Child Psychiatry & Human Development

, Volume 42, Issue 5, pp 594–608

Emotional and Behavioral Functioning of Offspring of African American Mothers with Depression

  • Rhonda C. Boyd
  • Guy S. Diamond
  • Thomas R. Ten Have
Original Article


Extensive research demonstrates the negative impact of maternal depression on their offspring. Unfortunately, few studies have been explored in African American families. This study examined emotional and behavioral functioning among children of African American mothers with depression. African American mothers (n = 63), with a past year diagnosis of a depressive disorder, and one of their children (ages 7–14) completed behavioral rating scales in a cross-sectional design. Results showed that 6.5 and 15% scored within the clinical range for depression and anxiety symptoms, respectively. Approximately a third of the offspring reported suicidal ideation. Based on mothers’ report, 25.4 and 20.6% of the offspring exhibited internalizing and externalizing symptoms in the clinical range, respectively. Offspring whose mothers were in treatment exhibited higher levels of self-reported anxiety symptoms. Offspring of African American mothers with depression were exhibiting socioemotional problems in ways that are similar to offspring of European American mothers with depression.


Depression Anxiety Mothers Offspring African American 


  1. 1.
    Downey G, Coyne JC (1990) Children of depressed parents: an integrative review. Psychol Bull 108:50–76PubMedCrossRefGoogle Scholar
  2. 2.
    Goodman SH (2007) Depression in mothers. Annu Rev Clin Psychol 3:107–135PubMedCrossRefGoogle Scholar
  3. 3.
    Lieb R, Isensee B, Höfler M, Pfister H, Wittchen H (2002) Parental major depression and the risk of depression and other mental disorders in offspring: a prospective-longitudinal community study. Arch Gen Psychiatry 59:365–374PubMedCrossRefGoogle Scholar
  4. 4.
    Goodman SH, Gotlib IH (1999) Risk for psychopathology in the children of depressed mothers: a developmental model for understanding mechanisms of transmission. Psychol Rev 106:458–490PubMedCrossRefGoogle Scholar
  5. 5.
    Weissman MM, Warner V, Wickramaratne P, Moreau D, Olfson M (1997) Offspring of depressed parents: 10 years later. Arch Gen Psychiatry 54:932–940PubMedGoogle Scholar
  6. 6.
    Lewinsohn PM, Olino TM, Klein DN (2005) Psychosocial impairment in offspring of depressed parents. Psychol Med 35:1493–1503PubMedCrossRefGoogle Scholar
  7. 7.
    Olino TM, Pettit JW, Klein DN, Allen NB, Seeley JR, Lewinsohn PM (2008) Influence of parental and grandparental major depressive disorder on behavior problems in early childhood: a three-generation study. J Am Acad Child Adolesc Psychiatry 47:53–60PubMedCrossRefGoogle Scholar
  8. 8.
    Weissman MM, Wickramaratne P, Nomura Y, Warner V, Verdeli H, Pilowsky DJ et al (2005) Families at high and low risk for depression: a 3-generation study. Arch Gen Psychiatry 62:29–36PubMedCrossRefGoogle Scholar
  9. 9.
    Weissman MM, Wickramaratne P, Nomura Y, Warner V, Pilowsky D, Verdeli H (2006) Offspring of depressed parents: 20 years later. Am J Psychiatry 163:1001–1008PubMedCrossRefGoogle Scholar
  10. 10.
    Hammen C, Brennan PA (2003) Severity, chronicity, and timing of maternal depression and risk for adolescent offspring diagnoses in a community sample. Arch Gen Psychiatry 60:253–258PubMedCrossRefGoogle Scholar
  11. 11.
    Pilowsky DJ, Wickramaratne PJ, Rush AJ, Hughes CW, Garber J, Malloy E et al (2006) Children of currently depressed mothers: a STAR*D ancillary study. J Clin Psychiatry 67:126–136PubMedCrossRefGoogle Scholar
  12. 12.
    Cummings EM, Davies PT (1994) Maternal depression and child development. J Child Psychol Psychiatry 35:73–112PubMedCrossRefGoogle Scholar
  13. 13.
    Cummings EM, Zahn-Waxler C, Radke-Yarrow M (1981) Young children’s responses to expressions of anger and affection by others in the family. Child Dev 52:1274–1282CrossRefGoogle Scholar
  14. 14.
    Cohn JF, Matias R, Tronick EZ, Connell D (1986) Face-to-face interactions of depressed mothers and their infants. New Dir Child Dev 34:31–45PubMedCrossRefGoogle Scholar
  15. 15.
    Early Child Care Network NICHD (1999) Chronicity of maternal depressive symptoms, maternal sensitivity, and child functioning at 36 months. Dev Psychol 35:1297–1310CrossRefGoogle Scholar
  16. 16.
    Carter AS, Garrity-Rokous FE, Chazan-Cohen R, Little C, Briggs-Gowan MJ (2001) Maternal depression and comorbidity: predicting early parenting, attachment security, and toddler social-emotional problems and competencies. J Am Acad Child Adolesc Psychiatry 40:18–26PubMedCrossRefGoogle Scholar
  17. 17.
    Martins C, Gaffan EA (2000) Effects of early maternal depression on patterns of infant-mother attachment: a meta-analytic investigation. J Child Psychol Psychiatry 41:737–746PubMedCrossRefGoogle Scholar
  18. 18.
    Coyne JC, Kessler RC, Tal M, Turnbull J, Wortman CB, Greden JF (1987) Living with a depressed person. J Consult Clin Psychol 55:347–352PubMedCrossRefGoogle Scholar
  19. 19.
    Hammen C (1991) Depression runs in families: the social context of risk and resilience in children of depressed mothers. Springer, New YorkGoogle Scholar
  20. 20.
    Hammen C, Brennan PA, Shih JH (2004) Family discord and stress predictors of depression and other disorders in adolescent children of depressed and nondepressed women. J Am Acad Child Adolesc Psychiatry 43:994–1002PubMedCrossRefGoogle Scholar
  21. 21.
    Shih JH, Abela JRZ, Starrs C (2009) Cognitive and interpersonal predictors of stress generation in children of affectively ill parents. J Abnorm Child Psychol 37:195–208PubMedCrossRefGoogle Scholar
  22. 22.
    Garber J, Robinson NS (1997) Cognitive vulnerability in children at risk for depression. Cogn Emot 11:619–635CrossRefGoogle Scholar
  23. 23.
    Goodman SH (2007) Depression in mothers. Annu Rev Clin Psychol 3:107–135PubMedCrossRefGoogle Scholar
  24. 24.
    Taylor L, Ingram RE (1999) Cognitive reactivity and depressotypic information processing in children of depressed mothers. J Abnorm Psychol 108:202–210PubMedCrossRefGoogle Scholar
  25. 25.
    Galler JR, Harrison RH, Ramsey F, Forde V, Butler SC (2000) Maternal depressive symptoms affect infant cognitive development in Barbados. J Child Psychol Psychiatry 41:747–757PubMedCrossRefGoogle Scholar
  26. 26.
    Murray L, Cooper PJ (1997) Postpartum depression and child development. Psychol Med 27:253–260PubMedCrossRefGoogle Scholar
  27. 27.
    Brennan PA, Le Brocque R, Hammen C (2003) Maternal depression, parent-child relationships, and resilient outcomes in adolescence. J Am Acad Child Adolesc Psychiatry 42:1469–1477PubMedCrossRefGoogle Scholar
  28. 28.
    Leckman-Westin E, Cohen PR, Stueve A (2009) Maternal depression and mother–child interaction patterns: association with toddler problems and continuity of effects to late childhood. J Child Psychol Psychiatry 50:1176–1184PubMedCrossRefGoogle Scholar
  29. 29.
    Silk JS, Shaw DS, Skuban EM, Oland AA, Kovacs M (2005) Emotion regulation strategies in offspring of childhood-onset depressed mothers. J Child Psychol Psychiatry 47:62–78Google Scholar
  30. 30.
    Tronick EZ, Gianino AF (1986) The transmission of maternal disturbance to the infant. New Dir Child Dev 34:5–11PubMedCrossRefGoogle Scholar
  31. 31.
    Zahn-Waxler C, Kochanska G (1990) The origins of guilt. In: Thompson RA (ed) Socioemotional development: Nebraska symposium on motivation. University of Nebraska Press, Lincoln, pp 183–258Google Scholar
  32. 32.
    Billings AG, Moos RH (1983) Comparisons of children of depressed and nondepressed parents: a social-environmental perspective. J Abnorm Child Psychol 11:463–485PubMedCrossRefGoogle Scholar
  33. 33.
    Hipwell AE, Murray L, Ducournau P, Stein A (2005) The effects of maternal depression and parental conflict on children’s peer play. Child Care Health Dev 31:11–23PubMedCrossRefGoogle Scholar
  34. 34.
    Riley AW, Coiro MJ, Broitman M, Colantuoni E, Hurley KM, Bandeen-Roche K et al (2009) Mental health of children of low-income depressed mothers: influences of parenting, family environment, and raters. Psychiatr Serv 60:329–336PubMedCrossRefGoogle Scholar
  35. 35.
    Goodman SH, Brumley HE (1990) Schizophrenic and depressed mothers: relational deficits in parenting. Dev Psychol 26:31–39CrossRefGoogle Scholar
  36. 36.
    Boyd RC, Zayas LH, McKee MD (2006) Mother-infant interaction, life events and prenatal and postpartum depressive symptoms among urban minority women in primary care. Matern Child Health J 10:139–148PubMedCrossRefGoogle Scholar
  37. 37.
    Brody GH, Flor DL (1997) Maternal psychological functioning, family processes, and child adjustment in rural, single-parent, African American families. Dev Psychol 33:1000–1011PubMedCrossRefGoogle Scholar
  38. 38.
    Conger RD, Wallace LE, Sun Y, Simons RL, McLoyd VC, Brody GH (2002) Economic pressure in African American families: a replication and extension of the family stress model. Dev Psychol 38:179–193PubMedCrossRefGoogle Scholar
  39. 39.
    Chilcoat HD, Breslau N (1997) Does psychiatric history bias mothers’ reports? An application of a new analytic approach. J Am Acad Child Adolesc Psychiatry 36:971–979PubMedCrossRefGoogle Scholar
  40. 40.
    Kert G, Veerman GW, DeBryun EJ (2003) Bias in parental reports? Maternal psychopathology and the reporting of problem behavior in clinic-referred children. Eur J Psychol Assess 19:195–203CrossRefGoogle Scholar
  41. 41.
    Najman JM, Williams GM, Nikles J, Spence S, Bor W, O’Callaghan M et al (2000) Mothers’ mental illness and child behavior problems: cause-effect association or observation bias? J Am Acad Child Adolesc Psychiatry 39:592–602PubMedCrossRefGoogle Scholar
  42. 42.
    First MB, Spitzer RL, Gibbon M, Williams JBW (2001) Structured Clinical Interview for DSM-IV-TR Axis I Disorders, Research Version, Patient Edition. Biometrics Research. New York State Psychiatric Institute, New YorkGoogle Scholar
  43. 43.
    Kovacs M (1992) Children’s Depression Inventory manual. Multi-Health Systems, North TonawandaGoogle Scholar
  44. 44.
    Kazdin AE (2002) Childhood depression. J Child Psychol Psychiatry 1990:121–160Google Scholar
  45. 45.
    Myers K, Winters NC (2002) Ten-year review of rating scales. II: scales for internalizing disorders. J Am Acad Child Adolesc Psychiatry 41:634–659PubMedCrossRefGoogle Scholar
  46. 46.
    Cardemil E, Reivich KJ, Beevers CG, Seligman MEP, James J (2007) The prevention of depressive symptoms in low-income, minority children: two-year follow-up. Behav Res Ther 45:313–327PubMedCrossRefGoogle Scholar
  47. 47.
    DuRant RH, Cadenhead C, Pendergrast RA, Slavens G (1994) Factors associated with the use of violence among urban black adolescents. Am J Public Health 84:612–617PubMedCrossRefGoogle Scholar
  48. 48.
    March JS, Parker JDA, Sullivan K, Stallings P (1997) The multidimensional anxiety scale for children (MASC): factor structure, reliability, and validity. J Am Acad Child Adolesc Psychiatry 36:554–565PubMedCrossRefGoogle Scholar
  49. 49.
    Grills-Taquechel AE, Ollendick TH, Fisak B (2008) Reexamination of the MASC factor structure and discriminant ability in a mixed clinical outpatient sample. Depress Anxiety 25:942–950PubMedCrossRefGoogle Scholar
  50. 50.
    March JS, Sullivan K, Parker J (1999) Test–retest reliability of the multidimensional anxiety scale for children. J Anxiety Disord 13:349–358PubMedCrossRefGoogle Scholar
  51. 51.
    Fincham D, Temane M, Nel D, De Roover W, Seedat S (2008) Exploratory and confirmatory factor analysis of the multidimensional anxiety scale for children among adolescents in the Cape Town metropole of South Africa. Depress Anxiety 25:E147–E153PubMedCrossRefGoogle Scholar
  52. 52.
    Kingery JN, Ginsburg GS, Burstein M (2009) Factor structure and psychometric properties of the multidimensional anxiety scale for children in an African American adolescent sample. Child Psychiatry Hum Dev 40:287–300PubMedCrossRefGoogle Scholar
  53. 53.
    Achenbach TM, Rescorla LA (2011) Manual for the ASCEBA school-age forms & profiles. Research Center For Children, Youth and Families, University of Vermont Burlington, USAGoogle Scholar
  54. 54.
    Goodman R, Scott S (1999) Comparing the strengths and difficulties questionnaire and the child behavioral checklist: is small beautiful? J Abnorm Child Psychol 27:17–24PubMedCrossRefGoogle Scholar
  55. 55.
    Crijnen AAM, Achenbach TM, Verhulst FC (1997) Comparisons of problems reported by parents of children in 12 cultures: total problems, externalizing, and internalizing. J Am Acad Child Adolesc Psychiatry 36:1269–1277PubMedCrossRefGoogle Scholar
  56. 56.
    Crijnen AAM, Achenbach TM, Verhulst FC (1999) Problems reported by parents of children in multiple cultures: the child behavior checklist syndrome constructs. Am J Psychiatry 156:569–574PubMedGoogle Scholar
  57. 57.
    Gresham FM, Elliot SN (1990) Social skills rating system manual. American Guidance Service Circle Pines MN, USAGoogle Scholar
  58. 58.
    Beck AT, Steer RA, Brown GK (1996) Manual for Beck Depression Inventory-II. Psychological Corporation, San AntonioGoogle Scholar
  59. 59.
    Dozois DJA, Dobson KS, Ahnberg JL (1998) A psychometric evaluation of the Beck Depression Inventory-II. Psychol Assess 10:83–89CrossRefGoogle Scholar
  60. 60.
    Steer RA, Ball R, Ranieri WF, Beck AT (1999) Dimensions of the Beck Depression Inventory-II in clinically depressed outpatients. J Clin Psychol 55:117–128PubMedCrossRefGoogle Scholar
  61. 61.
    Gary FA, Yarandi HN (2004) Depression among southern rural African American women: a factor analysis of the Beck Depression Inventory II. Nurs Res 53:251–259PubMedCrossRefGoogle Scholar
  62. 62.
    Grothe KB, Dutton GR, Jones GN, Bodenlos J, Ancona M, Brantley PJ (2005) Validation of the Beck Depression Inventory-II in a low-income African American sample of medical outpatients. Psychol Assess 17:110–114PubMedCrossRefGoogle Scholar
  63. 63.
    Rothman M, Greenland S (1998) Modern epidemiology, 2nd edn. Lippincott Williams & Wilkins, PhiladelphiaGoogle Scholar
  64. 64.
    Little SA, Garber J (2005) The role of social stressors and interpersonal orientation in explaining the longitudinal relation between externalizing and depressive symptoms. J Abnorm Psychol 114:432–443PubMedCrossRefGoogle Scholar
  65. 65.
    Luoma I, Tamminen T, Kaukonen P, Laippala P, Puura K, Salmelin R et al (2001) Longitudinal study of maternal depressive symptoms and child well-being. J Am Acad Child Adolesc Psychiatry 40:1367–1374PubMedCrossRefGoogle Scholar
  66. 66.
    Joormann J, Talbot L, Gotlib IH (2007) Biased processing of emotional information in girls at risk for depression. J Abnorm Psychol 116:135–143PubMedCrossRefGoogle Scholar
  67. 67.
    Angold A (1998) Childhood and adolescent depression: I. Epidemiological and etiological aspects. Br J Psychiatry 152:601–617CrossRefGoogle Scholar
  68. 68.
    Klimes-Dougan B, Free K, Ronsaville D, Stilwell J, Welsh CJ, Radke-Yarrow M (1999) Suicidal ideation and attempts: a longitudinal investigation of children of depressed and well mothers. J Am Acad Child Adolesc Psychiatry 38:651–659PubMedCrossRefGoogle Scholar
  69. 69.
    Klimes-Dougan B, Lee C, Ronsaville D, Martinez P (2008) Suicidal risk in young adult offspring of mothers with bipolar or major depressive disorder: a longitudinal family risk study. J Clin Psychol 64:531–540PubMedCrossRefGoogle Scholar
  70. 70.
    Brent DA, Perper JA, Moritz G, Allman C (1993) Psychiatric risk factors for adolescent suicide: a case-control study. J Am Acad Child Adolesc Psychiatry 32:521–529PubMedCrossRefGoogle Scholar
  71. 71.
    Gould MS, Greenberg T, Velting DM, Shaffer D (2003) Youth suicide risk and preventive interventions: a review of the past 10 years. J Am Acad Child Adolesc Psychiatry 42:386–405PubMedCrossRefGoogle Scholar
  72. 72.
    Biederman J, Faraone SV, Hirshfeld-Becker DR, Friedman D, Robin JA, Rosenbaum JF (2001) Patterns of psychopathology and dysfunction in high-risk children of parents with panic disorder and major depression. Am J Psychiatry 158:49–57PubMedCrossRefGoogle Scholar
  73. 73.
    Lieb R, Wittchen H, Höfler M, Fuetsch M, Stein MB, Merikangas KR (2000) Parental psychopathology, parenting styles, and the risk of social phobia in offspring: a prospective-longitudinal community study. Arch Gen Psychiatry 57:859–866PubMedCrossRefGoogle Scholar
  74. 74.
    McClure EB, Brennan PA, Hammen C, Le Brocque RM (2001) Parental anxiety disorders, child anxiety disorders, and the perceived parent-child relationship in an Australian high-risk sample. J Abnorm Child Psychol 29:1–10PubMedCrossRefGoogle Scholar
  75. 75.
    Fergusson DM, Lynskey MT, Horwood LJ (1993) The effect of maternal depression on maternal ratings of child behavior. J Abnorm Psychol 21:245Google Scholar
  76. 76.
    Brennan PA, Hammen C, Katz AR, Le Brocque RM (2002) Maternal depression, paternal psychopathology, and adolescent diagnostic outcomes. J Consult Clin Psychol 70:1075–1085PubMedCrossRefGoogle Scholar
  77. 77.
    Snowden LR (2001) Barriers to effective mental health services for African Americans. Ment Health Serv Res 3:181–187PubMedCrossRefGoogle Scholar
  78. 78.
    Freimuth VS, Quinn SC, Thomas SB, Cole G, Zook E, Duncan T (2001) African Americans’ views on research and the Tuskegee Syphilis study. Soc Sci Med 52:797–808PubMedCrossRefGoogle Scholar
  79. 79.
    Miranda J, Bruce ML (2002) Gender issues and socially disadvantaged women. Ment Health Serv Res 4:249–253PubMedCrossRefGoogle Scholar
  80. 80.
    Boyd RC, Gilham J (2009) Review of interventions for parental depression from toddlerhood to adolescence. Curr Psychiatr Rev 5:226–235CrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC 2011

Authors and Affiliations

  • Rhonda C. Boyd
    • 1
    • 2
  • Guy S. Diamond
    • 1
    • 2
  • Thomas R. Ten Have
    • 3
  1. 1.Department of Child and Adolescent Psychiatry and Behavioral ScienceChildren’s Hospital of PhiladelphiaPhiladelphiaUSA
  2. 2.University of Pennsylvania School of MedicinePhiladelphiaUSA
  3. 3.Department of Biostatistics and EpidemiologyUniversity of Pennsylvania School of MedicinePhiladelphiaUSA

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