Examining the Effects of Maternal Chronic Illness on Child Well-Being in Single Parent Families

Annunziato, Rachel A.; Rakotomihamina, Volana; Rubacka, Joseph

doi:10.1097/dbp.0b013e3181132074

Cited by 30 publications

(21 citation statements)

References 21 publications

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“…The oral administration of the test items and our use of raw (rather than age-normed) scores may have mitigated these concerns, but it remains possible that the obtained findings regarding child-reported depressive symptoms were biased by this assessment limitation. Although the comparable consistency of our obtained reports with other age-appropriate samples (O'Brien et al, 1997;Wampler et al, 2002), as well as the prior use of the CDI with very young children (Annunziato et al, 2007;Biggar & Forehand, 1998) bolsters our confidence in the current findings, they must be interpreted with caution in light of this limitation. Second, the current measures of expressed aggression, inhibitory control, and, to a lesser extent, narrative representation, await further validation across racial/ethnic groups.…”

Section: Strengths and Limitationssupporting

confidence: 47%

“…Items were summed to yield a total depression score. The CDI has been standardized for children ages seven to 17 (Kovacs, 1992), though it has been used at younger ages (Annunziato, Rakotomihamina, & Rubacka, 2007;Biggar & Forehand, 1998). Because the current study employed the CDI at age six when age-normed scores were not available, raw scores were used in these analyses.…”

Section: Depressive Symptomsmentioning

confidence: 99%

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Preschoolers’ narrative representations and childhood adaptation in an ethnoracially diverse sample

Grey

Yates

2014

Attachment & Human Development

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This investigation evaluated relations between preschoolers' representational content and coherence in the MacArthur Story Stem Battery (MSSB) at age four as related to child adjustment at age six. A community sample of 250 preschoolers (50% female; M(age) = 49.05 months, SD = 2.9; 46% Hispanic, 18% Black, 11.2% White, 0.4% Asian, and 24.4% multiracial) completed assessments of relational representations using the MSSB at age four and of child adjustment at age six, including a measure of child-reported depressive symptomatology and observer ratings of child aggression during a Bobo doll task and inhibitory control during a delay of gratification task. Regression analyses demonstrated prospective relations between negative mother representation and less inhibitory control, negative child representation and higher aggression, and narrative coherence and more inhibitory control. Interactive analyses revealed relations between negative mother representation and difficulties in inhibitory control among White children and weaker relations among Black children. Prospective relations between narrative coherence and increased inhibitory control were less pronounced for Hispanic children. Findings indicate that preschoolers' narratives can reveal the thematic content and structural coherence of their internalized beliefs and expectations of self and (m)other. Associations between representations and children's adaptation have clear implications for representational processes and interventions in development.

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Section: Strengths and Limitationssupporting

confidence: 47%

Section: Depressive Symptomsmentioning

confidence: 99%

Preschoolers’ narrative representations and childhood adaptation in an ethnoracially diverse sample

Grey

Yates

2014

Attachment & Human Development

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“…While there is considerable uncertainty about maternal physical health and child welfare, there is evidence to suggest that the illness of mothers negatively impacts the health of their offspring. 7, 10, 14, 58 Moreover, recent research, utilizing the same sample of mothers, children and households, and the same measures of maternal physical and mental health, demonstrates an independent association between both maternal mental and physical health and child mental health. 59 Also, similar to this study, that study demonstrated that even in the absence of maternal smoking, children’s mental health was worse in households with adult smokers and the more smokers present, the worse the child’s mental health.…”

Section: Discussionmentioning

confidence: 94%

Household Exposure to Secondhand Smoke is Associated with Decreased Physical and Mental Health of Mothers in the USA

Sobotova

Liu

Burakoff

et al. 2009

Matern Child Health J

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Background Secondhand smoke is one of the most common toxic environmental exposures to children, and maternal health problems also have substantial negative effects on children. We are unaware of any studies examining the association of living with smokers and maternal health. Objective To investigate whether non-smoking mothers who live with smokers have worse physical and mental health than non-smoking mothers who live in homes without smokers. Methods Nationally representative data from the 2000–2004 Medical Expenditure Panel Survey were used. The health of non-smoking mothers with children <18 years (n=18,810) was assessed, comparing those living with one or more smokers (n=3,344) to those living in households with no adult smokers (n=14,836). Associations between maternal health, household smoking, and maternal age, race/ethnicity, and marital, educational, poverty and employment status were examined in bivariable and multivariable analyses using SUDAAN software to adjust for the complex sampling design. Scores on the Medical Outcomes Short Form-12 (SF-12) Physical Component Scale (PCS) and Mental Component Scale (MCS) were used to assess maternal health. Results 79.2% of mothers in the USA are non-smokers and 17.4% of them live with ≥1 adult smokers: 14.2% with 1 and 3.2% with ≥ 2 smokers. Among non-smoking mothers, the mean MCS score is 50.5 and mean PCS is 52.9. The presence of an adult smoker and increasing number of smokers in the home are both negatively associated with MCS and PCS scores in bivariable analyses (p<0.001 for each). Non-smoking mothers with at least one smoker in the household had an 11 % (95% CI=0.80–0.99) lower odds of scoring at or above the mean MCS score and a 19 % (95%CI=0.73–0.90) lower odds of scoring at or above the mean PCS score_compared to non-smoking mothers with no smokers in the household. There is an evidence of a dose response relationship with increasing number of smokers in the household for PCS (p<0.001). Conclusions These findings demonstrate a previously unrecognized child health risk: living with smokers is independently associated with worse physical and mental health among non-smoking mothers.

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“…This suggests that the target groups may be resilient in terms of the salivary cortisol reactivity to chronic stressors. Accordingly, qualitative studies [34] and quantitative studies [35,36] proposed that the target groups function well and may be resilient. In addition, none of the adolescents showed a cortisol ratio below one, suggesting that the target groups displayed a healthy diurnal cortisol pattern [11].…”

Section: Discussionmentioning

confidence: 99%

The diurnal salivary cortisol pattern of adolescents from families with single, ill and healthy parents

Sieh

Visser-Meily

Oort

et al. 2012

Journal of Psychosomatic Research

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Examining the Effects of Maternal Chronic Illness on Child Well-Being in Single Parent Families

Abstract: Several areas for future work on how illness affects single-parent families were identified such as prospectively studying illnesses with a variable course and determining which protective factors promote resiliency for children in this difficult situation.

Cited by 30 publications

References 21 publications

Preschoolers’ narrative representations and childhood adaptation in an ethnoracially diverse sample

Preschoolers’ narrative representations and childhood adaptation in an ethnoracially diverse sample

Household Exposure to Secondhand Smoke is Associated with Decreased Physical and Mental Health of Mothers in the USA

The diurnal salivary cortisol pattern of adolescents from families with single, ill and healthy parents

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