Using a developmental cascades framework, the current study investigated whether treating maternal depression via interpersonal psychotherapy (IPT) may lead to more widespread positive adaptation for offspring and mothers including benefits to toddler attachment and temperament, and maternal parenting self-efficacy. The participants (N=125 mother-child dyads, mean mother age at baseline=25.43 years; 54.4% of mothers were African-American; mean offspring age at baseline=13.23 months) were from a randomized controlled trial (RCT) of IPT for a sample of racially and ethnically diverse, socioeconomically disadvantaged mothers of infants. Mothers were randomized to IPT (n=97) or an enhanced community standard (ECS) control group (n=28). Results of complier average causal effect (CACE) modeling showed that engagement with IPT led to significant decreases in maternal depressive symptoms at post-treatment. Moreover, reductions in maternal depression post-treatment were associated with less toddler disorganized attachment characteristics, more adaptive maternal perceptions of toddler temperament, and improved maternal parenting efficacy eight months following the completion of treatment. Our findings contribute to the emerging literature documenting the potential benefits to children of successfully treating maternal depression. Alleviating maternal depression appears to initiate a cascade of positive adaptation among both mothers and offspring, which may alter the well-documented risk trajectory for offspring of depressed mothers.

Multidomain approaches toward understanding the transmission of harsh caregiving across generations have been largely overlooked in the literature. To address this, the current study examined how maternal and child factors may operate as mediating mechanisms in the association between maternal history of child maltreatment and maternal caregiving behaviors. In particular, we tested the relative roles of maternal depression, maternal efficacy beliefs, and child behavioral difficulties as explanatory variables in these associations. Participants (N = 127) were drawn from a community sample of mother-child dyads from socioeconomically disadvantaged, ethnically diverse backgrounds. Mother-child dyads were assessed at baseline, when the children were approximately 12 months old, with follow-up visits occurring when children were 26 and 37 months of age. Findings did not support a significant direct effect of childhood maltreatment on mothers’ subsequent harsh or responsive parenting behavior. However, analyses demonstrated a significant indirect effect of childhood maltreatment history on later responsive parenting behaviors via maternal depression. Results also supported a significant indirect effect of childhood maltreatment history on later harsh parenting behavior through child behavior problems. Although mothers’ childhood maltreatment history significantly predicted lower levels of maternal efficacy, results did not support a mediating role of maternal efficacy beliefs in the association between maltreatment history and subsequent parenting behaviors. Identifying specific factors that potentially disrupt the intergenerational pattern of maladaptive parenting can serve to guide prevention and intervention efforts aimed at facilitating more positive, responsive parenting strategies within high-risk families.

Co-occurring maternal depression and antisocial personality disorder (ASPD) are associated with the development of psychopathology in children, yet little is known about risk mechanisms. In a sample of 122 racially diverse and economically disadvantaged families, we prospectively investigated (a) to what extent child socioemotional problems were related to maternal depression-only, ASPD-only, or the co-occurrence of both and (b) specificity in parenting-related mechanisms linking single-type or comorbid maternal psychopathology to child outcomes at age 3. Compared to mothers without either ASPD or depression, exposure to maternal depression-only and comorbid depression/ASPD predicted child problems as a function of greater parenting stress and lower maternal sensitivity. Mothers with comorbid depression/ASPD uniquely exhibited more negative parenting and had children with more socioemotional problems than mothers with depression-only. Compared to mothers with neither ASPD nor depression, mothers with depression-only uniquely impacted child difficulties via lower maternal efficacy. Study findings suggest areas of parenting intervention.