Purpose
To extend understanding of the effects of maternal depression on children to low-income and minority families; to apply advanced analytic methods to incorporate the reports of mothers, fathers, and teachers on the emotional and behavior problems and adaptive skills of 4–10 year old urban children; and to examine parenting quality and family environment as possible explanations of high rates of problems among children whose mothers have depression compared to those whose mothers are not depressed.
Methods
Mothers who participated either had major depressive disorder (n=84) or did not (n=49). They were predominantly African-American or Latino and lived in low-income, urban communities. Mothers, fathers, and teachers reported on children’s emotional, behavioral and adaptive functioning. Parenting behavior and family stress were examined as potential mediators and generalized estimating equations (GEE) were employed to test mediation and to account for discrepancies in reports by different raters.
Results
By mother, father and teacher reports, children of depressed mothers had significantly poorer adaptive skills than children of sociodemographically-similar non-depressed mothers; and they had more emotional/behavior problems according to mothers and fathers. The quality of mothers’ parenting mediated these associations, but quality of the family environment did not.
Conclusions
This study extends the literature on the effects of maternal depression to low-income, minority families, and demonstrates that mothers, fathers and teachers observe worse functioning in children of depressed mothers than those of non-depressed mothers, although their perspectives vary somewhat. The impact of maternal depression suggests the importance of developing and funding services to address the needs of affected families.