Does Family Structure Play a Role in Depression in Adolescents Admitted to Psychiatric Inpatient Care?

Laukkanen, Matti; Hakko, Helinä; Riipinen, Pirkko; Riala, Kaisa

doi:10.1007/s10578-015-0622-3

Cited by 18 publications

(13 citation statements)

References 17 publications

(23 reference statements)

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“…It could be related to the distress caused by the consequences of externalising behaviours, for example problematic social relationships or reduced academic progress (Winsper, ). Another potential explanation is that children in class two already had a tendency towards feelings of depression causing them to act out (Laukkanen, Hakko, Riipinen, & Riala, ); hence, mothers were aware of, and reported, their child's externalising (but not internalising) symptoms.…”

Section: Discussionmentioning

confidence: 99%

Associations between infant and toddler regulatory problems, childhood co‐developing internalising and externalising trajectories, and adolescent depression, psychotic and borderline personality disorder symptoms

Winsper

Bilgin

Wolke

2019

Child Psychology Psychiatry

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Background Early regulatory problems (RPs) are associated with childhood internalising and externalising symptoms. Internalising and externalising symptoms, in turn, are associated with adolescent psychopathology (e.g. personality disorders, depression). We examined whether RPs are directly associated with adolescent psychopathology, or whether associations are indirect via childhood internalising and externalising symptoms. Methods We used data from the Avon Longitudinal Study of Parents and Children. Mothers reported on their child's RPs at 6, 15–18 and 24–30 months, and internalising and externalising symptoms at 4, 7, 8 and 9.5 years. Adolescent psychotic, depression and BPD symptoms were assessed at 11–12 years. Children were grouped by their patterns of co‐developing internalising and externalising symptoms using parallel process latent class growth analysis (PP‐LCGA). Path analysis was used to examine direct and indirect associations from RPs to the three adolescent outcomes. Results There were four groups of children with distinct patterns of co‐developing internalising and externalising (INT/EXT) symptoms. Most children (53%) demonstrated low–moderate and stable levels of INT/EXT symptoms. A small proportion (7.7%) evidenced moderate and increasing INT and high stable EXT symptoms: this pattern was strongly predictive of adolescent psychopathology (e.g. depression at 11 years: unadjusted odds ratio = 5.62; 95% confidence intervals = 3.82, 8.27). The other two groups were differentially associated with adolescent outcomes (i.e. moderate–high increasing INT/moderate decreasing EXT predicted mother‐reported depression at 12, while low stable INT/moderate–high stable EXT predicted child‐reported depression at 11). In path analysis, RPs at each time‐point were significantly indirectly associated with symptoms of BPD and child‐ and mother‐reported depression symptoms via the most severe class of INT/EXT symptoms. Conclusions Consistent with a cascade model of development, RPs are predictive of higher levels of co‐developing INT/EXT symptoms, which in turn increase risk of adolescent psychopathology. Clinicians should be aware of, and treat, early RPs to prevent chronic psychopathology.

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Section: Discussionmentioning

confidence: 99%

Associations between infant and toddler regulatory problems, childhood co‐developing internalising and externalising trajectories, and adolescent depression, psychotic and borderline personality disorder symptoms

Winsper

Bilgin

Wolke

2019

Child Psychology Psychiatry

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“…In particular, there has been an increase in children growing up in non-traditional families, such as single-parent and blended families [16,17]. Children from such families have often poorer general health outcomes [18][19][20] and a higher prevalence of obesity [21][22][23]. Although obesogenic behaviours could account for the association between family structure and obesity, most previous studies have focused merely on BMI/obesity as an outcome [9,[21][22][23][24].…”

Section: Introductionmentioning

confidence: 99%

A cross-sectional study of obesogenic behaviours and family rules according to family structure in European children

Stahlmann

Hebestreit

DeHenauw

et al. 2020

Int J Behav Nutr Phys Act

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Background: There has been an increase in children growing up in non-traditional families, such as single-parent and blended families. Children from such families have a higher prevalence of obesity and poorer health outcomes, but research on the relationship with obesogenic behaviours is limited. Objectives: Therefore, the aim of this study was to investigate whether there are associations between family structures and obesogenic behaviours and related family rules in European children and adolescents. Methods: The sample included 7664 children (mean age ± SD: 10.9 ± 2.9) from 4923 families who were participants of the multi-centre I.Family study (2013/2014) conducted in 8 European countries. Family structure was assessed by a detailed interview on kinship and household. Obesogenic behaviours (screen time, sleep duration, consumption of sugar-sweetened beverages (SSBs)) and family rules (rules for computer and television, bedtime routine, availability of SSBs during meals) were determined by standardized questionnaires. Multilevel mixed-effects linear and logistic regression models were used to model the associations of family structure with obesogenic behaviours and family rules. Sex, age, parental education level, number of children and adults in the household and BMI zscore were covariates in the models. Two-parent biological families were set as the reference category. Results: Children from single-parent families were less likely to have family rules regarding screen time (OR: 0.62, 95% CI: 0.40-0.94, p = 0.026) with higher reported hours of screen time per week (β = 2.70 h/week, 95% CI: 1.39-4.00, p < 0.001). The frequency of weekly SSB consumption differed by family structure in a sex-specific manner: girls from single-parent (β = 3.19 frequency/week, 95% CI: 0.91-5.47, p = 0.006) and boys from blended/adoptive families (β = 3.01 frequency/week, 95% CI: 0.99-5.03, p = 0.004) consumed more SSBs. Sleep duration, bedtime routines and availability of SSBs during meals did not differ between children from these family structures. Parental education did not modify any of these associations.

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“…Results indicate that non-intact family and greater paternal-only educational attainment may respectively be risk and protective factors for depression. Parental divorce or death can be very stressful life events for children [53,54], and make it extremely difficult for depressed children to recover [55]. In addition, initially depressed adolescents whose fathers had higher educational levels (bachelor's degree and above) were more likely to remit from depression within 1 year.…”

Section: Discussionmentioning

confidence: 99%

Persistence and remission of depressive symptoms and psycho-social correlates in Chinese early adolescents

Chi

Becker

et al. 2020

BMC Psychiatry

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Background: This study aimed to investigate a one-year course of persistent/remitted depressive symptoms and associated demographic and psychosocial factors that predict persistent/remitted depressive symptoms in Chinese high school students. Methods: One thousand five hundred forty-four Grade 7 students provided data for the first wave. Of the initially recruited students, 483 who were classified as depressed (CESD score ≥ 16) at baseline were then tracked and invited to fill in the questionnaire for a second time (Grade 8) after 1 year. Finally, 435 of them were successfully matched. Results: Two hundred two (46.4%) of the subset categorized as depressed in the first survey (N = 435) remained with depressive symptoms, while 233 (53.6%) recovered from depression 1 year later. Having siblings, a lower level of positive youth development, non-intact family status, and poor family functioning at baseline significantly predicted a higher likelihood of persistent depression, while those with fathers having higher educational qualifications (bachelor's degree or higher) at baseline showed a significantly higher probability of remitting from depression. Conclusions: The findings indicated that the prevalence of persistent depressive symptoms was generally high, and promoting aspects of positive youth development and family functioning for adolescents could be promising in preventing or reducing these symptoms.

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Does Family Structure Play a Role in Depression in Adolescents Admitted to Psychiatric Inpatient Care?

Cited by 18 publications

References 17 publications

Associations between infant and toddler regulatory problems, childhood co‐developing internalising and externalising trajectories, and adolescent depression, psychotic and borderline personality disorder symptoms

Associations between infant and toddler regulatory problems, childhood co‐developing internalising and externalising trajectories, and adolescent depression, psychotic and borderline personality disorder symptoms

A cross-sectional study of obesogenic behaviours and family rules according to family structure in European children

Persistence and remission of depressive symptoms and psycho-social correlates in Chinese early adolescents

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