Maternal Depressive Symptoms and Children's Receipt of Health Care in the First 3 Years of Life

Minkovitz, Cynthia S.; Strobino, Donna M.; Scharfstein, Dan; Hou, William; Miller, Therese; Mistry, Kamila B.; Swartz, Karen

doi:10.1542/peds.2004-0341

Cited by 346 publications

(299 citation statements)

References 33 publications

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“…In a sample of children ages 0 to 30 months, Minkovitz et al (2005) examined medical records and maternal reports of depressive symptoms measured by the CES-D (Radloff, 1977). Acute pediatric use including hospitalizations, emergency department visits and preventive care (i.e., "well baby" visits, vaccination appointments) were examined using medical records and parental interviews conducted at 2 to 4 and 30 to 33 months of age.…”

Section: Maternal Negative Affect and Pediatric Health Care Usementioning

confidence: 99%

Maternal psychosocial predictors of pediatric health care use: Use of the common sense model of health and illness behaviors to extend beyond the usual suspects

Moran

O’Hara

2006

Clinical Effectiveness in Nursing

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Determinants of pediatric health care use extend beyond the health status of the child and economic and access considerations. Parental factors, particularly those associated with the mother, are critical. The common sense model of health and illness behaviors, which was developed to account for adult health care use, may constitute a framework to study the role of mothers in determining pediatric health care use. In the common sense model, the person's cognitive representations of and affective reactions to bodily states influence health care decision-making. There is a growing literature that points to the importance of maternal psychopathology (reflecting the affective component of the common sense model) and maternal parenting self-efficacy (reflecting the cognitive component of the model) as important contributors to pediatric health care use. The implications of this conceptualization for future research and clinical practice are discussed.

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Section: Maternal Negative Affect and Pediatric Health Care Usementioning

confidence: 99%

Maternal psychosocial predictors of pediatric health care use: Use of the common sense model of health and illness behaviors to extend beyond the usual suspects

Moran

O’Hara

2006

Clinical Effectiveness in Nursing

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“…Depressed mothers are less likely to provide a smoke-free home [2] or read to their children daily [1]. They are less likely to provide age-appropriate well-child visits [4]. Children of depressed mothers are more likely to be injured [4].…”

mentioning

confidence: 99%

“…They are less likely to provide age-appropriate well-child visits [4]. Children of depressed mothers are more likely to be injured [4]. One study suggested that depressed fathers have a synergistic negative impact [5].…”

mentioning

confidence: 99%

Child Injury Risks are Close to Home: Parent Psychosocial Factors Associated with Child Safety

Rhodes

Iwashyna

2007

Matern Child Health J

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Objective: In several populations, maternal depression has been associated with reduced child safety. In an urban pediatric Emergency Department, we examined the relationship between parental depression, social support, and domestic conflict and child safety behaviors.Methods: We studied consecutive patients in an Emergency Department. Trained interviewers used a structured instrument to assess patient, primary caregiver, and household demographics, socio-economic status, psychosocial factors, child safety behaviors (whether a gun was in the home, poisons were locked, a functioning smoke detector was present, and use of carseats or seatbelts), and whether the home was smokefree. 1,116 patients provided adequate data.Results: Depression was associated with a modest and not statistically significant reduction in child safety behaviors in this population. Lack of social support and the presence of domestic conflict were robustly, independently, and statistically significantly associated with less safe homes. Domestic conflict was associated with more smoking in the home.Conclusion: In our population, child safety was associated less with depression and more with parental lack of social support and domestic conflict. These can be assessed in a Emergency Department and may be amenable to intervention. Abstract Objective: In several populations, maternal depression has been associated with reduced child safety. In an urban pediatric Emergency Department, we examined the relationship between parental depression, social support, and domestic conflict and child safety behaviors.Methods: We studied consecutive patients in an Emergency Department. Trained interviewers used a structured instrument to assess patient, primary caregiver, and household demographics, socio-economic status, psychosocial factors, child safety behaviors (whether a gun was in the home, poisons were locked, a functioning smoke detector was present, and use of carseats or seatbelts), and whether the home was smoke-free. 1,116 patients provided adequate data.Results: Depression was associated with a modest and not statistically significant reduction in child safety behaviors in this population. Lack of social support and the presence of domestic conflict were robustly, independently, and statistically significantly associated with less safe homes. Domestic conflict was associated with more smoking in the home.Conclusion: In our population, child safety was associated less with depression and more with parental lack of social support and domestic conflict. These can be assessed in a Emergency Department and may be amenable to intervention.

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“…The results from previous studies also indicated that postnatal depression in populations other than earthquake survivors may be significantly related to cessation of breast-feeding [8,34], degradation of mother-infant attachment [29], more concerns about the baby [35], and unfavorable patterns of seeking healthcare services [36]. These outcomes may also be applicable for women with high EPDS scores living in the disaster area.…”

Section: Discussionmentioning

confidence: 92%

Relationship between the Noto-Peninsula earthquake and maternal postnatal depression and child-rearing

Hibino

Takaki

Kambayashi

et al. 2009

Environ Health Prev Med

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Objective The aim of our study was to explore the relationship between a medium-scale earthquake and maternal depression and child-rearing in a depopulated community in the Noto Peninsula of Japan. Methods Three months after a major earthquake, selfrating questionnaires were distributed to women who were pregnant at the time of the earthquake or who became pregnant immediately thereafter, and who were receiving care at any of four major hospitals in the most devastated area. A total of 155 women who had given birth returned the completed questionnaire for analysis. Maternal postnatal depression among the participants was assessed using the Edinburgh Postnatal Depression Scale (EPDS). Results The EPDS score was significantly associated with decreased ''satisfaction with delivery'' (b = -0.28, p = 0.01), increased artificial ''lactation'' (b = 0.31, p = 0.002), and increased ''trouble with infant care'' (b = 0.47, p \ 0.001) in multivariate analysis. It was also significantly associated with increased ''anxiety about earthquakes'' (b = 0.30, p = 0.001), and ''anxiety about earthquakes'' was significantly associated with increased ''fear of the earthquake'' (b = 0.20, p = 0.04). Conclusions Earthquake-related factors such as ''anxiety about earthquakes'' and ''fear of the earthquake'' did not have a direct effect on child-rearing factors; however, they did have a significant relationship with increased EPDS. Based on these results, we conclude that screening strategies for maternal depression in peri-and postnatal women under emergency circumstances are necessary.

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Maternal Depressive Symptoms and Children's Receipt of Health Care in the First 3 Years of Life

Cited by 346 publications

References 33 publications

Maternal psychosocial predictors of pediatric health care use: Use of the common sense model of health and illness behaviors to extend beyond the usual suspects

Maternal psychosocial predictors of pediatric health care use: Use of the common sense model of health and illness behaviors to extend beyond the usual suspects

Child Injury Risks are Close to Home: Parent Psychosocial Factors Associated with Child Safety

Relationship between the Noto-Peninsula earthquake and maternal postnatal depression and child-rearing

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