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Trajectories of maternal depressive symptoms predict child problem behaviour: The Generation R Study

Published online by Cambridge University Press:  11 April 2012

R. A. M. Cents ,
S. Diamantopoulou ,
J. J. Hudziak ,
V. W. V. Jaddoe ,
A. Hofman ,
F. C. Verhulst ,
M. P. Lambregtse-van den Berg  and
H. Tiemeier
R. A. M. Cents
Affiliation:
The Generation R Study Group, Erasmus MC-University Medical Centre, Rotterdam, The Netherlands Department of Child and Adolescent Psychiatry, Erasmus MC-University Medical Centre, Rotterdam, The Netherlands
S. Diamantopoulou
Affiliation:
Department of Child and Adolescent Psychiatry, Erasmus MC-University Medical Centre, Rotterdam, The Netherlands
J. J. Hudziak
Affiliation:
Department of Child and Adolescent Psychiatry, Erasmus MC-University Medical Centre, Rotterdam, The Netherlands Departments of Psychiatry, Medicine and Paediatrics, University of Vermont, Burlington, USA
V. W. V. Jaddoe
Affiliation:
The Generation R Study Group, Erasmus MC-University Medical Centre, Rotterdam, The Netherlands Department of Epidemiology, Erasmus MC-University Medical Centre, Rotterdam, The Netherlands Department of Paediatrics, Erasmus MC-University Medical Centre, Rotterdam, The Netherlands
A. Hofman
Affiliation:
Department of Epidemiology, Erasmus MC-University Medical Centre, Rotterdam, The Netherlands
F. C. Verhulst
Affiliation:
Department of Child and Adolescent Psychiatry, Erasmus MC-University Medical Centre, Rotterdam, The Netherlands
M. P. Lambregtse-van den Berg
Affiliation:
Department of Child and Adolescent Psychiatry, Erasmus MC-University Medical Centre, Rotterdam, The Netherlands Department of Psychiatry, Erasmus MC-University Medical Centre, Rotterdam, The Netherlands
H. Tiemeier*
Affiliation:
Department of Child and Adolescent Psychiatry, Erasmus MC-University Medical Centre, Rotterdam, The Netherlands Department of Epidemiology, Erasmus MC-University Medical Centre, Rotterdam, The Netherlands Department of Psychiatry, Erasmus MC-University Medical Centre, Rotterdam, The Netherlands
*
*Address for correspondence: Dr H. Tiemeier, Department of Child & Youth Psychiatry, Erasmus MC-University Medical Centre, Rotterdam, PO Box 2060, 3000 CB Rotterdam, The Netherlands. (Email: [email protected])
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Abstract

Background

It is unclear how the course of maternal depressive symptoms affects child development. We modelled trajectories of maternal depressive symptoms from mid-pregnancy to 3 years after childbirth to better determine their associations with child problem behaviour.

Method

Mother–child dyads (n = 4167) participated in a population-based prospective cohort in The Netherlands. Depressive symptoms were assessed with the Brief Symptom Inventory during pregnancy and at 2, 6 and 36 months postnatally. When children were 3 years old, problem behaviour was assessed with the Child Behaviour Checklist completed by each parent. A group-based modelling technique was used to model trajectories of maternal depressive symptoms and to examine their association with child problem behaviour. The added value of trajectory modelling was determined with successive linear regressions.

Results

We identified four trajectories of maternal depressive symptoms; ‘no’ (34%), ‘low’ (54%), ‘moderate’ (11%) and ‘high’ (1.5%). Child problem behaviour varied as a function of maternal trajectory membership. Whether rated by mother or father, children of mothers assigned to higher trajectories had significantly more problem behaviours than children of mothers assigned to lower trajectories. The model including trajectories had additive predictive value over a model relying only on a summed repeated measure of severity and a predefined chronicity variable.

Conclusions

Depending on their course, maternal depressive symptoms have different effects on child problem behaviour. More information is gained by studying trajectories of symptoms, than only predefined measures of severity and chronicity. Moreover, trajectories can help identifying clinically depressed mothers who are possible candidates for early interventions.

Keywords

Child internalizing and externalizing problemsgroup-based trajectory modellingtrajectories of maternal depressive symptoms
Type
Original Articles
Information
Psychological Medicine , Volume 43 , Issue 1 , January 2013 , pp. 13 - 25
Copyright
Copyright © Cambridge University Press 2012

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References

Achenbach, T, Rescorla, L (2000). Manual for the ASEBA Preschool Forms & Profiles. University of Vermont, research Center for Children, Youths & Families: Burlington, VT.Google Scholar
Bayer, JK, Hiscock, H, Ukoumunne, OC, Price, A, Wake, M (2008). Early childhood aetiology of mental health problems: a longitudinal population-based study. Journal of Child Psychology and Psychiatry and Allied Disciplines 49, 1166–1174.CrossRefGoogle ScholarPubMed
Brennan, PA, Hammen, C, Andersen, MJ, Bor, W, Najman, JM, Williams, GM (2000). Chronicity, severity, and timing of maternal depressive symptoms: relationships with child outcomes at age 5. Developmental Psychology 36, 759–766.CrossRefGoogle ScholarPubMed
Buist, AE, Austin, MP, Hayes, BA, Speelman, C, Bilszta, JL, Gemmill, AW, Brooks, J, Ellwood, D, Milgrom, J (2008). Postnatal mental health of women giving birth in Australia 2002–2004: findings from the beyondblue National Postnatal Depression Program. Australian and New Zealand Journal of Psychiatry 42, 66–73.CrossRefGoogle ScholarPubMed
Byles, J, Byrne, C, Boyle, MH, Offord, DR (1988). Ontario Child Health Study – Reliability and Validity of the General Functioning Subscale of the Mcmaster Family Assessment Device. Family Process 27, 97–104.CrossRefGoogle ScholarPubMed
Campbell, SB, Matestic, P, von Stauffenberg, C, Mohan, R, Kirchner, T (2007). Trajectories of maternal depressive symptoms, maternal sensitivity, and children's functioning at school entry. Developmental Psychology 43, 1202–1215.CrossRefGoogle ScholarPubMed
Campbell, SB, Morgan-Lopez, AA, Cox, MJ, McLoyd, VC (2009). A latent class analysis of maternal depressive symptoms over 12 years and offspring adjustment in adolescence. Journal of Abnormal Psychology 118, 479–493.CrossRefGoogle ScholarPubMed
Cummings, EM, Davies, PT (1994). Maternal depression and child development. Journal of Child Psychology and Psychiatry and Allied Disciplines 35, 73–112.CrossRefGoogle ScholarPubMed
de Beurs, E (2004). Brief Symptom Inventory, handleiding [Dutch manual]. PITS B.V.: Leiden, The Netherlands.Google Scholar
de Beurs, E (2009). Brief Symptom Inventory, handleiding addendum [Dutch manual addendum]. PITS B.V.: Leiden, The Netherlands.Google Scholar
Deave, T, Heron, J, Evans, J, Emond, A (2008). The impact of maternal depression in pregnancy on early child development. British Journal of Obstetrics and Gynaecology 115, 1043–51.CrossRefGoogle ScholarPubMed
Derogatis, L (1993). Brief Symptom Inventory (BSI): Administration, Scoring and Procedures Manual. National Computer Systems Inc.: Minneapolis, MN.Google Scholar
Early Child Care Research Network (1999). Chronicity of maternal depressive symptoms, maternal sensitivity, and child functioning at 36 months. Developmental Psychology 35, 1297–1310.CrossRefGoogle Scholar
Elgar, FJ, McGrath, PJ, Waschbusch, DA, Stewart, SH, Curtis, LJ (2004). Mutual influences on maternal depression and child adjustment problems. Clinical Psychology Review 24, 441–459.CrossRefGoogle ScholarPubMed
Gavin, NI, Gaynes, BN, Lohr, KN, Meltzer-Brody, S, Gartlehner, G, Swinson, T (2005). Perinatal depression: a systematic review of prevalence and incidence. Obstetrics and Gynecology 106, 1071–1083.CrossRefGoogle ScholarPubMed
Goodman, SH (2007). Depression in mothers. Annual Review of Clinical Psychology 3, 107–135.CrossRefGoogle ScholarPubMed
Goodman, SH, Gotlib, IH (1999). Risk for psychopathology in the children of depressed mothers: a developmental model for understanding mechanisms of transmission. Psychological Review 106, 458–490.CrossRefGoogle ScholarPubMed
Goodman, SH, Tully, E (2006). Depression in women who are mothers: an integrative model of risk for the development of psychopathology in their sons and daughters. In Women and Depression: A Handbook for the Social, Behavioral and Biomedical Sciences (ed. Keyes, C. L. M. and Goodman, S. H.), pp. 241–282. Cambridge University Press: New York.CrossRefGoogle Scholar
Gross, HE, Shaw, DS, Burwell, RA, Nagin, DS (2009). Transactional processes in child disruptive behavior and maternal depression: a longitudinal study from early childhood to adolescence. Development and Psychopathology 21, 139–156.CrossRefGoogle ScholarPubMed
Henshaw, C (2003). Mood disturbance in the early puerperium: a review. Archives of Women's Mental Health 6 (Suppl. 2), S33–42.CrossRefGoogle ScholarPubMed
Jaddoe, VW, van Duijn, CM, van der Heijden, AJ, Mackenbach, JP, Moll, HA, Steegers, EA, Tiemeier, H, Uitterlinden, AG, Verhulst, FC, Hofman, A (2010). The Generation R Study: design and cohort update 2010. European Journal of Epidemiology 25, 823–841.CrossRefGoogle ScholarPubMed
Jones, BL, Nagin, DS, Roeder, K (2001). A SAS procedure based on mixture models for estimating developmental trajectories. Sociological Methods & Research 29, 374–393.CrossRefGoogle Scholar
Judd, LL, Rapaport, MH, Paulus, MP, Brown, JL (1994). Subsyndromal symptomatic depression: a new mood disorder? Journal of Clinical Psychiatry 55 (Suppl.), 18–28.Google ScholarPubMed
Kim-Cohen, J, Moffitt, TE, Taylor, A, Pawlby, SJ, Caspi, A (2005). Maternal depression and children's antisocial behavior: nature and nurture effects. Archives of General Psychiatry 62, 173–181.CrossRefGoogle ScholarPubMed
Luoma, I, Tamminen, T, Kaukonen, P, Laippala, P, Puura, K, Salmelin, R, Almqvist, F (2001). Longitudinal study of maternal depressive symptoms and child well-being. Journal of the American Academy of Child and Adolescent Psychiatry 40, 1367–1374.CrossRefGoogle ScholarPubMed
McLennan, JD, Kotelchuck, M, Cho, H (2001). Prevalence, persistence, and correlates of depressive symptoms in a national sample of mothers of toddlers. Journal of the American Academy of Child and Adolescent Psychiatry 40, 1316–1323.CrossRefGoogle Scholar
Mora, PA, Bennett, IM, Elo, IT, Mathew, L, Coyne, JC, Culhane, JF (2009). Distinct trajectories of perinatal depressive symptomatology: evidence from growth mixture modeling. American Journal of Epidemiology 169, 24–32.CrossRefGoogle ScholarPubMed
Muthen, B (2002). Beyond SEM: general latent variable modeling. Behaviormetrika 29, 81–117.CrossRefGoogle Scholar
Nagin, DS (2005). Group-Based Modeling of Development. Harvard University Press: Cambridge, Massachusetts.CrossRefGoogle Scholar
Nagin, DS, Tremblay, RE (2001). Analyzing developmental trajectories of distinct but related behaviors: a group-based method. Psychological Methods 6, 18–34.CrossRefGoogle ScholarPubMed
Nandi, A, Beard, JR, Galea, S (2009). Epidemiologic heterogeneity of common mood and anxiety disorders over the lifecourse in the general population: a systematic review. BMC Psychiatry 9, 31.CrossRefGoogle ScholarPubMed
O'Hara, MW, Swain, AM (1996). Rates and risks of postpartum depression – a meta-analysis. International Review of Psychiatry 8, 37–54.CrossRefGoogle Scholar
Pascoe, JM, Stolfi, A, Ormond, MB (2006). Correlates of mothers' persistent depressive symptoms: a national study. Journal of Pediatric Health Care 20, 261–269.CrossRefGoogle ScholarPubMed
Pawlby, S, Hay, DF, Sharp, D, Waters, CS, O'Keane, V (2009). Antenatal depression predicts depression in adolescent offspring: prospective longitudinal community-based study. Journal of Affective Disorders 113, 236–243.CrossRefGoogle ScholarPubMed
Pettit, JW, Lewinsohn, PM, Roberts, RE, Seeley, JR, Monteith, L (2009). The long-term course of depression: development of an empirical index and identification of early adult outcomes. Psychological Medicine 39, 403–412.CrossRefGoogle ScholarPubMed
Rehman, US, Gollan, J, Mortimer, AR (2008). The marital context of depression: research, limitations, and new directions. Clinical Psychology Review 28, 179–198.CrossRefGoogle ScholarPubMed
Tick, NT, van der Ende, J, Koot, HM, Verhulst, FC (2007). 14-year changes in emotional and behavioral problems of very young Dutch children. Journal of the American Academy of Child and Adolescent Psychiatry 46, 1333–1340.CrossRefGoogle ScholarPubMed
Trapolini, T, McMahon, CA, Ungerer, JA (2007). The effect of maternal depression and marital adjustment on young children's internalizing and externalizing behaviour problems. Child: Care, Health and Development 33, 794–803.CrossRefGoogle Scholar
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