The effect of maternal depression on mental representations and child negative affect.
Child negative affect
Expressed emotion
Maternal depression
Mental representations
Journal
Journal of affective disorders
ISSN: 1573-2517
Titre abrégé: J Affect Disord
Pays: Netherlands
ID NLM: 7906073
Informations de publication
Date de publication:
15 01 2020
15 01 2020
Historique:
received:
26
09
2018
revised:
13
05
2019
accepted:
30
09
2019
pubmed:
11
10
2019
medline:
20
1
2021
entrez:
11
10
2019
Statut:
ppublish
Résumé
Maternal depression is a widely recognized public health concern with significant implications for child functioning, including the development of negative child affect and risk for later depression. Negative mental representations may partially account for the association between maternal depression and child negative affect. The effect of depression on low-income mothers' representations of their child, self, and mother was assessed via Expressed Emotion (EE) during Five-Minute Speech Samples. Direct and indirect pathways between maternal depression, EE, and child negative affect were examined. Mothers (M = 24 years old) who had experienced a major depressive episode (n = 144) since child's birth, non-depressed comparison mothers (n = 62), and their children participated. Examination of between-group differences revealed that depressed mothers had higher levels of overall self EE. Trend results also suggest depressed mothers may have higher overall EE toward their children and their own mothers. Novel coding systems for EE toward self (Identity and Depressotypic Cognitions) and EE toward mother (Source of Concrete Support and Resolution of Past Adversity) were also developed and tested. A significant indirect relation was found between maternal baseline depression and child negative affect at 26 months via the mother's level of EE-Criticism of her mother. Certain EE subcodes may need to be adapted for young children and high-risk, low-income participants. Findings highlights the importance of relational interventions that focus on maternal representations for women with depression and their children.
Sections du résumé
BACKGROUND
Maternal depression is a widely recognized public health concern with significant implications for child functioning, including the development of negative child affect and risk for later depression. Negative mental representations may partially account for the association between maternal depression and child negative affect.
METHODS
The effect of depression on low-income mothers' representations of their child, self, and mother was assessed via Expressed Emotion (EE) during Five-Minute Speech Samples. Direct and indirect pathways between maternal depression, EE, and child negative affect were examined. Mothers (M = 24 years old) who had experienced a major depressive episode (n = 144) since child's birth, non-depressed comparison mothers (n = 62), and their children participated.
RESULTS
Examination of between-group differences revealed that depressed mothers had higher levels of overall self EE. Trend results also suggest depressed mothers may have higher overall EE toward their children and their own mothers. Novel coding systems for EE toward self (Identity and Depressotypic Cognitions) and EE toward mother (Source of Concrete Support and Resolution of Past Adversity) were also developed and tested. A significant indirect relation was found between maternal baseline depression and child negative affect at 26 months via the mother's level of EE-Criticism of her mother.
LIMITATIONS
Certain EE subcodes may need to be adapted for young children and high-risk, low-income participants.
CONCLUSIONS
Findings highlights the importance of relational interventions that focus on maternal representations for women with depression and their children.
Identifiants
pubmed: 31600590
pii: S0165-0327(18)31983-9
doi: 10.1016/j.jad.2019.09.073
pmc: PMC6936600
mid: NIHMS1545325
pii:
doi:
Types de publication
Journal Article
Research Support, N.I.H., Extramural
Langues
eng
Sous-ensembles de citation
IM
Pagination
9-20Subventions
Organisme : NIMH NIH HHS
ID : R01 MH045027
Pays : United States
Organisme : NIMH NIH HHS
ID : R01 MH067792
Pays : United States
Informations de copyright
Copyright © 2019 Elsevier B.V. All rights reserved.
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