Depressed mood and maternal report of child behavior problems: Another look at the depression–distortion hypothesis

Gartstein, Maria A.; Bridgett, David J.; Dishion, Thomas J.; Kaufman, Noah K.

doi:10.1016/j.appdev.2008.12.001

Cited by 180 publications

(158 citation statements)

References 54 publications

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“…Additional computations following the alternative model specification from Gartstein [28] replicated our findings.…”

Section: Discussionsupporting

confidence: 73%

“…Note, that our model specifications differ slightly from other structural equation testing of the distortion model [26,28], as the path from maternal psychopathology end at mother"s rating,…”

Section: Discussionmentioning

confidence: 83%

“…The distortion model assumes that the cognitive and perceptual distortions, which are associated with psychiatric disorders, may affect maternal ratings of their children"s behaviour (a more generalized model is described by the Attribution Bias Context model, [21]). The distortion assumption has been supported in previous studies with non-clinical and at-risk samples of children and adolescents and their mothers [14,26,28,47,74,75] and clinical referred children [18,27,35,40,41,45], while no studies were found for clinical referred preschool children. Such samples are especially of interest for two reasons.…”

Section: Introductionmentioning

confidence: 81%

“…We defined three structural equation models (SEM) to represent the accuracy, distortion, or combinatory model similar to previously defined models [15,26,28]. The underlying hypothetical models are then compared, which provides the best explanation for variance in mothers", teachers" and therapists" ratings by overall and comparative model-fit indices and significance of path coefficients.…”

Section: Discussionmentioning

confidence: 99%

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The influence of maternal psychopathology on ratings of child psychiatric symptoms: an SEM analysis on cross-informant agreement

Müller

Achtergarde

Fürniss

2011

Eur Child Adolesc Psychiatry

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The distorting influence of maternal depression on the ratings of child behaviour is known as the depression-distortion hypothesis. This study investigated the depression-distortion hypothesis in a clinical sample of child psychiatric preschool children and extended the depression-distortion-hypothesis to maternal psychopathology-distortion-hypothesis in general. Subjects were 124 children, who were referred for treatment in a Child Psychiatric Family Day Hospital for preschool children, and their parents. Children were rated on the CBCL/1.5-5 and the C-TRF/1.5-5 by their mothers, kindergarten teachers and therapists.

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“…Additional computations following the alternative model specification from Gartstein [28] replicated our findings.…”

Section: Discussionsupporting

confidence: 73%

Section: Discussionmentioning

confidence: 83%

Section: Introductionmentioning

confidence: 81%

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

The influence of maternal psychopathology on ratings of child psychiatric symptoms: an SEM analysis on cross-informant agreement

Müller

Achtergarde

Fürniss

2011

Eur Child Adolesc Psychiatry

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“…We also included outpatient visits billed by nonmilitary provid- 43 there may be a differential ascertainment bias because depressed mothers perceive their children's mental health problems more frequently than nondepressed mothers-the "depressiondistortion hypothesis." [44][45][46] Because depression and other mental health disorders are common among female spouses of deployed male military members, this phenomenon should caution against assigning direct causality between parental deployment and pediatric visits for mental and behavioral health issues. 25 This study's primary strength is the large number of included children during a period of intense deployment stress.…”

Section: Male) Of Deployed Marines In 2003mentioning

confidence: 99%

Wartime Military Deployment and Increased Pediatric Mental and Behavioral Health Complaints

2010

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WHAT'S KNOWN ON THIS SUBJECT:Military deployment of a parent influences children's behavior in a variety of settings. The clinical significance of these deployment-associated behavior changes has not been determined. WHAT THIS STUDY ADDS:Children experiencing separation from a parent due to wartime military deployment have an 11% increase in outpatient visits for mental and behavioral health complaints, which contrasts with a general deploymentassociated decrease in health care visits in all other diagnostic categories.abstract BACKGROUND: Children of military personnel face stress when a parent deploys. OBJECTIVE: Our goal was to determine the effect of parental military deployment on the relative rate of outpatient visits for mental and behavioral health disorders in children aged 3 to 8 years. METHODS:This was a retrospective cohort study. Records of children of active-duty personnel during fiscal years 2006 and 2007 were linked with their parent's deployment records. Mental and behavioral health visits were identified by using International Classification of Diseases, Ninth Revision, codes. The incidence rate ratio (IRR) of visits per year according to parental deployment status was determined with random-effects negative binomial regression modeling with longitudinal data analysis. RESULTS: A total of 642 397 children aged 3 to 8 years and 442 722 military parents were included. Mean child age was 5.0 years (SD: 1.9 years); 50.6% were male, and 68.0% were white. Ninety percent of the parents were male, and 90.5% were married; 32.0% of the parents were deployed during the study. There were 1 049 081 person-years with 611 115 mental and behavioral health visits (0.6 visit per year). The IRR of mental and behavioral health visits for children with a deployed parent compared with when a parent was home was 1.11 (95% confidence interval [CI]: 1.07-1.14; P Ͻ .001). IRRs of pediatric anxiety, behavioral, and stress disorders when a parent deployed were 1.14 (95% CI: 0.98 -1.32; P ϭ .095), 1.19 (95% CI: 1.07-1.32; P Ͻ .001), and 1.18 (95% CI: 1.10 -1.26; P Ͻ .001), respectively. Older children and children with military fathers and married parents had larger increases in rates of mental and behavioral health visits during parental deployments. In contrast, the overall outpatient rate and rates of visits for other diagnoses decreased when a parent was deployed. CONCLUSIONS: Mental and behavioral health visits increased by 11% in these children when a military parent deployed; behavioral disorders increased 19% and stress disorders increased 18%. Rates especially increased in older children and children of married and male military parents.

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Long-Term Maternal and Child Outcomes Following Postnatal SSRI Treatment

Liu,

Ystrom,

McAdams

2023

JAMA Netw Open

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ImportanceAlthough selective serotonin reuptake inhibitors (SSRIs) are recommended for postnatal depression treatment, there is a lack of evidence regarding long-term maternal and child outcomes following postnatal SSRI treatment.ObjectiveTo examine whether postnatal SSRI treatment moderated postnatal depression–associated maternal and child outcomes across early childhood years.Design, Setting, and ParticipantsThis cohort study used longitudinal data from the Norwegian Mother, Father and Child Cohort Study. Participating women were recruited in weeks 17 to 18 of pregnancy from 1999 to 2008 and were prospectively followed up after childbirth. Data analysis was performed between December 2021 to October 2022.ExposurePostnatal depression diagnosis (a binary indicator of eligibility for treatment) was defined as a score of 7 or greater on the 6-item version of the Edinburgh Postnatal Depression Scale. The Hopkins Symptom Checklist was used as a continuous indicator of and postnatal depressive symptomology at postpartum month 6. Postnatal SSRI treatment was identified using self-reported data at postpartum month 6.Main Outcomes and MeasuresMaternal outcomes included self-reported depression symptomology and relationship satisfaction from childbirth to postpartum year 5. Child outcomes included maternal-report internalizing and externalizing problems, attention-deficit/hyperactivity disorder symptoms, and motor and language development at ages 1.5, 3, and 5 years. A propensity score adjustment method was used to control for prenatal factors associated with postnatal SSRI exposure probability.ResultsAmong a total of 61 081 mother-child dyads, 8671 (14.2%) (mean [SD] age, 29.93 [4.76] years) met the criteria for postnatal depression diagnosis, 177 (2.0%) (mean [SD] age, 30.20 [5.01] years) of whom received postnatal SSRI treatment. More severe postnatal depression symptomology was associated with a range of adverse maternal and child outcomes. Focusing analyses only on the postnatal depression dyads indicated that postnatal SSRI treatment attenuated negative associations between postnatal depression and maternal relationship satisfaction at postpartum month 6 (moderation β, 0.13; 95% CI, 0.07-0.19), years 1.5 (moderation β, 0.11; 95% CI, 0.05-0.18) and 3 (moderation β, 0.12; 95% CI, 0.04-0.19), and for child ADHD at age 5 years (moderation β, −0.15; 95% CI, −0.24 to −0.05). Postnatal SSRI treatment mitigated the negative associations between postnatal depression and maternal depression, partner relationship satisfaction, child externalizing problems, and attention-deficit/hyperactivity disorder up to 5 years after childbirth.Conclusions and RelevanceThe results of this large prospective cohort study suggest that postnatal SSRI treatment was associated with a reduced risk of postnatal depression–associated maternal mental health problems and child externalizing behaviors across early childhood years. These findings suggest that postnatal SSRI treatment may bring benefits in the long term to women with postnatal depression and their offspring. This study potentially provides valuable information for clinicians and women with postnatal depression to make informed treatment decisions.

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Depressed mood and maternal report of child behavior problems: Another look at the depression–distortion hypothesis

Cited by 180 publications

References 54 publications

The influence of maternal psychopathology on ratings of child psychiatric symptoms: an SEM analysis on cross-informant agreement

The influence of maternal psychopathology on ratings of child psychiatric symptoms: an SEM analysis on cross-informant agreement

Wartime Military Deployment and Increased Pediatric Mental and Behavioral Health Complaints

Long-Term Maternal and Child Outcomes Following Postnatal SSRI Treatment

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