Characteristics of mothers’ depressive illness as predictors for emotional and behavioural problems in children in a Sri Lankan setting

Rohanachandra, Yasodha Maheshi; Prathapan, Shamini; Wijetunge, Gampolage Swarna

doi:10.1016/j.ajp.2018.03.014

Cited by 6 publications

(5 citation statements)

References 17 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…More importantly, our results show that high maternal depressive symptoms scores were significantly associated with abnormal psychological health scores in emotional, conduct and peer relationships domains in children. These results collaborate previous findings from different patient groups which showed significant associations between maternal depression and behavioural problems among children [26,27]. All these findings emphasises the importance of incorporating psychological assessments, psychotherapeutic interventions and when required antidepressant treatment to the management of patients with β-thalassaemia.…”

Section: Clinical Characteristicssupporting

confidence: 90%

Psychological morbidity among children with transfusion dependent β-thalassaemia and their parents in Sri Lanka

et al. 2020

View full text Add to dashboard Cite

Background Thalassaemia is a chronic disease which requires lifelong treatment in a majority. Despite recent advances in the medical care, minimal attempts are made to improve psychological health in these patients. In this study, we aim to describe the psychological morbidity in patients with transfusion dependent β-thalassaemia and their mothers in Sri Lanka. Methods This case control study was conducted in the three largest thalassaemia centres of Sri Lanka. All patients with transfusion dependent β-thalassaemia aged 4-18 years were recruited as cases whilst a randomly selected group of children without chronic diseases were recruited as controls. Psychological morbidity of children was assessed using the Strengths and Difficulties Questionnaire and depressive symptoms of mothers was assessed by the Centre for Epidemiological Studies Depression Scale. Results 288 transfusion dependent β-thalassaemia patients and equal number of controls were recruited. Abnormal emotional, conduct, hyperactivity and peer relationship symptom scores were reported by 18%, 17%, 9% and 14% of patients with thalassaemia respectively. Prevalences of abnormal psychological symptom scores in all domains were significantly higher among patients compared to controls. Abnormal conduct symptoms were significantly more prevalent among patients with HbE β-thalassaemia and those with suboptimal pretransfusion haemoglobin levels, lower transfusion volumes, hypothyroidism and undernutrition. Short stature was associated with abnormal emotional and hyperactivity scores. Depressive symptoms were significantly higher among mothers of patients with

show abstract

Section: Clinical Characteristicssupporting

confidence: 90%

Psychological morbidity among children with transfusion dependent β-thalassaemia and their parents in Sri Lanka

et al. 2020

View full text Add to dashboard Cite

show abstract

“…Under these conditions, we hypothesized that parental well-being and the organization of the home environment would be key factors in shaping children's behavioral adjustment. We specifically focused on these two proximal factors based on previous research highlighting the significant impact that maternal depressive symptoms and household chaos can have on children's adjustment, and specifically on conduct and emotional problems (Coldwell et al, 2006;Marsh et al, 2020;Rohanachandra et al, 2018;Yamada et al, 2021;Zhang, 2022).…”

Section: Child Emotional and Behavioral Problems During The Covid-19 ...mentioning

confidence: 99%

Trajectories and Associations Between Maternal Depressive Symptoms, Household Chaos and Children's Adjustment through the COVID-19 Pandemic: A Four-Wave Longitudinal Study

Gordon-Hacker

Bar‐Shachar

Egotubov

et al. 2022

Res Child Adolesc Psychopathol

View full text Add to dashboard Cite

The COVID-19 pandemic and associated public health measures have adversely affected the lives of people worldwide, raising concern over the pandemic's mental health consequences. Guided by a systemic model of family functioning during the COVID-19 pandemic (Prime et al., 2020), the current study aimed to examine how caregiver well-being (i.e., maternal depressive symptoms) and family organization (i.e., household chaos) are related to longitudinal trajectories of children's emotional and behavioral problems. Data were collected at four time points during and after home lockdown periods. Mothers of children (N = 230; 55% male) between the ages of two to five years were asked to complete questionnaires via an Israeli online research platform. Results indicated that emotional and behavioral problems, household chaos, and maternal depressive symptoms were the highest during the first lockdown assessment and dropped in the post-lockdown periods. Multilevel models further revealed that at the between-participants level, maternal depressive symptoms and household chaos positively predicted children's emotional and behavioral problems. At the within-participants level, household chaos fluctuations positively predicted fluctuations in child behavioral but not emotional problems. Our findings suggest that lockdowns have adverse effects on both maternal and child mental health. Screening for depressive symptoms among mothers of young children and maintaining household structure are important targets for future interventions to assist parents in navigating the multiple challenges brought upon by the COVID-19 pandemic.

show abstract

“…MDD in the months following childbirth is estimated at 7% to 13% of women in high income countries and up to 30% in the developing world (Parsons, Young, Rochat, Kringelbach, & Stein, 2012); women are twice more likely to experience MDD than men (Kessler, 2003); more than 10% of women aged 18 to 39 years experience depression at any given time; and lifetime prevalence of MDD in women is estimated at more than 20% (Kessler, Petukhova, Sampson, Zaslavsky, & Wittchen, 2012). Studies have repeatedly shown that exposure to maternal MDD bears long-term negative consequences for children, including increased psychopathology, behavior problems, and social maladjustment (Feldman et al, 2009; Goodman et al, 2011; Halligan, Murray, Martins, & Cooper, 2007; Rohanachandra, Prathapan, & Wijetunge, 2018; Shaw, Connell, Dishion, Wilson, & Gardner, 2009; Yan & Dix, 2014). Yet, the mechanisms underlying the transmission of vulnerability from depressed mothers to their offspring are far less clear, and it has been suggested that studies should move beyond the assessment of psychopathology to study targeted, theoretically derived child outcomes, consider developmental stages beyond infancy, and observe patterns of maternal care over time to examine their contribution to maladaptive outcomes (Feldman, 2015b; Goodman et al, 2011).…”

mentioning

confidence: 99%

Maternal depression impairs child emotion understanding and executive functions: The role of dysregulated maternal care across the first decade of life.

Priel¹,

Zeev‐Wolf

Djalovski³

et al. 2020

Emotion

View full text Add to dashboard Cite

The long-term negative effects of maternal depression on child outcome are thought to be mediated in part by deficits in caregiving; yet, few studies utilized longitudinal cohorts and repeated observations to specify these links. We tested the impact of deficits in maternal regulatory caregiving across the first decade of life on children’s emotional, social, and cognitive outcomes at 10 years. A community birth cohort was repeatedly assessed for maternal depression across the first year and again at 6 and 10 years. At 9 months, 6 years, and 10 years patterns of regulatory caregiving were assessed during mother-child interactions; at 6 and 10 years children underwent psychiatric diagnosis; and at 10 years children’s emotion recognition (ERc), executive functions (EF), and social collaboration (SC) were evaluated. Depressed mothers displayed deficits to regulatory caregiving across development and their children exhibited more psychiatric disorders, lower SC, and impaired ERc. Structural equation modeling demonstrated both direct paths from dysregulated caregiving at 6 and 10 years to impaired child EF and ERc and mediated paths via child psychiatric disorder on all 3 outcomes. Effects of 9-month caregiving were only indirect, via child disorder, differentiating infants on risk versus resilient trajectories. Patterns of maternal caregiving were individually stable over time. Our findings demonstrate disruptions to core regulation-based abilities in children of depressed mothers beyond infancy, contribute to discussion on risk and resilience in the context of a distinct early life stress condition, and underscore late childhood as a period of specific vulnerabilities that should become a focus of targeted interventions.

show abstract

Characteristics of mothers’ depressive illness as predictors for emotional and behavioural problems in children in a Sri Lankan setting

Cited by 6 publications

References 17 publications

Psychological morbidity among children with transfusion dependent β-thalassaemia and their parents in Sri Lanka

Psychological morbidity among children with transfusion dependent β-thalassaemia and their parents in Sri Lanka

Trajectories and Associations Between Maternal Depressive Symptoms, Household Chaos and Children's Adjustment through the COVID-19 Pandemic: A Four-Wave Longitudinal Study

Maternal depression impairs child emotion understanding and executive functions: The role of dysregulated maternal care across the first decade of life.

Contact Info

Product

Resources

About