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Trajectories of maternal depression over 7 years: Relations with child psychophysiology and behavior and role of contextual risks

Published online by Cambridge University Press:  23 January 2008

Sharon B. Ashman ,
Geraldine Dawson  and
Heracles Panagiotides
Sharon B. Ashman*
Affiliation:
University of Washington
Geraldine Dawson
Affiliation:
University of Washington
Heracles Panagiotides
Affiliation:
University of Washington
*
Address corrrespondence and reprint requests to: Sharon Ashman, Children's Hospital and Regional Medical Center, W-6839, Rehabilitation Psychology, 4800 Sand Point Way NE, Seattle, WA 98105; E-mail: sashman@u.washington.edu.
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Abstract

This study examines the relation between the longitudinal course of maternal depression during the child's early life and children's psychophysiology and behavior at age 6.5 years. One hundred fifty-nine children of depressed and nondepressed mothers were followed from infancy through age 6.5 years. Growth mixture modeling was used to identify classes of depressed mothers based on the longitudinal course of the mother's depression. School-aged children of chronically depressed mothers were found to have elevated externalizing behavior problems, decreased social competence, reduced frontal brain activation (EEG power), and higher respiratory sinus arrhythmia reactivity. Children of mothers with decreasing and stable mild depression were found to have increased hyperactivity and attention problems compared to children of nondepressed mothers. Contextual risk factors were found to mediate the relation between maternal depression and child behavioral outcomes.

Information

Type
Research Article
Information
Development and Psychopathology , Volume 20 , Issue 1 , Winter 2008 , pp. 55 - 77
Copyright
Copyright © Cambridge University Press 2008

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Footnotes

The authors acknowledge the mothers and children who participated in the Adjustment to Parenthood Study, as well as the following individuals who contributed to this study over the years: Karin Frey, Emily Yamada, Julie Osterling, Cathy Brock, Emily Werner, David Hessl, and Joanna Self. This research was supported by a grant from the National Institute of Mental Health (MH47117).

References

Abidin, R. R. (1990). Parenting Stress Index Short Form: Test manual. Charlottesville, VA: Pediatric Psychology Press.Google Scholar
Achenbach, T. M. (1979). Child Behavior Checklist. Bethesda, MD: National Institute of Mental Health.Google Scholar
Adrian, C., & Hammen, C. (1993). Stress exposure and stress generation in children of depressed mothers. Journal of Consulting and Clinical Psychology, 61, 354–359.CrossRefGoogle ScholarPubMed
Alpern, L., & Lyons-Ruth, K. (1993). Preschool children at social risk: Chronicity and timing of maternal depressive symptoms and child behavior problems at school and at home. Development and Psychopathology, 5, 371–387.CrossRefGoogle Scholar
Anderson, C. A., & Hammen, C. L. (1993). Psychosocial outcomes of children of unipolar depressed, bipolar, medically ill, and normal women: A longitudinal study. Journal of Consulting and Clinical Psychology, 61, 448–454.CrossRefGoogle ScholarPubMed
Angst, J., & Merikangas, K. (1997). The depressive spectrum: Diagnostic classification and course. Journal of Affective Disorders, 45, 31–40.CrossRefGoogle ScholarPubMed
Baron, R. M., & Kenny, D. A. (1986). The moderator–mediator variable distinction in social psychological research: Conceptual, strategic, and statistical considerations. Journal of Personality and Social Psychology, 51, 1173–1182.CrossRefGoogle ScholarPubMed
Beauchaine, T. (2001). Vagal tone, development, and Gray's motivational theory: Toward an integrated model of autonomic nervous system functioning in psychopathology. Development and Psychopathology, 13, 183–214.CrossRefGoogle ScholarPubMed
Brennan, P. A., Hammen, C., Andersen, M. J., Bor, W., Najman, J. M., & Williams, G. M. (2000). Chronicity, severity, and timing of maternal depressive symptoms: Relationships with child outcomes at age 5. Developmental Psychology, 36, 759–766.CrossRefGoogle ScholarPubMed
Calkins, S. D., & Fox, N. A. (2002). Self-regulatory processes in early personality development: A multilevel approach to the study of childhood social withdrawal and aggression. Development and Psychopathology, 14, 477–498.CrossRefGoogle Scholar
Campbell, S. B., Cohn, J. F., & Meyers, T. (1995). Depression in first-time mothers: Mother–infant interaction and depression chronicity. Developmental Psychology, 31, 349–357.CrossRefGoogle Scholar
Cicchetti, D., Rogosch, F. A., & Toth, S. L. (1998). Maternal depressive disorder and contextual risk: Contributions to the development of attachment insecurity and behavior problems in toddlerhood. Development and Psychopathology, 10, 283–300.CrossRefGoogle Scholar
Cowan, P. A., Cowan, C. P., Schulz, M. S., & Heming, G. (1994). Prebirth to preschool family factors in children's adaptation to kindergarten. In Parke, R. & Kellam, S. (Eds.), Exploring family relationships with other social contexts: Advances in family research (Vol. 4). Hillsdale, NJ: Erlbaum.Google Scholar
Davidson, R. J. (2000). Affective style, psychopathology, and resilience: Brain mechanisms and plasticity. American Psychologist, 55, 1196–1214.CrossRefGoogle ScholarPubMed
Davidson, R. J., & Fox, N. A. (1982). Asymmetrical brain activity discriminates between positive and negative affective stimuli in human infants. Science, 218, 1235–1237.CrossRefGoogle ScholarPubMed
Dawson, G., Ashman, S. B., Hessl, D., Spieker, S., Frey, K., Panagiotides, H., et al. (2001). Autonomic and brain electrical activity in securely- and insecurely-attached infants of depressed mothers. Infant Behavior and Development, 24, 135–149.CrossRefGoogle Scholar
Dawson, G., Ashman, S. B., Panagiotides, H., Hessl, D., Self, J., Yamada, E., et al. (2003). Preschool outcomes of children of depressed mothers: Role of maternal behavior, contextual risk, and children's brain activity. Child Development, 74, 1158–1175.CrossRefGoogle ScholarPubMed
Dawson, G., Frey, K., Panagiotides, H., Osterling, J., & Hessl, D. (1997). Infants of depressed mothers exhibit atypical frontal brain activity: A replication and extension of previous findings. Journal of Child Psychology and Psychiatry and Allied Disciplines, 38, 179–186.CrossRefGoogle ScholarPubMed
Dawson, G., Frey, K., Panagiotides, H., Yamada, E., Hessl, D., & Osterling, J. (1999). Infants of depressed mothers exhibit atypical frontal electrical brain activity during interactions with mother and with a familiar, nondepressed adult. Child Development, 70, 1058–1066.CrossRefGoogle ScholarPubMed
Dawson, G., Frey, K., Self, J., Panagiotides, H., Hessl, D., Yamada, E., et al. (1999). Frontal brain electrical activity in infants of depressed and nondepressed mothers: Relation to variations in infant behavior. Development and Psychopathology, 11, 589–605.CrossRefGoogle ScholarPubMed
Dawson, G., Grofer Klinger, L., Panagiotides, H., Hill, D., & Spieker, S. (1992). Frontal lobe activity and affective behavior of infants of mothers with depressive symptoms. Child Development, 63, 725–737.CrossRefGoogle ScholarPubMed
Dawson, G., Panagiotides, H., Grofer Klinger, L., & Hill, D. (1992). The role of frontal lobe functioning in the development of self-regulatory behavior in infancy. Brain and Cognition, 20, 152–175.CrossRefGoogle Scholar
Downey, G., & Coyne, J. C. (1990). Children of depressed parents: An integrative review. Psychological Bulletin, 108, 50–76.CrossRefGoogle ScholarPubMed
Duggal, S., Carlson, E. A., Sroufe, L. A., & Egeland, B. (2001). Depressive symptomatology in childhood and adolescence. Development and Psychopathology, 13, 143–164.CrossRefGoogle ScholarPubMed
DuPaul, G. J. (1991). Parent and teacher ratings of ADHD symptoms: Psychometric properties in a community-based sample. Journal of Clinical Child Psychology, 20, 245–253.CrossRefGoogle Scholar
Emery, R., Weintraub, S., & Neale, J. M. (1982). Effects of marital discord on the school behavior of children of schizophrenic, affectively disordered, and normal parents. Journal of Abnormal Child Psychology, 10, 215–228.CrossRefGoogle ScholarPubMed
Essex, M. J., Klein, M. H., Miech, R., & Smider, N. A. (2001). Timing of initial exposure to maternal major depression and children's mental health symptoms in kindergarten. British Journal of Psychiatry, 179, 151–156.CrossRefGoogle ScholarPubMed
Fendrich, M., Warner, V., & Weissman, M. M. (1990). Family risk factors, parental depression, and psychopathology in offspring. Developmental Psychology, 26, 40–50.CrossRefGoogle Scholar
Fergusson, D. M., Horwood, L. J., & Lynskey, M. T. (1995). Maternal depressive symptoms and depressive symptoms in adolescents. Journal of Child Psychology and Psychiatry and Allied Disciplines, 36, 1161–1178.CrossRefGoogle ScholarPubMed
Fergusson, D. M., & Lynskey, M. T. (1993). The effects of maternal depression on child conduct disorder and attention deficit behaviours. Social Psychiatry and Psychiatric Epidemiology, 28, 116–123.CrossRefGoogle ScholarPubMed
Field, T., Fox, N. A., Pickens, J., & Nawrocki, T. (1995). Relative right frontal EEG activation in 3- to 6-month-old infants of “depressed” mothers. Developmental Psychology, 31, 358–363.CrossRefGoogle Scholar
Field, T., Healy, B., Goldstein, S., Perry, S., Bendell, D., Schanberg, S., et al. (1988). Infants of depressed mothers show “depressed” behavior even with nondepressed adults. Child Development, 59, 1569–1579.CrossRefGoogle ScholarPubMed
Field, T., Lang, C., Martinez, A., Yando, R., Pickens, J., & Bendell, D. (1996). Preschool follow-up of infants of dysphoric mothers. Journal of Clinical Child Psychology, 25, 272–279.CrossRefGoogle Scholar
Field, T., Pickens, J., Fox, N. A., Nawrocki, T., & Gonzalez, J. (1995). Vagal tone in infants of depressed mothers. Development and Psychopathology, 7, 227–231.CrossRefGoogle Scholar
Fox, N. A. (1991). If it's not left, it's right: Electroencephalograph asymmetry and the development of emotion. American Psychologist, 46, 863–872.CrossRefGoogle Scholar
Goodman, S. H., & Gotlib, I. H. (1999). Risk for psychopathology in the children of depressed mothers: A developmental model for understanding mechanisms of transmission. Psychological Review, 106, 458–490.CrossRefGoogle ScholarPubMed
Graham, C. A., & Easterbrooks, M. A. (2000). School-aged children's vulnerability to depressive symptomatology: The role of attachment security, maternal depressive symptomatology, and economic risk. Development and Psychopathology, 12, 201–213.CrossRefGoogle ScholarPubMed
Hammen, C. (1996). Stress, families, and the risk for depression. In Mundt, C. & Goldstein, M. J. (Eds.), Interpersonal factors in the origin and course of affective disorders (pp. 101–112). London: Gaskell/Royal College of Psychiatrists.Google Scholar
Hammen, C. (2002). Context of stress in families of children with depressed parents. In Goodman, S. H. & Gotlib, I. H. (Eds.), Children of depressed parents: Mechanisms of risk and implications for treatment (pp. 175–199). Washington, DC: American Psychological Association.CrossRefGoogle Scholar
Hammen, C., Burge, D., & Adrian, C. (1991). Timing of mother and child depression in a longitudinal study of children at risk. Journal of Consulting and Clinical Psychology, 59, 341–345.CrossRefGoogle Scholar
Hammen, C., Burge, D., Burney, E., & Adrian, C. (1990). Longitudinal study of diagnoses in children of women with unipolar and bipolar affective disorder. Archives of General Psychiatry, 47, 1112–1117.CrossRefGoogle ScholarPubMed
Hay, D. F., Pawlby, S., Sharp, D., Asten, P., Mills, A., & Kumar, R. (2001). Intellectual problems shown by 11-year-old children whose mothers had postnatal depression. Journal of Child Psychology and Psychiatry and Allied Disciplines, 42, 871–889.CrossRefGoogle ScholarPubMed
Hollingshead, A. B. (1975). Four Factor Index of Social Status. New Haven, CT: Yale University.Google Scholar
Jones, N. A., Field, T., & Davalos, M. (2000). Right frontal EEG asymmetry and lack of empathy in preschool children of depressed mothers. Child Psychiatry and Human Development, 30, 189–204.CrossRefGoogle ScholarPubMed
Jones, N. A., Field, T., Fox, N. A., Davalos, M., & Gomez, C. (2001). EEG during different emotions in 10-month-old infants of depressed mothers. Journal of Reproductive and Infant Psychology, 19, 295–312.CrossRefGoogle Scholar
Jones, N. A., Field, T., Fox, N. A., Davalos, M., Lundy, B., & Hart, S. (1998). Newborns of mothers with depressive symptoms are physiologically less developed. Infant Behavior and Development, 21, 537–541.CrossRefGoogle Scholar
Jones, N. A., Field, T., Fox, N. A., Lundy, B., & Davalos, M. (1997). EEG activation in 1-month-old infants of depressed mothers. Development and Psychopathology, 9, 491–505.CrossRefGoogle ScholarPubMed
Judd, L. L. (1997). The clinical course of unipolar major depressive disorders. Archives of General Psychiatry, 54, 989–991.CrossRefGoogle ScholarPubMed
Keller, M. B., Lavori, P., Freidman, B., Niesen, E., Endicott, J., McDonald-Scott, P., et al. (1987). The longitudinal interval follow-up evaluation: A comprehensive method for assessing outcome in prospective longitudinal studies. Archives of General Psychiatry, 44, 540–548.CrossRefGoogle ScholarPubMed
Keller, M. B., Lavori, P. W., Mueller, T. I., Endicott, J., Coryell, W., Hirschfeld, R. M. A., et al. (1992). Time to recovery, chronicity, and levels of psychopathology in major depression. Archives of General Psychiatry, 49, 809–816.CrossRefGoogle ScholarPubMed
Keller, M. B., Shapiro, R. W., Lavori, P. W., & Wolfe, N. (1982). Recovery in major depressive disorder: Analysis with the life table and regression models. Archives of General Psychiatry, 39, 905–915.CrossRefGoogle ScholarPubMed
Ladd, G. W., & Profilet, S. M. (1996). The Child Behavior Scale: A teacher-report measure of young children's aggressive, withdrawn, and prosocial behaviors. Developmental Psychology, 32, 1008–1024.CrossRefGoogle Scholar
Lee, C. M., & Gotlib, I. H. (1991). Adjustment of children of depressed mothers: A 10-month follow-up. Journal of Abnormal Psychology, 100, 473–477.CrossRefGoogle ScholarPubMed
Lovejoy, M. C., Graczyk, P. A., O'Hare, E., & Neuman, G. (2000). Maternal depression and parenting behavior: A meta-analytic review. Clinical Psychology Review, 20, 561–592.CrossRefGoogle ScholarPubMed
Luoma, I., Tamminen, T., Kaukonen, P., Laippala, P., Puura, K., Salmelin, R., et al. (2001). Longitudinal study of maternal depressive symptoms and child well-being. Journal of the American Academy of Child & Adolescent Psychiatry, 40, 1367–1374.CrossRefGoogle ScholarPubMed
Marshall, P. J., & Fox, N. A. (2000). Emotion regulation, depression, and hemispheric asymmetry. In Johnson, S. L. & Hayes, A. M. (Eds.), Stress, coping, and depression (pp. 35–50). Mahwah, NJ: Erlbaum.Google Scholar
Moos, R. H. (1974). Combined preliminary manual for the Family, Work, and Group Environment Scales. Palo Alto, CA: Consulting Psychologists Press.Google Scholar
Munson, J. A., McMahon, R. J., & Spieker, S. J. (2001). Structure and variability in the developmental trajectory of children's externalizing problems: Impact of infant attachment, maternal depressive symptomatology, and child sex. Development and Psychopathology, 13, 277–296.CrossRefGoogle ScholarPubMed
Muthen, B. O., Hendricks Brown, C., Masyn, K., Jo, B., Khoo, S.-T., Yang, C.-C., et al. (2002). General growth mixture modeling for randomized preventive interventions. Biostatistics, 3, 459–475.CrossRefGoogle ScholarPubMed
NICHD Early Child Care Research Network. (1999). Chronicity of maternal depressive symptoms, maternal sensitivity, and child functioning at 36 months. Developmental Psychology, 35, 1297–1310.CrossRefGoogle Scholar
Orvaschel, H., Walsh-Allis, G., & Ye, W. (1988). Psychopathology in children of parents with recurrent depression. Journal of Abnormal Child Psychology, 16, 17–28.CrossRefGoogle ScholarPubMed
Radloff, L. S. (1977). The CES-D scale: A self-report depression scale for research in the general population. Applied Psychological Measurement, 1, 385–401.CrossRefGoogle Scholar
Sarason, I. G., Johnson, J. H., & Siegel, J. M. (1978). Assessing the impact of life changes: Development of the life experiences survey. Journal of Consulting and Clinical Psychology, 46, 932–946.CrossRefGoogle ScholarPubMed
Sarason, I. G., Levine, H. M., Basham, R. B., & Sarason, B. R. (1983). Assessing social support: The social support questionnaire. Journal of Personality and Social Psychology, 44, 127–139.CrossRefGoogle Scholar
Sattler, J. (1990). Assessment of children (3rd ed.). San Diego, CA: Jerome M. Sattler.Google Scholar
Seifer, R., Sameroff, A. J., Dickstein, S., Keitner, G., Miller, I., Rasmussen, S., et al. (1996). Parental psychopathology, multiple contextual risks, and one-year outcomes in children. Journal of Clinical Child Psychology, 25, 423–435.CrossRefGoogle Scholar
Shaffer, D., Fisher, P., Lucas, C. P., Dulcan, M. K., & Schwab Stone, M. E. (2000). NIMH Diagnostic Interview Schedule for Children Version IV (NIMH DISC-IV): Description, differences from previous versions, and reliability of some common diagnoses. Journal of the American Academy of Child & Adolescent Psychiatry, 39, 28–38.CrossRefGoogle ScholarPubMed
Shaffer, D., Schwab-Stone, M., Fisher, P., Davies, D., Piacantini, J., & Gioia, P. (1991). The NIMH Diagnostic Interview Schedule for Children. Rockville, MD: National Institute of Mental Health.Google Scholar
Sinclair, D., & Murray, L. (1998). Effects of postnatal depression on children's adjustment in school. British Journal of Psychiatry, 172, 58–63.CrossRefGoogle Scholar
Sobel, M. E. (1982). Asymptotic confidence intervals for indirect effects in structural equation models. In Leinhardt, S. (Ed.) Sociological methodology (pp. 290–312). Washington, DC: American Sociological Association.Google Scholar
Spanier, G. B. (1976). Measuring dyadic adjustment: New scales for assessing the quality of marriage and similar dyads. Journal of Marriage and the Family, 38, 15–28.CrossRefGoogle Scholar
Spitzer, R. L., Williams, J. B., Gibbon, M., & First, M. (1989). Structured clinical interview for DSM-III-R (with psychotic screen). New York: New York State Psychiatric Institute, Biometric Research Department.Google Scholar
Steriade, M. (1981). EEG desynchronization is associated with cellular events that are prerequisites for active behavior states. Commentary on “Reticulo-cortical activity and behavior. A critique of the arousal theory and a new synthesis” by C. H. Vanderwolf & T. E. Robinson. The Behavioral and Brain Sciences, 4, 489–492.CrossRefGoogle Scholar
Weissman, M. M., Warner, V., Wickramaratne, P., Moreau, D., & Olfson, M. (1997). Offspring of depressed parents. Archives of General Psychiatry, 54, 932–940.CrossRefGoogle ScholarPubMed
Zahn-Waxler, C., Iannotti, R. J., Cummings, E. M., & Denham, S. (1990). Antecedents of problem behaviors in children of depressed mothers. Development and Psychopathology, 2, 271–291.CrossRefGoogle Scholar