Abstract
Background
The development of children of parents who are experiencing mental health difficulties is a continuing cause of concern for professionals working in health, social care and education as well as policy makers. In light of this interest our study investigates the interplay between the mental health of mothers and fathers and family socioeconomic resources, and the impact for children’s cognitive and social development.
Methods
The study uses survey data from the Millennium Cohort Study linked with the Foundation Stage Profile assessment for children in the primary year of school in England between 2005 and 2006. The study includes 4,781 families from England where both parents’ mental health had been assessed using the Kessler 6 scale. Associations between parents’ mental health and children’s cognitive and social development were estimated using regression models. Multivariate models were used to explore the mediating role of the families’ socioeconomic resources. Gender interaction models were used to explore whether effects of parents’ mental health differ for girls and boys.
Results
The study finds lower attainment in communication, language and literacy, mathematical development and personal, social and emotional development among children whose parents were experiencing high levels of psychological distress. Parents’ age and qualifications and families’ socioeconomic resources strongly mediated the effects of parents’ psychological distress on children’s attainment, and although independent effects of mother’s mental health were maintained, effects of father’s mental health were not. Stronger effects of mothers’ mental health were found for boys than for girls.
Conclusions
These findings highlight the interplay between the mental health of parents, families’ socioeconomic resources and children’s development which speaks for the need for close integration of mental health and social interventions to improve the well being of families.
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Notes
Tobit regression is a model devised by Tobin [53] in which it is assumed that the dependent variable has a number of its values clustered at a limiting value, thus the data may be considered to be censored at this limiting value. The estimates obtained from Tobit regression are improved compared to those which would be obtained using an ordinary least squares regression as the censoring in the data is taken in to account. In the case of this study the limiting value is 100 representing children who were working beyond the levels of the goals included in the assessment. For CLL 4.1% of children in the sample analysed were scored at 100, for MATH 6.0% of children and for PSE 10.2% of children.
The Tobit regression model estimates coefficients which represent the difference in the score attained by children in a particular category compared to children in the reference group, for example the difference between children whose mothers experienced high levels of psychological distress (7–24 points on the Kessler scale) and those experiencing very low levels (0–3 points on the Kessler scale). The model additionally estimates the standard error of the coefficients and the P value indicating the statistical significance of the coefficients. The constant term estimates the score for children in the reference group, and sigma estimates the standard error of the regression. The R 2 statistic is estimated as the square of the correlation between the observed scores and the scores predicted by the model, this may be interpreted as the proportion of the variability in the scores which is predicted by the model [55].
A gender interaction test involves including an additional term within the model which estimates the difference between the coefficients estimated for boys and for girls when these are estimated separately. For the measures of parents’ mental health, terms were included in the model which reflected the difference in the coefficient for girls and boys for each of the two categories compared to the reference group. The combined statistical significance of these terms was assessed using the Wald test which calculates a P value from which it may be determined whether there is evidence for a gender interaction [54].
Abbreviations
- MCS:
-
Millennium cohort study
- FSP:
-
Foundation stage profile
- CLL:
-
Communication, language and literacy
- MATH:
-
Mathematical development
- PSE:
-
Personal, social and emotional development
References
Bartley M (1994) Unemployment and ill health: understanding the relationship. J Epidemiol Community Health 48:333–337
Bhugra D, Ayonrinde O (2004) Depression in migrants and ethnic minorities. Adv Psychiatr Treat 10:13–17
Connell AM, Goodman SH (2002) The association between psychopathology in fathers versus mothers and children’s internalizing and externalizing behavior problems: a meta-analysis. Psychol Bull 128:746–773
Cooper C, Bebbington PE, Meltzer H, Bhugra D, Brugha T, Jenkins R, Farrell M, King M (2008) Depression and common mental disorders in lone parents: results of the 2000 National Psychiatric Morbidity Survey. Psychol Med 38:335–342
Cornish AM, McMahon CA, Ungerer JA, Barnett B, Kowalenko N, Tennant C (2005) Postnatal depression and infant cognitive and motor development in the second postnatal year: the impact of depression chronicity and infant gender. Infant Behav Dev 28:407–417
Cummings EM, Davies PT (1994) Maternal depression and child development. J Child Psychol Psychiatry 35:73–112
Department for Children Schools and Families (2008) Foundation stage profile results in England 2007/08. National Statistics, London
Department for Education and Skills (2008) Gender and education: the evidence on pupils in England. DfES Publications, Nottingham
Dex S, Joshi H (2005) Children of the 21st century: from birth to 9 months. Policy Press, Bristol
Dooley D, Fielding J, Levi L (1996) Health and unemployment. Annu Rev Public Health 17:449–465
Downey G, Coyne JC (1990) Children of depressed parents: an integrative review. Psychol Bull 108:50–76
Elgar FJ, McGrath PJ, Waschbusch DA, Stewart SH, Curtis LJ (2004) Mutual influences on maternal depression and child adjustment problems. Clin Psychol Rev 24:441–459
Feinstein L, Duckworth K, Sabates R (2008) Education and the family: passing success across the generations. Routledge, London
Goodman SH, Gotlib IH (1999) Risk for psychopathology in the children of depressed mothers: a developmental model for understanding mechanisms of transmission. Psychol Rev 106:458–490
Grace SL, Evindar A, Stewart DE (2003) The effect of postpartum depression on child cognitive development and behavior: a review and critical analysis of the literature. Arch Womens Ment Health 6:263–274
Hansen K (2008) Millennium Cohort Study first, second and third surveys: a guide to the datasets 3rd edn. Centre for Longitudinal Studies. Institute of Education, London
Hansen K, Jones EM, Joshi H (2008) Foundation stage profile and devolved administration teacher survey. In: Hansen K, Joshi H (eds) Millennium Cohort Study, third survey: a user’s guide to initial findings. Centre for Longitudinal Studies, Institute of Education, London
Hay DF (1997) Postpartum depression and cognitive development. In: Murray L, Cooper PJ (eds) Postpartum depression and child development. Guilford Press, New York
Huang CC, Warner LA (2005) Relationship characteristics and depression among fathers with newborns. Soc Serv Rev 79:95–118
Hudson CG (2005) Socioeconomic status and mental illness: tests of the social causation and selection hypotheses. Am J Orthopsychiatry 75:3–18
Jenkins R, Bhugra D, Bebbington P, Brugha T, Farrell M, Coid J, Fryers T, Weich S, Singleton N, Meltzer H (2008) Debt, income and mental disorder in the general population. Psychol Med 38:1485–1493
Kahn RS, Brandt D, Whitaker RC (2004) Combined effect of mothers’ and fathers’ mental health symptoms on children’s behavioral and emotional well-being. Arch Pediatr Adolesc Med 158:721–729
Kane P, Garber J (2004) The relations among depression in fathers, children’s psychopathology, and father-child conflict: a meta-analysis. Clin Psychol Rev 24:339–360
Kessler RC, Andrews G, Colpe LJ, Hiripi E, Mroczek DK, Normand SL, Walters EE, Zaslavsky AM (2002) Short screening scales to monitor population prevalences and trends in non-specific psychological distress. Psychol Med 32:959–976
Kessler RC, Barker PR, Colpe LJ, Epstein JF, Gfroerer JC, Hiripi E, Howes MJ, Normand SL, Manderscheid RW, Walters EE, Zaslavsky AM (2003) Screening for serious mental illness in the general population. Arch Gen Psychiatry 60:184–189
Ketende S (2008) Millennium Cohort Study: technical report on response (2nd edn). Centre for Longitudinal Studies, Institute of Education, London
Ketende S, Joshi H (2008) Income and poverty. In: Hansen K, Joshi H (eds) Millennium Cohort Study, third survey: a user’s guide to initial findings. Centre for Longitudinal Studies, Institute of Education, London
Kiernan K (2006) Non-residential fatherhood and child involvement: evidence from the Millennium Cohort Study. J Soc Policy 35:651–669
Kiernan K, Pickett KE (2006) Marital status disparities in maternal smoking during pregnancy, breastfeeding and maternal depression. Soc Sci Med 63:335–346
Kiernan KE, Huerta MC (2008) Economic deprivation, maternal depression, parenting and children’s cognitive and emotional development in early childhood. Br J Sociol 59:783–806
Kiernan KE, Mensah FK (2009) Poverty, maternal depression, family status and children’s cognitive and behavioural development in early childhood: a longitudinal study. J Soc Policy 38(4):569–588
Kurstjens S, Wolke D (2001) Effects of maternal depression on cognitive development of children over the first 7 years of life. J Child Psychol Psychiatry 42:623–636
Machin S, McNally S (2005) Gender and student achievement in English schools. Oxf Rev Econ Policy 21:357–372
Mair C, Roux AV, Galea S (2008) Are neighbourhood characteristics associated with depressive symptoms? A review of evidence. J Epidemiol Community Health 62:940–946
Maughan B, Collishaw S, Meltzer H, Goodman R (2008) Recent trends in UK child and adolescent mental health. Soc Psychiatry Psychiatr Epidemiol 43:305–310
Meadows SO, McLanahan SS, Brooks-Gunn J (2007) Parental depression and anxiety and early childhood behavior problems across family types. J Marriage Fam 69:1162–1177
Mulvaney C, Kendrick D (2005) Depressive symptoms in mothers of pre-school children—effects of deprivation, social support, stress and neighbourhood social capital. Soc Psychiatry Psychiatr Epidemiol 40:202–208
Murray L (1992) The impact of postnatal depression on infant development. J Child Psychol Psychiatry 33:543–561
Nazroo JY (1997) Ethnicity and mental health: findings from a national community survey. Policy Studies Institute, London
Office for National Statistics (2003) Ethnic group statistics: a guide for the collection and classification of ethnicity data. HMSO, London
Petterson SM, Albers AB (2001) Effects of poverty and maternal depression on early child development. Child Dev 72:1794–1813
Pike A, Iervolino AC, Eley TC, Price TS, Plomin R (2006) Environmental risk and young children’s cognitive and behavioral development. Int J Behav Dev 30:55–66
Plewis I (2007) Non-response in a Birth Cohort Study: the case of the Millennium Cohort Study. Int J Soc Res Methodol 10:325–334
Poobalan AS, Aucott LS, Ross L, Smith WC, Helms PJ, Williams JH (2007) Effects of treating postnatal depression on mother-infant interaction and child development: systematic review. Br J Psychiatry 191:378–386
Qualifications and Curriculum Authority (2003) Foundation stage profile handbook. Department for Education and Skills, London
Ramchandani P, Stein A, Evans J, O’Connor TG (2005) Paternal depression in the postnatal period and child development: a prospective population study. Lancet 365:2201–2205
Richters JE (1992) Depressed mothers as informants about their children—a critical-review of the evidence for distortion. Psychol Bull 112:485–499
Shonkoff J, Phillips DA (2000) Family resources. In: From neurons to neighborhoods. National Academy Press, Washington D.C
Shonkoff J, Phillips DA (2000) Nurturing relationships. In: From neurons to neighborhoods. National Academy Press, Washington D.C
Smith M (2004) Parental mental health: disruptions to parenting and outcomes for children. Child Fam Soc Work 9:3–11
Sohr-Preston SL, Scaramella LV (2006) Implications of timing of maternal depressive symptoms for early cognitive and language development. Clin Child Fam Psychol Rev 9:65–83
Talala K, Huurre T, Aro H, Martelin T, Prättälä R (forthcoming) Trends in socio-economic differences in self-reported depression during the years 1979–2002 in Finland. Soc Psychiatry Psychiatr Epidemiol
Tobin J (1958) Estimation of relationships for limited dependent-variables. Econometrica 26:24–36
UCLA Academic Technology Services (2008) Regression with Stata: chapter 3—regression with categorical predictors. Available online at: http://www.ats.ucla.edu/stat/stata/webbooks/reg/chapter3/statareg3.htm. Accessed 2 December 2008
UCLA Academic Technology Services (2008) Stata data analysis examples Tobit analysis. Available online at: http://www.ats.ucla.edu/stat/stata/dae/tobit.htm. Accessed 2 December 2008
Weissman MM, Pilowsky DJ, Wickramaratne PJ, Talati A, Wisniewski SR, Fava M, Hughes CW, Garber J, Malloy E, King CA, Cerda G, Sood AB, Alpert JE, Trivedi MH, Rush AJ (2006) Remissions in maternal depression and child psychopathology—a STAR* D-child report. JAMA 295:1389–1398
Zahn-Waxler C (1993) Warriors and worriers—gender and psychopathology. Dev Psychopathol 5:79–89
Acknowledgments
We would like to thank the ESRC Gender Equality Network for funding this project and the ESRC Data Archive for supplying the Millennium Cohort Data.
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Mensah, F.K., Kiernan, K.E. Parents’ mental health and children’s cognitive and social development. Soc Psychiat Epidemiol 45, 1023–1035 (2010). https://doi.org/10.1007/s00127-009-0137-y
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DOI: https://doi.org/10.1007/s00127-009-0137-y