Abstract
The vast majority of new mothers experience at least some depressive symptoms. Postpartum maternal depressive symptoms can greatly influence children’s outcomes (e.g., emotional, cognitive, language, and social development). However, there have been relatively few longitudinal studies of how maternal depressive symptoms may influence children’s social skills. The current study (n = 1363) examined the trajectory of maternal depressive symptoms (from 1 month to 36 months) and whether maternal depressive symptoms at 1 month postpartum and the change in symptoms over time (from 1 month to 3 years) predicted children’s parent- and teacher-rated social skills when they were 4.5 and 6.0 years old. A growth curve model indicated that, on average, maternal depressive symptoms declined over time in a nonlinear fashion. Further analyses indicated that after controlling for five demographic factors (child sex, family income, maternal age, mother’s marital status, and maternal education), initial maternal depressive symptoms significantly predicted children’s social skills as reported by mothers. The results support the notion that maternal depressive symptoms during children’s infancy can have long-term associations with children’s social skills. In addition, the results emphasize the importance of intervention and prevention efforts targeting maternal depressive symptoms during infancy, beginning immediately postpartum.
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Anhalt, K., Telzrow, C. F., & Brown, C. L. (2007). Maternal stress and emotional status during the perinatal period and childhood adjustment. School Psychology Quarterly, 22, 74–90.
Beck, C. T. (2001). Predictors of postpartum depression: An update. Nursing Research, 50, 275–285.
Brennan, P. A., Hammen, C., Anderson, M. J., Bor, W., Najman, J. M., & Williams, G. M. (2000). Chronicity, severity, and timing, of maternal depressive symptoms: Relationships with child outcomes at age 5. Developmental Psychology, 36, 759–766.
Buhi, E. R., Goodson, P., & Neilands, T. B. (2008). Out of sight, not out of mind: Strategies for handling missing data. American Journal of Health Behavior, 32, 83–92.
Campbell, S. B., Brownell, C. A., Hungerford, A., Spieker, S. J., Mohan, R., et al. (2004). The course of maternal depressive symptoms and maternal sensitivity as predictors of attachment security at 36 months. Development and Psychopathology, 16, 231–252.
Campbell, S. B., Matestic, P., von Stauffenberg, C., Mohan, R., & Kirchner, T. (2007). Trajectories of maternal depressive symptoms, maternal sensitivity, and children’s functioning at school entry. Developmental Psychology, 43, 1202–1215.
Campbell, S. B., Morgan-Lopez, A. A., Cox, M. J., McLoyd, V. C., & NICHD Early Child Care Research Network. (2009). A latent class analysis of maternal depressive symptoms over 12 years and offspring adjustment in adolescence. Journal of Abnormal Psychology, 118, 479–493.
Carter, A. S., Garrity-Rokous, F. E., Chazan-Cohen, R., Little, C., & Briggs-Gowan, M. J. (2001). Maternal depression and comorbidity: Predicting early parenting, attachment security, and toddler social-emotional problems and competencies. Journal of the American Academy of Child and Adolescent Psychiatry, 40, 18–26.
Chilcoat, H. D., & Breslau, N. (1997). Does psychiatric history bias mothers’ reports? An application of a new analytic technique. Journal of the American Academy of Child and Adolescent Psychiatry, 36, 971–979.
Cicchetti, D., Rogosch, F. A., & Toth, S. L. (1998). Maternal depressive disorder and contextual risk: Contributions to the development of attachment insecurity and behavior problems in toddlerhood. Development & Psychopathology, 10, 283–300.
Cummings, E. M., & Davies, P. T. (1994). Maternal depression and child development. Journal of Clinical Psychology and Psychiatry, 35, 73–112.
Dietz, L. J., Jennings, K. D., Kelley, S. A., & Marshal, M. (2009). Maternal depression, paternal psychopathology, and toddlers’ behavior problems. Journal of Clinical Child & Adolescent Psychology, 38, 48–61.
Downey, G., & Cloyne, J. C. (1990). Children of depressed parents: An integrative review. Psychological Bulletin, 108, 50–76.
Foster, C. E., Webster, M. C., Weissman, M. M., Pilowsky, D. J., Wickramaratne, P. J., Talati, A., et al. (2008). Remission of maternal depression: Relations to family functioning and youth internalizing and externalizing symptoms. Journal of Clinical Child & Adolescent Psychology, 37, 714–724.
Goodman, S. H., Brogan, D., Lynch, M. E., & Fielding, B. (1993). Social and emotional competence in children of depressed mothers. Child Development, 64, 516–531.
Grace, S. L., Evindar, A., & Stewart, D. E. (2003). The effect of postpartum depression on child cognitive development and behavior: A review and critical analysis of the literature. Archives of Women’s Mental Health, 6, 263–274.
Graham, J. W., Cumsille, P. E., & Elek-Fisk, E. (2003). Methods of handling missing data. In I. B. Weiner (Ed.), Handbook of psychology, Vol. 2 (pp. 87–114). Hoboken, NJ: Wiley.
Gresham, F. M., & Elliot, S. N. (1990). The social skills rating system. Circle Pines, MN: American Guidance Service.
Gump, B. B., Reihman, J., Stewart, P., Lonky, E., Darvill, T., et al. (2009). Trajectories of maternal depressive symptoms over her child’s life span: Relation to adrenocortical, cardiovascular, and emotional functioning in children. Development and Psychopathology, 21, 207–225.
Hammen, C., & Brennan, P. A. (2003). Severity, chronicity, and timing of maternal depression and risk for adolescent offspring diagnoses in a community sample. Archives of General Psychiatry, 60, 253–258.
Horowitz, J. A., & Goodman, J. (2004). A longitudinal study of maternal depression postpartum symptoms. Research and Theory for Nursing Practice, 18, 149–163.
Jaser, S. S., Fear, J. M., Reeslund, K. L., Champion, J. E., Reising, M. M., & Compas, B. E. (2008). Maternal sadness and adolescents’ responses to stress in offspring of mothers with and without a history of depression. Journal of Clinical Child & Adolescent Psychology, 37, 736–746.
Johnson, P. L., & Flake, E. M. (2007). Maternal depression and child outcomes. Psychiatric Annals, 37, 404–410.
Kemper, K. J., Kelleher, K., & Olson, A. L. (2007). Implementing maternal depression screening. Pediatrics, 120, 448–449.
Kline, R. B. (2005). Principles and practice of structural equation modeling (2nd ed.). New York: Guilford Press.
Ladd, G. W. (1990). Having friends, keeping friends, making friends, and being liked by peers in the classroom: Predictors of children’s early school adjustment? Child Development, 61, 1081–1100.
Ladd, G. W., & Price, J. M. (1987). Predicting children’s social and school adjustment following the transition from preschool to kindergarten. Child Development, 58, 1168–1189.
Linnet, K. M., Dalsgaard, S., Obel, C., Wisborg, K., Henriksen, T. B., Rodriguez, A., et al. (2003). Maternal lifestyle factors in pregnancy risk of attention deficit hyperactivity disorder and associated behaviors: Review of the current evidence. American Journal of Psychiatry, 160, 1028–1040.
Luoma, I., Tamminen, T., Kaukonen, P., Laippala, P., Puura, K., Salmelin, R., et al. (2001). Longitudinal study of maternal depression symptoms and child well-being. Journal of the American Academy of Child and Adolescent Psychiatry, 40, 1367–1374.
McClelland, M. M., Morrison, F. J., & Holmes, D. L. (2000). Children at risk for early academic problems: The role of learning-related social skills. Early Childhood Research Quarterly, 15, 307–329.
Miner, J. L., & Clarke-Stewart, K. A. (2008). Trajectories of externalizing behavior from age 2 to age 9: Relations with gender, temperament, ethnicity, parenting, and rater. Developmental Psychology, 44, 771–786.
Muthén, L. K., & Muthén, B. O. (1998-2007). Mplus user’s guide. Fifth Edition [Computer software and manual]. Los Angeles, CA: Muthén & Muthén.
National Institutes of Health. (2005). Understanding Postpartum Depression. http://newsinhealth.nih.gov/2005/December2005/docs/01features_02.htm. Retrieved 5 September 2008.
NICHD Early Child Care Research Network. (1999). Chronicity of maternal depressive symptoms, maternal sensitivity, and child functioning at 36 months. Developmental Psychology, 35, 1297–1310.
NICHD Early Child Care Research Network. (2001). Nonmaternal care and family factors in early development: An overview of the NICHD Study of Early Child Care. Journal of Applied Developmental Psychology, 22, 457–492.
NICHD Early Child Care Research Network. (2005). Chronicity of maternal depressive symptoms, maternal sensitivity, and child functioning at 36 months. In The NICHD Early Child Care Research Network (Ed.), Child care and child development: Results from the NICHD study of early child care and youth development (pp. 151–162). New York: Guilford Press.
O’Hara, M. W., Neunaber, D. J., & Zekoski, E. M. (1984). Prospective study of postpartum depression: Prevalence, course, and predictive factors. Journal of Abnormal Psychology, 93, 158–171.
Olson, A. L., Dietrich, A. J., Prazar, G., & Hurley, J. (2006). Brief maternal depression screening at well-child visits. Pediatrics, 118, 207–216.
Peth-Pierce, R. (1998). The NICHD study of early child care. Bethesda, MD: National Institute of Child Health and Development.
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.
Roberts, R. E. (1980). Reliability of the CES-D scale in different ethnic contexts. Psychiatry Research, 2, 125–134.
Sohr-Preston, S. L., & Scaramella, L. V. (2006). Implications of timing of maternal depressive symptoms for early cognitive and language development. Clinical Child and Family Psychology Review, 9, 65–83.
Sullivan, P. F., Neale, M. C., & Kendler, K. S. (2000). Genetic epidemiology of major depression: Review and meta-analysis. The American Journal of Psychiatry, 157, 1552–1562.
Tanski, S. E., Klein, J. D., Winickoff, J. P., Auinger, P., & Weitzman, M. (2003). Tobacco counseling at well-child and tobacco-influenced illness visits: Opportunities for ement. Pediatrics, 111, e162–e167.
US Preventive Services Task Force. (2002). Screening for depression: Recommendations and rationale. Rockville, MD: Agency for Healthcare Research and Quality. Retrieved August 22, 2009, from http://www.ahrq.gov/clinic/3rduspstf/depression/depressrr.htm.
Yonkers, K. A., Ramin, S. M., Rush, A. J., Navarrete, C. A., Carmody, T., March, D., et al. (2001). Onset and persistence of postpartum depression in an inner-city maternal health clinic system. American Journal of Psychiatry, 158, 1856–1863.
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Wu, Y.P., Selig, J.P., Roberts, M.C. et al. Trajectories of Postpartum Maternal Depressive Symptoms and Children’s Social Skills. J Child Fam Stud 20, 414–423 (2011). https://doi.org/10.1007/s10826-010-9407-2
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DOI: https://doi.org/10.1007/s10826-010-9407-2