The Co-Occurrence of Maternal Depressive Symptoms and Smoking in a National Survey of Mothers

Kavanaugh, Megan L.; McMillen, Robert; Pascoe, John M.; Southward, Linda H.; Winickoff, Jonathan P.; Weitzman, Michael

doi:10.1367/a04-207r.1

Cited by 13 publications

(14 citation statements)

References 36 publications

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“…30 However, our research suggests that solely addressing general psychosocial difficulties may not be sufficient to impact children's SHSe. Future research on the role of clinical depression in smoking status and children's SHSe, and treatments that could reduce depression and SHSe, is warranted.…”

Section: Discussionmentioning

confidence: 75%

“…The focus on young, low income, primarily Black children living with at least one smoker extends previous studies, which often survey large samples of the population via telephone, 30,35,36 by targeting a specific population highly vulnerable for SHSe-related health disparities through local Head Start preschool programs. To understand a broad range of potentially modifiable contributors to children's health disparities and to identify possible protective factors among the most vulnerable families, we purposively recruited a large, community-based sample of caregivers from underserved populations at high risk for SHSe and health disparities.…”

Section: Discussionmentioning

confidence: 81%

“…For example, routines (e.g., eating together, consistent discipline) and caregiver stress and depression are associated with parenting behaviors that impact their children's health (e.g., car seat use, administering vitamins/medications, healthy feeding/sleep practices) [24][25][26][27][28][29] and may influence children's SHSe. 9,28,30 Stress and depression are also associated with more smoking in adults, 31,32 further raising the risk for SHSe. Health beliefs, such as perceived importance of and confidence to engage in health behaviors, are associated with smoking cessation, 33,34 and the few studies that have examined caregivers' perspectives about SHSe suggest likely links with HSB existence and children's SHSe.…”

mentioning

confidence: 99%

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Family Beliefs and Behaviors About Smoking and Young Children’s Secondhand Smoke Exposure

Hilliard

Riekert

Hovell

et al. 2014

NICTOB

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Section: Discussionmentioning

confidence: 75%

Section: Discussionmentioning

confidence: 81%

mentioning

confidence: 99%

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Family Beliefs and Behaviors About Smoking and Young Children’s Secondhand Smoke Exposure

Hilliard

Riekert

Hovell

et al. 2014

NICTOB

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“…The odds of smoking were 40% greater at 35 months for those who had significant depressive symptoms at both 17 and 35 months. Another report used data from the more recent Social Climate Survey of Early Child Health and Well-Being, which included mothers with children in a much broader age range (any child less than 19 years of age) (Kavanaugh et al, 2005). The adjusted odds of a positive depression screen were 1.7 (95% CI: 1.1, 2.6) for those mothers who smoked.…”

Section: Comparisons To Prior Studiesmentioning

confidence: 99%

“…Furthermore, infants are particularly vulnerable to the impact of both these maternal conditions. The few previous reports that have examined the association between smoking and depression in mothers with young children have assessed depressive symptoms rather than major depressive disorder (Leiferman, 2002, Kavanaugh et al, 2005, Kahn et al, 2002, Kahn et al, 1999. Other limitations of these studies include convenience sampling (Kahn et al, 1999) or low response rates (Kavanaugh et al, 2005).…”

Section: Introductionmentioning

confidence: 99%

The co-occurrence of smoking and a major depressive episode among mothers 15 months after delivery

Whitaker

Orzol

Kahn

2007

Preventive Medicine

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Objective-To examine the association between maternal smoking 15 months after delivery and the occurrence of a major depressive episode in the prior 12 months.Methods-Data were obtained from the Fragile Families and Child Wellbeing Study, a birth cohort study. In 20 U.S. cities, 4,898 mothers were surveyed at delivery in the years 1998 to 2000. In a survey 15 months later, 4,353 (89%) of the mothers reported their smoking behavior and symptoms of a major depressive episode during the prior 12-months.Results-At the follow-up survey, 26.6% of mothers reported that they were current smokers and 13.6 % reported that they had symptoms of a major depressive episode during the prior 12 months. After adjusting for sociodemographic characteristics, the prevalence (95% confidence interval) of a major depressive episode was higher among smokers than nonsmokers: 17.7% (15.7%, 19.8%) vs. 12.1% (10.9%, 13.3%). Smoking was also more common among mothers with a major depressive episode than in those without one: 34.0% (30.6%, 37.4%) vs. 25.5% (24.1%, 26.8%). Conclusion-Smokingand depression often co-occur among mothers with infants. This suggests that these conditions should not be diagnosed or treated in isolation from each other and that the care of mothers and children should be integrated.Precis-Among 4,353 mothers assessed 15 months after delivery, the prevalence of depression was 46% higher among smokers and the prevalence of smoking was 33% higher among those with depression.

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Maternal Depression and Prenatal Exposure to Methamphetamine: Neurodevelopmental Findings From the Infant Development, Environment, and Lifestyle (Ideal) Study

et al. 2012

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Background Maternal depression is associated with a higher incidence of behavioral problems in infants, but the effects of maternal depression as early as 1 month are not well characterized. The objective of this study is to determine the neurobehavioral effects of maternal depression on infants exposed and not exposed to methamphetamine (MA) using the NICU Network Neurobehavioral Scale (NNNS). Methods Four hundred twelve mother–infant pairs were enrolled (MA = 204) and only biological mothers with custody of their child were included in the current analysis. At the 1-month visit (n = 126 MA-exposed; n = 193 MA-unexposed), the Beck Depression Inventory-II (BDI-II) was administered, and the NNNS was administered to the infant. Exposure was identified by self-report and/or gas chromatography/mass spectroscopy confirmation of amphetamine and metabolites in newborn meconium. Unexposed subjects were matched, denied amphetamine use, and had negative meconium screens. General Linear Models tested the effects of maternal depression and prenatal MA exposure on NNNS, with significance accepted at P < .05. Results The MA group had an increased incidence of depression-positive diagnosis and increased depression scores on the BDI-II. After adjusting for covariates, MA exposure was associated with increased arousal and handling scores, and a decreased ability to self-regulate. Maternal depression was associated with higher autonomic stress and poorer quality of movement. No additional differences were observed in infants whose mothers were both depressed and used MA during pregnancy. Conclusions Maternal depression is associated with neurodevelopmental patterns of increased stress and decreased quality of movement, suggesting maternal depression influences neurodevelopment in infants as young as 1 month.

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The Co-Occurrence of Maternal Depressive Symptoms and Smoking in a National Survey of Mothers

Cited by 13 publications

References 36 publications

Family Beliefs and Behaviors About Smoking and Young Children’s Secondhand Smoke Exposure

Family Beliefs and Behaviors About Smoking and Young Children’s Secondhand Smoke Exposure

The co-occurrence of smoking and a major depressive episode among mothers 15 months after delivery

Maternal Depression and Prenatal Exposure to Methamphetamine: Neurodevelopmental Findings From the Infant Development, Environment, and Lifestyle (Ideal) Study

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