Abstract
Maternal depression has a deleterious impact on child psychological outcomes, including depression symptoms. However, there is limited research on the protective factors for these children and even less for African Americans. The purpose of the study is to examine the effects of positive parenting skills on child depression and the potential protective effects of social skills and kinship support among African American children whose mothers are depressed and low-income. African American mothers (n = 77) with a past year diagnosis of a depressive disorder and one of their children (ages 8–14) completed self-report measures of positive parenting skills, social skills, kinship support, and depression in a cross-sectional design. Regression analyses demonstrated that there was a significant interaction effect of positive parenting skills and child social skills on child depression symptoms. Specifically, parent report of child social skills was negatively associated with child depression symptoms for children exposed to poorer parenting skills; however, this association was not significant for children exposed to more positive and involved parenting. Kinship support did not show a moderating effect, although greater maternal depression severity was correlated with more child-reported kinship support. The study findings have implications for developing interventions for families with maternal depression. In particular, parenting and child social skills are potential areas for intervention to prevent depression among African American youth.
Similar content being viewed by others
References
Barnett, M. A. (2008). Economic disadvantage in complex family systems: Expansion of family stress models. Clinical Child and Family Psychology Review, 11, 145–161. doi:10.1007/s10567-008-0034-z.
Beardslee, W. R., & Podorefsky, D. (1988). Resilient adolescents whose parents have serious affective and other psychiatric disorders: Importance of self-understanding and relationships. American Journal of Psychiatry, 145, 63–69.
Beck, A. T., Steer, R. A., & Brown, G. K. (1996). Manual for Beck Depression Inventory-II. San Antonio, TX: Psychological Corporation.
Becker-Weidman, E. G., Jacobs, R. H., Reinecke, M. A., Silva, S. G., & March, J. S. (2010). Social problem-solving among adolescents treated for depression. Behaviour Research and Therapy, 48, 11–18. doi:10.1016/j.brat.2009.08.006.
Boyd, R. C., Diamond, G. S., & Bourjolly, J. N. (2006). Developing a family-based depression prevention program in urban community mental health clinics: A qualitative investigation. Family Process, 45, 187–203. doi:10.1111/j.1545-5300.2006.00090.x.
Boyd, R. C., Diamond, G. S., & Ten Have, T. R. (2011a). Emotional and behavioral functioning of offspring of African American mothers with depression. Child Psychiatry and Human Development, 42, 594–608. doi:10.1007/s10578-011-0235-4.
Boyd, R. C., & Gillham, J. E. (2009). Review of interventions for parental depression from toddlerhood to adolescence. Current Psychiatry Reviews, 5, 226–235. doi:10.2174/157340009789542123.
Boyd, R. C., Joe, Ss., Michalopoulos, L., Davis, E., & Jackson, J. S. (2011b). Prevalence of mood disorders and service use among US mothers by race and ethnicity: Results from the National Survey of American Life. Journal of Clinical Psychiatry, 72, 1538–1545. doi:10.4088/JCP.10m06468.
Breslau, J., Aguilar-Gaxiola, S., Kendler, K. S., Su, M., Williams, D., & Kessler, R. C. (2006). Specifying race-ethnic differences in risk for psychiatric disorder in a USA national sample. Psychological Medicine, 36, 57–68. doi:10.1017/s0033291705006161.
Campbell, S. B., Morgan-Lopez, A. A., Cox, M. J., McLoyd, V. C., & National Institute of Child, Health and Human Development 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. doi:10.1037/a0015923.
Cardemil, E., Reivich, K. J., Beevers, C. G., Seligman, M. E. P., & James, J. (2007). The prevention of depressive symptoms in low-income, minority children: Two-year follow-up. Behaviour Research and Therapy, 45, 313–327. doi:10.1016/j.brat.2006.03.010.
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. doi:10.1097/00004583-200101000-00012.
Ceballo, R., & McLoyd, V. C. (2002). Social support and parenting in poor, dangerous neighborhoods. Child Development, 73, 1310–1321. doi:10.1111/1467-8624.00473.
Compas, B. E., Champion, J. E., Forehand, R., Cole, D. A., Reeslund, K. L., Fear, J., Roberts, L. (2010). Coping and parenting: Mediators of 12-month outcomes of a family group cognitive–behavioral preventive intervention with families of depressed parents. Journal of Consulting and Clinical Psychology, 78, 623–634. doi:10.1037/a0020459.
Compas, B. E., Forehand, R., Keller, G., Champion, J. E., Rakow, A., Reeslund, K. L., et al. (2009). Randomized controlled trial of a family cognitive-behavioral preventive intervention for children of depressed parents. Journal of Consulting and Clinical Psychology, 77, 1007–1020. doi:10.1037/a0016930.
Coyne, J. C., Kessler, R. C., Tal, M., Turnbull, J., Wortman, C. B., & Greden, J. F. (1987). Living with a depressed person. Journal of Consulting and Clinical Psychology, 55, 347–352. doi:10.1037/0022-006X.55.3.347.
Dallaire, D. H., Cole, D. A., Smith, T. M., Ciesla, J. A., LaGrange, B., Jacquez, F. M., et al. (2008). Predicting children’s depressive symptoms from community and individual risk factors. Journal of Youth and Adolescence, 37, 830–846. doi:10.1007/s10964-008-9270-2.
Dozois, D. J. A., Dobson, K. S., & Ahnberg, J. L. (1998). A psychometric evaluation of the Beck Depression Inventory–II. Psychological Assessment, 10, 83–89. doi:10.1037/1040-3590.10.2.83.
DuRant, R. H., Cadenhead, C., Pendergrast, R. A., & Slavens, G. (1994). Factors associated with the use of violence among urban Black adolescents. American Journal of Public Health, 84(4), 612–617. doi:10.2105/AJPH.84.4.612.
First, M. B., Spitzer, R. L., Gibbon, M., & Williams, J. B. W. (2001). Structured clinical interview for DSM-IV-TR axis I disorders, research version, patient edition. New York: Biometrics Research, New York State Psychiatric Institute.
Frye, A. A., & Goodman, S. H. (2000). Which social problem-solving components buffer depression in adolescent girls? Cognitive Therapy and Research, 24, 637–650. doi:10.1023/a:1005583210589.
Garland, A. F., Lau, A. S., Yeh, M., McCabe, K. M., Hough, R. L., & Landsverk, J. A. (2005). Racial and ethnic differences in utilization of mental health services among high-risk youths. American Journal of Psychiatry, 162, 1336–1343. doi:10.1176/appi.ajp.162.7.1336.
Gary, F. A., & Yarandi, H. N. (2004). Depression among southern rural African American women: A factor analysis of the Beck Depression Inventory II. Nursing Research, 53(4), 251–259. doi:10.1097/00006199-200407000-00008.
González, H. M., Vega, W. A., Williams, D. R., Tarraf, W., West, B. T., & Neighbors, H. W. (2010). Depression care in the United States too little for too few. Archives of General Psychiatry, 67, 37–46.
Goodman, S. H. (2007). Depression in mothers. Annual Review of Clinical Psychology, 3, 107–135.
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. doi:10.1037/0033-295X.106.3.458.
Goodman, S. H., Rouse, M. H., Connell, A. M., Broth, M. R., Hall, C. M., & Heyward, D. (2011). Maternal depression and child psychopathology: A meta-analytic review. Clinical Child and Family Psychology Review, 14, 1–27. doi:10.1007/s10567-010-0080-1.
Gorman-Smith, D., Tolan, P., Henry, D., & Florsheim, P. (2000). Patterns of family functioning and adolescent outcomes among urban African American and Mexican American families. Journal of Family Psychology, 14, 436–457. doi:10.1037//0893-3200.14.3.436.
Gorman-Smith, D., Tolan, P. H., Zelli, A., & Huesmann, L. R. (1996). The relation of family functioning to violence among inner-city minority youths. Journal of Family Psychology, 10, 115–129. doi:10.1037/0893-3200.10.2.115.
Graham-Bermann, S. A., Gruber, G., Howell, K. H., & Girz, L. (2009). Factors discriminating among profiles of resilience and psychopathology in children exposed to intimate partner violence (IPV). Child Abuse and Neglect, 33, 648–660. doi:10.1016/j.chiabu.2009.01.002.
Gresham, F. M., & Elliott, S. N. (1990). Social skills rating system. Circle Pines, MN: American Guidance Service.
Grothe, K. B., Dutton, G. R., Jones, G. N., Bodenlos, J., Ancona, M., & Brantley, P. J. (2005). Validation of the Beck Depression Inventory-II in a low-income African American sample of medical outpatients. Psychological Assessment, 17, 110–114. doi:10.1037/1040-3590.17.1.110.
Hall, D. M., Cassidy, E. F., & Stevenson, H. C. (2008). Acting “tough” in a “tough” world: An examination of fear among urban African American adolescents. Journal of Black Psychology, 34, 381–398. doi:10.1177/0095798408314140.
Hammack, P. L. (2003). Towards a unified theory of depression among urban African American youth: Integrating socioecologic, cognitive, family stress, and biopsychosocial perspectives. Journal of Black Psychology, 29, 187–209. doi:10.1177/0095798403029002004.
Hipwell, A. E., Murray, L., Ducournau, P., & Stein, A. (2005). The effects of maternal depression and parental conflict on children’s peer play. Child: Care, Health and Development, 31, 11–23. doi:10.1111/j.1365-2214.2005.00448.x.
Jones, J. M. (2007). Exposure to chronic community violence: Resilience in African American children. Journal of Black Psychology, 33, 125–149. doi:10.1177/0095798407299511.
Jones, D. J., Forehand, R., Brody, G. H., & Armistead, L. (2002). Positive parenting and child psychosocial adjustment in inner-city single-parent African American families: The role of maternal optimism. Behavior Modification, 26, 464–481. doi:10.1177/0145445502026004002.
Jones, D. J., Forehand, R., & Neary, E. M. (2001). Family transmission of depressive symptoms: Replication across Caucasian and African American mother-child dyads. Behavior Therapy, 32, 123–138. doi:10.1016/S0005-7894(01)80048-4.
Kenny, M. E., Blustein, D. L., Chaves, A., Grossman, J. M., & Gallagher, L. A. (2003). The role of perceived barriers and relational support in the educational and vocational lives of urban high school students. Journal of Counseling Psychology, 50, 142–155. doi:10.1037/0022-0167.50.2.142.
Kessler, R. C., Chiu, W. T., Demler, O., Merikangas, K. R., & Walters, E. E. (2005). Prevalence, severity, and comorbidity of 12-month DSM-IV disorders in the national comorbidity survey replication. Archives of General Psychiatry, 62, 617–627.
Koblinsky, S. A., Kuvalanka, K. A., & Randolph, S. M. (2006). Social skills and behavior problems of urban, African American preschoolers: Role of parenting practices, family conflict, and maternal depression. American Journal of Orthopsychiatry, 76, 554–563. doi:10.1037/0002-9432.76.4.554.
Kovacs, M. (1992). Children’s depression inventory manual. North Tonawanda, NY: Multi-Health Systems.
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. doi:10.2307/1130877.
Leckman-Westin, E., Cohen, P. R., & Stueve, A. (2009). Maternal depression and mother child interaction patterns: Association with toddler problems and continuity of effects to late childhood. Journal of Child Psychology and Psychiatry, 50, 1176–1184. doi:10.1111/j.1469-7610.2009.02083.x.
Lewinsohn, P. M., Olino, T. M., & Klein, D. N. (2005). Psychosocial impairment in offspring of depressed parents. Psychological Medicine: A Journal of Research in Psychiatry and the Allied Sciences, 35, 1493–1503. doi:10.1017/S0033291705005350.
Li, S. T., Nussbaum, K. M., & Richards, M. H. (2007). Risk and protective factors for urban African American youth. American Journal of Community Psychology, 39, 21–35. doi:10.1007/s10464-007-9088-1.
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. doi:10.1016/S0272-7358(98)00100-7.
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. Journal of the American Academy of Child and Adolescent Psychiatry, 40, 1367–1374. doi:10.1097/00004583-200112000-00006.
Luthar, S. S., Cicchetti, D., & Becker, B. (2000). The construct of resilience: A critical evaluation and guidelines for future work. Child Development, 71, 543–562. doi:10.1111/1467-8624.00164.
McCarty, C. A., McMahon, R. J., & Conduct Problems Research Group. (2003). Mediators of the relation between maternal depressive symptoms and child internalizing and disruptive behavior disorders. Journal of Family Psychology, 17, 545–556. doi:10.1037/0893-3200.17.4.545.
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. doi:10.1016/S0885-2006(00)00069-7.
McKnight-Eily, L. R., Presley-Cantrell, L., Elam-Evans, L. D., Chapman, D. P., Kaslow, N. J., & Perry, G. S. (2009). Prevalence and correlates of current depressive symptomatology and lifetime diagnosis of depression in black women. Women’s Health Issues, 19, 243–252. doi:10.1016/j.whi.2009.04.003.
Mitchell, S. J., Lewin, A., Horn, I. B., Valentine, D., Sanders-Phillips, K., & Joseph, J. G. (2010). How does violence exposure affect the psychological health and parenting of young African-American mothers? Social Science and Medicine, 70, 526–533. doi:10.1016/j.socscimed.2009.10.048.
Murphy, D. A., Marelich, W. D., Herbeck, D. M., & Payne, D. L. (2009). Family routines and parental monitoring as protective factors among early and middle adolescents affected by maternal HIV/AIDS. Child Development, 80, 1676–1691.
Murry, V. M., Bynum, M. S., Brody, G. H., Willert, A., & Stephens, D. (2001). African American single mothers and children in context: A review of studies on risk and resilience. Clinical Child and Family Psychology Review, 4, 133–155. doi:10.1023/a:1011381114782.
Myers, K., & Winters, N. C. (2002). Ten-year review of rating scales. II: Scales for internalizing disorders. Journal of the American Academy of Child and Adolescent Psychiatry, 41, 634–659. doi:10.1097/00004583-200206000-00004.
Neighbors, H. W., Caldwell, C., Williams, D. R., Nesse, R., Taylor, R. J., Bullard, K. M., et al. (2007). Race, ethnicity, and the use of services for mental disorders—results from the National Survey of American Life. Archives of General Psychiatry, 64, 485–494. doi:10.1001/archpsyc.64.4.485.
Riley, A. W., Coiro, M. J., Broitman, M., Colantuoni, E., Hurley, K. M., Bandeen-Roche, K., et al. (2009). Mental health of children of low-income depressed mothers: Influences of parenting, family environment, and raters. Psychiatric Services, 60, 329–336.
Riley, A. W., Valdez, C. R., Barrueco, S., Mills, C., Beardslee, W., Sandler, I., et al. (2008). Development of a family-based program to reduce risk and promote resilience among families affected by maternal depression: Theoretical basis and program description. Clinical Child and Family Psychology Review, 11, 12–29. doi:10.1007/s10567-008-0030-3.
Ross, A. G., Shochet, I. M., & Bellair, R. (2010). The role of social skills and school connectedness in preadolescent depressive symptoms. Journal of Clinical Child and Adolescent Psychology, 39, 269–275. doi:10.1080/15374410903532692.
Silk, J. S., Shaw, D. S., Skuban, E. M., Oland, A. A., & Kovacs, M. (2006). Emotion regulation strategies in offspring of childhood-onset depressed mothers. Journal of Child Psychology and Psychiatry, 47, 69–78. doi:10.1111/j.1469-7610.2005.01440.x.
Silk, J. S., Vanderbilt-Adriance, E., Shaw, D. S., Forbes, E. E., Whalen, D. J., Ryan, N. D., & Dahl, R. E. (2007). Resilience among children and adolescents at risk for depression: Mediation and moderation across social and neurobiological context. Development and Psychopathology, 19, 841–865. doi:10.1017/s0954579407000417.
Steer, R. A., Ball, R., Ranieri, W. F., & Beck, A. T. (1999). Dimensions of the Beck Depression Inventory-II in clinically depressed outpatients. Journal of Clinical Psychology, 55, 117–128. doi:10.1002/(SICI)1097-4679(199901)55:1<117:AID-JCLP12>3.0.CO;2-A.
Taylor, R. D. (2010). Risk and resilience in low-income African American families: Moderating effects of kinship social support. Cultural Diversity and Ethnic Minority Psychology, 16, 344–351. doi:10.1037/a0018675.
Taylor, R. (2011). Kin support and parenting practices among low-income African American mothers: Moderating effects of mothers’ psychological adjustment. Journal of Black Psychology, 37(1), 3–23. doi:10.1177/0095798410372623.
Taylor, R. D., Casten, R., & Flickinger, S. M. (1993). Influence of kinship social support on the parenting experiences and psychosocial adjustment of African-American adolescents. Developmental Psychology, 29, 382–388. doi:10.1037/0012-1649.29.2.382.
Taylor, L., & Ingram, R. E. (1999). Cognitive reactivity and depressotypic information processing in children of depressed mothers. Journal of Abnormal Psychology, 108, 202–210. doi:10.1037/0021-843X.108.2.202.
Taylor, R. D., & Roberts, D. (1995). Kinship support and maternal and adolescent well-being in economically disadvantaged African-American families. Child Development, 66, 1585–1597. doi:10.2307/1131898.
Taylor, R. D., Seaton, E., & Dominguez, A. (2008). Kinship support, family relations, and psychological adjustment among low-income African American mothers and adolescents. Journal of Research on Adolescence, 18, 1–22. doi:10.1111/j.1532-7795.2008.00548.x.
Thompson, M. P., Kaslow, N. J., Kingree, J. B., Rashid, A., Puett, R., Jacobs, D., & Matthews, A. (2000). Partner violence, social support, and distress among inner-city African American women. American Journal of Community Psychology, 28, 127–143. doi:10.1023/a:1005198514704.
Tolan, P. H., Gorman-Smith, D., & Henry, D. B. (2000). Chicago youth development study parenting practices measure: Instructions for scaling technical report. Chicago: Families and Communities Research Group, Institute for Juvenile Research, Department of Psychiatry, The University of Illinois at Chicago.
Weissman, M. M., Wickramaratne, P., Nomura, Y., Warner, V., Pilowsky, D., & Verdeli, H. (2006). Offspring of depressed parents: 20 years later. American Journal of Psychiatry, 163, 1001–1008. doi:10.1176/appi.ajp.163.6.1001.
Welsh, M., Parke, R. D., Widaman, K., & O’Neil, R. (2001). Linkages between children’s social and academic competence: A longitudinal analysis. Journal of School Psychology, 39, 463–482. doi:10.1016/S0022-4405(01)00084-X.
Williams, D. R., Gonzalez, H. M., Neighbors, H., Nesse, R., Abelson, J. M., Sweetman, J., et al. (2007). Prevalence and distribution of major depressive disorder in African Americans, Caribbean blacks, and non-Hispanic whites—results from the National Survey of American Life. Archives of General Psychiatry, 64, 305–315. doi:10.1001/archpsyc.64.3.305.
World Health Organization. (2008). World health statistics 2008. Retrieved from http://www.who.int/whosis/whostat/2008/en/index.html.
Wu, Y. P., Selig, J. P., Roberts, M. C., & Steele, R. G. (2011). Trajectories of postpartum maternal depressive symptoms and children’s social skills. Journal of Child and Family Studies, 20, 414–423. doi:10.1007/s10826-010-9407-2.
Zimmerman, M. A., Ramirez-Valles, J., Zapert, K. M., & Maton, K. I. (2000). A longitudinal study of stress-buffering effects for urban African-American male adolescent problem behaviors and mental health. Journal of Community Psychology, 28, 17–33. doi:10.1002/(SICI)1520-6629(200001)28:1<17:AID-JCOP4>3.0.CO;2-I.
Acknowledgments
This work was supported by the National Institute of Mental Health (K01 MH 068619). The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institute of Mental Health or the National Institutes of Health. The authors would like to thank Brooke Paskewich for her helpful comments on this manuscript.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Boyd, R.C., Waanders, C. Protective Factors for Depression Among African American Children of Predominantly Low-Income Mothers with Depression. J Child Fam Stud 22, 85–95 (2013). https://doi.org/10.1007/s10826-012-9588-y
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10826-012-9588-y