Associations of Early Exposure to Intimate Partner Violence and Parental Depression With Subsequent Mental Health Outcomes

Bauer, Nerissa S.; Gilbert, Amy; Carroll, Aaron E.; Downs, Stephen M.

doi:10.1001/jamapediatrics.2013.780

Cited by 69 publications

(57 citation statements)

References 61 publications

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“…Given the case-control design, all analyses controlled for offspring ADHD and ODD diagnostic status at Wave 1. Furthermore, given the high comorbidity between parent ADHD and depression symptoms, as well as the association between parent depression and child ADHD (Bauer et al, 2013), we controlled for parent depression to improve the specificity of the putative association of parent ADHD symptoms with child outcome. Parameter estimates and 95% bias-corrected and accelerated confidence intervals for total and specific indirect effects were generated based on 1,000 bootstrap resamples (Preacher & Hayes, 2008).…”

Section: Methodsmentioning

confidence: 99%

“…Similar to ADHD, parent depression robustly predicts negative parenting and offspring psychopathology (Gau & Chang, 2013; P. Lee et al, 2013; Mars et al, 2012). In one study, parents reporting elevated depression were four times more likely to have a preschool child with ADHD than nondepressed parents (Bauer, Gilbert, Carroll, & Downs, 2013). Despite the frequent co-occurrence of parent ADHD and depression, as well as evidence that comorbid parent psychopathology is particularly predictive of offspring psychopathology (Loeber et al, 2009; Sellers, Collinshaw, et al, 2013), there is relatively little knowledge about the intergenerational continuity of ADHD in the context of co-occurring parent depression.…”

Section: Parenting Behavior As a Mediatormentioning

confidence: 99%

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Parenting Behavior Mediates the Intergenerational Association of Parent and Child Offspring ADHD Symptoms

Tung

Brammer

et al. 2014

Journal of Clinical Child & Adolescent Psychology

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Although there are likely to be multiple mechanisms underlying parent attention-deficit/hyperactivity disorder (ADHD) symptoms as a key risk factor for offspring ADHD, potential explanatory factors have yet to be reliably identified. Given that parent ADHD symptoms independently predict parenting behavior and child ADHD symptoms, we tested whether individual differences in multiple dimensions of positive and negative parenting behavior (i.e., corporal punishment, inconsistent discipline, positive parenting behavior, observed negative talk, and observed praise) mediated the association between parental and offspring ADHD. We used a prospective design that featured predictors (i.e., parent ADHD symptoms) and mediators (i.e., parenting behavior) that temporally preceded the outcome (i.e., offspring ADHD symptoms). Using a well-characterized sample of 120 children with and without ADHD (ages 5–10 at Wave 1, 7–12 at Wave 2) and their biological parents, we examined multimethod (i.e., observed, self-report) measures of positive and negative parenting behavior as simultaneous mediators of the association of Wave 1 parent and Wave 2 offspring ADHD symptoms. Using a multiple mediation framework, consisting of rigorous bootstrapping procedures and controlling for parent depression, child’s baseline ADHD and oppositional defiant disorder, and child’s age, corporal punishment significantly and uniquely mediated the association of Wave 1 parent ADHD symptoms and Wave 2 offspring ADHD. We consider the role of parenting behavior in the intergenerational transmission of ADHD as well as implications of these findings for the intervention and prevention of childhood ADHD.

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Section: Methodsmentioning

confidence: 99%

Section: Parenting Behavior As a Mediatormentioning

confidence: 99%

Parenting Behavior Mediates the Intergenerational Association of Parent and Child Offspring ADHD Symptoms

Tung

Brammer

et al. 2014

Journal of Clinical Child & Adolescent Psychology

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“…Estimates of poor parental mental health in general pediatric primary care clinics vary by problem. For example, studies have shown that 23-29 % of mothers screen positive for clinically significant depressive symptoms (Bauer et al 2013;Olson et al 2005) and approximately 6 % meet diagnostic criteria for post-traumatic stress disorder (Chemtob et al 2013). Poor parental mental health negatively affects child wellbeing and family functioning (e.g., Barrett et al 1996;Burke 2003;Chemtob et al 2013;Downey and Coyne 1990;Garber et al 2009;Gershoff et al 2003;Hammen et al 2004;Malia 2007;Patterson and Cobb 1971;Patterson 1982;Riley et al 2008).…”

Section: Introductionmentioning

confidence: 99%

Clinical Effectiveness of Family Therapeutic Interventions Embedded in General Pediatric Primary Care Settings for Parental Mental Health: A Systematic Review and Meta-analysis

Cluxton-Keller

Riley

Noazin

et al. 2015

Clin Child Fam Psychol Rev

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The aim of this systematic review and meta-analysis was to synthesize the available evidence on embedded family therapy interventions in pediatrics and impacts on parental mental health and family functioning outcomes. The Cochrane Collaboration guidelines for systematic reviews and meta-analysis were used for this study. Six electronic databases were searched for randomized controlled trials and cluster randomized trials. The Cochrane Collaboration's Risk of Bias Tool and GRADE system were used to rate the quality of evidence of the included studies. The primary outcomes included parental distress, parental depressive symptoms, and dysfunctional parent-child interaction. Fixed effects models showed statistically significant reductions in parental distress at 6-month and 12-month post-intervention in favor of the intervention group. Family therapy model, intervention level, delivery modality, and dosage moderated intervention impacts on parental distress. Fixed effects models showed statistically significant reductions in parental depressive symptoms and in dysfunctional parent-child interaction in favor of the intervention group. Family therapy interventions can be successfully embedded in general pediatric primary care, and intended outcomes are achieved in this setting. Recommendations for future research and implications for policy development are discussed.

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“…15,16 Exposure to parental depression concurrent with IPV has been associated with poor school functioning 17 and behavioral problems. 18 Exposure to parental anxiety, which frequently co-occurs with depression, 19,20 has also been associated with increased risk of behavioral problems. 21 This study examines the relationship between parental report of IPV and/or parental psychological distress (PPD), such as anxiety or depression, and the attainment of developmental milestones within the first 6 years (72 months) of a child' s life.…”

mentioning

confidence: 99%

Child Exposure to Parental Violence and Psychological Distress Associated With Delayed Milestones

et al. 2013

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WHAT'S KNOWN ON THIS SUBJECT: It has previously been shown that exposure to intimate partner violence and/or parental depression or anxiety may increase a child' s risk for specific adverse health outcomes.WHAT THIS STUDY ADDS: By using a large pediatric primary care sample, this study examined associations of child exposure to intimate partner violence and parental psychological distress with developmental milestone attainment by analyzing their combined and separate effects while adjusting for other family factors.abstract OBJECTIVE: To examine the association between parental report of intimate partner violence (IPV) and parental psychological distress (PPD) with child attainment of developmental milestones.METHODS: By using data collected from a large cohort of primary care patients, this cross-sectional study examined the relationship between parental report of IPV and/or PPD and the attainment of developmental milestones within the first 72 months of a child' s life. Multivariate logistic regression analyses were used to adjust for parental report of child abuse concern and sociodemographic characteristics. RESULTS:Our study population included 16 595 subjects. Children of parents reporting both IPV and PPD (n = 88; 0.5%) were more likely to fail at least 1 milestone across the following developmental domains: language (adjusted odds ratio [aOR] 2.1; 95% confidence interval [CI] 1.3-3.3), personal-social (aOR 1.9; 95% CI 1.2-2.9), and gross motor (aOR 3.0; 95% CI 1.8-5.0). Significant associations for those reporting IPV-only (n = 331; 2.0%) were found for language (aOR 1.4; 95% CI 1.1-1.9), personal-social (aOR 1.7; 95% CI 1.4-2.2), and fine motor-adaptive (aOR 1.7; 95% CI 1.0-2.7). Significant associations for those reporting PPD-only (n = 1920; 11.6%) were found for: language (aOR 1.5; 95% CI 1.3-1.7), personal-social (aOR 1.6; 95% CI 1.5-1.8), gross motor (aOR 1.6; 95% CI 1.4-1.8), and fine-motor adaptive (aOR 1.6; 95% CI 1.3-2.0). CONCLUSIONS:Screening children for IPV and PPD helps identify those at risk for poor developmental outcomes who may benefit from early intervention.

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Associations of Early Exposure to Intimate Partner Violence and Parental Depression With Subsequent Mental Health Outcomes

Cited by 69 publications

References 61 publications

Parenting Behavior Mediates the Intergenerational Association of Parent and Child Offspring ADHD Symptoms

Parenting Behavior Mediates the Intergenerational Association of Parent and Child Offspring ADHD Symptoms

Clinical Effectiveness of Family Therapeutic Interventions Embedded in General Pediatric Primary Care Settings for Parental Mental Health: A Systematic Review and Meta-analysis

Child Exposure to Parental Violence and Psychological Distress Associated With Delayed Milestones

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