Maternal depression and comorbidity: predicting early parenting, attachment security, and toddler social-emotional problems and competencies

OBJECTIVE: To examine relations between maternal depression (in pure and comorbid forms) and mother-infant interactions, infant attachment, and toddler social-emotional problems and competencies. A second objective was to explore sex differences. METHOD: Sixty-nine mother-infant dyads were followed from pregnancy to 30 months postpartum. Depression was measured at multiple times with self-report and interview assessments. Play was assessed at 4 months and attachment status at 14 months postpartum. At 30 months, mothers completed the Child Behavior Checklist and Infant-Toddler Social and Emotional Assessment. RESULTS: Lifetime maternal depression predicted less optimal mother-infant interactions and insecure infant attachment. However, this "depression effect" was accounted for by mothers with comorbid diagnoses, who had less optimal interactions, and infants with higher rates of insecurity than either mothers with depression only or mothers with no psychopathology. Prenatal and postpartum depressive symptoms were associated with problem behaviors and lower competencies for boys. In contrast, quality of early interactions predicted problem behaviors in girls. CONCLUSIONS: It is important to examine the context of maternal depression with respect to additional psychopathology and environmental risks. Maternal depression in the presence of other psychopathology confers risk to the mother-child dyad. Consistent with previous work, risk pathways appear to differ for boys and girls. Early identification and prevention efforts are warranted.     

Maternal prenatal stress and postnatal depressive symptoms: discrepancy between mother and teacher reports of toddler psychological problems

Purpose

Maternal prenatal stress and postnatal depression are reported to increase the risk for early offspring psychological problems. We examined whether these two stressors predicted toddler emotional or behavioral problems based on the mother and teacher reports, respectively.

Methods

A longitudinal study within the Odense Child Cohort (OCC). Prenatal stress was assessed (gestation week 28) using Cohen’s Perceived Stress Scale (PSS). Depressive symptoms were assessed (3 months after birth) using the Edinburgh Postnatal Depression Scale (EPDS). Behavioral and emotional problems were assessed by mothers using the preschool version of Child Behaviour Checklist (CBCL) and by teachers using the caregiver–teacher report form (CTR-F).

Results

N = 1302 mother–child dyads were included. CBCL (N = 1302) was collected at 29 months (SD 5.3) and C-TRF (N = 989) at 32.6 months (SD 6.9). N = 70 mothers (5.4%) were at high risk for postnatal depression (EPDS score > 12). Generalized additive models showed that prenatal stress (increase of + 1 on PSS-10 total score) predicted an increase in CBCL (+ 0.011) and C-TRF (+ 0.015) total scores. Postnatal depressive symptoms (increase of + 1 on EPDS total score) only predicted an increase in CBCL total score (+ 0.026).

Conclusion

Prenatal maternal stress was a significant predictor of both mother and teacher reported toddler emotional and behavioral problems, although effect sizes were small. Postnatal depressive symptoms were associated with increased maternal (but not teacher) reporting of toddler problems. Mothers reported more toddler psychological problems than teachers, and the mother–teacher discrepancy was positively correlated to maternal postnatal depressive symptoms.

     

Maternal smoking during pregnancy and risk of criminal behavior among adult male offspring in the Northern Finland 1966 Birth Cohort.

OBJECTIVE: The goal of this study was to test the hypothesis that maternal smoking during pregnancy is associated with greater risk for criminal behavior of the offspring in adulthood. METHOD: An unselected, general population cohort composed of 11,017 subjects (5,636 men, 5,381 women) was followed up prospectively from the sixth month of pregnancy to age 28 years. Interviews with the mother during the pregnancy, health records, and an assessment of the offspring at age 1 year provided information on risk factors. The Ministry of Justice provided information on criminal offenses for all subjects. RESULTS: Because of the low rate of criminal offenses among women, the present analyses are restricted to men (N = 5,636). Compared to the sons of mothers who did not smoke, the sons of mothers who smoked during pregnancy had more than a twofold risk of having committed a violent crime or having repeatedly committed crimes, even when other biopsychosocial risk factors were controlled. While maternal smoking during pregnancy alone explained 4% of the variance associated with violent offenses among male offspring, it was not significantly associated with nonviolent offenses among male offspring. When maternal smoking during pregnancy was combined with a maternal age of less than 20 years, a single-parent family, an unwanted pregnancy, and a developmental lag in walking or talking, the odds ratios for violent offenses increased up to ninefold and for persistent offenses up to 14-fold. CONCLUSIONS: Maternal smoking during pregnancy is associated with violent offenses and persistent offenses, but not with nonviolent offenses, among male offspring in adulthood.     

Child maltreatment: risk of adjustment problems and dating violence in adolescence

OBJECTIVE: To examine the relationship between child maltreatment, clinically relevant adjustment problems, and dating violence in a community sample of adolescents. METHOD: Adolescents from 10 high schools (N= 1,419; response rate = 62%) in southwestern Ontario completed questionnaires that assessed past maltreatment, current adjustment, and dating violence. Logistic regression was used to compare maltreated and nonmaltreated youths across outcome domains. RESULTS: One third (n = 462) of the school sample reported levels of maltreatment above the cutoff score on the Childhood Trauma Questionnaire. Girls with a history of maltreatment had a higher risk of emotional distress compared with girls without such histories (e.g., odds ratios [OR] for anger, depression, anxiety, and posttraumatic stress-related problems were 7.1, 7.2, 9.3, and 9.8, respectively). They were also at greater risk of violent and nonviolent delinquency (OR = 2.7) and carrying concealed weapons (OR = 7.1). Boys with histories of maltreatment were 2.5 to 3.5 times as likely to report clinical levels of depression, posttraumatic stress, and overt dissociation as were boys without a maltreatment history. They also had a significantly greater risk of using threatening behaviors (OR = 2.8) or physical abuse (OR = 3.4) against their dating partners. CONCLUSIONS: Maltreatment is a significant risk factor for adolescent maladjustment and shows a differential pattern for male and female adolescents.     

Child and Maternal Mental Health Before and During the COVID-19 Pandemic: Longitudinal Social Inequalities in a Brazilian Birth Cohort

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Links Between Maternal and Child Psychopathology Symptoms: Mediation Through Child Emotion Regulation and Moderation Through Maternal Behavior

This study examined the intergenerational transmission of psychopathology symptoms with 7–12 year-old children (N = 97; 44 boys, 53 girls, M age = 9.14, SD = 1.38) and their mothers (M age = 38.46, SD = 6.86). Child emotion regulation mediated the links between maternal psychopathology and child internalizing and externalizing symptoms. In turn, the indirect effect was dependent on the level of maternal support in response to youth’s expressions of negative emotions when considering particular constellations of maternal reactions and type of psychopathology symptoms. The findings indicate that the relations between maternal and child psychopathology symptoms and child emotion regulation are complex and vary by context. Regardless of the complexity, however, for both internalizing and externalizing symptoms in youth, the results suggest that building adaptive emotion regulation skills is an important target for prevention among children who are at risk for problems due to exposure to maternal psychopathology.     

Cohort Profile: Quebec Longitudinal Study of Child Development (QLSCD)

Purpose

The Quebec Longitudinal Study of Child Development (QLSCD) was designed to examine the long-term associations of preschool physical, cognitive, social, and emotional development with biopsychosocial development across childhood, adolescence, and young adulthood.

Methods

QLSCD is an ongoing prospective cohort including 2120 singletons born in 1997/1998 in the Canadian province of Quebec. So far, data have been collected annually or every 2 years from child ages 5 months to 21 years. The cohort currently includes 1245 participants. Data available include a range of environmental (e.g., family characteristics, child behaviour, educational attainment, mental health), biological (e.g., hair cortisol, genetic, epigenetic), and administrative data.

Results

QLSCD has contributed to the understanding of children’s psychosocial development, including the development of physical aggression and anxiety. QLSCD articles have advanced scientific knowledge on the influence of early childhood factors on childhood, adolescent, and young adult mental health, including the effect of participation in early childcare on cognitive and behavioural development, the developmental origins of adolescent and young adult mental health problems and suicide risk, and the development of interpersonal difficulties (e.g., peer victimisation) from preschool years to adolescence.

Conclusion

QLSCD has given major contributions to our understanding of the link between different aspects of child development and biopsychosocial development during the first two decades of life. Unique features include the presence of environmental, biological, and administrative data, long-term follow-up with frequent data collections, and use of data from multiple informants, including teachers, mothers, fathers, and the children themselves.

     

Maternal beer drinking: offspring growth and brain myelination

The type of alcoholic beverage consumed by pregnant drinkers appears to influence fetal outcome. Beer drinkers are at greater risk than consumers of other alcoholic beverages for having children with fetal alcohol effects (Sixth Special Report to the U.S. Congress on Alcohol and Health, 1987). The magnitude of the risk is increased, because beer is a very popular beverage in our society. Although animal models have been developed to mimic fetal alcohol effect in humans, it is possible that stressful procedures such as intubation, and the hunger of pair-fed animals matched to animals drinking ethanol in liquid diet have interfered with obtaining a pattern of alcohol intake which closely matches that of humans. A majority of the animal models used for alcohol studies have provided ethanol for intake, rather than alcoholic beverages such as beer, which is favored by humans. Thus, a new model for voluntary beer drinking by rats is presented here for use in the study of maternal beer drinking during gestation, and the subsequent developmental consequences in the offspring. Female Long Evans rats (N = 45) were tested by beer preference and assigned to beer drinking (BR) or control groups. All animals were given standard laboratory diet and water ad libitum. BR dams were provided ad libitum access to beer. A pair-fed group (PF) was given non-alcoholic beer with dextrin added to match the caloric intake of the BR animals. Control animals (CT) were given free access to food and water. Control groups included beer preferring animals as well as non-preferring animals.(ABSTRACT TRUNCATED AT 250 WORDS)     

泸州市在校大学生饮酒现状及危险因素

目的调查泸州市在校大学生饮酒现状,探讨大学生危险和有害饮酒的危险因素,为有效防治大学生危险和有害饮酒提供依据。方法采用分层整群随机抽样,于2015年3月10日-20日抽取四川省泸州市四所高校共1381名大学生,采用自编一般情况调查问卷、自编饮酒情况调查问卷和酒精使用障碍筛查量表(AUDIT)对其进行现场匿名调查。结果曾饮酒率为73.3%,目前饮酒率51.1%,过量饮酒率41.0%,醉酒率为24.0%,危险和有害饮酒检出率为20.8%。男生曾饮酒率(83.4%vs.60.8%)、危险和有害饮酒率(30.9%vs.8.3%)均与女生比较差异均有统计学意义(χ~2=88.39、57.39,P均0.01)。性别、初次饮酒年龄、自评饮酒依赖状况、自评饮酒量、过去一年的饮酒天数、醉酒天数、饮酒导致的不良结果、最近一年豪饮的频数8个变量是饮酒者发生危险和有害饮酒行为的危险因素(OR=0.248~1.647)。结论泸州市在校大学生男生曾饮酒率及危险和有害饮酒发生率均高于女生。男生、初次饮酒年龄越小、自我感觉酒依赖状况越重、饮酒量越高、近一年饮酒和醉酒以及豪饮的天数越多、饮酒导致了不良后果的容易成为危险和有害饮酒者。     

Childhood Anxiety: Prenatal Maternal Stress and Parenting in the QF2011 Cohort

Child Psychiatry & Human Development - In this study we examine whether specific ‘anxiety-maintaining’ parenting behaviors (i.e., overinvolvement and/or negativity) exacerbate the...     

Maternal and environmental characteristics as predictors of child behavior problems and cognitive competence.

Maternal and environmental characteristics as predictors of behavioral problems and cognitive competence in 505 Israeli kindergarten children were investigated. Events in closer temporal proximity to assessments of functioning appeared more predictive than those in early infancy. Findings support the need to include variables reflecting maternal characteristics in any prediction of child outcome and to consider the sex of the child in selection of variables.     

University of Rochester Child and Family Study: risk research in progress

The University of Rochester Child and Family Study (URCAFS) is a risk research program concerned with cross-sectional and developmental relationships among three areas: parental psychopathology and health, family system functioning and dysfunctioning, and child psychopathology and health. The preliminary findings indicate that both parental psychopathology and family variables predict significantly to independent measures of school functioning of index sons during their childhood and early adolescence. Although the offspring have not yet reached the age of major risk for schizophrenia, 52 percent of the families have one or more offspring either in psychiatric treatment or for whom treatment had been recommended.