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Self-esteem Reactivity Among Mothers of Children with Attention-Deficit/Hyperactivity Disorder: The Moderating Role of Depression History

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Abstract

This study examined self-esteem reactivity to a variety of contextual cues in a sample of women prone to depression. Participants were 49 mothers of children with attention-deficit/hyperactivity disorder. Across a 9-month time-period, participants completed weekly measures of self-esteem, perceived stress, positive and negative affect, and child disruptive behavior. Results indicated that mothers reported lower self-esteem during weeks they experienced greater stress, lower positive affect, higher negative affect, and more inattentive, overactive, and oppositional behavior in their children. Depression history moderated these relationships such that mothers with prior histories of depression reported greater self-esteem reactivity to these cues than never depressed mothers.

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References

  • Affleck, G., Zautra, A., Tennen, H., & Armeli, S. (1999). Multilevel daily process designs for consulting and clinical psychology: A preface for the perplexed. Journal of Consulting and Clinical Psychology, 67, 746–754.

    Article  PubMed  CAS  Google Scholar 

  • American Psychiatric Association. (1994). Diagnostic and statistical manual of mental disorders (4th ed.). Washington, DC: Author.

  • Barnett, P. A., & Gotlib, I. H. (1988). Psychosocial functioning and depression: Distinguishing among antecedents, concomitants, and consequences. Psychological Bulletin, 104, 97–126.

    Article  PubMed  CAS  Google Scholar 

  • Beck, A. T. (1967). Depression: Clinical, experimental, and theoretical aspects. New York: Harper & Row.

    Google Scholar 

  • Beck, A. T. (1983). Cognitive therapy of depression: New perspectives. In P. J. Clayton & J. E. Barrett (Eds.), Treatment of depression: Old controversies and new approaches (pp. 265–284). New York: Raven Press.

    Google Scholar 

  • Beck, A. T., Steer, R. A., & Garbin, M. G. (1988). Psychometric properties of the Beck Depression Inventory: Twenty-five years of evaluation. Clinical Psychology Review, 8, 77–100.

    Article  Google Scholar 

  • Beck, A. T., Ward, C. H., Mendelson, M., Mock, J., & Erbaugh, J. (1961). An inventory for measuring depression. Archives of General Psychiatry, 4, 561–571.

    Article  PubMed  CAS  Google Scholar 

  • Blatt, S. J., Quinlan, D., Chevron, E., McDonald, C., & Zuroff, D. (1982). Dependency and self-criticism: Psychological dimensions for depression. Journal of Consulting and Clinical Psychology, 50, 113–124.

    Article  PubMed  CAS  Google Scholar 

  • Butler, A. C., Hokanson, J. E., & Flynn, H. A. (1994). A comparison of self-esteem lability and low trait self-esteem as vulnerability factors for depression. Journal of Personality and Social Psychology, 66, 166–177.

    Article  PubMed  CAS  Google Scholar 

  • Chronis, A. M., Chacko, A., Fabiano, G., Wymbs, B., & Pelham, W. (2004). Enhancements to the behavioral training paradigm for families of children with ADHD: Review and future directions. Clinical Child and Family Psychology Review, 7, 1–27.

    Article  PubMed  Google Scholar 

  • Chronis, A. M., Gamble, S. A., Roberts, J. E., & Pelham, W. E. (2006). Cognitive-behavioral depression treatment for mothers of children with attention-deficit/hyperactivity disorder. Behavior Therapy, 37, 143–158.

    Article  PubMed  Google Scholar 

  • Chronis, A. M., Lahey, B. B., Pelham, W. E., Kipp, H. L., Baumann, B. L., & Lee, S. S. (2003). Psychopathology and substance abuse in parents of young children with attention-deficit/hyperactivity disorder. Journal of the American Academy of Child and Adolescent Psychiatry, 42, 1424–1432.

    Article  PubMed  Google Scholar 

  • Chronis, A. M., Lahey, B. B., Pelham, W. E., Williams, S. H., Baumann, B. L., Kipp, H., et al. (2007). Maternal depression and early positive parenting predict future conduct problems in young children with attention-deficit/hyperactivity disorder. Developmental Psychology, 43, 70–82.

    Article  PubMed  Google Scholar 

  • Chronis-Tuscano, A., & Clarke, T. L. (2008). Integrated behavioral treatment for depressed mothers of children with ADHD. In L. L’Abate (Ed.), Toward a science of clinical psychology: Laboratory evaluations and interventions. Hauppagauge, NY: Nova Science Publishers.

    Google Scholar 

  • Chronis-Tuscano, A., Molina, B. S. G., Pelham, W. E., Applegate, B., Dahlke, A., Overmyer, M., et al. (2010). Very early predictors of adolescent depression and suicide attempts in children with attention-deficit/hyperactivity disorder. Archives of General Psychiatry, 67, 1044–1051.

    Article  PubMed  Google Scholar 

  • Cohen, L. H., Gunthert, K. C., Butler, A. C., O’Neill, S. C., & Tolpin, L. H. (2005). Daily affective lability as a prospective predictor of depressive symptoms. Journal of Personality, 73, 1687–1714.

    Article  PubMed  Google Scholar 

  • Cohen, S., Kamarck, T., & Mermelstein, R. (1983). A global measure of perceived stress. Journal of Health and Social Behavior, 24, 385–396.

    Article  PubMed  CAS  Google Scholar 

  • Cummings, J. A., Hayes, A. M., Cardaciotto, L., & Newman, C. F. (2012). The dynamics of self-esteem in cognitive therapy for avoidant and obsessive-compulsive personality disorders: An adaptive role of self-esteem variability. Cognitive Therapy and Research, 36, 272–281.

    Article  PubMed  Google Scholar 

  • Cunningham, C. E., Bremner, R., & Secord-Gilbert, M. (1994). The Community Parent Education (COPE) program: A school-based family systems oriented course for parents of children with disruptive behavior disorders. Unpublished manuscript, McMaster University and Chedoke-McMaster Hospitals.

  • Dasch, K. B., Cohen, L. H., Sahl, J. C., & Gunthert, K. C. (2008). Moderating effects of sociotropy and autonomy on affective and self-esteem reactivity to daily stressors. Cognitive Therapy and Research, 32, 177–195.

    Article  Google Scholar 

  • Fabiano, G. (2007). Father participation in behavioral parent training for ADHD: Review and recommendations for increasing inclusion and engagement. Journal of Family Psychology, 21, 683–693.

    Article  PubMed  Google Scholar 

  • Finken, L. L., & Amato, P. R. (1993). Parental self-esteem and behavior problems in children: Similarities between mothers and fathers. Sex Roles, 28, 569–582.

    Article  Google Scholar 

  • First, M. B., Spitzer, R. L., Gibbon, M., & Williams, J. B. (1996). Structured clinical interview for DSM-IV Axis I disorders. New York: Biometrics Research.

    Google Scholar 

  • Fischer, M. (1990). Parenting stress and the child with attention deficit hyperactivity disorder. Journal of Clinical Child Psychology, 19, 337–346.

    Article  Google Scholar 

  • Franck, E., & De Raedt, R. (2007). Self-esteem reconsidered: Unstable self-esteem outperforms level of self-esteem as vulnerability marker for depression. Behavior Research & Therapy, 45, 1531–1541.

    Article  Google Scholar 

  • Fresco, D. M., Heimberg, R. G., Abramowitz, A., & Bertram, T. L. (2006). The effect of a negative mood priming challenge on dysfunctional attitudes, explanatory style, and explanatory flexibility. British Journal of Clinical Psychology, 45, 167–183.

    Article  PubMed  Google Scholar 

  • Furstenberg, F. (1988). Good dads-bad dads: Two faces of fatherhood. In M. Burt, W. Gorham, & S. B. Hitchner Jr (Eds.), The changing American family and public policy (pp. 193–218). Washington, DC: Urban Institute Press.

    Google Scholar 

  • Gunthert, K. C., Cohen, L. H., Butler, A. C., & Beck, J. S. (2005). Predictive role of daily coping and affective reactivity in cognitive therapy outcome: Application of a daily process design to psychotherapy research. Behavior Therapy, 36, 77–88.

    Article  Google Scholar 

  • Hankin, B. L., Lakdawalla, Z., Carter, I. L., Abela, J. R. Z., & Adams, P. (2007). Are neuroticism, cognitive vulnerabilities, and self-esteem overlapping or distinct risks for depression? Evidence from exploratory and confirmatory factor analyses. Journal of Social and Clinical Psychology, 26, 29–63.

    Article  Google Scholar 

  • Hayes, A. M., Harris, M. S., & Carver, C. S. (2004). Predictors of self-esteem variability. Cognitive Therapy and Research, 28, 369–385.

    Article  Google Scholar 

  • Johnson, S. L., Meyer, B., Winett, C., & Small, J. (2000). Social support and self-esteem predict changes in bipolar depression but not mania. Journal of Affective Disorders, 58, 79–86.

    Article  PubMed  CAS  Google Scholar 

  • Johnston, C., & Freeman, W. (1997). Attributions for child behavior in parents of children without behavior problems and children with attention deficit-hyperactivity disorder. Journal of Consulting and Clinical Psychology, 65, 636–645.

    Article  PubMed  CAS  Google Scholar 

  • Johnston, C., & Mash, E. J. (1989). A measure of parenting satisfaction and efficacy. Journal of Clinical Child Psychology, 18, 167–175.

    Article  Google Scholar 

  • Johnston, C., & Mash, E. J. (2001). Families of children with attention deficit/hyperactivity disorder: Review and recommendations for future research. Clinical Child and Family Psychology Review, 4, 183–207.

    Article  PubMed  CAS  Google Scholar 

  • Just, N., Abramson, L. Y., & Alloy, L. B. (2001). Remitted depression studies as tests of the cognitive vulnerability hypothesis of depression onset: A critique of conceptual analysis. Clinical Psychology Review, 21, 63–83.

    Article  PubMed  CAS  Google Scholar 

  • Kernis, M. H., & Waschull, S. B. (1995). The interactive roles of stability and level of self-esteem: Research and theory. In M. P. Zanna (Ed.), Advances in experimental social psychology (Vol. 27, pp. 93–141). San Diego, CA: Academic Press.

    Google Scholar 

  • Lewinsohn, P. M., Antonuccio, D., Steinmetz, J., & Teri, L. (1984). The coping with depression course: A psychoeducational intervention for unipolar depression. Eugene, OR: Castalia.

    Google Scholar 

  • Loney, J., & Milich, R. (1982). Hyperactivity, inattention, and aggression in clinical practice. In M. Wolraich & D. K. Routh (Eds.), Advances in developmental and behavioral pediatrics (pp. 113–147). Greenwich, Conn.: JAI Press.

    Google Scholar 

  • Mash, E. J., & Johnston, C. (1983). Parental perceptions of child behavior problems, parenting self-esteem, and mother’s reported stress in younger and older hyperactive and normal children. Journal of Consulting and Clinical Psychology, 51, 86–99.

    Article  PubMed  CAS  Google Scholar 

  • McBride, B. A., & Mills, G. (1993). A comparison of mother and father involvement with preschool age children. Early Childhood Research Quarterly, 8, 457–477.

    Article  Google Scholar 

  • Nezlek, J. B., & Gable, S. L. (2001). Depression as a moderator of relationships between positive daily events and day-to-day psychological adjustment. Personality and Social Psychology Bulletin, 27, 1692–1704.

    Article  Google Scholar 

  • Nicholson, J. S., Deboeck, P. R., Farris, J. R., Boker, S. M., & Borkowski, J. G. (2011). Maternal depressive symptomatology and child behavior: Transactional relationship with simultaneous bidirectional coupling. Developmental Psychology, 47, 1312–1323.

    Article  PubMed  Google Scholar 

  • Oosterwegel, A., Field, N., Hart, D., & Anderson, K. (2001). The relation of self-esteem variability to emotion variability, mood, personality traits, and depressive tendencies. Journal of Personality, 69, 689–708.

    Article  PubMed  CAS  Google Scholar 

  • Owens, E. B., Hinshaw, S. P., Kraemer, H. C., Arnold, L. E., Abikoff, H. B., Cantwell, D. P., et al. (2003). Which treatment for whom for ADHD? Moderators of treatment response in the MTA. Journal of Consulting and Clinical Psychology, 71, 540–552.

    Article  PubMed  Google Scholar 

  • Parke, R. D. (1995). Fathers and families. In M. H. Bornstein (Ed.), Handbook of parenting (Vol. 3, pp. 27–73). Mahwah: Lawrence Erlbaum Associates.

    Google Scholar 

  • Pelham, W. E., Fabiano, G. A., Gnagy, E. M., Greiner, A. R., & Hoza, B. (2004). The role of summer treatment programs in the context of comprehensive treatment for AD/HD. In E. D. Hibbs & P. S. Jensen (Eds.), Psychosocial treatments for child and adolescent disorders: Empirically based strategies for clinical practice (2nd ed., pp. 377–410). Washington, DC: American Psychological Association Press.

    Google Scholar 

  • Pelham, W. E., Lang, A. R., Atkeson, B., Murphy, D. A., Gnagy, E. M., Greiner, A. R., et al. (1997). Effects of deviant child behavior on parental distress and alcohol consumption in laboratory interactions. Journal of Abnormal Child Psychology, 25, 413–424.

    Article  PubMed  CAS  Google Scholar 

  • Pelham, W. E., Milich, R., Murphy, D. A., & Murphy, H. A. (1989). Normative data on the IOWA Conners Teacher Rating Scale. Journal of Clinical Child Psychology, 18, 259–262.

    Article  Google Scholar 

  • Persons, J. B., & Miranda, J. (1992). Cognitive theories of vulnerability to depression: Reconciling negative evidence. Cognitive Therapy and Research, 16, 485–502.

    Article  Google Scholar 

  • Pinheiro, J. C., & Bates, D. M. (2000). Mixed-effects models in S and S-Plus. New York: Springer.

    Book  Google Scholar 

  • R Core Team. (2012). R: A language and environment for statistical computing. R Foundation for Statistical Computing, Vienna, Austria. ISBN 3-900051-07-0, URL http://www.R-project.org/.

  • Roberts, J. E., & Gotlib, I. H. (1997). Temporal variability in global self-esteem and specific self-evaluation as prospective predictors of emotional distress: Specificity in predictors and outcome. Journal of Abnormal Psychology, 106, 521–529.

    Article  PubMed  CAS  Google Scholar 

  • Roberts, J. E., & Kassel, J. D. (1996). Mood-state dependence in cognitive vulnerability to depression: The roles of positive and negative affect. Cognitive Therapy and Research, 20, 1–12.

    Google Scholar 

  • Roberts, J. E., & Kassel, J. D. (1997). Labile self-esteem, life-stress, and depressive symptoms: Prospective data testing a model of vulnerability. Cognitive Therapy and Research, 21, 569–589.

    Article  Google Scholar 

  • Roberts, J. E., & Monroe, S. M. (1992). Vulnerable self-esteem and depressive symptoms: Prospective findings comparing three alternative conceptualizations. Journal of Personality and Social Psychology, 62, 804–812.

    Article  PubMed  CAS  Google Scholar 

  • Roberts, J. E., & Monroe, S. M. (1994). A multidimensional model of self-esteem in depression. Clinical Psychology Review, 14, 161–181.

    Article  Google Scholar 

  • Rosenberg, M. (1965). Society and the adolescent self-image. Princeton, NJ: Princeton University Press.

    Google Scholar 

  • Segal, Z. V., & Ingram, R. E. (1994). Mood priming and construct activation in tests of cognitive vulnerability to unipolar depression. Clinical Psychology Review, 14, 663–695.

    Article  Google Scholar 

  • Singer, J. D., & Willett, J. B. (2003). Applied longitudinal data analysis: Modeling change and event occurrence. New York: Oxford University Press.

    Book  Google Scholar 

  • Sowislo, J. F., & Orth, U. (2013). Does low self-esteem predict depression and anxiety? A meta-analysis of longitudinal studies. Psychological Bulletin, 139, 213–240.

    Article  PubMed  Google Scholar 

  • Swann, W. B., Jr, Chang-Schneider, C., & McClarty, K. L. (2007). Do people’s self-views matter? Self-concept and self-esteem in everyday life. American Psychologist, 62, 84–94.

    Article  PubMed  Google Scholar 

  • Teasdale, J. D. (1983). Negative thinking in depression: Cause, effect, or reciprocal relationship? Advances in Behaviour Research and Therapy, 5, 3–25.

    Article  Google Scholar 

  • Teasdale, J. D. (1988). Cognitive vulnerability to persistent depression. Cognition and Emotion, 2, 247–274.

    Article  Google Scholar 

  • Teasdale, J. D., & Dent, J. (1987). Cognitive vulnerability to depression: An investigation of two hypotheses. British Journal of Clinical Psychology, 26, 113–126.

    Article  PubMed  Google Scholar 

  • Trzesniewski, K. H., Donnellan, M. B., & Robins, R. W. (2003). Stability of self-esteem across the life-span. Journal of Personality and Social Psychology, 84, 205–220.

    Article  PubMed  Google Scholar 

  • Watson, D., Clark, L. A., & Tellegen, A. (1988). Development and validation of brief measures of positive and negative affect: The PANAS scales. Journal of Personality and Social Psychology, 54, 1063–1070.

    Article  PubMed  CAS  Google Scholar 

  • Zanarini, M. C., & Frankenburg, F. R. (2001). Attainment and maintenance of reliability of axis I and axis II disorders over the course of a longitudinal study. Comprehensive Psychiatry, 42, 369–374.

    Article  PubMed  CAS  Google Scholar 

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Correspondence to Stephanie A. Gamble.

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Gamble, S.A., Chronis-Tuscano, A., Roberts, J.E. et al. Self-esteem Reactivity Among Mothers of Children with Attention-Deficit/Hyperactivity Disorder: The Moderating Role of Depression History. Cogn Ther Res 37, 1233–1242 (2013). https://doi.org/10.1007/s10608-013-9562-z

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