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21-09-2019 | Original Paper

Caregiver Depressive Symptoms Associated with Behavioral and Emotional Problems in Preschoolers

Auteurs: Elise M. Fallucco, Peggy Greco, Petra Aldridge, Emma Robertson Blackmore

Gepubliceerd in: Journal of Child and Family Studies | Uitgave 1/2020

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Abstract

Objectives

Depressive symptoms in parents are associated with increased risk for behavioral and emotional problems (BEP) in preschool-aged children. It is unclear if particular symptoms of child BEP are associated with parental depression. This study describes the prevalence of (1) self-reported depressive symptoms in parents and (2) BEP in children ages 3–5 years, both measured during pediatric well-visits. It also examines the relationship between parental depressive symptoms and BEP in preschool-aged children in primary care.

Methods

Caregivers (n = 2645) accompanying children ages 3–5 years old for well-visits completed the Early Childhood Screening Assessment (ECSA), a tool which assesses for child BEP and parental depressive symptoms. Spearman’s rho was used to examine correlations. Logistic regression was used to predict the dichotomous outcome of depressive symptoms among caregivers based on ECSA item responses covarying for caregiver type and child age, gender and race.

Results

Screening indicated that 3.1% (n = 82) of caregivers reported parental depressive symptoms and 12.5% (n = 331) of children had a positive screen for BEP. One out of 2 children (56.1%) of caregivers with depressive symptoms had positive BEP screens compared to approximately 1 in 10 (11.1%) children of caregivers without depressive symptoms (p < 0.0001).

Conclusions

There was a significant relationship between caregiver depressive symptoms and child BEP symptoms, highlighting the importance of screening for both constructs. Early identification and treatment of both parental depressive symptoms and child BEP allows for appropriate referral and treatment that may mitigate adverse outcomes and promote optimal child development.
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Literatuur
go back to reference American Academy of Pediatrics Committee on Psychosocial Aspects of Child and Family Health and Task Force on Mental Health. (2009). The future of pediatrics: mental health competencies for pediatric primary care. Pediatrics, 124, 410–421.CrossRef American Academy of Pediatrics Committee on Psychosocial Aspects of Child and Family Health and Task Force on Mental Health. (2009). The future of pediatrics: mental health competencies for pediatric primary care. Pediatrics, 124, 410–421.CrossRef
go back to reference Arroll, B., Goodyear-Smith, F., Crengle, S., Gunn, J., Kerse, N., Fishman, T., & Hatcher, S. (2010). Validation of PHQ-2 and PHQ-9 to screen for major depression in the primary care population. Annals of Family Medicine, 8, 348–353.CrossRef Arroll, B., Goodyear-Smith, F., Crengle, S., Gunn, J., Kerse, N., Fishman, T., & Hatcher, S. (2010). Validation of PHQ-2 and PHQ-9 to screen for major depression in the primary care population. Annals of Family Medicine, 8, 348–353.CrossRef
go back to reference Briggs-Gowan, M. J., & Carter, A. S. (2008). Social-emotional screening status in early childhood predicts early elementary school outcomes. Pediatrics, 121, 957–962.CrossRef Briggs-Gowan, M. J., & Carter, A. S. (2008). Social-emotional screening status in early childhood predicts early elementary school outcomes. Pediatrics, 121, 957–962.CrossRef
go back to reference Bufferd, S. J., Dougherty, L. R., Carlson, G. A., Rose, S., & Klein, D. N. (2012). Psychiatric disorders in preschoolers: continuity from ages 3–6. American Journal of Psychiatry, 169, 1157–1164.CrossRef Bufferd, S. J., Dougherty, L. R., Carlson, G. A., Rose, S., & Klein, D. N. (2012). Psychiatric disorders in preschoolers: continuity from ages 3–6. American Journal of Psychiatry, 169, 1157–1164.CrossRef
go back to reference Davé, S., Sherr, L., Senior, R., & Nazareth, I. (2008). Associations between paternal depression and behavior problems in children of 4–6 years. European Child and Adolescent Psychiatry, 17(5), 306–315.CrossRef Davé, S., Sherr, L., Senior, R., & Nazareth, I. (2008). Associations between paternal depression and behavior problems in children of 4–6 years. European Child and Adolescent Psychiatry, 17(5), 306–315.CrossRef
go back to reference Davé, S., Petersen, I., Sherr, L., & Nazareth, I. (2010). Incidence of maternal and paternal depression in primary care: a cohort study using a primary care database. Archives of Pediatric Adolescent Medicine, 164(11), 1038–1044.CrossRef Davé, S., Petersen, I., Sherr, L., & Nazareth, I. (2010). Incidence of maternal and paternal depression in primary care: a cohort study using a primary care database. Archives of Pediatric Adolescent Medicine, 164(11), 1038–1044.CrossRef
go back to reference Dubowitz, H., Feigelman, S., Lane, W., Prescott, L., Blackman, K., Grube, L., & Tracy, J. K. (2007). Screening for depression in an urban pediatric primary care clinic. Pediatrics, 119(3), 435–443.CrossRef Dubowitz, H., Feigelman, S., Lane, W., Prescott, L., Blackman, K., Grube, L., & Tracy, J. K. (2007). Screening for depression in an urban pediatric primary care clinic. Pediatrics, 119(3), 435–443.CrossRef
go back to reference Egger, H. L., & Angold, A. (2006). Common emotional and behavioral disorders in preschool children: presentation, nosology, and epidemiology. Journal of Child Psychology and Psychiatry, 47, 313–337.CrossRef Egger, H. L., & Angold, A. (2006). Common emotional and behavioral disorders in preschool children: presentation, nosology, and epidemiology. Journal of Child Psychology and Psychiatry, 47, 313–337.CrossRef
go back to reference Fallucco, E. M., Robertson Blackmore, E., Bejarano, C. M., Wysocki, T., Kozikowski, C. B., & Gleason, M. M. (2016). Feasibility of screening for preschool behavioral and emotional problems in primary care using the early childhood screening assessment. Clinical Pediatrics, 56(1), 37–45.CrossRef Fallucco, E. M., Robertson Blackmore, E., Bejarano, C. M., Wysocki, T., Kozikowski, C. B., & Gleason, M. M. (2016). Feasibility of screening for preschool behavioral and emotional problems in primary care using the early childhood screening assessment. Clinical Pediatrics, 56(1), 37–45.CrossRef
go back to reference Freeman, A., Tyrovolas, S., Koyanagi, A., Chatterji, S., Leonardi, M., Ayuso-Mateos, J. L., & Haro, J. M. (2016). The role of socio-economic status in depression: results from the COURAGE (aging survey in Europe). BMC Public Health, 16, 1098.CrossRef Freeman, A., Tyrovolas, S., Koyanagi, A., Chatterji, S., Leonardi, M., Ayuso-Mateos, J. L., & Haro, J. M. (2016). The role of socio-economic status in depression: results from the COURAGE (aging survey in Europe). BMC Public Health, 16, 1098.CrossRef
go back to reference Garg, A., Toy, S., Tripodis, Y., Cook, J., & Cordella, N. (2016). Ameliorating maternal depression and its harmful consequences for low-income families: primary care to the rescue? Academic Pediatrics, 16(8), 714–715.CrossRef Garg, A., Toy, S., Tripodis, Y., Cook, J., & Cordella, N. (2016). Ameliorating maternal depression and its harmful consequences for low-income families: primary care to the rescue? Academic Pediatrics, 16(8), 714–715.CrossRef
go back to reference Godoy, L., Carter, A. S., Silver, R. B., Dickstein, S., & Seifer, R. (2014). Infants and toddlers left behind: mental health screening and consultation in primary care. Journal of Developmental and Behavioral Pediatrics, 35, 334–343.CrossRef Godoy, L., Carter, A. S., Silver, R. B., Dickstein, S., & Seifer, R. (2014). Infants and toddlers left behind: mental health screening and consultation in primary care. Journal of Developmental and Behavioral Pediatrics, 35, 334–343.CrossRef
go back to reference Gjerde, L. C., Eilersten, E. M., Reichborn-Kjennerud, T., McAdams, T. A., Zachrisson, H. D., Zambrana, I. M., & Ystrom, E. (2017). Maternal perinatal and concurrent depressive symptoms and child behavior problems: a sibling comparison study. Journal of Child Psychology and Psychiatry, 35, 685–703. Gjerde, L. C., Eilersten, E. M., Reichborn-Kjennerud, T., McAdams, T. A., Zachrisson, H. D., Zambrana, I. M., & Ystrom, E. (2017). Maternal perinatal and concurrent depressive symptoms and child behavior problems: a sibling comparison study. Journal of Child Psychology and Psychiatry, 35, 685–703.
go back to reference Gleason, M. M., Zeanah, C. H., & Dickstein, S. (2010). Recognizing young children in need of mental health assessment: development and preliminary validity of the early childhood screening assessment. Infant Mental Health Journal, 31(3), 335–357.CrossRef Gleason, M. M., Zeanah, C. H., & Dickstein, S. (2010). Recognizing young children in need of mental health assessment: development and preliminary validity of the early childhood screening assessment. Infant Mental Health Journal, 31(3), 335–357.CrossRef
go back to reference Goodman, S. H., Rouse, M. H., Connell, A. M., Broth, M. R., Hall, C. M., & Heyward, D. (2011). Maternal depression and child psychopathology: a meta-analytic review. Clinical Child and Family Psychology Review, 14(1), 1235–1237.CrossRef Goodman, S. H., Rouse, M. H., Connell, A. M., Broth, M. R., Hall, C. M., & Heyward, D. (2011). Maternal depression and child psychopathology: a meta-analytic review. Clinical Child and Family Psychology Review, 14(1), 1235–1237.CrossRef
go back to reference Hanington, L., Ramchandani, P., & Stein, A. (2010). Parental depression and child temperament: assessing child to parent effects in a longitudinal population study. Infant Behavior and Development, 33, 88–95.CrossRef Hanington, L., Ramchandani, P., & Stein, A. (2010). Parental depression and child temperament: assessing child to parent effects in a longitudinal population study. Infant Behavior and Development, 33, 88–95.CrossRef
go back to reference Heneghan, A. M., Mercer, M. B., & DeLeone, N. L. (2004). Will mothers discuss parenting stress and depressive symptoms with their child’s pediatrician? Pediatrics, 113(3), 460–467.CrossRef Heneghan, A. M., Mercer, M. B., & DeLeone, N. L. (2004). Will mothers discuss parenting stress and depressive symptoms with their child’s pediatrician? Pediatrics, 113(3), 460–467.CrossRef
go back to reference Kemper, K. J., & Babonis, T. R. (1992). Screening for maternal depression in pediatric clinics. American Journal of Diseases of Children, 146(7), 876–878.PubMed Kemper, K. J., & Babonis, T. R. (1992). Screening for maternal depression in pediatric clinics. American Journal of Diseases of Children, 146(7), 876–878.PubMed
go back to reference Luby, J. L., Belden, A. C., Pautsch, J., Si, X., & Spitznagel, E. (2009). The clinical significance of preschool depression: impairment in functioning and clinical markers of the disorder. Journal of Affective Disorders, 112, 111–119.CrossRef Luby, J. L., Belden, A. C., Pautsch, J., Si, X., & Spitznagel, E. (2009). The clinical significance of preschool depression: impairment in functioning and clinical markers of the disorder. Journal of Affective Disorders, 112, 111–119.CrossRef
go back to reference Müller, J. M., & Furniss, T. (2013). Correction of distortions in distressed mothers’ ratings of their preschool children’s psychopathology. Psychiatry Research, 210, 294–301.CrossRef Müller, J. M., & Furniss, T. (2013). Correction of distortions in distressed mothers’ ratings of their preschool children’s psychopathology. Psychiatry Research, 210, 294–301.CrossRef
go back to reference Najman, J. M., Williams, M., & Nikles, J. (2000). Mothers’ mental illness and child behavior problems: cause-effect association or observation bias? Journal of the American Academy of Child and Adolescent Psychiatry, 39(5), 592–602.CrossRef Najman, J. M., Williams, M., & Nikles, J. (2000). Mothers’ mental illness and child behavior problems: cause-effect association or observation bias? Journal of the American Academy of Child and Adolescent Psychiatry, 39(5), 592–602.CrossRef
go back to reference Nath, S., Psychogiou, L., Kuyken, W., Ford, T., Ryan, E., & Russell, G. (2016). The prevalence of depressive symptoms among fathers and associated risk factors during the first seven years of their child’s life: findings from the millennium cohort study. BMC Public Health, 16(509), 1–13. Nath, S., Psychogiou, L., Kuyken, W., Ford, T., Ryan, E., & Russell, G. (2016). The prevalence of depressive symptoms among fathers and associated risk factors during the first seven years of their child’s life: findings from the millennium cohort study. BMC Public Health, 16(509), 1–13.
go back to reference O’Connor, T. G., Monk, C., & Burke, A. S. (2016). Maternal affective illness in the perinatal period and child development: findings on developmental timing, mechanisms, and intervention. Current Psychiatry Report, 18, 24.CrossRef O’Connor, T. G., Monk, C., & Burke, A. S. (2016). Maternal affective illness in the perinatal period and child development: findings on developmental timing, mechanisms, and intervention. Current Psychiatry Report, 18, 24.CrossRef
go back to reference Olson, A. L., Dietrich, A. J., Prazar, G., & Hurley, J. (2006). Brief maternal depression screening at well-child visits. Pediatrics, 118, 207–216.CrossRef Olson, A. L., Dietrich, A. J., Prazar, G., & Hurley, J. (2006). Brief maternal depression screening at well-child visits. Pediatrics, 118, 207–216.CrossRef
go back to reference Paulson, J. F., & Bazemore, S. D. (2010). Prenatal and postpartum depression in fathers and its association with maternal depression. Journal of the American Medical Association, 303(19), 1961–1969.CrossRef Paulson, J. F., & Bazemore, S. D. (2010). Prenatal and postpartum depression in fathers and its association with maternal depression. Journal of the American Medical Association, 303(19), 1961–1969.CrossRef
go back to reference Robertson, E., Grace, S., Wallington, T., & Stewart, D. E. (2004). Antenatal risk factors for postpartum depression: a synthesis of recent literature. General Hospital Psychiatry, 26, 289–295.CrossRef Robertson, E., Grace, S., Wallington, T., & Stewart, D. E. (2004). Antenatal risk factors for postpartum depression: a synthesis of recent literature. General Hospital Psychiatry, 26, 289–295.CrossRef
go back to reference Sheldrick, R. C., Neger, E. N., & Perrin, E. C. (2012). Concerns about development, behavior & learning among parents seeking pediatric care. Journal of Developmental and Behavioral Pediatrics, 33(2), 156.PubMedPubMedCentral Sheldrick, R. C., Neger, E. N., & Perrin, E. C. (2012). Concerns about development, behavior & learning among parents seeking pediatric care. Journal of Developmental and Behavioral Pediatrics, 33(2), 156.PubMedPubMedCentral
go back to reference Siu, A. L., Bibbins-Domingo, K., Grossman, D. C., Baumann, L. C., Davidson, K. W., Ebell, M., & Krist, A. H. (2016). Screening for depression in adults: US preventive services task force recommendation statement. Journal of the American Medical Association, 315(4), 380–387.CrossRef Siu, A. L., Bibbins-Domingo, K., Grossman, D. C., Baumann, L. C., Davidson, K. W., Ebell, M., & Krist, A. H. (2016). Screening for depression in adults: US preventive services task force recommendation statement. Journal of the American Medical Association, 315(4), 380–387.CrossRef
go back to reference Tichovolsky, M. H., Griffith, S. F., Rolon–Arroyo, B., Arnold, D. H., & Harvey, E. A. (2016). A longitudinal study of fathers’ and young children’s depressive symptoms. Journal of Clinical Child and Adolescent Psychology, 47(sup1):S190–S204. Tichovolsky, M. H., Griffith, S. F., Rolon–Arroyo, B., Arnold, D. H., & Harvey, E. A. (2016). A longitudinal study of fathers’ and young children’s depressive symptoms. Journal of Clinical Child and Adolescent Psychology, 47(sup1):S190–S204.
go back to reference Van der Waerden, J., Galéra, C., Larroque, B., Saurel-Cubizolles, M. J., Sutter-Dallay, A. L., & Melchior, M. (2015). Maternal depression trajectories and children’s behavior at age 5 years. Journal of Pediatrics, 166(6), 1440–1448.CrossRef Van der Waerden, J., Galéra, C., Larroque, B., Saurel-Cubizolles, M. J., Sutter-Dallay, A. L., & Melchior, M. (2015). Maternal depression trajectories and children’s behavior at age 5 years. Journal of Pediatrics, 166(6), 1440–1448.CrossRef
go back to reference Weissman, M. M., Wickramaratne, P., Nomura, Y., Warner, V., Pilowsky, D., & Verdeli, H. (2006). Offspring of depressed parents: 20 years later. American Journal of Psychiatry, 163(6), 1001–1008.CrossRef Weissman, M. M., Wickramaratne, P., Nomura, Y., Warner, V., Pilowsky, D., & Verdeli, H. (2006). Offspring of depressed parents: 20 years later. American Journal of Psychiatry, 163(6), 1001–1008.CrossRef
go back to reference Weitzman, C., & Wenger, L., the Section on Developmental and Behavioral Pediatrics, Committee on Psychosocial Aspect of Child and Family Health, Council on Early Childhood, and Society for Developmental and Behavioral Pediatrics. (2015). Promoting optimal development: screening for behavioral and emotional problems. Pediatrics, 135(2), 384–395.CrossRef Weitzman, C., & Wenger, L., the Section on Developmental and Behavioral Pediatrics, Committee on Psychosocial Aspect of Child and Family Health, Council on Early Childhood, and Society for Developmental and Behavioral Pediatrics. (2015). Promoting optimal development: screening for behavioral and emotional problems. Pediatrics, 135(2), 384–395.CrossRef
go back to reference Weitzman, M., Rosenthal, D. G., & Liu, Y. H. (2011). Paternal depressive symptoms and child behavioral or emotional problems in the United States. Pediatrics, 128(6), 1126–1134.CrossRef Weitzman, M., Rosenthal, D. G., & Liu, Y. H. (2011). Paternal depressive symptoms and child behavioral or emotional problems in the United States. Pediatrics, 128(6), 1126–1134.CrossRef
go back to reference Williams, M. E., Zamora, I., Akinsilo, O., Chen, A. H., & Poulsen, M. K. (2017). Broad developmental screening misses young children with social-emotional needs. Clinical Pediatrics, 57(7), 844–849.CrossRef Williams, M. E., Zamora, I., Akinsilo, O., Chen, A. H., & Poulsen, M. K. (2017). Broad developmental screening misses young children with social-emotional needs. Clinical Pediatrics, 57(7), 844–849.CrossRef
go back to reference Woolhouse, H., Gartland, D., Mensah, F., Giallo, R., & Brown, S. (2016). Maternal depression from pregnancy to 4 years postpartum and emotional/behavioral difficulties in children: results from a prospective pregnancy cohort study. Archives of Women’s Mental Health, 19(1), 141–151.CrossRef Woolhouse, H., Gartland, D., Mensah, F., Giallo, R., & Brown, S. (2016). Maternal depression from pregnancy to 4 years postpartum and emotional/behavioral difficulties in children: results from a prospective pregnancy cohort study. Archives of Women’s Mental Health, 19(1), 141–151.CrossRef
Metagegevens
Titel
Caregiver Depressive Symptoms Associated with Behavioral and Emotional Problems in Preschoolers
Auteurs
Elise M. Fallucco
Peggy Greco
Petra Aldridge
Emma Robertson Blackmore
Publicatiedatum
21-09-2019
Uitgeverij
Springer US
Gepubliceerd in
Journal of Child and Family Studies / Uitgave 1/2020
Print ISSN: 1062-1024
Elektronisch ISSN: 1573-2843
DOI
https://doi.org/10.1007/s10826-019-01573-8