Parental depression and child outcomes - is marital conflict the missing link?
Background Both maternal and paternal depression during the perinatal period are associated with adverse effects on child outcomes. Attention has started to focus on the mechanisms mediating these relationships. Marital conflict may play a role in this context. Methods In a large cohort study, the A...
| Published in: | Child: Care, Health & Development Vol. 38; no. 4; pp. 520 - 530 |
|---|---|
| Main Authors: | , , , |
| Format: | research tables/charts Journal Article |
| Published: |
Wiley-Blackwell
Jul2012
|
| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104456528&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 104456528 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 03051862 6NX jtl: Child: Care, Health & Development issn: 03051862 maglogo: Y pubinfo: dt: Jul2012 vid: 38 iid: 4 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 104456528 76302747 10.1111/j.1365-2214.2011.01270.x NLM21771000 104456528 ppf: 520 ppct: 10 formats: fmt: @attributes: type: P tig: atl: Parental depression and child outcomes - is marital conflict the missing link? aug: au: Hanington, L. Heron, J. Stein, A. Ramchandani, P. affil: Department of Psychiatry, University of Oxford, Oxford, and sug: subj: Parents Psychosocial Factors Postnatal Period Parent-Child Relations Family Conflict Child Health Depression Human Depression, Postpartum Mothers Psychosocial Factors Fathers Psychosocial Factors Male Female Self Report Descriptive Statistics Paired T-Tests Odds Ratio Confidence Intervals Logistic Regression Funding Source Edinburgh Postnatal Depression Scale Questionnaires Scales Psychological Tests Male Female ab: Background Both maternal and paternal depression during the perinatal period are associated with adverse effects on child outcomes. Attention has started to focus on the mechanisms mediating these relationships. Marital conflict may play a role in this context. Methods In a large cohort study, the Avon Longitudinal Study of Parents and Children ( n= 14 541 pregnancies), we aimed to (i) investigate the relative influences of parental postnatal depression and marital conflict on child outcomes and to attempt to determine the pathway(s) of risk; (ii) investigate the impact of two types of antenatal stress (parental depression and marital conflict) on child outcomes; and (iii) determine the relative contributions of antenatal and postnatal risk. Parents completed the Edinburgh Postnatal Depression Scale and a marital conflict scale during the second trimester and at 8 months postnatally. Child outcomes were assessed at 42 months using the Rutter revised pre-school scales. Results Marital conflict partially mediated the relationship between postnatal depression in both mothers and fathers and child outcomes, and acted as an independent risk for adverse outcomes. Parental depression (maternal and paternal) and marital conflict in the antenatal period were both associated with adverse effects which persisted even when postnatal stresses were taken into account. Conclusions These findings, if replicated, suggest that screening and intervention programmes targeted at parental depression and marital problems should be considered antenatally, as well as postnatally. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
|---|