 3-minute episodes. The infants' behavior ratings improved when they interacted with their familiar teachers compared to their interactions with their mothers. The infants' low activity levels and negative affect were specific to their interactions with their depressed mothers. Thus, the data suggest that the infants respond differentially to depressed and nondepressed adults who are familiar.