Parental use of antidepressant medication and family type in the risk for incident psychiatric morbidity in offspring

Joutsenniemi, Kaisla; Moustgaard, Heta; Martikainen, Pekka

doi:10.1136/jech-2012-201718

Cited by 3 publications

(3 citation statements)

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“…Parental PTSD, alone or together with TBI, appeared to account for the largest increases in children's psychiatric medication usage. These findings are consistent with the results of studies showing that children of parents with mental health diagnoses are more likely to use psychiatric medications 55 and that children of parents with PTSD are more likely to have internalizing and externalizing symptoms. 56 Previous research has indicated that parents with children in the home have more severe symptoms of and are more likely to receive care for PTSD more than nonparents.…”

Section: Discussionsupporting

confidence: 90%

The Impact Of Military Parents’ Injuries On The Health And Well-Being Of Their Children

2019

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Parental injuries and illnesses affect child and family life. We hypothesized that military parental injury would adversely affect children's preventive care, injuries, maltreatment, mental health care, and psychiatric medication prescriptions. Visit and prescription data of 485,002 military-connected children ages 2-16 were tracked for two years before and two years after the injury of a parent in the period 2004-14. Adjusted negative binomial regression compared pre-and post-injury visit and prescription rates. Children with injured parents had decreased rates of preventive care visits and increased rates of visits for injuries, maltreatment, and mental health care, as well as increased psychiatric medication use, following their parent's injury. Across all categories of care, children of parents with posttraumatic stress disorder (PTSD), both alone and with traumatic brain injury, appeared to have more pronounced changes in care patterns. Parental injury and illness are associated with changes in children's health care use, and PTSD in a parent increases the effect. Severe parental injury or illness can affect family functioning and limit parents' capacity to care for children. Studies in civilian populations and burgeoning military-focused research illustrate how parental injury and illness can negatively affect multiple domains of children's health and well-being. [1][2][3][4][5][6][7][8][9][10][11][12][13][14] Research that explores the effects of parental illness or injury on children often focuses on associations between parental health problems and children's behavioral and mental health. Poor parental mental health has been linked with numerous indicators of behavioral and mental health problems in children, including suicidal ideation, eating disorders, attention deficit hyperactivity disorder, internalizing and externalizing behaviors, depression, conduct disorder, behavioral problems, and psychopathology. [3][4][5][6][7][10][11][12][15][16][17] Parental physical health problems have been associated with children's depression, coping difficulties, behavior problems, anxiety, sleeping problems, compulsive behaviors, stress, internalizing and externalizing behaviors, conduct problems, and substance use. 14,[18][19][20][21][22][23] Children's health issues worsen with parental depression and distress, 24,25 and increased parental distress has been associated with poor overall family functioning. 26 Children of brain-injured parents have an increased likelihood of experiencing posttraumatic stress symptoms, emotional and behavioral problems, psychiatric disorders, developmental disorders, depression, substance abuse, and poor social coping. [27][28][29][30][31][32] Spouses of individuals with brain injury also have increased stress, which affects children. 33 Parental injury is associated with child distress, and family disruption and pre-injury family problems increase child distress. 34 An emerging literature has linked other indicators of child health and family functioning

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Section: Discussionsupporting

confidence: 90%

The Impact Of Military Parents’ Injuries On The Health And Well-Being Of Their Children

2019

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“…Given the risk of the intergenerational transmission of mental health problems in children being raised by two depressed parents (see Nomura et al 2001; Lieb et al . 2002; Joutsenniemi et al 2013), there is an imperative to identify at-risk families and intervene at an early stage. Greater exploration of the associations between paternal depression and the mental health and well-being of both mother and child were beyond the scope of the present study but merit further investigation.…”

Section: Discussionmentioning

confidence: 99%

“…For example, Joutsenniemi et al . (2013) found a twofold increased risk of mental health problems in offspring who were raised in households where both parents were taking antidepressants. Children of depressed parents are also at increased risk of substance use and anxiety disorder (Lieb et al .…”

Section: Introductionmentioning

confidence: 99%

Prevalence and factors associated with depression and depression-related healthcare access in mothers of 9-month-old infants in the Republic of Ireland

Cruise¹,

Layte

Stevenson³

et al. 2017

Epidemiol Psychiatr Sci

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Prevalence and factors associated with depression and depressionrelated healthcare access in mothers of 9-month old infants in the Republic of Ireland Cruise, S. M., Layte, R., Stevenson, M., & O'Reilly, D. (2017). Prevalence and factors associated with depression and depression-related healthcare access in mothers of 9-month old infants in the Republic of Ireland. Epidemiology and Psychiatric Sciences. DOI: 10.1017/S2045796017000026 Methods. Respondents were 11,089 mothers of 9-month-old infants recruited to the Growing Up in Ireland study. Of this sample, 10,827 had complete data on all relevant variables.Respondents provided sociodemographic, socioeconomic and household information, and completed the Center for Epidemiologic Studies Depression Scale (CESD).Results. 11.1% of mothers scored above the CESD threshold for depression. 10.0% of depressed mothers and 25.4% of depressed fathers had depressed partners. Among depressed mothers, 73.1% had not attended a healthcare professional for a mental health problem. In the adjusted model, the likelihood of depression was highest in mothers who: had lower educational levels (OR 1.26; 95% CIs 1.08,1.46); were unemployed (OR 1.27; 95% CIs 1.10,1.47); reported previous mental health problems (OR 6.55; 95% CIs 5.68,7.56); reported that the cohort child was the result of an unintended pregnancy (OR 1.43; 95% CIs 1.22,1.68), was preterm (OR 1.35; 95% CIs 1.07,1.70), or had health/developmental problems (OR 1.20; 95% CIs 1.04,1.39); had no partner in the household (OR 1.33; 95% CIs 1.04,1.70) or were living with a depressed partner (OR 2.66; 95% CIs 1.97,3.60); reported no family living nearby (OR 1.33; 95% CIs 1.16,1.54); were in the lowest income group (OR 1.60; 95% CIs 1.21,2.12).Depression and healthcare access in postpartum Irish mothers 3The primary determinant of not seeking treatment for depression was being of non-white ethnicity (OR 2.21; 95% CIs 1.18,4.13). Conclusions:Results highlight the prevalence of maternal depression in the later postpartum period, particularly for lower socioeconomic groups, those with previous mental health problems, and those with limited social support. The large proportion of unmet need in depressed mothers, particularly among ethnic minority groups, emphasises the need for a greater awareness of postpartum mental health problems and increased efforts by healthcare professionals to ensure that mothers can access the required services.Depression and healthcare access in postpartum Irish mothers 4

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Intergenerationale Transmission psychischer Auffälligkeiten unter Berücksichtigung von Geschlechtereffekten

Alsmeier

Schulz

2020

Zeitschrift für Klinische Psychologie und Psychotherapie

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Zusammenfassung. Hintergrund: Kinder psychisch kranker Eltern sind eine Hochrisikogruppe. Eine mütterliche Erkrankung scheint sich stärker negativ auf die Nachkommen auszuwirken als eine väterliche Erkrankung. Ob sich die Auswirkungen auf Mädchen und Jungen unterscheiden, ist unklar. Fragestellung: Ziel der Studie ist die Klärung von Geschlechtereffekten bei der intergenerationalen Transmission psychischer Auffälligkeiten. Methode: Es wurden N = 267 Familien untersucht, indem die Depressions- und Angstsymptome von Müttern und Vätern mit einem latenten Wachstumskurvenmodell über vier Messzeitpunkte (zehn Jahre) modelliert wurden. Die Überprüfung erfolgt mittels Strukturgleichungsmodellen. Ergebnisse: Es wurden Zusammenhänge zwischen elterlichen und kindlichen Auffälligkeiten gefunden. Dabei steht eine väterliche depressive Symptomatik stärker mit jugendlichen externalisierenden Auffälligkeiten in Verbindung als eine mütterliche depressive Symptomatik. Mädchen entwickeln tendenziell mehr als Jungen internalisierende Auffälligkeiten bei psychisch belasteten Eltern. Schlussfolgerung: Zukünftige Studien sollten Mütter und Väter gleichermaßen einbeziehen. Weiterhin sollten verstärkt Transmissionsmechanismen inklusive möglicher Mediatoren mit Berücksichtigung des elterlichen und kindlichen Geschlechtes untersucht werden.

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Parental use of antidepressant medication and family type in the risk for incident psychiatric morbidity in offspring

Abstract: Parental depression as measured by antidepressant use, and single parenthood pose a risk for psychiatric morbidity in offspring.

Cited by 3 publications

References 12 publications

The Impact Of Military Parents’ Injuries On The Health And Well-Being Of Their Children

The Impact Of Military Parents’ Injuries On The Health And Well-Being Of Their Children

Prevalence and factors associated with depression and depression-related healthcare access in mothers of 9-month-old infants in the Republic of Ireland

Intergenerationale Transmission psychischer Auffälligkeiten unter Berücksichtigung von Geschlechtereffekten

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