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Reasons for the increased incidence of depression in Chinese children remain poorly understood. Therefore, this study explored the influence of paternal companionship and peer relationships on depression in children based on OLS method using data reported by 2498 children from China (children Mage 10.7; 52.1% girls). We found that both variables could alleviate depression among children, but the effect of peer relationships was significantly greater than that of paternal companionship. This conclusion remains robust after considering gender, age and family structure. Heterogeneity studies have found that paternal companionship significantly impact boys, while peer relationships significantly impact girls. Mechanism analysis demonstrated that both factors can indirectly alleviate depression in children by regulating anxiety. Our research results emphasize the importance of increasing paternal companionship and peer relationships to alleviate depression in children. [ABSTRACT FROM AUTHOR]

Background: Childhood depression is a highly distinct and prevalent condition with an unknown neurobiological basis. We wish to explore the resting state fMRI data in children for potential associations between neural connectivity and childhood depressive symptoms. Methods: A longitudinal birth cohort study with neuroimaging data obtained at 4.5, 6.0 and 7.5 years of age and the Children Depression Inventory 2 (CDI) administered between 8.5 and 10.5 years was used. The CDI score was used as the dependent variable and tested for correlation, both simple Pearson and network based statistic, with the functional connectivity values obtained from the resting state fMRI. Cross-validated permutation testing with a general linear model was used to validate that the identified functional connections were indeed implicated in childhood depression. Results: Ten functional connections and four brain regions (Somatomotor Area B, Temporoparietal Junction, Orbitofrontal Cortex and Insula) were identified as significantly associated with childhood depressive symptoms for girls at 6.0 and 7.5 years. No significant functional connections were found in girls at 4.5 years or for boys at any timepoint. Network based statistic and permutation testing confirmed these findings. Conclusions: This study revealed significant sex-dependent associations of neural connectivity and childhood depressive symptoms. The regions identified are implicated in speech/language, social cognition and information integration and suggest unique pathways to childhood depressive symptoms.

Objective: To translate and psychometrically validate the center for epidemiological studies for depression scale (CES-DC) for Pakistani children. Study Design: Cross-sectional study. Place and Duration of Study: Various schools in Rawalpindi, from Feb to Mar 2021. Methodology: Present study comprised of translation, cross-language validation and investigation of psychometric properties of the scale into Urdu Language. Urdu translated version and strength and difficulty questionnaire were administered on 154 primary school children from various private schools situated in Rawalpindi district. Cronbach’s alpha reliability, item-total correlation and Pearson’s correlation coefficient were used for analysis. Results: Results revealed that this scale had good internal consistency and reliability (Urdu-version α=0.73; English-version α = 0.65) along with correlation coefficients over a period of 15 days (r=0.96). Cronbach’s alpha value of scales was found to be fairly high (r=0.78 and r=0.81). Item-total correlation of translated scale was also satisfactory (ranged from 0.04-0.58) and Pearson’s correlation of translated version with strength and difficulty questionnaire indicated good convergent validity (r= 0.54; p

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Background: Young people who experience depression are at an increased risk of adverse psychosocial and developmental outcomes that can persist over the lifecourse. Identifying maternal prenatal risk factors that may contribute to childhood depressive symptoms can be useful when considering mental health intervention.Methods: The current study included 3,925 children from the Growing Up in New Zealand (GUiNZ) study who had complete data for self-reported depressive symptoms and mothers' antenatal information. Depressive symptoms were measured at age 8 using the Centre for Epidemiological Studies Depression Scale for Children (CESD-10) short form questionnaire. Hierarchical linear regression was used to determine the relationship between prenatal factors and depressive symptoms at age 8.Results: When controlling for sociodemographic characteristics, our hierarchical linear regression revealed that the most significant maternal prenatal predictors of high depressive symptoms at age 8 were maternal perceived stress, smoking during pregnancy, body mass index (BMI) in the overweight/obese range, and paracetamol intake.Limitations: One limitation with the current study was a reduction in the sample due to attrition. This may have affected our statistical power, reflected in our modest effect sizes. The sample remained both socioeconomically and ethnically diverse, however our results should be interpreted with respect to the sample and not the whole New Zealand population.Conclusions: A combination of maternal mental health and lifestyle factors contribute to depressive symptoms for children, possibly through foetal programming. Our results emphasise the importance of mental and physical health support for expectant mothers. [ABSTRACT FROM AUTHOR]

Background: Although children's depressive and anxious symptoms have been broadly construed as internalizing problems, the current study sought to identify factors that may differentially contribute to these two mental health problems in a high-risk sample. Prior research has not adequately tested both depressive versus anxious symptoms simultaneously, nor has it adequately considered the role of negative versus positive parenting simultaneously, thereby neglecting the potential overlap in both sets of constructs. Overlooking such potential statistical overlap obfuscates how factors may differentially contribute to either depressive versus anxious symptoms. Existing research has also focused on lower-risk community samples. Method: The present study investigated whether children's negative self-concept or maladaptive attributional style mediated the link between both negative and positive parenting in a racially diverse, at-risk sample of 65 primary school-age children recruited from mental health agencies. Results: When tested together, more negative parenting, but not less positive parenting, retained direct effects on both depressive and anxious symptoms. Both negative self-concept and maladaptive attributional style fully mediated the association between less positive parenting and children's depressive symptoms, whereas positive self-concept, but not attributional style, mediated between less positive parenting and anxious symptoms. Conclusions: The current findings underscore potential differential intervention targets for these two internalizing problems and highlight the need for future research to consider both depressive and anxious symptoms, and related predictors, simultaneously to control for their shared variance. [ABSTRACT FROM AUTHOR]

Objective: To translate and psychometrically validate the center for epidemiological studies for depression scale (CES-DC) for Pakistani children. Study Design: Cross-sectional study. Place and Duration of Study: Various schools in Rawalpindi, from Feb to Mar 2021. Methodology: Present study comprised of translation, cross-language validation and investigation of psychometric properties of the scale into Urdu Language. Urdu translated version and strength and difficulty questionnaire were administered on 154 primary school children from various private schools situated in Rawalpindi district. Cronbach’s alpha reliability, item-total correlation and Pearson’s correlation coefficient were used for analysis. Results: Results revealed that this scale had good internal consistency and reliability (Urdu-version α=0.73; English-version α = 0.65) along with correlation coefficients over a period of 15 days (r=0.96). Cronbach’s alpha value of scales was found to be fairly high (r=0.78 and r=0.81). Item-total correlation of translated scale was also satisfactory (ranged from 0.04-0.58) and Pearson’s correlation of translated version with strength and difficulty questionnaire indicated good convergent validity (r= 0.54; p<0.01). Conclusion: Results supported the feasibility, reliability and validity of the Urdu version of this scale to screen depression among Urdu speaking pediatric Pakistani population. [ABSTRACT FROM AUTHOR]

Background: Understanding the prevalence of a psychiatric disorder among children is essential for formulating sound public health policy. Aim: This study is aimed to estimate the prevalence of depression in urban school-going adolescents and its association with age, sex, and birth order. Materials and Methods: A total of 500 participants in the age group 12–16 years from a working-class community, studying in an urban school, were selected for the study. The children with a score greater than or equal to 19 on the CDI scale were taken for the second phase, and diagnosis of depression was confirmed by a psychiatric consultant through a clinical interview. In clinically diagnosed cases, all help was rendered, including follow-up. Results: The prevalence of clinical depression among school-going children of age group 12–16 years was 8.4%. There was no significant gender difference in the prevalence of clinical depression. Significantly, more children had clinical depression in the age group of 14–16 years than in the 12–14 years of age group. Depressive symptoms were more among children with first birth order. Conclusions: These results show that depression is common in school going urban adolescents in India and highlight the need for screening school-age children for depression so that early intervention can be provided.

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Whether effects of psychotherapies for depression are sustained after treatment is an important clinical issue. In older depressed children and adolescents such treatments have been shown to be sustained for several months. Rates of remission ranged from 62–69% at 3 months–1 year in one large scale study. To date there has been no data to inform whether the effects of earlier interventions for depression in the preschool period are sustained. To address this, we used data from a randomized controlled trial of a novel early intervention for depression called "Parent Child Interaction Therapy Emotion Development" (PCIT-ED) that has shown efficacy for depression, parenting stress and parenting practices. Participants and their caregivers were re-assessed 18 weeks after treatment completion. All study procedures were approved by the Washington University School of Medicine Internal Review Board prior to data collection. Study findings demonstrated a high rate of sustained gains in remission from depression, decreased parenting stress and parental depression 18 weeks after completion of a trial of PCIT-ED in a population of young children. Parental response to the child expression of emotion, a key treatment target drifted back towards baseline after 3 months. Relapse rates were 17% and predictors of relapse were the presence of an externalizing disorder, a higher number of co-morbid disorders and poorer guilt reparation and emotion regulation measured at treatment completion. This extends the body of literature demonstrating parent–child interaction therapy (PCIT) to have sustained effects on targeted disruptive symptom profiles to early childhood depression. This relatively low relapse rate after 18 weeks is comparable or better than many empirically proven treatments for depression in older children. [ABSTRACT FROM AUTHOR]

Background: Although children’s depressive and anxious symptoms have been broadly construed as internalizing problems, the current study sought to identify factors that may differentially contribute to these two mental health problems in a high-risk sample. Prior research has not adequately tested both depressive versus anxious symptoms simultaneously, nor has it adequately considered the role of negative versus positive parenting simultaneously, thereby neglecting the potential overlap in both sets of constructs. Overlooking such potential statistical overlap obfuscates how factors may differentially contribute to either depressive versus anxious symptoms. Existing research has also focused on lower-risk community samples. Method: The present study investigated whether children’s negative self-concept or maladaptive attributional style mediated the link between both negative and positive parenting in a racially diverse, at-risk sample of 65 primary school-age children recruited from mental health agencies. Results: When tested together, more negative parenting, but not less positive parenting, retained direct effects on both depressive and anxious symptoms. Both negative self-concept and maladaptive attributional style fully mediated the association between less positive parenting and children’s depressive symptoms, whereas positive self-concept, but not attributional style, mediated between less positive parenting and anxious symptoms. Conclusions: The current findings underscore potential differential intervention targets for these two internalizing problems and highlight the need for future research to consider both depressive and anxious symptoms, and related predictors, simultaneously to control for their shared variance.

Objective: The aim of this study is to develop a new measurement instrument for understanding the depressive symptoms among preschool children. Methods: The study population included mothers of 1716 children who are 37-80 month-old from Istanbul. The Children's Depressive Symptom Assessment Scale draft form and Demographic Information Form, Conners' Parent Rating Scale-Short Form were used as data collection tools. Results: Content validity, construct validity, criterion validity and normal and psychiatric group comparison, internal consistency, item analysis and test-retest reliability studies were performed in the stages of the scale development. According to the explanatory and confirmatory factor analyzes, it is verified that the scale has 56 items and an eightdimensional structure. These dimensions are named as maladjustment to the objective reality, aggression, social adaptation, loss-separation anxiety, early (archaic) anxieties, impulsivity and hyperactivity, deterioration in cognitive processes (attention and learning ability) and somatization. Conclusion: In conclusion, this scale designed based on parental feedback, has been found to be a reliable and valid measure of screening depressive symptoms in children and can be used in the field. [ABSTRACT FROM AUTHOR]

In recent decades, the prevalence of childhood depression and obesity has increased worldwide. African American (AA) children are more obese than White peers and experience many factors that can influence the onset of depressive symptoms. While depression and obesity have been examined in adolescents, there is a paucity of research in AA children. This study examined the relationships among depressive symptoms, obesity, and physical activity self-efficacy in AA children. A community sample of 65 AA children completed questionnaires for depressive symptoms and physical activity self-efficacy and also had body mass index (BMI) and BMI Z-scores calculated. Correlational statistics were used to examine associations between variables. Clinically significant total depression scores were present in 22% of children, while 48% were overweight or obese. Overall, children reported high physical activity self-efficacy. Higher depressive symptoms were associated with higher BMI Z-scores. Results also indicated significant correlations between the children's physical activity self-efficacy and depressive symptoms. Findings suggest that the associations between depressive symptoms, BMI, and physical activity self-efficacy in AA children merit additional examination. Early identification of depression in children may inform future approaches to treatment of psychological and physiological problems within the clinical setting. Screening for childhood depressive symptoms in primary care settings, especially those that specifically treat childhood obesity, can be instrumental in early identification of children with depression. Healthcare providers should be knowledgeable of the clinical presentation of depression and engaged in depression screening. Highlights: Twenty-two percent of children reported clinically significant depressive symptoms. Negative mood/physical symptoms occurred in 25% of children. Higher BMI Z-scores were associated with greater interpersonal problems. Physical activity self-efficacy was high among the children at every BMI. [ABSTRACT FROM AUTHOR]

Hypertensive disorders of pregnancy (HDP) may increase the risk of offspring depression in childhood. Low birth weight is also associated with increased risk of mental health problems, including depression. This study sought to investigate (a) whether there is an association between HDP and the risk of depression in childhood and (b) whether low birth weight mediates this association. The current study is based on the Avon Longitudinal Study of Parents and Children (ALSPAC), a prospective, population-based study that has followed a cohort of offspring since their mothers were pregnant (n = 6,739). Depression at the age of 7 years was diagnosed using parent reports via the Development and Well-Being Assessment (DAWBA). Log-binomial regression and mediation analyses were used. Children exposed to HDP were 2.3 times more likely to have a depression diagnosis compared with nonexposed children, adjusted Risk Ratio [RR], 2.31; 95% CI, [1.20, 4.47]. Low birth weight was a weak mediator of this association. Results were adjusted for confounding variables including antenatal depression and anxiety during pregnancy.This study suggests that fetal exposure to maternal hypertensive disorders of pregnancy increased the risk of childhood depression. The study adds to the evidence suggesting that the uterine environment is a critical determinant of neurodevelopmental and psychiatric outcomes. [ABSTRACT FROM AUTHOR]

Background: This study sought to identify depression trajectories across childhood and to model a range of child and family predictors of whether a child may be on an increasing trajectory towards depressive disorder in adolescence.Methods: Multi-group growth mixture modelling (MGMM) was used on a sample of 4983 children from the Longitudinal Study of Australia Children (LSAC). Depressive symptoms of these children were assessed over 10-years with six time-points, administered every second year commencing at 4 years via the parent report version of the Strength and Difficulties Questionnaire. Predictors of class membership were also examined.Results: Four trajectories were found to be the best fitting model characterising low-stable (75%); decreasing (11%); increasing (9%); high and rising (6%) groups. Females were more likely to be in a trajectory of increasing depressive symptoms between 4 and 14 years of age than males. Reactive temperament and maternal depression at four and six years of age were consistent predictors of increasing and high trajectories while persistent temperament acts as a protective factor for females.Limitations: The findings should be interpreted in the light of limitations due to common-method variance and the absence of diagnostic indicators of depressive disorder.Conclusions: We conclude that there are gender differences in patterns of depressive symptoms from childhood to adolescence and meaningful predictors of these early developmental trajectories. Preventative interventions in childhood targeting parents with depression and children with temperamental difficulties may be indicated. [ABSTRACT FROM AUTHOR]

Background: Understanding the prevalence of a psychiatric disorder among children is essential for formulating sound public health policy. Aim: This study is aimed to estimate the prevalence of depression in urban school-going adolescents and its association with age, sex, and birth order. Materials and Methods: A total of 500 participants in the age group 12–16 years from a working-class community, studying in an urban school, were selected for the study. The children with a score greater than or equal to 19 on the CDI scale were taken for the second phase, and diagnosis of depression was confirmed by a psychiatric consultant through a clinical interview. In clinically diagnosed cases, all help was rendered, including follow-up. Results: The prevalence of clinical depression among school-going children of age group 12–16 years was 8.4%. There was no significant gender difference in the prevalence of clinical depression. Significantly, more children had clinical depression in the age group of 14–16 years than in the 12–14 years of age group. Depressive symptoms were more among children with first birth order. Conclusions: These results show that depression is common in school going urban adolescents in India and highlight the need for screening school-age children for depression so that early intervention can be provided. [ABSTRACT FROM AUTHOR]

Background: Temperament in children and adolescents acts as a trait marker which can predict behavioral abnormalities. There was no systemic study in India which has compared the temperamental, behavioral and cognitive changes associated with this hemoglobinopathy among thalassemia major (TM) group. Materials and Methods: The specific objectives of this study were to find the clinicodemographic profile of individuals and parents, the behavioral, temperamental profile of children of beta TM and correlation of temperamental profile with number of blood transfusions, cognitive profile of children having beta TM, minor and age-matched control children and adolescents. Results: Child and adolescents having TM have more temperamental and behavioral problems (P < 0.001) and have more psychopathology in comparison to Tm group. Descriptive statistics of the groups and group comparison (ANOVA) shows statistically significant difference in Temperament Measurement Schedule (TMS) total, CPMS total, TMT A, TMT B, and Children’s Depression Rating Scale (CDRS) scales (P = 0.000). Descriptive statistics and group comparison (Chi-square test) show significance in number of blood transfusions not with other parameters (P < 0.001). Comparison between TM (Case) and Tm (Control) (t-test) shows significance with only TMS total and CPMS scales, not in other scales. The correlation matrix showed significant correlation in-between all the parameters (blood transfusion, TMS, CPMS, TMT A, TMT B, and CDRS). Discussion: Those who have been diagnosed as TM have more behavioral and cognitive problems than their comparators. Youngsters receiving more blood transfusions due to their ailments scored higher in childhood depression rating scale. Conclusion: The temperamental, behavioural and cognitive profile are key determinants of both internalizing and externalizing symptoms and management plan can be guided accordingly as reflected in this study. [ABSTRACT FROM AUTHOR]

Background: Depression has major negative consequences for individuals and society, and psychological assessment tools for early disease detection are needed. The aim of this study was to investigate the reliability and validity of an updated Japanese version of the Children's Depression Inventory (CDI‐J) and set a cut‐off score for the detection of depression. Methods: The participants consisted of 465 children and adolescents aged 7–17 years. The control (CON) groups consisted of students recruited from elementary and junior‐high school (CONEJ) and children recruited from among hospital staff members (CONRE), while the outpatient clinical (OPC) groups consisted of pediatric psychosomatic outpatients (OPCPD) and adolescent psychiatric outpatients (OPCPS). The CON and OPC CDI‐J scores underwent factor analysis using varimax rotation, followed by measurement invariance analysis. The Youth Self‐Report (YSR) was administered to assess concurrent validity. The Mini‐International Neuropsychiatric Interview was administered to the OPC group to diagnose current depressive symptoms. Receiver operating characteristics (ROC) analysis was conducted to evaluate case‐finding performance and to set cut‐off points for the detection of depression. Results: The CDI‐J was reliable in terms of internal consistency (Cronbach α = 0.86; mean inter‐item correlation, 0.16). Re‐test reliability was substantial (mean interval 18 days: γ = 0.59, P < 0.05). The four‐factor solution exhibited adequate internal consistency (range, 0.52–0.73) and correspondence (Pearson correlation of 0.65 with the YSR) for both the CON and OPC groups. On ROC analysis the optimal cut‐off score was 23/24. Conclusion: The CDI‐J can be used as a reliable and well‐validated instrument alongside standard diagnostic procedures. [ABSTRACT FROM AUTHOR]

Copyright of Consensus (16803817) is the property of Universidad Femenina del Sagrado Corazon and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

The goal of this study is to explore the relationship between students’ self-reported stress and teacher-informed depression, and to determine whether students’ resilience, self-concept, and social skills moderate this relationship. The sample included 481 participants aged 7-10 years, with a total of 252 boys (52.4%) and 229 girls (47.6%). The participants were selected from schools in the Basque country, 59.5% from public schools (n = 286) and 40.5% from private/subsidized schools (n = 195). To measure the variables under study, we requested the teachers to complete a questionnaire on depressive symptomatology for each of their students (CDS-teacher), and the students completed another four assessment tools to evaluate their levels of stress (IECI), their self-concept (CAG), social skills (SSiS), and resilience (RSCA). We found a positive correlation between depression and school stress and a negative one between depression and intellectual self-concept, sense of control, social skills (cooperation and responsibility), and variables that make up resilience (optimism, adaptability, trust, support, and tolerance). We found that self-concept, social skills, and resilience all moderated the relationship between stress and childhood depression. The amount of variance explained in the moderation models obtained ranged from 18 to 76%. The results obtained may be useful for the design of prevention and intervention programs for childhood depression, including strengthening children’s self-concept, social skills, and resilience as protective factors against depression. [ABSTRACT FROM AUTHOR]

This study aims to determine whether changes in sleep quantity and quality in childhood are associated with incidence of depressive symptoms. We used the three waves of the Korean Children & Youth Panel Survey (2011–2013). Statistical analysis using a generalized estimating equation model was performed. The 2,605 subjects analyzed included 1,453 students in 2012 and 1,152 students in 2013 without depressive symptoms in the prior year. We found that deteriorated or consistently poor sleep quality were important risk factors for depressive symptoms in children. We suggest that early detection and intervention of poor sleep quality in elementary school is required to reduce early onset depressive symptoms. [ABSTRACT FROM AUTHOR]

Based on a one-year longitudinal study of 1,769 children from schools across countries diagnosed with depressive symptoms, this randomized, controlled, trial-based research has investigated the influences and impact on childhood depression of two kinds of spiritual programs, customized and open-ended. Results of the analysis of variance (ANOVA) andt-test showed that children had lower scores on depression scales and higher scores on the happiness scale post-intervention. Results of the logistic regression analysis and structural equation models specifically highlighted that boys, Christians, children from the middle class, and those who underwent the customized spiritual program were more likely to exhibit lower depressive symptoms and greater happiness, post-intervention. The implications of these findings for social work with depressed children have been discussed. [ABSTRACT FROM PUBLISHER]

Supporting the positive development of a special needs child is especially challenging when parents have separated or divorced. Invariably, there is an increased need for collaborative co-parenting wherein information is shared and intervention plans can be implemented effectively. In this article, the evolving literature on parental gatekeeping is applied to families with special needs children, as it offers a useful model for understanding the strengths and liabilities of co-parenting relationships. We describe some of the typical and unique gatekeeping dynamics that occur when children suffer from developmental, physical, and/or psychiatric syndromes that require specific treatment and specialized parenting skills. Examples of both restrictive and facilitative gatekeeping are described as they manifest in these families. Implications for decision making are also discussed. [ABSTRACT FROM AUTHOR]

Approaches for the development of preclinical models of depression extensively use adult and male animals owing to the discrepancies arising out of the hormonal flux in adult females and adolescents during attainment of puberty. Thus the increased vulnerability of females towards clinical depression and anxiety-related disorders remains incompletely understood. Development of clinical models of depression in adolescent females is essential in order to evolve effective treatment strategies for adolescent depression. In the present study, we have examined the anxiety and depressive-like profiles in a putative animal model of childhood depression, the Wistar Kyoto (WKY) rat, during early adolescence (∼postnatal day 30) and mid-adolescence (∼postnatal day 40). Female adolescent WKY rats, tested on a series of behavioural tests modelling anxiety- and depressive-like behaviours with age-matched Wistars as controls, demonstrated marked differences during early adolescence in a strain- and age-specific manner. Anxiety indices were obtained from exposure to the elevated plus maze, where social communication vide 50-kHz ultrasonic vocalizations was also assessed, while immobility and other parameters in the forced swim test were screened for depressive-like profiles. Sucrose preference, used as a measure of anhedonia in animals, was lower in WKYs at both ages tested and decreased with age. Anxiety-related behaviours were prominent in WKY rats only during early adolescence. WKY female rats are anxious during early adolescence and exhibit anhedonia as a core symptom of depression during early- and mid-adolescence, thus indicating that inclusion of female animals in preclinical trials is essential and will contribute to gender-based approaches to diagnosis and treatment of adolescent depression in females. [ABSTRACT FROM AUTHOR]

Our longitudinal study contributes to the body of literature on depression in childhood by examining potential protective factors. We investigated the influence of maternal depressive symptoms on child depressive symptoms at early school age and its gender-specific moderation by children's narrative representations of the maternal figure, over and above children's own depressive symptoms at preschool age. Children's narrative representations were assessed using the MacArthur Story Stem Battery in 170 preschool children (92 girls; 54.1 %) oversampled for internalizing symptoms. Children's depressive symptoms were assessed at preschool age (Time 1; 4-6 years) and at early school age (Time 2; 6-8 years) by maternal report; mothers' depressive symptoms were assessed at Time 1. The results showed that for boys, only their own depressive symptoms at Time 1 predicted their depressive symptoms at Time 2. For girls, maternal depressive symptoms were a significant risk factor for their own depressive symptoms at Time 2. Regarding this association, we also found a moderation effect: girls with more positive narrative representations of the maternal figure showed a reduced negative impact of maternal depressive symptoms on their own depressive symptoms at Time 2. This implies that clinical practice should screen a child for early depressive symptoms, especially if the mother displays depressive symptoms. Clinicians might also assess children's inner working models, which can serve as a protective factor. [ABSTRACT FROM AUTHOR]