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The effects on children of depressed mothers' remission and relapse over 9 months
- Source :
- Psychological Medicine. 44:2811-2824
- Publication Year :
- 2014
- Publisher :
- Cambridge University Press (CUP), 2014.
-
Abstract
- BackgroundThe high rate of depression among children of depressed mothers is well known. Suggestions that improvement in maternal acute depression has a positive effect on the child have emerged. However, data on the mechanisms of change have been sparse. The aim was to understand how remission and relapse in the mother might explain the changes in the child's outcome.MethodParticipants were 76 depressed mothers who entered into a medication clinical trial for depression and 135 of their eligible offspring ages 7–17 years. The mothers and children were assessed at baseline and periodically over 9 months by independent teams to understand the relationship between changes in children's symptoms and functioning and maternal remission or relapse. The main outcome measures were, for mothers, the Hamilton Depression Rating Scale (HAMD), the Social Adjustment Scale (SAS) and the Parental Bonding Instrument (PBI) and, for children, the Children's Depression Inventory (CDI), the Columbia Impairment Scale (CIS), the Multidimensional Anxiety Scale for Children (MASC) and the Children's Global Assessment Scale (CGAS).ResultsMaternal remission was associated with a decrease in the child's depressive symptoms. The mother's subsequent relapse was associated with an increase in the child's symptoms over 9 months. The effect of maternal remission on the child's improvement was partially explained by an improvement in the mother's parenting, particularly the change in the mother's ability to listen and talk to her child, but also reflected in her improvement in parental bonding. These findings could not be explained by the child's treatment.ConclusionsA depressed mother's remission is associated with her improvement in parenting and a decrease in her child's symptoms. Her relapse is associated with an increase in her child's symptoms.
- Subjects :
- Adult
Male
Pediatrics
medicine.medical_specialty
Social adjustment
Adolescent
Subsequent Relapse
Offspring
Mothers
Article
Child of Impaired Parents
Recurrence
Rating scale
Hamd
Humans
Medicine
Child
Applied Psychology
Depression (differential diagnoses)
Parenting
Depression
business.industry
Remission Induction
Middle Aged
Mother-Child Relations
Clinical trial
Psychiatry and Mental health
Disease Progression
Female
business
Anxiety scale
Clinical psychology
Subjects
Details
- ISSN :
- 14698978 and 00332917
- Volume :
- 44
- Database :
- OpenAIRE
- Journal :
- Psychological Medicine
- Accession number :
- edsair.doi.dedup.....e66d3a208fa38e75cd423542f3aa3c93