Fatigue is common, and results suggest that fatigue contributes to adverse parental practices and experiences. However, possible risk factors for higher fatigue were identified in this study, indicating opportunities for intervention, management and support for parents.

Objective: This study explored the relationships between fatigue, wellbeing and parenting in mothers of young children (aged 0-4 years) with sleep and settling difficulties. Demographic, child sleep and maternal factors associated with fatigue were also investigated. Background: Children's sleep problems can have a significant impact on parent's sleep, placing them at risk of fatigue and wellbeing difficulties. Methods: A total of 164 mothers of children aged 0-4 attending an early parenting centre completed a survey on fatigue, wellbeing and parenting. Results: Mothers reported moderate levels of fatigue, which was associated with high levels of depression, anxiety and stress. Fatigue was also significantly associated with low parental self-efficacy, parenting warmth and involvement, and high parenting hostility. Limited health and self-care behaviours, unrealistic expectations about sleep, and high need for social support were significant predictors of fatigue. Conclusion: These findings provide an empirical basis for the development of information and support for the prevention and management of parental fatigue, and have implications for professionals working with parents of children with sleep difficulties.

Rates of child exposure to inter-parental conflict are high and appear to be increasing, with at least one million Australian children affected annually. To-date, there is no established prevalence for inter-parental conflict that includes the more common but less severe forms for young families in the wider Australian community. The current study aims were to examine the prevalence, persistence, and the individual, family and socio-economic context of inter-parental conflict. Data were from four waves of the Baby (n = 4,898) and Kindergarten (n = 4,182) cohorts of the Longitudinal Study of Australian Children. Verbal and physical inter-parental conflict was measured using the Argumentative Relationship Scale. More than 1 in 3 mothers (35-36%) reported any verbal and/or physical conflict. Prevalence of verbal conflict at each wave (10-13%) was higher than physical conflict (4-10%), with low co-occurrence (1-3%). Report of inter-parental conflict at one wave only was most common (19%); although 13% of mothers reported conflict at two waves; and 5-6% reported persistent conflict across three or more waves. Social disadvantage was consistently associated with report at one-wave only and persistent inter-parental conflict. Extrapolated to the Australian population, an estimated 1.9 million children are likely to be affected by inter-parental conflict within any 6 years of the early-to-middle childhood period. Establishing accurate prevalence and understanding the social context of the less severe but most common forms of inter-parental conflict will allow family and child support services to allocate finite resources more effectively and develop targeted interventions to promote children's positive development.

Symptoms of depression negatively impact on mother-infant relationships and child outcomes. We evaluated a novel, 10-session mother-infant therapeutic playgroup-Community HUGS (CHUGS)-which combines cognitive and experiential components through psychoeducation, play, music, and movement. Participants were mothers experiencing a range of postnatal mental health difficulties, including depression, with infants ≤12 months of age. However, the aim was not to treat maternal depression but to ameliorate associated problems in the mother-infant interaction. In the feasibility study, all participants received CHUGS. In the pilot randomized controlled trial (RCT), participants were randomized between intervention and a wait-list. Outcomes were the Parenting Stress Index (PSI; R.R. Abidin, 1995), Parenting Sense of Competency Scale (Self-Efficacy subscale; J. Gibaud-Wallston & L.P. Wandersman, 1978), and the Depression, Anxiety, Stress Scales (P.F. Lovibond & S.H. Lovibond, 1995). In the feasibility study (n = 74), PSI scores dropped on all subscales, all ps < .01. Depression, p < .001, anxiety, p = .01, stress, p = .01, and self-efficacy, p < .001, all showed improvements, as did observer-rated mother-infant interactions, p < .001. In the RCT, depression, p < .001, anxiety, p = .005, and stress, p < .001, symptoms were significantly reduced for intervention participants (n = 16), as compared to wait-list participants (n = 15). The CHUGS program had high participant satisfaction and produced improvements in self-efficacy, depression, anxiety, stress, and mother-infant interactions that supported the program's acceptability and the utility of further rollout.

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The relationship between fatigue and depression in the postpartum period has been of interest to researchers and clinicians. However, conceptual and measurement issues of how to best assess and clearly distinguish between fatigue and depressive symptoms have plagued this work. The aim of the current study was to assess the discriminant validity between fatigue and depression in a community sample of 228 mothers within 1 year postpartum using two self-report measures: the Fatigue Assessment Scale and the Depression subscale from the Depression Anxiety and Stress Scale. Confirmatory Factor Analysis (CFA) revealed that a two-factor model presenting fatigue and depression as related but distinct constructs was a better fit of the data than a one-factor model. Implications for further research and clinical practice are discussed, with particular focus on the need to differentiate fatigue and depression for postpartum mothers.

Background Much lore but few studies describe a relation of chocolate to mood. We examined the cross-sectional relationship of chocolate consumption with depressed mood in adult men and women. Methods A sample of 1018 adults (694 men and 324 women) from San Diego, California, without diabetes or known coronary artery disease was studied in a cross-sectional analysis. The 931 subjects who were not using antidepressant medications and provided chocolate consumption information were the focus of the analysis. Mood was assessed using the Center for Epidemiologic Studies Depression Scale (CES-D). Cut points signaling a positive depression screen result (CES-D score, ≥16) and probable major depression (CES-D score, ≥22) were used. Chocolate servings per week were provided by 1009 subjects. Chocolate consumption frequency and rate data from the Fred Hutchinson Food Frequency Questionnaire were also available for 839 subjects. Chocolate consumption was compared for those with lower vs higher CES-D scores. In addition, a test of trend was performed. Results Those screening positive for possible depression (CES-D score ≥16) had higher chocolate consumption (8.4 servings per month) than those not screening positive (5.4 servings per month) (P = .004); those with still higher CES-D scores (≥22) had still higher chocolate consumption (11.8 servings per month) (P value for trend, <.01). These associations extended to both men and women. These findings did not appear to be explained by a general increase in fat, carbohydrate, or energy intake. Conclusion Higher CES-D depression scores were associated with greater chocolate consumption. Whether there is a causal connection, and if so in which direction, is a matter for future prospective study.