Impact of Maternal Mental Health Status on Child Mental Health Treatment Outcome
- 256 Downloads
This study examined the effect of maternal depression and anxiety on child treatment outcome. Psychiatric assessments were conducted on 180 mother–child pairs when the child entered treatment in a community mental health center and six months later. Children whose mothers were depressed or anxious were significantly more impaired than children of mentally healthy mothers at both time points. Both groups of children improved at approximately the same rate. The findings suggest that early mental health screening of children and their mothers may be important preventive practices. Addressing the mental health needs of mothers and children simultaneously may be an effective method of reducing their mental health problems.
Keywordschildren community mental health maternal depression.
This research was supported by the National Institute of Mental Health, Grants R24 MH-56848, P30 MH-30915, and K01 MH-0189.
- Achenbach T. M. (1991). Manual for the Child Behavior Checklist/4–18 and 1991 Profile. Department of Psychiatry University of Vermont, BurlingtonGoogle Scholar
- Achenbach T. M., Edelbrock C. S. (1983). Manual for the Child Behavior Checklist and Revised Child Behavior Profile. Department of Psychiatry, University of Vermont, BurlingtonGoogle Scholar
- Beardslee W. R., Keller M. B., Seifer R., Lavori P. W., Staley J., Podorefsky D., Shera D. (1996). Prediction of adolescent affective disorder: Effects of prior parental affective disorders and child psychopathology. Journal of the American Academy of Child and Adolescent Psychiatry 35:279–288CrossRefPubMedGoogle Scholar
- Beck A. T. (1978). Depression Inventory. Center for Cognitive Therapy, PhiladelphiaGoogle Scholar
- Chambers W. J., Puig-Antich J., Hirsch M., Paez P., Ambrosini P. J., Tabrizi M. A., Davies M. (1985). The assessment of affective disorders in children and adolescents by semistructured interview: Test-retest reliability of the Schedule for Affective Disorders and Schizophrenia for school-age children, present episode version. Achieves of General Psychiatry 42:696–702PubMedGoogle Scholar
- First M., Spitzer R., Gibbon M., Williams J. (1995). Structured Clinical Interview for DSM-IV Axis I Disorders (SCID). New York State Psychiatric Institute, Biometrics Research, New YorkGoogle Scholar
- Kaufman J., Birmaher B., Brent D., Rao U., Flynn C., Moreci P., Williamson D., Ryan N. (1997). Schedule for Affective Disorders and Schizophrenia for school-age children – present and lifetime version (K-SADS-PL): Initial reliability and validity data. Journal of the American Academy of Child and Adolescent Psychiatry 36:980–988CrossRefPubMedGoogle Scholar
- Shaffer D., Fisher P., Dulcan M. K., Davies M., Piacentini J., Schwab-Stone M. E., Lahey B. B., Bourdon K., Jensen P. S., Bird H. R., Canio G., Regier D. A. (1996). The NIMH Diagnostic Interview Schedule for Children Version 2.3 (DISC-2.3): Description, acceptability, prevalence rates, and performance in the MECA study. Journal of the American Academy of Child and Adolescent Psychiatry 35:865–877CrossRefPubMedGoogle Scholar
- Spence S. H., Najman J. M., Bor W., O’Callaghan M. J., Williams G. M. (2002). Maternal anxiety and depression, poverty, and marital relationship factors during early childhood as predictors of anxiety and depressive symptoms in adolescence. Journal of Consulting and Clinical Psychology 43:457–469Google Scholar
- US Department of Health and Human Services (1999). Mental Health: A Report of the Surgeon General. US Government Printing Office, Washington DCGoogle Scholar
- Williams J. B., Gibbon M., First M. B., Spitzer R. L., Davies M., Borus J., Howes M. J., Kane J., Pope H. G., Rounsaville B., Wittchen H. U. (1992). The Structured Clinical Interview for DSM-III-R (SCID), II: Multisite test-retest reliability. Archives of General Psychiatry 42:657–666Google Scholar