Skip to main content

Advertisement

Log in

Maternal Depressive Symptomatology and Parenting Behavior: Exploration of Possible Mediators

  • Published:
Journal of Abnormal Child Psychology Aims and scope Submit manuscript

Abstract

Possible mediators of the relation between maternal depressive symptomatology and parenting behavior were examined for 96 children with ADHD and their mothers drawn from the Multimodal Treatment Study of Children with ADHD (MTA) as part of an add-on investigation conducted by two of the six MTA sites. General cognitions (i.e., maternal locus of control and self-esteem) and parenting-specific factors (i.e., maternal parenting efficacy and parenting stress) were examined as possible mediators. Findings provide initial support that maternal parenting stress, as well as maternal locus of control and self-esteem mediate the relation between maternal depressive symptomatology and parenting behavior. This provides support for the argument that some families of children with ADHD may benefit from an expanded version of parent management training that includes sessions directly targeting affective and cognitive factors in parents, similar to treatment programs used to treat childhood conduct problems.

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
Fig. 2

Similar content being viewed by others

Notes

  1. Maternal depressive symptomatology was assessed with the BDI. Since the BDI contains a few items relevant to self-esteem, one of our mediators, a new BDI variable was created removing these items and correlations, regressions, and models were rerun with the new BDI variable. Since the pattern of results was the same, the original analyses with the complete BDI are reported.

References

  • Abidin, R. R. (1990). Parenting stress index short form. Charlottesville, VA: Pediatric Psychology Press.

    Google Scholar 

  • Abidin, R. R. (1992). The determinants of parenting behavior. Journal of Clinical Child Psychology, 21, 407–412.

    Article  Google Scholar 

  • Abidin, R. R. (1995). Parenting stress index (3rd ed.). Lutz, FL: Psychological Assessment Resources, Inc.

    Google Scholar 

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

    Google Scholar 

  • Arbuckle, J. L. (2003). Amos 5.0 [Computer software]. Chicago, IL: SPSS.

    Google Scholar 

  • Arnold, E. H., O’Leary, S. G., Edwards, G. H. (1997a). Father involvement and self-reported parenting of children with attention deficit-hyperactivity disorder. Journal of Consulting and Clinical Psychology, 65, 337–342.

    Article  PubMed  Google Scholar 

  • Arnold, L. E., Abikoff, H. B., Cantwell, D. P., Conners, C. K., Elliott, G., Greenhill, L. L., et al. (1997b). National institute of mental health collaborative multimodal treatment study of children with ADHD (the MTA): Design challenges and choices. Archives of General Psychiatry, 54, 865–870.

    PubMed  Google Scholar 

  • Arnold, D. S., O’Leary, S. G., Wolff, L. S., & Acker, M. M. (1993). The parenting scale: A measure of dysfunctional parenting in discipline situations. Psychological Assessment, 5, 137–144.

    Article  Google Scholar 

  • Barkley, R. A. (1998). Attention-deficit/hyperactivity disorder. In E. J. Mash, & R. A. Barkley (Eds.), Treatment of Childhood Disorders (2nd ed., pp. 55–110). New York: Guilford.

    Google Scholar 

  • Baron, R. M., & Kenny, D. A. (1986). The moderator-mediator variable distinction in social psychological research: Conceptual, strategic, and statistical considerations. Journal of Personality and Social Psychology, 51, 1173–1182.

    Article  PubMed  Google Scholar 

  • Beck, A. T. (1987). Cognitive models of depression. Journal of Cognitive Psychotherapy, An International Quarterly, 1, 5–37.

    Google Scholar 

  • Beck, A. T., Rush, A. J., Shaw, B. F., & Emery, G. (1979). Cognitive therapy of depression. New York: Guilford.

    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 

  • Bondy, E. M., & Mash, E. J. (1999). Parenting efficacy, perceived control over caregiving failure, and mothers’ reactions to preschool children’s misbehavior. Child Study Journal, 29, 157–173.

    Google Scholar 

  • Buhrmester, D., Camparo, L., Christensen, A., Gonzalez, L. S., & Hinshaw, S. P. (1992). Mothers and fathers interacting in dyads and triads with normal and hyperactive sons. Developmental Psychology, 28, 500–509.

    Article  Google Scholar 

  • Campbell, S. B., March, C. L., Pierce, E. W., Ewing, L. J., & Szumowski, E. K. (1991). Hard-to-manage preschool boys: Family context and the stability of externalizing behavior. Journal of Abnormal Child Psychology, 19, 301–318.

    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 

  • Deater-Deckard, K., & Scarr, S. (1996). Parenting stress among dual-earner mothers and fathers: Are there gender differences? Journal of Family Psychology, 10, 45–59.

    Article  Google Scholar 

  • Di Paula, A., & Campbell, J. D. (2002). Self-esteem and persistence in the face of failure. Journal of Personality and Social Psychology, 83, 711–724.

    Article  PubMed  Google Scholar 

  • Downey, G., & Coyne, J. C. (1990). Children of depressed parents: An integrative review. Psychological Bulletin, 108, 50–76.

    Article  PubMed  Google Scholar 

  • Emery, R. E., & Tuer, M. (1993). Parenting and the marital relationship. In T. Luster, & L. Okagaki (Eds.), Parenting: An ecological perspective (pp. 121–148). Hillsdale, NJ: Erlbaum.

    Google Scholar 

  • Gondoli, D. M., & Silverberg, S. B. (1997). Maternal emotional distress and diminished responsiveness: The mediating role of parenting efficacy and parental perspective taking. Developmental Psychology, 33, 861–868.

    Article  PubMed  Google Scholar 

  • Haaga, D. A. F., Dyck, M. J., & Ernst, D. (1991). Empirical status of cognitive theory of depression. Psychological Bulletin, 110, 215–236.

    Article  PubMed  Google Scholar 

  • Hinshaw, S. P., March, J. S., Abikoff, H., Arnold, L. E., Cantwell, D. P., Conners, C. K., et al. (1997). Comprehensive assessment of childhood attention-deficit/hyperactivity disorder in the context of a multisite, multimodal clinical trial. Journal of Attention Disorders, 1, 217–234.

    Article  Google Scholar 

  • Hoza, B., Johnston, C., Pillow, D. R., & Ascough, J. C. (2006). Predicting treatment response for childhood attention-deficit/hyperactivity disorder: Introduction of a heuristic model to guide research. Applied and Preventive Psychology, 11, 215–229.

    Article  Google Scholar 

  • Hoza, B., Owens, J. S., Pelham, W. E., Swanson, J. M., Conners, C. K., Hinshaw, S. P., et al. (2000). Parent cognitions as predictors of child treatment response in attention-deficit/hyperactivity disorder. Journal of Abnormal Child Psychology, 28, 569–583.

    Article  PubMed  Google Scholar 

  • Ingram, R. E., Miranda, J., & Segal, Z. V. (1998). Cognitive vulnerability to depression. New York: Guilford.

    Google Scholar 

  • Johnston, C. (1996a). Parent characteristics and parent–child interactions in families of nonproblem children and ADHD children with higher and lower levels of oppositional-defiant behavior. Journal of Abnormal Child Psychology, 24, 85–104.

    Article  PubMed  Google Scholar 

  • Johnston, C. (1996b). Addressing parent cognitions in interventions with families of disruptive children. In K. S. Dobson & K. D. Craig (Eds.), Advances in cognitive-behavioral therapy (pp.193–209). Thousand Oaks, CA: Sage.

    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  Google Scholar 

  • Kazdin, A. E. (1998). Preparing and evaluating research reports. In A. E. Kazdin (Ed.), Methodological issues & strategies in clinical research (2nd ed., pp. 715–736). Washington, D.C.: American Psychological Association.

    Google Scholar 

  • Lovejoy, M. C., Graczyk, P. A., O’Hare, E., & Neuman, G. (2000). Maternal depression and parenting behavior: A meta-analytic review. Clinical Psychology Review, 20, 561–592.

    Article  PubMed  Google Scholar 

  • Onatsu-Arvilommi, T., Nurmi, J., & Aunola, K. (1998). Mothers’ and fathers’ well-being, parenting styles, and their children’s cognitive and behavioural strategies at primary school. European Journal of Psychology of Education, 13, 543–556.

    Article  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 

  • Pelham, W. E., & Gnagy, E. M. (1999). Psychosocial and combined treatments for ADHD. Mental Retardation and Developmental Disabilities Research Reviews, 5, 225–236.

    Article  Google Scholar 

  • Ritchie, K. L., & Holden, G. W. (1998). Parenting stress in low income battered and community women: Effects on parenting behavior. Early Education and Development, 9, 97–112.

    Article  Google Scholar 

  • Rosenberg, M. (1979). Conceiving the self. New York, NY: Basic Books.

    Google Scholar 

  • Rotter, J. B. (1966). Generalized expectancies for internal versus external control of reinforcement. Psychological Monographs, 80 (Whole No. 609).

  • Rotter, J. B. (1990). Internal versus external control of reinforcement: A case history of a variable. American Psychologist, 45, 489–493.

    Article  Google Scholar 

  • Seligman, M. E. P. (1974). Depression and learned helplessness. In R. J. Friedman, & M. M. Katz (Eds.), The psychology of depression: Contemporary theory and research. Washington, D.C.: Winston.

    Google Scholar 

  • Shaffer, D., Fisher, P., Dulcan, M., Davies, M., Piacentini, J., Schwab-Stone, M., et al. (1996). The second version of the NIMH diagnostic interview schedule for children (DISC-2). Journal of American Academy of Child and Adolescent Psychiatry, 35, 865–877.

    Article  Google Scholar 

  • Shepperd, J. A., Ouellette, J. A., & Fernandez, J. K. (1996). Abandoning unrealistic optimism: Performance estimates and the temporal proximity of self-relevant feedback. Journal of Personality and Social Psychology, 70, 844–855.

    Article  Google Scholar 

  • Shumow, L., & Lomax, R. (2002). Parental efficacy: Predictor of parenting behavior and adolescent outcomes. Parenting: Science and Practice, 2, 127–150.

    Google Scholar 

  • Sobel, M. E. (1982). Asymptotic confidence intervals for indirect effects in structural equation models. In S. Leinhart (Ed.), Sociological methodology 1982 (pp. 290–312). San Francisco: Jossey-Bass.

    Google Scholar 

  • Webster-Stratton, C., & Reid, M. J. (2003). The incredible years parents, teachers, and children training series. In A. E. Kazdin, & J. R. Weisz (Eds.), Evidence-Based Psychotherapies for Children and Adolescents (pp. 224–240). New York: Guilford.

    Google Scholar 

  • Williams, J. M. G. (1997) Depression. In D. M. Clark, & C. G. Fairburn (Eds.), Science and practice of cognitive behaviour therapy (pp. 259–283). Oxford: Oxford University Press.

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Alyson C. Gerdes.

Additional information

The Multimodal Treatment Study of Children with ADHD (MTA) was a National Institute of Mental Health (NIMH) cooperative agreement randomized clinical trial involving six clinical sites. Collaborators from the National Institute of Mental Health: Peter S. Jensen, M.D. (currently at Columbia University), L. Eugene Arnold, M.D., M.Ed. (currently at Ohio State University), Joanne B. Severe, M.S. (Clinical Trials Operations and Biostatistics Unit, Division of Services and Intervention Research), Benedetto Vitiello, M.D. (Child & Adolescent Treatment and Preventive Interventions Research Branch), John Richters, Ph.D. (currently at National Institute of Nursing Research), Donald Vereen, M.D. (currently at National Institute on Drug Abuse). Principal investigators and co investigators from the 6 sites were: University of California, Berkeley/San Francisco: Stephen P. Hinshaw, Ph.D. (Berkeley), Glen R. Elliott, Ph.D., M.D. (San Francisco); Duke University: C. Keith Conners, Ph.D., Karen C. Wells, Ph.D., John March, M.D., M.P.H.; University of California, Irvine/Los Angeles: James Swanson, Ph.D. (Irvine), Dennis P. Cantwell, M.D., (deceased, Los Angeles), Timothy Wigal, Ph.D. (Irvine); Long Island Jewish Medical Center/Montreal Children's Hospital: Howard B. Abikoff, Ph.D. (currently at New York University School of Medicine), Lily Hechtman, M.D. (McGill University); New York State Psychiatric Institute/Columbia University/Mount Sinai Medical Center: Laurence L. Greenhill, M.D. (Columbia), Jeffrey H. Newcorn, M.D. (Mount Sinai School of Medicine); University of Pittsburgh: William E. Pelham, Ph.D. (currently at State University of NewYork, Buffalo), Betsy Hoza, Ph.D. (currently at University of Vermont). Statistical and design consultant: Helena C. Kraemer, Ph.D. (Stanford University). Collaborator from the Office of Special Education Programs/US Department of Education: Ellen Schiller, Ph.D.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Gerdes, A.C., Hoza, B., Arnold, L.E. et al. Maternal Depressive Symptomatology and Parenting Behavior: Exploration of Possible Mediators. J Abnorm Child Psychol 35, 705–714 (2007). https://doi.org/10.1007/s10802-007-9134-3

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10802-007-9134-3

Keywords

Navigation