The interplay of maternal and paternal postpartum depressive symptoms with children's internalizing and externalizing symptoms from childhood to adolescence: does socioeconomic status matter? A longitudinal cohort study.

Autor: Clément M; Department of Social and Preventive Medicine, School of Public Health, University of Montréal, Montréal, QC, Canada.; Department of Nursing, University of Québec in Outaouais, Saint-Jérôme, QC, Canada.; Research Unit on Children's Psychosocial Maladjustment, Montréal, QC, Canada., Ahun MN; Research Unit on Children's Psychosocial Maladjustment, Montréal, QC, Canada.; Department of Medicine, Faculty of Medicine and Health Sciences, McGill University, Montréal, QC, Canada.; Department of Global Health and Population, Harvard T.H. Chan School of Public Health, Boston, MA, USA., Orri M; Research Unit on Children's Psychosocial Maladjustment, Montréal, QC, Canada.; McGill Group for Suicide Studies, Douglas Mental Health University Institute, Department of Psychiatry, McGill University, Montréal, QC, Canada.; Department of Epidemiology, Biostatistics, and Occupational Health, School of Population and Global Health, McGill University, Montréal, QC, Canada., Montreuil TC; Research Unit on Children's Psychosocial Maladjustment, Montréal, QC, Canada.; Department of Educational and Counselling Psychology, McGill University, Montréal, QC, Canada., St-André M; Research Unit on Children's Psychosocial Maladjustment, Montréal, QC, Canada.; Perinatal and Early Childhood Psychiatry Clinic, Sainte-Justine University Hospital Center, Montréal, QC, Canada., Herba CM; Research Unit on Children's Psychosocial Maladjustment, Montréal, QC, Canada.; Department of Psychology, University of Québec at Montréal, Montréal, QC, Canada., Moullec G; Department of Social and Preventive Medicine, School of Public Health, University of Montréal, Montréal, QC, Canada.; Public Health Research Center, University of Montréal, Montréal, QC, Canada.; Integrated University Health and Social Services Centre of the Centre-Sud-de-l'Île-de-Montréal, Montréal, QC, Canada., Côté SM; Department of Social and Preventive Medicine, School of Public Health, University of Montréal, Montréal, QC, Canada.; Research Unit on Children's Psychosocial Maladjustment, Montréal, QC, Canada.
Jazyk: angličtina
Zdroj: Journal of child psychology and psychiatry, and allied disciplines [J Child Psychol Psychiatry] 2024 Sep 10. Date of Electronic Publication: 2024 Sep 10.
DOI: 10.1111/jcpp.14051
Abstrakt: Background: Maternal postpartum depression is an important risk factor for internalizing and externalizing problems in children. The role of concurrent paternal depression remains unclear, especially by socioeconomic status. This study examined independent and interactive associations of postpartum maternal and paternal depression with children's internalizing/externalizing symptoms throughout childhood and adolescence (ages 3.5-17 years).
Methods: We used data from the Québec Longitudinal Study of Child Development, a representative birth cohort (1997-1998) in Canada. Data included self-reported maternal and paternal depressive symptoms at 5 months' postpartum using the Center for Epidemiologic Studies Depression Scale. Internalizing and externalizing symptoms in children were reported by parents, teachers and children/adolescents using the Social Behaviour Questionnaire (ages 3.5-13 years) and the Mental Health and Social Inadaptation Assessment for Adolescents (ages 15-17 years). We used three-level mixed effects modelling to test associations after adjusting for confounding factors.
Results: With 168 single-parent families excluded, our sample consisted of 1,700 families with useable data. Of these, 275 (16.2%) families reported maternal depression (clinically elevated symptoms), 135 (7.9%) paternal depression and 39 (2.3%) both. In families with high socioeconomic status, maternal depression was associated with greater child internalizing (β = .34; p < .001) and externalizing symptoms (β = .22; p = .002), regardless of the presence/absence of paternal depression. In families with low socioeconomic status, associations with symptoms were stronger with concurrent paternal depression (internalizing, β = .84, p < .001; externalizing, β = .71, p = .003) than without (internalizing, β = .30, p < .001; externalizing, β = .24, p = .002).
Conclusions: Maternal depression increases the risk for children's internalizing/externalizing problems in all socioeconomic contexts. In families with low socioeconomic status, risks were exacerbated by concurrent paternal depression. Postpartum depression, especially in low socioeconomic environments, should be a primary focus to optimize mental health across generations.
(© 2024 The Author(s). Journal of Child Psychology and Psychiatry published by John Wiley & Sons Ltd on behalf of Association for Child and Adolescent Mental Health.)
Databáze: MEDLINE
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