Diagnosis, management, and implications of maternal depression for children and pediatricians

Green, Morris

doi:10.1097/00008480-199410000-00004

Cited by 16 publications

(12 citation statements)

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“…Using a validated screen, primary care physicians can play a key role in early screening and identification of mothers with depression. 6,13,[24][25][26] Several screening questionnaires and interview protocols have been developed to aid in the screening for and diagnosis of depression. These methods have been primarily of 2 types: self-report measures of symptoms (eg, Center for Epidemiologic Studies Depression scale 27 ) and structured interview protocols that identify specific disorders (eg, the National Institute of Mental Health Diagnostic Interview Schedule 28 ), which uses the criteria set forth in the DSM-IV.…”

Section: Discussionmentioning

confidence: 99%

“…3,8 Maternal depressive symptoms have been shown to adversely affect parents' attitudes and competence. [9][10][11] Further, children of mothers with depressive symptoms have been shown to exhibit significant physical, 12 mental health, 9,13 and school/behavioral problems. [14][15][16][17][18] Maternal depression in the form of poor responsivity and inappropriate child rearing con-tribute to children's poor outcomes.…”

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confidence: 99%

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Correlates of Maternal Depressive Symptoms in a National Head Start Program Sample

Lanzi

Pascoe²,

Keltner³

et al. 1999

Arch Pediatr Adolesc Med

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To examine correlates of maternal depressive symptoms in a diverse, national sample of mothers whose kindergarten-aged children attended a Head Start program. Design and Participants: A cross-sectional study of 5820 mothers was conducted during their child's kindergarten year. Main Outcome Measure: Rates of maternal depressive symptoms were assessed by a validated 3-item depression screen. Results: The ethnic makeup of the group of mothers was non-Hispanic white, 46%; African American, 30%; Hispanic, 13%; American Indian, 6%; Asian American, 1%; and other, 4%. The mean (SD) age of the mothers was 30.1 (5.55) years, 57% were unemployed, and 68% had at least a high school diploma or had earned a high school equiva-lency diploma. More than 40% of the mothers screened positive for depressive symptoms. The strongest associations after controlling for several biological and demographic variables were maternal chronic health problem (adjusted odds ratio, 2.77; 95% confidence interval, 1.98-3.87), homelessness (adjusted odds ratio, 2.00; 95% confidence interval, 1.45-2.77), and lowest income level (adjusted odds ratio, 1.56; 95% confidence interval, 1.30-1.88). Conclusions: Depressive symptoms were common among mothers of young children in this national sample. Interventions must be targeted at alleviating maternal depressive symptoms by decreasing poverty, providing support programs for single parents, and establishing accessible and affordable medical care for all parents and their children. Primary care physicians can play a key role in early identification and intervention.

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Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

Correlates of Maternal Depressive Symptoms in a National Head Start Program Sample

Lanzi

Pascoe²,

Keltner³

et al. 1999

Arch Pediatr Adolesc Med

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“…Maternal psychosocial domain factors 17,26,27 included: (1) maternal age at delivery; (2) being a single parent at the time of screening; (3) history of postpartum depression (defined as depression within 1 year after delivery); (4) history of depression (defined as depression before or during pregnancy, or beyond 1 year after delivery); (5) referral to social work (SW) service; (6) provider concerns for child abuse or neglect in previous WC visits; (7) referral to child protective services; and (8) any chronic maternal medical illness. Except for maternal age, these variables were dichotomized as present or absent.…”

Section: Methodsmentioning

confidence: 99%

Markers of Maternal Depressive Symptoms in an Urban Pediatric Clinic

Sia¹,

Leventhal

Northrup³

et al. 2013

The Journal of Pediatrics

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Objective To identify markers of maternal depressive symptoms in medical records of children 1–6 years old. Study design Using a case-control methodology, mothers who were screened for depressive symptoms with the QIDS-SR at well child visits from 06/2006 to 06/2008 in an inner-city pediatric clinic were grouped into cases with depressive symptoms (QIDS-SR ≥ 11) and controls with no symptoms (QIDS-SR ≤ 5). Potential markers for maternal depressive symptoms were collected from the child’s medical record and grouped into 3 domains: (1) child health and development (eg, maternal concerns/negative attributions regarding the child’s behavior); (2) child health care utilization (eg, missed appointments); and (3) maternal psychosocial factors (eg, single parent). The association between maternal depressive symptoms and each factor was determined using multiple logistic regression to calculate adjusted odds ratios. Results Maternal depressive symptoms were significantly associated with reports of concerns/negative attributions about the child’s behavior (AOR: 2.35, p = .01) and concerns about speech (AOR: 2.40, p = .04) and sleep (AOR: 7.75, p < .001); these were identified at the visit when the depression screen was done. Other associations included history of maternal depression (AOR: 4.94, p = .001) and a prior social work referral (AOR: 1.98, p = .01). Conclusions Information readily available to pediatricians was associated with maternal depressive symptoms and can be utilized as clinical markers to help identify at-risk mothers during well child visits.

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“…Screening questionnaires have been developed and validated specifically to detect postpartum depression (91)(92)(93). Examples of questions that may elicit information about postpartum depression are listed in Table 2 (90,94,95). Once depression is suspected, the paediatrician can give advice and discuss with the mother's physician or make an appropriate referral to psychiatric services.…”

Section: Role Of the Primary Care Physician/paediatricianmentioning

confidence: 99%