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Loss of parent in childhood and adult psychiatric disorder: the role of social class position and premarital pregnancy

Published online by Cambridge University Press:  09 July 2009

Tirril Harris*
Affiliation:
Department of Social Policy and Social Science, Royal HollowayBedford New College, London
George W. Brown
Affiliation:
Department of Social Policy and Social Science, Royal HollowayBedford New College, London
Antonia Bifulco
Affiliation:
Department of Social Policy and Social Science, Royal HollowayBedford New College, London
*
1Address for correspondence: Tirril Harris, Department of Social Policy and Social Science, Royal Holloway and Bedford New College, (University of London), 11 Bedford Square, London WC1B 3RA

Synopsis

This paper addresses the critique which maintains that loss of parent in a sample of female adults plays no role in determining current depression over and above that of low social class position with which such loss is associated. It examines a series of variables which combine to determine current social class position and which seem to stem from lack of adequate replacement care following loss of mother. The experience of a premarital pregnancy and the way in which women cope with it emerge as critical in this process. The relationship of low social class to the onset of depression is discussed in the light of better-known vulnerability factors such as low confiding in, and undependability of, marital partner, employment outside the home and number of children. It is concluded that a current low social class position, far from explaining away the association between loss of mother and current depression, may itself be brought about by a chain of circumstances stemming from the loss. Once again, the quality of replacement care is shown to play a critical role.

Type
Research Article
Copyright
Copyright © Cambridge University Press 1987

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References

Bebbington, P., Tennant, C. & Hurry, J. (1981). Adversity and the nature of psychiatric disorder in the community. Journal of Affective Disorders 3, 345366.CrossRefGoogle ScholarPubMed
Bebbington, P., Sturt, E., Tennant, C. & Hurry, J. (1984). Misfortune and resilience: a community study of women. Psychological Medicine 14, 347363.CrossRefGoogle ScholarPubMed
Bifulco, A., Brown, G. W. & Harris, T. (1987). Childhood loss of parent and adult psychiatric disorder: the Islington study. (MS).Google Scholar
Blalock, H. M. (1964). Controlling for background factors: spuriousness versus developmental sequences. Sociological Inquiry 34, 2840.CrossRefGoogle Scholar
Bone, M. (1977). Preschool Children and the Need for Daycare. An Enquiry Carried out on Behalf of the DHSS. HMSO: London.Google Scholar
Brown, G. W. (1974). Meaning, measurement and stress of life events. In Stressful Life Events: Their Nature and Effects. (ed. Dohrenwend, B. S. and Dohrenwend, B. P.), pp. 8182. John Wiley: New York.Google Scholar
Brown, G. W. (1981 a). Contextual measures of life events. In Stressful Life Events and Their Contexts. (ed. Dohrenwend, B. S. and Dohrenwend, B. P.), pp. 187201. Neale Watson Academic Publications: New York.Google Scholar
Brown, G. W. (1981 b). Aetiological studies and the definition of case. In What is a Case?: The Problem of Definition in Psychiatric Community Surveys. (ed. Wing, J., Bebbington, P. and Robins, Lee N.) pp. 6275. Grant McIntyre: LondonGoogle Scholar
Brown, G. W. (1982). Early loss and depression. In The Place of Attachment in Human Behaviour. (ed. Parkes, C. M. and Stevenson-Hinde, J.), pp. 232268. Basic Books: New York; Tavistock Publications: London.Google Scholar
Brown, G. W. & Andrews, B. A. (1985). Comparison of Camberwell and Islington intimacy rating (unpublished ms).Google Scholar
Brown, G. W. & Harris, T. O. (1978). Social Origins of Depression: A Study of Psychiatric Disorder in Women. Tavistock Publications: London.Google Scholar
Brown, G. W. & Harris, T. O. (1979). The sin of subjectivism: a reply to Shapiro. Behavioural Research and Therapy 17, 605613.CrossRefGoogle ScholarPubMed
Brown, G. W. & Harris, T. (1982). Social class and affective disorder. In Culture and Psychopathology, (ed. Al-Issa, Ihsan), pp. 125156. University Park Press: Baltimore.Google Scholar
Brown, G. W. & Harris, T. (1986). Stressor, vulnerability and depression: a question of replication. Psychological Medicine 16, 739744.CrossRefGoogle ScholarPubMed
Brown, G. W. & Prudo, R. (1981) Psychiatric disorder in a rural and an urban population: 1. Aetiology of depression. Psychological Medicine 11, 581599.CrossRefGoogle Scholar
Brown, G. W., Ní Bhrolchain, M. & Harris, T. O. (1975). Social class and psychiatric disturbance among women in an urban population. Sociology 9, 225254.CrossRefGoogle Scholar
Brown, G. W., Craig, T. K. J. & Harris, T. (1985). Depression: distress or disease? Some epidemiological considerations. British Journal of Psychiatry 147, 612622.CrossRefGoogle ScholarPubMed
Brown, G. W., Harris, T. & Bifulco, A. (1986). Long-term effect of early loss of parent. In Depression in Childhood: Developmental Perspectives. (ed. Rutter, M., Izzard, C. & Read, P.) pp. 251296Guilford Press: New York.Google Scholar
Campbell, E. A., Cope, S. J. & Teasdale, J. D. (1983). Social factors & affective disorder: An investigation of Brown & Harris's Model. British Journal of Psychiatry 143, 548553.CrossRefGoogle ScholarPubMed
Costello, C. G. (9182). Social factors associated with depression: a retrospective community study. Psychological Medicine 12, 329339.CrossRefGoogle Scholar
Crook, T. & Eliot, J. (1980). Parental death during childhood and adult depression: a critical review of the literature. Psychological Bulletin 87, 252259.CrossRefGoogle ScholarPubMed
Dean, C., Surtees, P. G. & Sashidharan, S. P. (1983). Comparison of research diagnostic systems in an Edinburgh community sample. British Journal of Psychiatry 142, 247256.CrossRefGoogle Scholar
Dohrenwend, B. P. & Dohrenwend, B. S. (1969). Social Status and Psychological Disorder: A Causal inquiry. John Wiley: New York.Google Scholar
Dohrenwend, B. P. & Dohrenwend, B. S. (1974). Social and cultural influences on psychopathology. Annual Review of Psychiatry 25, 417452.CrossRefGoogle ScholarPubMed
Finlay-Jones, R. A., Brown, G W., Duncan-Jones, P., Harris, T. O., Murphy, E. & Prudo, R. (1980). Depression and anxiety in the community. Psychological Medicine 10, 445454.CrossRefGoogle ScholarPubMed
Furstenberg, F. F. (1979). Premarital pregnancy and marital instability. In Divorce and Separation. (ed. Levinger, G. and Moles, O. C.) pp. 8398. Basic Books: New York.Google Scholar
Goldthorpe, J. H. & Hope, K. (1974). The Social Grading of Occupations: A New Approach and Scale. Oxford University Press: London.Google Scholar
Harris, T. O., Brown, G. W. & Bifulco, A. (1986). Loss of parent in childhood and adult psychiatric disorder: the role of lack of adequate parental care. Psychological Medicine 16, 641659.CrossRefGoogle ScholarPubMed
Harris, T. O., Brown, G. W. & Bifulco, A. (1987). Loss of parent in childhood and adult psychiatric disorder: the role of situational helplessness. Manuscript.Google Scholar
Hyman, H. (1955). Survey Design and Analysis. Free Press: New York.Google Scholar
IlIsley, R. & Thompson, B. (1961). Women from broken homes. The Sociological Review 9, 2754.CrossRefGoogle Scholar
Kiernan, K. E. (1980). Teenage motherhood – associated factors and consequences – the experience of a British birth cohort. Journal of Biosocial Science 12, 393405.CrossRefGoogle ScholarPubMed
Martin, C. J. (1985). Stress in the puerperium. Ph.D Dissertation: University of Manchester.Google Scholar
Parry, G. & Shapiro, D. (1986). Life events and social support in working class mothers: stress buffering or independent effects? Archives of General Psychiatry 43, 315323.CrossRefGoogle ScholarPubMed
Quinton, D. & Rutter, M. (1984a). Parents with children in care: 1. Current circumstances and parenting skills. Journal of Child Psychology and Psychiatry 25, 211229.CrossRefGoogle Scholar
Quinton, D. & Rutter, M. (1984 b). Parents with children in care: 2. Intergenerational continuities. Journal of Child Psychology and Psychiatry 25, 231250.CrossRefGoogle ScholarPubMed
Quinton, D., Rutter, M. & Liddle, C. (1984). Institutional rearing, parenting difficulties and marital support. Psychological Medicine 14, 107124.CrossRefGoogle ScholarPubMed
Richman, N. (1976). Depression in mothers of pre-school children. Journal of Child Psychology and Psychiatry 17, 7578.CrossRefGoogle Scholar
Rutter, M., Yule, B., Quinton, D., Rowlands, O., Yule, W. & Berger, M. (1975). Attainment and adjustment in two geographical areas: III. Some factors accounting for area differences. British Journal of Psychiatry 126, 520533.CrossRefGoogle ScholarPubMed
Rutter, M., Quinton, D. & Liddle, C (1983). Parenting in two generations: looking backwards and looking forwards. In Families at Risk (ed Madge, N.), pp. 6098. Heinemann Educational: London.Google Scholar
Surtees, P. G., Dean, C., Ingham, J. G., Kreitman, N. B., Miller, P. McC. & Sashidharan, S. P. (1983). Psychiatric disorder in women in an Edinburgh community: Associations with demographic factors. British Journal of Psychiatry 142, 238246.CrossRefGoogle Scholar
Wadsworth, M. (1979). Roots of Delinquency. Infancy, Adolescence, and Crime. Martin Robertson: London.Google Scholar
Wing, J. K. & Sturt, E. (1978). The PSE–ID–CATEGO System – A Supplementary Manual. Institute of Psychiatry: London (mimeo).Google Scholar
Wing, J. K., Cooper, J. E. & Sartorius, N. (1974). The Measurement and Classification of Psychiatric Symptoms: an Instruction Manual for the Present State Examination and CATEGO Programme. Cambridge University Press: Cambridge.Google Scholar
Wing, J. K., Nixon, J. M., Mann, S. A. & Leff, J. P. (1977). Reliability of the PSE (ninth edition) used in a population study. Psychological Medicine 7, 505516.CrossRefGoogle ScholarPubMed
Wolkind, S. N. (1977). Women who have been ‘in care’ – psychological and social status during pregnancy. Journal of Child Psychology and Psychiatry 18, 179182.CrossRefGoogle ScholarPubMed