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01-10-2011 | Original Paper

Maternal Depressive Symptoms When Caring for a Child with Mental Health Problems

Auteurs: Janis E. Gerkensmeyer, Susan M. Perkins, Jennifer Day, Joan K. Austin, Eric L. Scott, Jingwei Wu

Gepubliceerd in: Journal of Child and Family Studies | Uitgave 5/2011

Abstract

As primary caregivers of children with mental health problems, mothers face challenges that put them at risk for depression, which is rarely identified or addressed. The aims of this paper were to (a) identify mean differences among demographic, stressor, threat, and resource variables specified in a theoretical model and thought to be associated with maternal depressive symptoms and (b) determine how much variability in depressive symptoms is explained by these variables. High levels and prevalence of depressive symptoms were found within a quality of life study that these data were drawn from. Of 139 mothers participating in this study, 58% had a score of 16 or greater on the CES-D indicating moderate to high levels of depressive symptoms. Significant differences were found between mothers with higher versus lower levels of depressive symptoms for 11 of the 18 variables. Hierarchical regression was used to examine the variance explained in depressive symptoms based upon the conceptual model with 4 composite variables. Income (step 1), behavioral problems (step 2), threat appraisal (step 3), and resource appraisal (step 4) combined explained 42% of the variance.

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Achenbach, T. M. (1991). Manual for the child behavior checklist/4–18 and 1991 profile. Burlington, VT: University of Vermont: Department of Psychiatry.

Asarnow, J. R., & Horton, A. A. (1990). Coping and stress in families of child psychiatric inpatients: Parents of children with depressive and schizophrenia spectrum disorders. Child Psychiatry and Human Development, 21(2), 145–156.PubMedCrossRef

Baker, D. B., & McCal, K. (1995). Parenting stress in parents of children with attention deficit hyperactivity disorder and parents of children with learning disabilities. Journal of Child and Family Studies, 4(1), 57–68.CrossRef

Baker-Ericzén, M. J., Mueggenborg, M. G., Hartigan, P., Howard, N., & Wilke, T. (2008). Partnership for women’s health: A new-age collaborative program for addressing maternal depression in the postpartum period. Families, Systems and Health, 26(1), 30–43.CrossRef

Barkley, R. A., Anastopoulos, A. D., Guevremont, D. C., & Fletcher, K. E. (1992). Adolescents with attention deficit hyperactivity disorder: Mother-adolescent interactions, family beliefs and conflicts, and maternal psychopathology. Journal of Abnormal Child Psychology, 20(3), 263–288.PubMedCrossRef

Barrera, M., Sandler, I. N., & Ramsay, T. B. (1981). Preliminary development of a scale of social support: Studies on college students. American Journal of Community Psychology, 9(4), 435–447.CrossRef

Bode, H., Weidner, K., & Storck, M. (2000). Letter to the editor: Quality of life in families of children with disabilities. Developmental Medicine and Child Neurology, 42, 354.PubMedCrossRef

Chronis, A. M., Lahey, B. B., Pelham, W. E., Kipp, H. L., Baumann, B. L., & Lee, S. S. (2003). Psychopathology and substance abuse in parents of young children with attention- deficit/hyperactivity disorder. Journal of the American Academy of Child and Adolescent Psychiatry, 42(12), 1424–1432.PubMedCrossRef

Cunningham, C. E., Benness, B. B., & Siegel, L. S. (1988). Family functioning, time allocation, and parental depression in the families of normal and ADDH children. Journal of Clinical Child Psychology, 17(2), 169–177.CrossRef

Dennis, C., & Ross, L. D. (2006). Depressive symptomatology in the immediate postnatal period: Identifying maternal characteristics related to true- and false-positive screening scores. Canadian Journal of Psychiatry, 51(5), 265–273.

DeRubeis, R. J., Gelfand, L. A., Tang, T. Z., & Simons, A. D. (1999). Medications versus cognitive behavior therapy for severely depressed outpatients: Mega-analysis of four randomized comparisons. American Journal of Psychiatry, 156, 1007–1013.PubMed

DeRubeis, R. J., Hollon, S. D., Amsterdam, J. D., Shelton, R. C., Young, P. R., Salomon, R. M., et al. (2005). Cognitive therapy vs. medications in the treatment of moderate to severe depression. Archives of General Psychiatry, 62(4), 409–416.PubMedCrossRef

Downey, G., & Coyne, J. C. (1990). Children of depressed parents: An integrative review. Psychological Bulletin, 108(1), 50–76.PubMedCrossRef

Dunn, M. E., Burbine, T., Bowers, C. A., & Tantleff-Dunn, S. (2001). Moderators of stress in parents of children with autism. Community Mental Health Journal, 37(1), 39–52.PubMedCrossRef

Elgar, F. J., Curtis, L. J., McGrath, P. J., Waschbusch, D. A., & Stewart, S. H. (2003). Antecedent-consequence conditions in maternal mood and child adjustment: A four- year cross-lagged study. Journal of Clinical Child and Adolescent Psychology, 32(3), 362–374.PubMedCrossRef

Elgar, F. J., McGrath, P. J., Waschbusch, D. A., Stewart, S. H., & Curtis, L. J. (2004). Mutual influences on maternal depression and child adjustment problems. Clinical Psychology Review, 24(4), 441–459.PubMedCrossRef

Gartstein, M. A., & Sheeber, L. (2004). Child behavior problems and maternal symptoms of depression: A mediational model. Journal of Child and Adolescent Psychiatric Nursing, 17(4), 141–150.PubMedCrossRef

Gerkensmeyer, J. (1999). Examining parent satisfaction with services for children and adolescents with mental health problems. Dissertation, Indiana University.

Gerkensmeyer, J. E., Austin, J. K., & Miller, T. (2006a). Model testing: Examining parent satisfaction. Archives of Psychiatric Nursing, 20(2), 65–75.PubMedCrossRef

Gerkensmeyer, J. E., Perkins, S. M., Scott, E. L., & Wu, J. (2008). Depressive symptoms among primary caregivers of children with mental health needs: Mediating and moderating variables. Archives of Psychiatric Nursing, 22(3), 135–146.PubMedCrossRef

Gerkensmeyer, J., Scott, E. L., LeBaron, E., Costello-Wells, B. & Walton, K. (2006b). Depression among primary caregivers of children with mental health needs. In C. Liberton, K. Kutash, & R. M. Friedman (Eds.). The 18th Annual Research Conference Proceedings: A System of Care for Children’s Mental Health: Expanding the Research Base. Tampa: University of South Florida, Louis de la Parta Florida Mental Health Institute.

Harrington, A. R., & Greene-Harrington, C. C. (2007). Healthy start screens for depression among urban pregnant, postpartum and interconceptional women. Journal of the National Medical Association, 99(3), 226–231.PubMed

Hashima, P. Y., & Amato, P. R. (1994). Poverty, social support, and parental behavior. Child Development, 65, 394–403.PubMedCrossRef

Heneghan, A. M., Morton, S., & De Leone, N. L. (2006). Paediatricians’ attitudes about discussing maternal depression during a paediatric primary care visit. Child: Care, Health and Development, 33(3), 333–339.CrossRef

Kazdin, A. E., & Wassell, G. (2000). Predictors of barriers to treatment and therapeutic change in outpatient therapy for antisocial children and their families. Mental Health Services Research, 2(1), 27–40.PubMedCrossRef

Koren, P. E., DeChillo, N., & Friesen, B. J. (1992). Measuring empowerment in families whose children have emotional disabilities: A brief questionnaire. Rehabilitation Psychology, 37(4), 305–321.CrossRef

Lazarus, R. S. (2000). Evolution of a model of stress, coping, and discrete emotions. In V. H. Rice (Ed.), Handbook of stress, coping and health (pp. 195–222). Thousand Oaks: Sage Publications, Inc.

Lazarus, R. S., & Folkman, S. (1984). Stress, appraisal, and coping. New York: Springer Publishing Co.

Mash, E. J., & Johnston, C. (1983). Parental perceptions of child behavior problems, parenting self-esteem, and mothers’ reported stress in younger and older hyperactive and normal children. Journal of Consulting and Clinical Psychology, 51(1), 86–99.PubMedCrossRef

Mayberry, L. J., Horowitz, J. A., & Declercq, E. (2007). Depression symptom prevalence and demographic risk factors among US women during the first 2 years postpartum. Journal of Obstetric, Gynecologic, & Neonatal Nursing: Clinical Scholarship for the Care of Women, Childbearing Families and Newborns, 36(6), 542–549.

Modell, J. D., Modell, J. G., Wallander, J., Hodgens, B., Duke, L., & Wisely, D. (2001). Maternal ratings of child behavior improve with treatment of maternal depression. Clinical Research and Methods, 33(9), 691–695.

Mynors-Wallis, L. M., Gath, D. H., & Tomlinson, D. (1995). Randomized controlled trial comparing problem solving treatment with amitriptyline and placebo for major depression in primary care. BMJ, 310, 441–445.PubMed

National Institute of Mental Health. (2002). Blueprint for change: Research on child and adolescent mental health. Washington, DC: Department of Health and Human Services.

Olson, A. L., Dietrich, A. J., Prazar, G., Hurley, J., Tuddenham, A., Hedberg, V., et al. (2005). Two approaches to maternal depression screening during well child visits. Journal of Developmental and Behavioral Pediatrics, 26(3), 169–176.PubMedCrossRef

Pearlin, L. I., & Schooler, C. (1978). The structure of coping. Journal of Health and Social Behavior, 22, 337–356.CrossRef

Pelham, W. E., Lang, A. R., Atkeson, B., Murphy, D. A., Gnagy, E. M., Greiner, A. R., et al. (1997). Effects of deviant child behavior on parental distress and alcohol consumption in laboratory interactions. Journal of Abnormal Psychology, 25(5), 413–425.

Prescott, C. A., McArdle, J. J., Hishinuma, E. S., Johnson, R. C., Miyamoto, R. H., Andrade, N. N., et al. (1998). Prediction of major depression and dysthymia from CES-D scores among ethnic minority adolescents. Journal of Child and Adolescent Psychiatry, 37(5), 495–503.CrossRef

Public Health Service, U. S. (2000). Report of the surgeon general’s conference on children’s mental health: A national agenda. Washington, DC: US Government Printing Office.

Radloff, L. S. (1977). The CES-D scale: A self-report depression scale for research in the general population. Applied Psychological Measurement, 1, 385–401.CrossRef

Radloff, L. S., & Locke, B. Z. (1986). The Community Mental Health Assessment Survey and the CES-D scale. In M. M. Weissman, J. K. Myers, & C. E. Ross (Eds.), Community surveys of psychiatric disorders (pp. 177–189). New Brunswick, NJ: Rutgers University Press.

Ray, L. (2002). Parenting and childhood chronicity: Making visible the invisible work. Journal of Pediatric Nursing, 17(6), 424–438.PubMedCrossRef

Reinhard, S. C. (1994). Living with mental illness: Effects of professional support and personal control on caregiver burden. Research in Nursing and Health, 17(2), 79–88.PubMedCrossRef

Rishel, C. W., Greeno, C. G., Marcus, S. C., Sales, E., Shear, M. K., Swartz, H. A., et al. (2006). Impact of maternal mental health status on child mental health treatment outcome. Community Mental Health Journal, 42(2), 1–12.PubMedCrossRef

Sharpley, C. F., & Bitsika, V. (1997). Influence of gender, parental health and perceived expertise of assistance upon stress, anxiety, and depression among parents of children with autism. Journal of Intellectual and Developmental Disability, 22(1), 19–29.CrossRef

Silver, E. J., Bauman, L. J., & Weiss, E. S. (1999). Perceived role restriction and depressive symptoms in mothers of children with chronic health conditions. Developmental and Behavioral Pediatrics, 20(5), 362–369.CrossRef

Smilkstein, G. (1978). The family APGAR: A proposal for a family function test and its use by Physicians. Journal of Family Practice, 6(6), 1231–1239.PubMed

Solomon, P., & Draine, J. (1995). Subjective burden among family members of mentally ill adults: Relation to stress, coping, and adaptation. American Journal of Orthopsychiatry, 65(3), 419–427.PubMedCrossRef

SPSS for Windows, Rel. 15.0.1. (2006). Chicago: SPSS Inc.

Tomanik, S., Harris, G. E., & Hawkins, J. (2004). The relationship between behaviors exhibited by children with autism and maternal stress. Journal of Intellectual and Developmental Disability, 29(1), 16–26.CrossRef

Ware, J. E., & Sherbourne, C. D. (1992). The MOS 36-item short-form health survey (SF-36). Medical Care, 30(6), 473–481.PubMedCrossRef

Webster-Stratton, C., & Hammond, M. (1988). Maternal depression and its relationship to life stress, perceptions of child behavior problems, parenting behaviors, and child conduct problems. Journal of Abnormal Child Psychology, 16(3), 299–315.PubMedCrossRef

World Health Organization. (2001). World health report 2001: Mental health: New understanding, new hope. Geneva, Switzerland: World Health Organization.

Titel: Maternal Depressive Symptoms When Caring for a Child with Mental Health Problems
Auteurs: Janis E. Gerkensmeyer
Susan M. Perkins
Jennifer Day
Joan K. Austin
Eric L. Scott
Jingwei Wu
Publicatiedatum: 01-10-2011
Uitgeverij: Springer US
Gepubliceerd in: Journal of Child and Family Studies / Uitgave 5/2011
Print ISSN: 1062-1024
Elektronisch ISSN: 1573-2843
DOI: https://doi.org/10.1007/s10826-011-9445-4

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