Do Parental Psychiatric Symptoms Predict Outcome in Children With Psychiatric Disorders? A Naturalistic Clinical Study

Wesseldijk, Laura W.; Dieleman, Gwen; Steensel, Francisca J. A. van; Bleijenberg, Ellen J.; Bartels, Meike; Bögels, Susan M.; Middeldorp, Christel M.

doi:10.1016/j.jaac.2018.05.017

Cited by 16 publications

(10 citation statements)

References 36 publications

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“…A randomised control trial of a cognitive behavioural program to prevent depressive episodes in offspring of parents with depressive disorder found that the intervention was only effective when parents' depression was historical at the time of treatment; children whose parents were depressed at the time did not respond to the intervention [24]. Children referred to psychiatric outpatient clinics whose parents scored above a subclinical threshold for psychiatric symptoms typically present with more severe psychiatric symptoms themselves compared with children whose parents scored in a normal range [25]. Although the two groups demonstrated a similar rate of symptom improvement over the course of treatment, the significantly greater severity of psychiatric symptoms in children of parents with high psychiatric symptomology was still evident more than a year-and-a-half later.…”

Section: Treatment Outcomes For Children When a Parent Also Experiences Mental Illnessmentioning

confidence: 99%

Prevalence of mental illness among parents of children receiving treatment within child and adolescent mental health services (CAMHS): a scoping review

Campbell

Reupert

Sutton

et al. 2020

Eur Child Adolesc Psychiatry

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Section: Treatment Outcomes For Children When a Parent Also Experiences Mental Illnessmentioning

confidence: 99%

Prevalence of mental illness among parents of children receiving treatment within child and adolescent mental health services (CAMHS): a scoping review

Campbell

Reupert

Sutton

et al. 2020

Eur Child Adolesc Psychiatry

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“…In turn, parental emotions may influence emotional and behavioral problems in their children. For example, children of parents with psychopathology have an elevated risk for developing psychiatric symptoms (Wesseldijk et al, 2018). Similarly, parenting stress is associated with increased parent-reported emotional and behavioral problems in children with CL ± P or IH (van Dalen et al, 2021).…”

Section: Introductionmentioning

confidence: 99%

Emotional and Behavioral Problems in Children With a Cleft Lip With or Without Palate or an Infantile Hemangioma

Dalen

Hermans

Leemreis

et al. 2021

The Cleft Palate-Craniofacial Journal

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Objective: Life can be challenging for children with a visible difference due to a medical condition, and they might be at risk for emotional and behavioral problems. This study examines emotional and behavioral problems in children with a cleft lip with or without palate (CL ± P) or an infantile hemangioma (IH) in relation to the visibility of the condition, the presence of additional condition-related problems, and parental affect. Setting: This cross-sectional study took place in an academic medical hospital in the Erasmus MC Sophia Children’s Hospital, the Netherlands. Participants: A total of 309 parents (mean age = 40.34, 44.00% male) of 182 children with CL ± P and 48 parents (mean age = 39.21, 37.50% male) of 33 children with an IH completed questionnaires. Children were 1.5 to 12 years old. Results: Parents reported fewer child emotional and behavioral problems compared to normative data. Problems reported were mainly related to learning difficulties and parent gender, while visibility of the condition had no significant influence. Parental negative affect was related to child internalizing problems. Parental positive affect was not related to any of the outcome measures. Conclusions: Parents reported fewer problems for their children compared to normative data. This is inconsistent with previous research, showing similar or worse scores for these children compared to peers. Our findings may be explained by a protective parenting style, a response shift in parents, or problems developing at a later point in life.

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“…The results demonstrating that the associations between childhood housing insecurity and anxiety and depression remained after adjustment for poverty are consistent with a 2015 meta-analysis focused on childhood homelessness, the “most severe form of housing insecurity.” Specifically, the 2015 study found that school-aged children (ages 6-11 years) experiencing homelessness had nearly twice the prevalence of internalizing problems as their counterparts with low-income housing, suggesting that homelessness may be more closely associated with anxiety and depression symptoms than income status . Clinically, the associations reported in another study were similar to those of factors previously shown to be associated with childhood anxiety and depression, such as maternal psychopathology.…”

Section: Discussionmentioning

confidence: 99%

Prospective Associations of Childhood Housing Insecurity With Anxiety and Depression Symptoms During Childhood and Adulthood

et al. 2023

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ImportanceChildhood housing insecurity has dramatically increased in the US in recent decades, but whether an association with adverse mental health outcomes exists after adjusting for repeated measures of childhood poverty is unclear.ObjectiveTo test whether childhood housing insecurity is associated with later anxiety and depression symptoms after adjusting for time-varying measures of childhood poverty.Design, Setting, and ParticipantsThis prospective cohort study included individuals aged 9, 11, and 13 years at baseline from the Great Smoky Mountains Study in western North Carolina. Participants were assessed up to 11 times from January 1993 to December 2015. Data were analyzed from October 2021 to October 2022.ExposureParticipants and their parents reported social factors annually when participants were 9 to 16 years of age. A comprehensive measure of childhood housing insecurity was constructed based on frequent residential moves, reduced standard of living, forced separation from home, and foster care status.Main Outcomes and MeasuresBetween ages 9 and 16 years, the Child and Adolescent Psychiatric Assessment was used up to 7 times to evaluate childhood anxiety and depression symptoms. Adult anxiety and depression symptoms were assessed at ages 19, 21, 26, and 30 years using the Young Adult Psychiatric Assessment.ResultsOf the 1339 participants (mean [SD] age, 11.3 [1.63] years), 739 (55.2%; 51.1% weighted) were male; 1203 individuals assessed up to 30 years of age were included in the adulthood outcome analyses. Standardized mean (SD) baseline anxiety and depression symptom scores were higher among children who experienced housing insecurity than among those who never experienced housing insecurity (anxiety: 0.49 [1.15] vs 0.22 [1.02]; depression: 0.20 [1.08] vs −0.06 [0.82]). Individuals who experienced childhood housing insecurity had higher anxiety symptom scores (fixed effects: standardized mean difference [SMD], 0.21; 95% CI, 0.12-0.30; random effects: SMD, 0.25; 95% CI, 0.15-0.35) and higher depression symptom scores (fixed effects: SMD, 0.18; 95% CI, 0.09-0.28; random effects: SMD, 0.26; 95% CI, 0.14-0.37) during childhood. In adulthood, childhood housing insecurity was associated with higher depression symptom scores (SMD, 0.11; 95% CI, 0.00-0.21).Conclusions and RelevanceIn this cohort study, housing insecurity was associated with anxiety and depression during childhood and with depression during adulthood. Because housing insecurity is a modifiable, policy-relevant factor associated with psychopathology, these results suggest that social policies that support secure housing may be an important prevention strategy.

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Do Parental Psychiatric Symptoms Predict Outcome in Children With Psychiatric Disorders? A Naturalistic Clinical Study

Cited by 16 publications

References 36 publications

Prevalence of mental illness among parents of children receiving treatment within child and adolescent mental health services (CAMHS): a scoping review

Prevalence of mental illness among parents of children receiving treatment within child and adolescent mental health services (CAMHS): a scoping review

Emotional and Behavioral Problems in Children With a Cleft Lip With or Without Palate or an Infantile Hemangioma

Prospective Associations of Childhood Housing Insecurity With Anxiety and Depression Symptoms During Childhood and Adulthood

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