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Maternal Impression Management in the Assessment of Childhood Depressive Symptomatology

Published online by Cambridge University Press:  27 February 2018

Megan Lilly ,
Thompson E. Davis III ,
Peter J. Castagna Open the ORCID record for Peter J. Castagna [Opens in a new window] ,
Arwen Marker  and
Allison B. Davis
Megan Lilly
Affiliation:
Department of Psychology, Louisiana State University
Thompson E. Davis III*
Affiliation:
Department of Psychology, Louisiana State University
Peter J. Castagna
Affiliation:
Department of Psychology, Louisiana State University
Arwen Marker
Affiliation:
Ingestive Behavior Laboratory, Pennington Biomedical Research Center
Allison B. Davis
Affiliation:
Ingestive Behavior Laboratory, Pennington Biomedical Research Center
*
Correspondence concerning this article should be addressed to Thompson E. Davis III, Department of Psychology, Louisiana State University, Baton Rouge, LA 70803. E-mail: [email protected]
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Abstract

Background: Self-report instruments are commonly used to assess for childhood depressive symptoms. Historically, clinicians have relied heavily on parent-reports due to concerns about childrens’ cognitive abilities to understand diagnostic questions. However, parents may also be unreliable reporters due to a lack of understanding of their child's symptomatology, overshadowing by their own problems, and tendencies to promote themselves more favourably in order to achieve desired assessment goals. One such variable that can lead to unreliable reporting is impression management, which is a goal-directed response in which an individual (e.g. mother or father) attempts to represent themselves, or their child, in a socially desirable way to the observer. Aims: This study examined the relationship between mothers who engage in impression management, as measured by the Parenting Stress Index-Short Form defensive responding subscale, and parent-/child-self-reports of depressive symptomatology in 106 mother–child dyads. Methods: 106 clinic-referred children (mean child age = 10.06 years, range 7–16 years) were administered the Child Depression Inventory, and mothers (mean mother age = 40.80 years, range 27–57 years) were administered the Child-Behavior Checklist, Parenting Stress Index-Short Form, and Symptom Checklist-90-Revised. Results: As predicted, mothers who engaged in impression management under-reported their child's symptomatology on the anxious/depressed and withdrawn subscales of the Child Behavior Checklist. Moreover, the relationship between maternal-reported child depressive symptoms and child-reported depressive symptoms was moderated by impression management. Conclusions: These results suggest that children may be more reliable reporters of their own depressive symptomatology when mothers are highly defensive or stressed.

Keywords

maternal depressionchild outcomesimpression managementdepression
Type
Research Article
Information
Behavioural and Cognitive Psychotherapy , Volume 46 , Issue 5 , September 2018 , pp. 554 - 569
Copyright
Copyright © British Association for Behavioural and Cognitive Psychotherapies 2018 

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Footnotes

*

Arwen Marker is now at the Clinical Child Psychology Program, University of Kansas.

References

Abidin, R. R. (1990). Parenting Stress Index (PSI). Pediatric Psychology Press.Google Scholar
Abidin, R. R. (1995). Manual for the parenting stress index. Odessa, FL: Psychological Assessment Resources.Google Scholar
Achenbach, T. M., McConaughy, S. H. and Howell, C. T. (1987). Child/adolescent behavioral and emotional problems: implications of cross-informant correlations for situational specificity. Psychological Bulletin, 101, 213.Google Scholar
Achenbach, T. M. and Rescorla, L. A. (2001). Manual for the ASEBA School-Age Forms and Profiles. Burlington, VT: University of Vermont. Research Center for Children, Youth, and Families.Google Scholar
Allen, J. P., Manning, N. and Meyer, J. (2010). Tightly linked systems: reciprocal relations between maternal depressive symptoms and maternal reports of adolescent externalizing behavior. Journal of Abnormal Psychology, 119, 825.Google Scholar
Alonso, J., Buron, A., Bruffaerts, R., He, Y., Posada-Villa, J., Lepine, J. P. et al. (2008). Association of perceived stigma and mood and anxiety disorders: results from the World Mental Health Surveys. Acta Psychiatrica Scandinavica, 118, 305–314.Google Scholar
Bennett, T., Boyle, M., Georgiades, K., Georgiades, S., Thompson, A., Duku, E. et al. (2012). Influence of reporting effects on the association between maternal depression and child autism spectrum disorder behaviors. Journal of Child Psychology and Psychiatry, 53, 89–96.Google Scholar
Berg-Nielson, T. S., Vika, A. and Dahl, A. A. (2003). When adolescents disagree with their mothers: CBCL-YSR discrepancies related to maternal depression and adolescent self-esteem. Child: Care, Health and Development, 29, 207–213.Google Scholar
Boyle, M. H. and Pickles, A. R. (1997). Influence of maternal depressive symptoms on ratings of childhood behavior. Journal of Abnormal Child Psychology, 25, 399–412.Google Scholar
Castaldi, J. (1988). The relationship of maternal defensiveness to reported levels of parenting stress (Doctoral dissertation).Google Scholar
Chi, T. C. and Hinshaw, S. P. (2002). Mother–child relationships of children with ADHD: the role of maternal depressive symptoms and depression-related distortions. Journal of Abnormal Child Psychology, 30, 387–400.Google Scholar
Copeland, D. and Harbaugh, B. L. (2005). Differences in parenting stress between married and single first time mothers at six to eight weeks after birth. Issues in Comprehensive Pediatric Nursing, 28, 139–152.Google Scholar
Choudhury, M. S., Pimentel, S. S. and Kendall, P. C. (2003). Childhood anxiety disorders: parent–child (dis)agreement using a structured interview for the DSM-IV. Journal of the American Academy of Child and Adolescent Psychiatry, 42, 957–964.Google Scholar
Corrigan, P. (2004). How stigma interferes with mental health care. American Psychologist, 59, 614–625.Google Scholar
Costello, A. H. and McNeil, C. B. (2014). Differentiating parents with faking-good profiles form parents with valid scores on the Child Abuse Potential Inventory. Journal of Family Violence, 29, 79–88.Google Scholar
Conners, C. K. (2008). Conners third edition (Conners 3). Los Angeles, CA: Western Psychological Services.Google Scholar
Crowne, D. P. and Marlowe, D. (1960). A new scale of social desirability independent of psychopathology. Journal of Consulting Psychology, 24, 349–354.Google Scholar
De Los Reyes, A. and Kazdin, A. E. (2005). Informant discrepancies in the assessment of childhood psychopathology: a critical review, theoretical framework, and recommendations for further study. Psychological Bulletin, 131, 483–509.Google Scholar
Derogatis, L. R. (1992). SCL-90-R: Administration, scoring and procedures manual-II for the (revised) version and other instruments of the psychopathology rating scale series. Clinical Psychometric Research, 1–16.Google Scholar
Derogatis, L. R., Rickels, K. and Rock, A. (1976). The SCL-90 and the MMPI: a step in the validation of a new self-report scale. British Journal of Psychiatry, 128, 280–289.Google Scholar
Donenberg, G. and Baker, B. L. (1993). The impact of young children with externalizing behaviors on their families. Journal of Abnormal Child Psychology, 21, 179–198.Google Scholar
Edelbrock, C. and Costello, A. J. (1990). Structured interviews for children and adolescents. In Goldstein, G. and Hersen, M. (eds), Handbook of Psychological Assessment. Pergamon General Psychology Series (vol. 131, pp. 308–323). New York: Pergamon Press.Google Scholar
Edelbrock, E., Costello, A. J., Dulcan, M. K., Conover, N. and Kalas, R. (1986). Parent-child agreement on child psychiatric symptoms assessed via structured interview. Journal of Child Psychology and Psychiatry, 27, 181–190.Google Scholar
Frühauf, S., Figlioli, P., Oehler, D. and Caspar, F. (2015). What to expect in the intake interview? Impression management tactics of psychotherapy patients. Journal of Social and Clinical Psychology, 34, 28–49.Google Scholar
Gartstein, M. A., Bridgett, D. J., Dishion, T. J. and Kaufman, N. K. (2009). Depressed mood and maternal report of child behavior problems: another look at the depression–distortion hypothesis. Journal of Applied Developmental Psychology, 30, 149–160.Google Scholar
Ge, X., Conger, R. D., Lorenz, F. O., Shanahan, M. and Elder, G. H. Jr (1995). Mutual influences in parent and adolescent psychological distress. Developmental Psychology, 31, 406–419.Google Scholar
Goodman, S. H. (2007). Depression in mothers. Annual Review of Clinical Psychology, 3, 107–135.Google Scholar
Goodman, S. H., Rouse, M. H., Connell, A. M., Broth, M. R., Hall, C. M. and Heyward, D. (2011). Maternal depression and child psychopathology: a meta-analytic review. Clinical Child Family Psychology Review, 14, 1–27.Google Scholar
Grills, A. E. and Ollendick, T. H. (2003). Multiple informant agreement and the Anxiety Disorders Interview Schedule for Parents and Children. Journal of the American Academy of Child and Adolescent Psychiatry, 42, 30–40.Google Scholar
Hammen, C. and Brennan, P. A. (2003). Severity, chronicity, and timing of maternal depression and risk for adolescent offspring diagnoses in a community sample. Archives of General Psychiatry, 60, 253–258.Google Scholar
Harvey, E. A., Fischer, C., Weieneth, J. L., Hurwitz, S. D. and Sayer, A. G. (2013). Predictors of discrepancies between informants’ ratings of preschool-aged children's behavior: an examination of ethnicity, child characteristics, and family functioning. Early Childhood Research Quarterly, 28, 668–682.Google Scholar
Haskett, M., Scott, S., Grant, R., Ward, C. and Robinson, C. (2003). Child-related cognitions and affective functioning of physically abusive and comparison parents. Child Abuse and Neglect, 27, 663–686.Google Scholar
Hinshaw, S. P. (2004). Parental mental disorder and children's functioning: Silence and communication, stigma and resilience. Journal of Clinical Child and Adolescent Psychology, 33, 400–411.Google Scholar
Horowitz, L. M., Rosenberg, S. E., Baer, B. A., Ureno, G. and Villasenor, V. S. (1988). Inventory of interpersonal problems: psychometric properties and clinical applications. Journal of Consulting and Clinical Psychology, 56, 885–892.Google Scholar
Kelly, A. E. (2000). Helping construct desirable identities: a self-presentational view of psychotherapy. Psychological Bulletin, 126, 475.Google Scholar
Kelly, C. M. and Jorm, A. F. (2007). Stigma and mood disorders. Current Opinion in Psychiatry, 20, 13–16.Google Scholar
Kovacs, M. (1992). Children's Depression Inventory (CDI). New York: Multi-health Systems, Inc.Google Scholar
LaFiosca, T. and Lloyd, B. H. (1986). Defensiveness and the assessment of parental stress and anxiety. Journal of Clinical Child Psychology, 15, 254–259.Google Scholar
Lenny, P. and Dear, G. E. (2009). Faking good on the MCMI-II: implications for child custody evaluations. Journal of Personality Assessment, 91, 553–559.Google Scholar
MacCallum, F., Golombok, S. and Brinsden, P. (2007). Parenting and child development in families with a child conceived through embryo donation. Journal of Family Psychology, 21, 278–287.Google Scholar
March, J. S., Parker, J. D., Sullivan, K., Stallings, P. and Conners, C. K. (1997). The Multidimensional Anxiety Scale for Children (MASC): factor structure, reliability, and validity. Journal of the American Academy of Child and Adolescent Psychiatry, 36, 554–565.Google Scholar
McMahon, C. A., Gibson, F., Leslie, G., Cohen, J. and Tennant, C. (2003). Parents of 5-year-old in vitro fertilization children: psychological adjustment, parenting stress and the influence of subsequent in vitro fertilization treatment. Journal of Family Psychology, 17, 361–369.Google Scholar
Munson, M. R., Floersch, J. E. and Townsend, L. (2009). Attitudes toward mental health services and illness perceptions among adolescents with mood disorders. Child Adolescent Social Work Journal, 26, 447–466.Google Scholar
Najman, J. M., Williams, G. M., Nikles, J., Spence, S. H., Bor, W., O'Callaghan, M. et al. (2000). Mothers’ mental illness and child behavior problems: cause–effect association or observation bias. Journal of the American Academy of Child and Adolescent Psychiatry, 39, 592–602.Google Scholar
Nakamura, B. J., Ebesutani, C., Bernstein, A. and Chorpita, B. F. (2009). A psychometric analysis of the child behavior checklist DSM-oriented scales. Journal of Psychopathology and Behavioral Assessment, 31, 178–189.Google Scholar
O'Driscoll, C., Heary, C., Hennessy, E. and McKeague, L. (2012). Explicit and implicit stigma towards peers with mental health problems in childhood and adolescence. Journal of Child Psychology and Psychiatry, 53, 1054–1062.Google Scholar
Parkes, J., Caravale, B., Marcelli, M., Franco, F. and Colver, A. (2011). Parenting stress and children with cerebral palsy: a European cross-sectional survey. Developmental Medicine and Child Neurology, 53, 815–821.Google Scholar
Penney, S. R. and Skilling, T. A. (2012). Moderators of informant agreement in the assessment of adolescent psychopathology: extension to a forensic sample. Psychological Assessment, 24, 386–401.Google Scholar
Perou, R. et al. (2013). Mental health surveillance among children – United States, 2005–2011. Centers for Disease Control and Prevention, Morbidity and Mortality Weekly Report, 62, 1–35.Google Scholar
Quitmann, J. H., Kriston, L., Romer, G. and Ramsauer, B. (2012). The capacity to see things from the child's point of view – assessing insightfulness in mothers with and without a diagnosis of depression. Clinical Psychology and Psychotherapy, 19, 508–517.Google Scholar
Reuterskiöld, L., Öst, L. G. and Ollendick, T. (2008). Exploring child and parent factors in the diagnostic agreement on the anxiety disorders interview schedule. Journal of Psychopathology and Behavioral Assessment, 30, 279–290.Google Scholar
Richters, J. E. (1992). Depressed mothers as informants about their children: A critical review of the evidence for distortion. Psychological Bulletin, 112, 485–499.Google Scholar
Rogers, R., Sewell, K. W., Morey, L. C. and Ustad, K. L. (1996). Detection of feigned mental disorders on the Personality Assessment Inventory: a discriminant analysis. Journal of Personality Assessment, 67, 629–640.Google Scholar
Rohde, P., Lewinsohn, P. M., Klein, D. N., Seeley, J. R. and Gau, J. M. (2012). Key characteristics of major depressive disorder occurring in childhood, adolescence, emerging adulthood, and adulthood. Clinical Psychological Science, 1, 41–53.Google Scholar
Saylor, C. F., Finch, A. J., Spirito, A. and Bennett, B. (1984). The Children's Depression Inventory: a systematic evaluation of psychometric properties. Journal of Consulting and Clinical Psychology, 52, 955–967.Google Scholar
Skilling, T. A., Doiron, J. M. and Seto, M. C. (2011). Exploring differences in youth and parent reports of antisociality among adolescent sexual and nonsexual offenders. Psychological Assessment, 23, 153–163.Google Scholar
Strickland, B. (1977). Approval motivation. In Blass, T. (ed), Personality Variables in Social Behavior (pp. 315–356). New York: Wiley.Google Scholar
Treutiger, B. M. and Lindberg, L. (2013). Prevention of depressive symptoms among adolescent girls. In Andershed, A. K. (ed), Girls at Risk: Swedish Longitudinal Research on Adjustment (pp. 57–78). New York, NY: Springer.Google Scholar
Youngstrom, E., Izard, C. and Ackerman, B. (1999). Dysphoria-related bias in maternal ratings of children. Journal of Consulting and Clinical Psychology, 67, 905–916.Google Scholar
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