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Course and Severity of Maternal Depression: Associations with Family Functioning and Child Adjustment |
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| Authors: | Cynthia Ewell Foster Melissa C Webster Myrna M Weissman Daniel J Pilowsky Priya J Wickramaratne A John Rush Carroll W Hughes Judy Garber Erin Malloy Gabrielle Cerda Susan G Kornstein Jonathan E Alpert Stephen R Wisniewski Madhukar H Trivedi Maurizio Fava Cheryl A King | ||
| Institution: | 1. Department of Psychiatry, University of Michigan, Child and Adolescent Psychiatry Section, 4250 Plymouth Rd., Ann Arbor, MI, 48109, USA 2. Columbia University and the New York State Psychiatric Institute, New York, NY, USA 3. University of Texas Southwestern Medical Center, Dallas, TX, USA 4. Vanderbilt University, Nashville, TN, USA 5. University of North Carolina, Chapel Hill, NC, USA 6. University of California, San Diego, CA, USA 7. Virginia Commonwealth University, Richmond, VA, USA 8. Harvard University, Cambridge, MA, USA 9. University of Pittsburgh, Pittsburgh, PA, USA |
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| Abstract: | Number of lifetime episodes, duration of current episode, and severity of maternal depression were investigated in relation
to family functioning and child adjustment. Participants were the 151 mother–child pairs in the Sequenced Treatment Alternatives
to Relieve Depression (STAR*D) child multi-site study. Mothers were diagnosed with Major Depressive Disorder; children (80
males and 71 females) ranged in age from 7 to 17 years. Measures of child adjustment included psychiatric diagnoses, internalizing
and externalizing symptoms, and functional impairment. Measures of family functioning included family cohesion, expressiveness,
conflict, organization, and household control; parenting measures assessed maternal acceptance and psychological control.
Children of mothers with longer current depressive episodes were more likely to have internalizing and externalizing symptoms,
with this association being moderated by child gender. Mothers with more lifetime depressive episodes were less likely to
use appropriate control in their homes.
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| Keywords: | Maternal depression Family functioning Child adjustment Gender | ||
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