Skip to main content

Advertisement

Log in

The Association Between Fathers’ Depression and Children’s Socioemotional Development: Evidence from a Longitudinal Household Survey in China

  • Published:
Prevention Science Aims and scope Submit manuscript

Abstract

Depression is highly prevalent among parents around the world. Although there has been substantial research on maternal depression, few studies have additionally considered paternal depression and examined the independent and potentially interactive influence between paternal and maternal depression on children’s development. The objectives of this study were to investigate the unique association between paternal depression and children’s later socioemotional development, and explore whether this association was moderated by maternal depression. We used data from the 2012 and 2014 waves of the China Family Panel Studies. We used multivariable linear regression models to examine the association between paternal depression, as measured using the Center for Epidemiological Studies-Depression Scale, and children’s socioemotional development, as measured using the Positive Behaviors Scale. We also explored whether there was effect modification by maternal depression. The sample comprised of 1615 children (Mage = 7.38 years; 48.5% female) and their parents. Twenty-four percent of fathers and 33% of mothers were depressed. We found that paternal depression was negatively associated with children’s socioemotional development (β = − 0.18; 95% CI − 0.31, − 0.03), controlling for maternal depression and other sociodemographic covariates. Moreover, we found that the association was moderated by maternal depression, whereby the negative association was stronger when mothers were not depressed (β = − 0.30; 95% CI − 0.52, − 0.08) versus null when mothers were depressed (β = − 0.02; 95% CI − 0.24, 0.20). Parenting interventions should promote the mental health of fathers, in addition to mothers, as a more holistic and family-based approach for improving both the wellbeing of parents and behavioral development of children.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1

Similar content being viewed by others

References

  • Beardselee, W. R., Versage, E. M., & Giadstone, T. R. (1998). Children of affectively ill parents: A review of the past 10 years. Journal of the American Academy of Child Adolescent Psychiatry, 37, 1134–1141.

    Article  Google Scholar 

  • Black, M. M., Baqui, A. H., Zaman, K., El Arifeen, S., & Black, R. E. (2009). Maternal depressive symptoms and infant growth in rural Bangladesh. The American Journal of Clinical Nutrition, 89, 951S–957S. https://doi.org/10.3945/ajcn.2008.26692E.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Cameron, E. E., Sedov, I. D., & Tomfohr-Madsen, L. M. (2016). Prevalence of paternal depression in pregnancy and the postpartum: An updated meta-analysis. Journal of Affective Disorders, 206, 189–203. https://doi.org/10.1016/j.jad.2016.07.044.

    Article  PubMed  Google Scholar 

  • Chen, X., Rubin, K. H., & Li, B. S. (1995). Depressed mood in Chinese children: Relations with school performance and family environment. Journal of Consulting and Clinical Psychology, 63, 938–947. https://doi.org/10.1037//0022-006x.63.6.938.

    Article  CAS  PubMed  Google Scholar 

  • Chin, W. Y., Choi, E. P., Chan, K. T., & Wong, C. K. (2015). The psychometric properties of the center for epidemiologic studies depression scale in Chinese primary care patients: Factor structure, construct validity, reliability, sensitivity and responsiveness. PLoS One, 10, e0135131.

  • Condon, J. T., Boyce, P., & Corkindale, C. J. (2004). The First-Time Fathers Study: A prospective study of the mental health and wellbeing of men during the transition to parenthood. The Australian and New Zealand Journal of Psychiatry, 38, 56–64. https://doi.org/10.1177/000486740403800102.

    Article  PubMed  Google Scholar 

  • Connell, A. M., & Goodman, S. H. (2002). The association between psychopathology in fathers versus mothers and children’s internalizing and externalizing behavior problems: A meta-analysis. Psychological Bulletin, 128, 746.

    Article  PubMed  Google Scholar 

  • Cox, M. J., & Paley, B. (1997). Families as systems. Annual Review of Psychology, 48, 243–267.

    Article  CAS  PubMed  Google Scholar 

  • Cummings, E. M., Keller, P. S., & Davies, P. T. (2005). Towards a family process model of maternal and paternal depressive symptoms: Exploring multiple relations with child and family functioning. Journal of Child Psychology and Psychiatry, 46, 479–489. https://doi.org/10.1111/j.1469-7610.2004.00368.x.

    Article  PubMed  Google Scholar 

  • Davé, S., Sherr, L., Senior, R., & Nazareth, I. (2008). Associations between paternal depression and behaviour problems in children of 4–6 years. European Child Adolescent Psychiatry, 17, 306.

    Article  PubMed  Google Scholar 

  • Deković, M., & Janssens, J. M. (1992). Parents’ child-rearing style and child’s sociometric status. Developmental Psychology, 28, 925–932.

    Article  Google Scholar 

  • DeRose, L. M., Shiyko, M., Levey, S., Helm, J., & Hastings, P. D. (2014). Early maternal depression and social skills in adolescence: A marginal structural modeling approach. Social Development, 23, 753–769. https://doi.org/10.1111/sode.12073.

    Article  Google Scholar 

  • Downey, G., & Coyne, J. C. (1990). Children of depressed parents: An integrative review. Psychological Bulletin, 108, 50.

    Article  CAS  PubMed  Google Scholar 

  • Epps, S. R., Park, S. E., Huston, A. C., & Ripke, M. (2003) ‘Psychometric analyses of the positive behavior scale in the new hope project and the panel study of income dynamics’ Indicators of Positive Development Conference. March 12-13. Washington, DC.

  • Field, T., Healy, B. T., Goldstein, S., & Guthertz, M. (1990). Behavior-state matching and synchrony in mother-infant interactions of nondepressed versus depressed dyads. Developmental Psychology, 26, 7–14.

    Article  Google Scholar 

  • Fisher, J., Mello, M. C. D., Patel, V., Rahman, A., Tran, T., Holton, S., et al. (2012). Prevalence and determinants of common perinatal mental disorders in women in low-and lower-middle-income countries: A systematic review. Bulletin of the World Health Organization, 90, 139–149.

    Article  Google Scholar 

  • Garfield, C. F., Duncan, G., Rutsohn, J., McDade, T. W., Adam, E. K., Coley, R. L., et al. (2014). A longitudinal study of paternal mental health during transition to fatherhood as young adults. Pediatrics, 133, 836–843. https://doi.org/10.1542/peds.2013-3262.

    Article  PubMed  PubMed Central  Google Scholar 

  • Geary, D. C., Byrd-Craven, J., Hoard, M. K., Vigil, J., & Numtee, C. (2003). Evolution and development of boys’ social behavior. Developmental Review, 23, 444–470. https://doi.org/10.1016/j.dr.2003.08.001.

    Article  Google Scholar 

  • Gelaye, B., Rondon, M. B., Araya, R., & Williams, M. A. (2016). Epidemiology of maternal depression, risk factors, and child outcomes in low-income and middle-income countries. The Lancet Psychiatry, 3, 973–982.

    Article  PubMed  PubMed Central  Google Scholar 

  • Goodman, S. H., & Gotlib, I. H. (1999). Risk for psychopathology in the children of depressed mothers: A developmental model for understanding mechanisms of transmission. Psychological Review, 106, 458–490.

    Article  CAS  PubMed  Google Scholar 

  • Gotlib, I. H., Gilboa, E., & Sommerfeld, B. K. (2000). Cognitive functioning in depression: Nature and origins. Oxford University Press.

  • Gutierrez-Galve, L., Stein, A., Hanington, L., Heron, J., & Ramchandani, P. (2015). Paternal depression in the postnatal period and child development: Mediators and moderators. Pediatrics, 135, e339–e347. https://doi.org/10.1542/peds.2014-2411.

    Article  PubMed  Google Scholar 

  • Hamad, R., Fernald, L. C., Karlan, D. S., & Zinman, J. (2008). Social and economic correlates of depressive symptoms and perceived stress in South African adults. Journal of Epidemiology & Community Health, 62, 538–544. https://doi.org/10.1136/jech.2007.066191.

    Article  CAS  Google Scholar 

  • Hay, D. F., & Pawlby, S. (2003). Prosocial development in relation to children’s and mothers’ psychological problems. Child Development, 74, 1314–1327. https://doi.org/10.1111/1467-8624.00609.

    Article  PubMed  Google Scholar 

  • Herba, C. M., Glover, V., Ramchandani, P. G., & Rondon, M. B. (2016). Maternal depression and mental health in early childhood: An examination of underlying mechanisms in low-income and middle-income countries. Lancet Psychiatry, 3, 983–992. https://doi.org/10.1016/S2215-0366(16)30148-1.

    Article  PubMed  Google Scholar 

  • Howard, L. M., Molyneaux, E., Dennis, C.-L., Rochat, T., Stein, A., & Milgrom, J. (2014). Non-psychotic mental disorders in the perinatal period. The Lancet, 384(9956), 1775–1788. https://doi.org/10.1016/S0140-6736(14)61276-9.

    Article  Google Scholar 

  • Hubbs-Tait, L., Culp, A. M., Huey, E., Culp, R., Starost, H.-J., & Hare, C. (2002). Relation of Head Start attendance to children’s cognitive and social outcomes: Moderation by family risk. Early Childhood Research Quarterly, 17, 539–558. https://doi.org/10.1016/S0885-2006(02)00189-8.

    Article  Google Scholar 

  • Ip, P., Li, T. M. H., Chan, K. L., Ting, A. Y. Y., Chan, C. Y., Koh, Y. W., et al. (2018). Associations of paternal postpartum depressive symptoms and infant development in a Chinese longitudinal study. Infant Behavior & Development, 53, 81–89. https://doi.org/10.1016/j.infbeh.2018.08.002.

    Article  Google Scholar 

  • Jeong, J., McCoy, D. C., Yousafzai, A. K., Salhi, C., & Fink, G. (2016). Paternal stimulation and early child development in low- and middle-income countries. Pediatrics, 138, e20161357. https://doi.org/10.1542/peds.2016-1357.

  • Johnson, S. L., & Jacob, T. (1997). Marital interactions of depressed men and women. Journal of Consulting and Clinical Psychology, 65, 15–23. https://doi.org/10.1037//0022-006x.65.1.15.

    Article  CAS  PubMed  Google Scholar 

  • Kane, P., & Garber, J. (2004). The relations among depression in fathers, children’s psychopathology, and father–child conflict: A meta-analysis. Clinical Psychology Review, 24, 339–360.

    Article  PubMed  Google Scholar 

  • Kazarian, S. S., & Taher, D. (2010). Validation of the Arabic Center for Epidemiological Studies Depression (CES-D) Scale in a Lebanese community sample. European Journal of Psychological Assessment, 26, 68–73. https://doi.org/10.1027/1015-5759/a000010.

    Article  Google Scholar 

  • Kokko, K., Tremblay, R. E., Lacourse, E., Nagin, D. S., & Vitaro, F. (2006). Trajectories of prosocial behavior and physical aggression in middle childhood: Links to adolescent school dropout and physical violence. Journal of Research on Adolescence, 16, 403–428. https://doi.org/10.1111/j.1532-7795.2006.00500.x.

    Article  Google Scholar 

  • Kvalevaag, A. L., Ramchandani, P. G., Hove, O., Assmus, J., Eberhard-Gran, M., & Biringer, E. (2013). Paternal mental health and socioemotional and behavioral development in their children. Pediatrics, 131, e463–e469. https://doi.org/10.1542/peds.2012-0804.

  • Kvalevaag, A. L., Ramchandani, P. G., Hove, O., Eberhard-Gran, M., Assmus, J., Havik, O. E., et al. (2015). Parents’ prenatal mental health and emotional, behavioral and social development in their children. Child Psychiatry and Human Development, 46, 874–883. https://doi.org/10.1007/s10578-014-0527-6.

    Article  PubMed  Google Scholar 

  • Lewinsohn, P. M., Olino, T. M., & Klein, D. N. (2005). Psychosocial impairment in offspring of depressed parents. Psychological Medicine, 35, 1493–1503.

    Article  PubMed  PubMed Central  Google Scholar 

  • Li, L. W., Liu, J., Zhang, Z., & Xu, H. (2015). Late-life depression in rural China: Do village infrastructure and availability of community resources matter? International Journal of Geriatric Psychiatry, 30, 729–736. https://doi.org/10.1002/gps.4217.

    Article  PubMed  Google Scholar 

  • Little, R. J. A. (1988). A test of missing completely at random for multivariate data with missing values. Journal of the American Statistical Association, 83, 1198–1202. https://doi.org/10.1080/01621459.1988.10478722.

    Article  Google Scholar 

  • Liu, Y., Kaaya, S., Chai, J., McCoy, D. C., Surkan, P. J., Black, M. M., et al. (2017). Maternal depressive symptoms and early childhood cognitive development: A meta-analysis. Psychological Medicine, 47, 680–689. https://doi.org/10.1017/S003329171600283X.

    Article  CAS  PubMed  Google Scholar 

  • Madigan, S., Oatley, H., Racine, N., Fearon, R. M. P., Schumacher, L., Akbari, E., et al. (2018). A meta-analysis of maternal prenatal depression and anxiety on child socioemotional development. Journal of the American Academy of Child and Adolescent Psychiatry, 57, 645–657 e8. https://doi.org/10.1016/j.jaac.2018.06.012.

    Article  PubMed  Google Scholar 

  • Maughan, A., Cicchetti, D., Toth, S. L., & Rogosch, F. A. (2007). Early-occurring maternal depression and maternal negativity in predicting young children’s emotion regulation and socioemotional difficulties. Journal of Abnormal Child Psychology, 35, 685–703. https://doi.org/10.1007/s10802-007-9129-0.

    Article  PubMed  Google Scholar 

  • Murray, L., & Cooper, P. (2003). Intergenerational transmission of affective and cognitive processes associated with depression: Infancy and the preschool years. In I. Goodyer (Ed.), Unipolar depression: a lifespan perspective Oxford: Oxford University Press.

  • Murray, L., Halligan, S. L., Adams, G., Patterson, P., & Goodyer, I. M. (2006). Socioemotional development in adolescents at risk for depression: The role of maternal depression and attachment style. Development and Psychopathology, 18, 489–516. https://doi.org/10.1017/s0954579406060263.

    Article  PubMed  Google Scholar 

  • Nath, S., Psychogiou, L., Kuyken, W., Ford, T., Ryan, E., & Russell, G. (2016). The prevalence of depressive symptoms among fathers and associated risk factors during the first seven years of their child’s life: Findings from the Millennium Cohort Study. BMC Public Health, 16, 509. https://doi.org/10.1186/s12889-016-3168-9.

    Article  PubMed  PubMed Central  Google Scholar 

  • Paulson, J. F., & Bazemore, S. D. (2010). Prenatal and postpartum depression in fathers and its association with maternal depression: A meta-analysis. JAMA, 303, 1961–1969. https://doi.org/10.1001/jama.2010.605.

    Article  CAS  PubMed  Google Scholar 

  • Psychogiou, L., Moberly, N. J., Parry, E., Nath, S., Kallitsoglou, A., & Russell, G. (2017). Parental depressive symptoms, children’s emotional and behavioural problems, and parents’ expressed emotion-critical and positive comments. PLoS One, 12, e0183546. https://doi.org/10.1371/journal.pone.0183546.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Radloff, L. S. (1977). The CES-D scale: A self-report depression scale for research in the general population. Applied Psychological Measurement, 1, 385–401.

    Article  Google Scholar 

  • Ramchandani, P. G., & Psychogiou, L. (2009). Paternal psychiatric disorders and children’s psychosocial development. Lancet, 374(9690), 646–653. https://doi.org/10.1016/S0140-6736(09)60238-5.

    Article  PubMed  Google Scholar 

  • Ramchandani, P. G., Stein, A., Evans, J., O’Connor, T. G., & ALSPAC Study Team. (2005). Paternal depression in the postnatal period and child development: A prospective population study. The Lancet, 365(9478), 2201–2205.

    Article  Google Scholar 

  • Ramchandani, P. G., Stein, A., O’connor, T. G., Heron, J., Murray, L., & Evans, J. (2008). Depression in men in the postnatal period and later child psychopathology: A population cohort study. Journal of the American Academy of Child Adolescent Psychiatry, 47, 390–398.

    Article  PubMed  Google Scholar 

  • Saxena, S., Paraje, G., Sharan, P., Karam, G., & Sadana, R. (2006). The 10/90 divide in mental health research: Trends over a 10-year period. The British Journal of Psychiatry, 188, 81–82. https://doi.org/10.1192/bjp.bp.105.011221.

    Article  PubMed  Google Scholar 

  • Schickedanz, A., Halfon, N., Sastry, N., & Chung, P. J. (2018). Parents’ adverse childhood experiences and their children’s behavioral health problems. Pediatrics, 142. https://doi.org/10.1542/peds.2018-0023.

  • Song, Y., & Zhang, Y. B. (2012). Husbands’ conflict styles in Chinese mother/daughter-in-law conflicts: Daughters-in-law’s perspectives. Journal of Family Communication, 12, 57–74. https://doi.org/10.1080/15267431.2011.629968.

    Article  Google Scholar 

  • Stein, A., Pearson, R. M., Goodman, S. H., Rapa, E., Rahman, A., McCallum, M., et al. (2014). Effects of perinatal mental disorders on the fetus and child. Lancet, 384(9956), 1800–1819. https://doi.org/10.1016/S0140-6736(14)61277-0.

    Article  PubMed  Google Scholar 

  • Surkan, P. J., Kennedy, C. E., Hurley, K. M., & Black, M. M. (2011). Maternal depression and early childhood growth in developing countries: Systematic review and meta-analysis. Bulletin of the World Health Organization, 89, 608–615. https://doi.org/10.2471/BLT.11.088187.

    Article  PubMed  Google Scholar 

  • Tran, T. D., Biggs, B. A., Tran, T., Simpson, J. A., de Mello, M. C., Hanieh, S., et al. (2014). Perinatal common mental disorders among women and the social and emotional development of their infants in rural Vietnam. Journal of Affective Disorders, 160, 104–112. https://doi.org/10.1016/j.jad.2013.12.034.

    Article  PubMed  Google Scholar 

  • Vallotton, C., Harewood, T., Froyen, L., Brophy-Herb, H., & Ayoub, C. (2016). Child behavior problems: Mothers’ and fathers’ mental health matters today and tomorrow. Early Childhood Research Quarterly, 37, 81–93.

    Article  Google Scholar 

  • Wachs, T. D., Black, M. M., & Engle, P. L. (2009). Maternal depression: A global threat to children’s health, development, and behavior and to human rights. Child Development Perspectives, 3, 51–59.

    Article  Google Scholar 

  • Wei, Q., Zhang, C., Zhang, J., Luo, S., & Wang, X. (2018). Caregiver’s depressive symptoms and young Children’s socioemotional development delays: A cross-sectional study in poor rural areas of China. Infant Mental Health Journal, 39, 209–219. https://doi.org/10.1002/imhj.21699.

    Article  CAS  PubMed  Google Scholar 

  • Weitzman, M., Rosenthal, D. G., & Liu, Y. H. (2011). Paternal depressive symptoms and child behavioral or emotional problems in the United States. Pediatrics, 128, 1126–1134. https://doi.org/10.1542/peds.2010-3034.

    Article  PubMed  Google Scholar 

  • World Health Organization (2017) ‘Depression and other common mental disorders: Global health estimates’. Geneva.

  • Xie, Y., & Hu, J. (2014). An Introduction to the China Family Panel Studies (CFPS). Chinese Sociological Review, 47, 3–29. https://doi.org/10.2753/CSA2162-0555470101.2014.11082908.

    Article  Google Scholar 

  • Yue, A., Gao, J., Yang, M., Swinnen, L., Medina, A., & Rozelle, S. (2018). Caregiver depression and early child development: A mixed-methods study from rural China. Frontiers in Psychology, 9, 2500. https://doi.org/10.3389/fpsyg.2018.02500.

    Article  PubMed  PubMed Central  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Joshua Jeong.

Ethics declarations

Conflict of Interest

The authors declare that they have no conflict of interest.

Ethical Approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the Biomedical Ethics Committee of Peking University and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards. This article does not contain any studies with animals performed by any of the authors. The present study was deemed exempt from ethics review by the Harvard T.H. Chan School of Public Health Institutional Review Board, as the China Family Panel Studies data used are publicly available and fully de-identified.

Informed Consent

Informed consent was obtained from all individual participants included in the study.

Additional information

Publisher’s Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Jeong, J., Li, Z. The Association Between Fathers’ Depression and Children’s Socioemotional Development: Evidence from a Longitudinal Household Survey in China. Prev Sci 21, 672–680 (2020). https://doi.org/10.1007/s11121-020-01117-3

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s11121-020-01117-3

Keywords

Navigation