Maternal depressive symptoms, and not anxiety symptoms, are associated with positive mother–child reporting discrepancies of internalizing problems in children: a report on the TRAILS Study

Toorn, S. L. M. van der; Huizink, Anja C.; Utens, Elisabeth M. W. J.; Verhulst, Frank C.; Ormel, Johan; Ferdinand, Robert F.

doi:10.1007/s00787-009-0062-3

Cited by 56 publications

(39 citation statements)

References 49 publications

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“…Second, the idea that mothers tend to over report problem behaviour (positive bias) has been studied extensively and has been linked to maternal psychopathology. Especially, maternal internalising symptomatology (such as anxiety and depression) affects their reporting of children's problem behaviour [13][14][15][16]. Findings in the present study corroborate this idea as analyses showed that parental history of selfreported psychopathology was only positively associated with maternal reports on child behaviour.…”

Section: Discussionsupporting

confidence: 81%

“…These disparities between informants might be due (at least partially) to inherent differences in experiences that these informants share with the children; for example the home environment versus the classroom [12]. In addition, evidence is accumulating for the influence of parental psychopathology on cross-informant discrepancies [13][14][15][16]. To sum up, although evidence concerning the association between maternal negative emotions during pregnancy with long-term behavioural outcome is accumulating, these findings were based on maternal ratings of child behaviour.…”

Section: Introductionmentioning

confidence: 99%

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Antenatal maternal anxiety is associated with problem behaviour at age five

Loomans

Stelt

Eijsden

et al. 2011

Early Human Development

113

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Antenatal maternal anxiety is associated with problem behaviour at age five General rightsCopyright and moral rights for the publications made accessible in the public portal are retained by the authors and/or other copyright owners and it is a condition of accessing publications that users recognise and abide by the legal requirements associated with these rights.-Users may download and print one copy of any publication from the public portal for the purpose of private study or research -You may not further distribute the material or use it for any profit-making activity or commercial gain -You may freely distribute the URL identifying the publication in the public portal Take down policyIf you believe that this document breaches copyright, please contact us providing details, and we will remove access to the work immediately and investigate your claim. Background: Developmental programming by maternal stress during pregnancy is found to influence behavioural development in the offspring. Aim: To prospectively investigate the association between antenatal maternal anxiety and children's behaviour rated by their mothers and teachers. Methods: In a large, community based birth-cohort (the ABCD-study) antenatal maternal state-anxiety (M = 36.7, SD = 9.8) was measured around the 16th week of gestation. Five years later, 3446 mothers and 3520 teachers evaluated 3758 children's overall problem behaviour, emotional symptoms, conduct problems, hyperactivity/inattention problems, peer relationship problems and pro-social behaviour. Results: Hierarchical multiple regression analysis using a large number of potential covariates revealed that children of mothers who reported higher levels of anxiety during their pregnancy showed more overall problem behaviour, hyperactivity/inattention problems, emotional symptoms, peer relationship problems, conduct problems and showed less pro-social behaviour when mothers rated their child's behaviour. When teachers rated child behaviour, children showed more overall problem behaviour and less pro-social behaviour that was related to antenatal anxiety. The child's sex moderated the association between antenatal anxiety with overall problem behaviour and hyperactivity/inattention problems when reported by the mother. In boys, exposure to antenatal anxiety was associated with a stronger increase in overall problem behaviour compared to girls. Furthermore, antenatal anxiety was significantly related to an increase in hyperactivity/inattention problems in boys, while this was not the case in girls. Conclusions: Exposure to antenatal maternal anxiety is associated with children's problem behaviour, with different outcome patterns for both sexes. Nevertheless, effect sizes in this study were small.

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Section: Discussionsupporting

confidence: 81%

Section: Introductionmentioning

confidence: 99%

Antenatal maternal anxiety is associated with problem behaviour at age five

Loomans

Stelt

Eijsden

et al. 2011

Early Human Development

113

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show abstract

“…We also included outpatient visits billed by nonmilitary provid- 43 there may be a differential ascertainment bias because depressed mothers perceive their children's mental health problems more frequently than nondepressed mothers-the "depressiondistortion hypothesis." [44][45][46] Because depression and other mental health disorders are common among female spouses of deployed male military members, this phenomenon should caution against assigning direct causality between parental deployment and pediatric visits for mental and behavioral health issues. 25 This study's primary strength is the large number of included children during a period of intense deployment stress.…”

Section: Male) Of Deployed Marines In 2003mentioning

confidence: 99%

Wartime Military Deployment and Increased Pediatric Mental and Behavioral Health Complaints

2010

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WHAT'S KNOWN ON THIS SUBJECT:Military deployment of a parent influences children's behavior in a variety of settings. The clinical significance of these deployment-associated behavior changes has not been determined. WHAT THIS STUDY ADDS:Children experiencing separation from a parent due to wartime military deployment have an 11% increase in outpatient visits for mental and behavioral health complaints, which contrasts with a general deploymentassociated decrease in health care visits in all other diagnostic categories.abstract BACKGROUND: Children of military personnel face stress when a parent deploys. OBJECTIVE: Our goal was to determine the effect of parental military deployment on the relative rate of outpatient visits for mental and behavioral health disorders in children aged 3 to 8 years. METHODS:This was a retrospective cohort study. Records of children of active-duty personnel during fiscal years 2006 and 2007 were linked with their parent's deployment records. Mental and behavioral health visits were identified by using International Classification of Diseases, Ninth Revision, codes. The incidence rate ratio (IRR) of visits per year according to parental deployment status was determined with random-effects negative binomial regression modeling with longitudinal data analysis. RESULTS: A total of 642 397 children aged 3 to 8 years and 442 722 military parents were included. Mean child age was 5.0 years (SD: 1.9 years); 50.6% were male, and 68.0% were white. Ninety percent of the parents were male, and 90.5% were married; 32.0% of the parents were deployed during the study. There were 1 049 081 person-years with 611 115 mental and behavioral health visits (0.6 visit per year). The IRR of mental and behavioral health visits for children with a deployed parent compared with when a parent was home was 1.11 (95% confidence interval [CI]: 1.07-1.14; P Ͻ .001). IRRs of pediatric anxiety, behavioral, and stress disorders when a parent deployed were 1.14 (95% CI: 0.98 -1.32; P ϭ .095), 1.19 (95% CI: 1.07-1.32; P Ͻ .001), and 1.18 (95% CI: 1.10 -1.26; P Ͻ .001), respectively. Older children and children with military fathers and married parents had larger increases in rates of mental and behavioral health visits during parental deployments. In contrast, the overall outpatient rate and rates of visits for other diagnoses decreased when a parent was deployed. CONCLUSIONS: Mental and behavioral health visits increased by 11% in these children when a military parent deployed; behavioral disorders increased 19% and stress disorders increased 18%. Rates especially increased in older children and children of married and male military parents.

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“…This finding is not surprising as parental levels of psychological adjustment and maternal maladjustment specifically have been found to predict the reporting of higher levels of adjustment problems among children than reported by children themselves. 56,57 Some of the studies that have documented the association of parental and child psychological adjustment only used parent-reported measures for child psychological adjustment. 9,11,12 Methodological differences may therefore explain in part why an association was not observed for all measures in this study.…”

Section: Teasing and Social Rejection Among Obese Children T Gunnarsdmentioning

confidence: 99%

Teasing and social rejection among obese children enrolling in family-based behavioural treatment: effects on psychological adjustment and academic competencies

et al. 2011

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Objectives: The first objective was to determine the prevalence of psychological maladjustment (emotional and behavioural problems), low academic competencies and teasing/social rejection among obese Icelandic children enrolling in a family-based behavioural treatment. A second objective was to explore the degree to which teasing/social rejection specifically contributes to children's psychological adjustment and academic competencies when controlling for other variables, including demographics, children's physical activity, parental depression and life-stress. Methods: Participants were 84 obese children (mean body mass index-standard deviation score ¼ 3.11, age range ¼ 7.52-13.61 years). Height and weight, demographics and measures of children's psychological adjustment, academic competencies, teasing/social rejection and physical activity were collected from children, parents and teachers. Parental depression and life-stress was self-reported. Results: Over half the children exceeded cutoffs indicating concern on at least one measure of behavioural or emotional difficulties. Children endorsed significant levels of teasing/social rejection, with almost half acknowledging they were not popular with same-gender peers. Parent reports of peer problems were even higher, with over 90% of both boys and girls being rated by their parents as having significant peer difficulties. However, rates of low academic competencies as reported by teachers were not different from those of the general population. In regression analyses controlling for other variables, self-reported teasing/social rejection emerged as a significant contributor to explaining both child psychological adjustment and academic competencies. Conclusions:The results indicate that among obese children enrolled in family-based treatment, self-reported teasing/social rejection is quite high and it is associated with poorer psychological adjustment as well as lower academic competencies. Parent reports corroborate the presence of substantial peer difficulties, supporting the need to address peer relations with overweight children both in clinical practice and in public health interventions.

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Maternal depressive symptoms, and not anxiety symptoms, are associated with positive mother–child reporting discrepancies of internalizing problems in children: a report on the TRAILS Study

Cited by 56 publications

References 49 publications

Antenatal maternal anxiety is associated with problem behaviour at age five

Antenatal maternal anxiety is associated with problem behaviour at age five

Wartime Military Deployment and Increased Pediatric Mental and Behavioral Health Complaints

Teasing and social rejection among obese children enrolling in family-based behavioural treatment: effects on psychological adjustment and academic competencies

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