Risk of conduct and oppositional defiant disorder symptoms in offspring of parents with mental health problems: Findings from the Raine Study.


Journal

Journal of psychiatric research
ISSN: 1879-1379
Titre abrégé: J Psychiatr Res
Pays: England
ID NLM: 0376331

Informations de publication

Date de publication:
06 2021
Historique:
received: 24 01 2021
revised: 09 03 2021
accepted: 24 03 2021
pubmed: 9 4 2021
medline: 6 7 2021
entrez: 8 4 2021
Statut: ppublish

Résumé

Epidemiological data indicate that paternal and maternal mental health difficulties are predictors of conduct disorder (CD) and oppositional defiant disorder (ODD) in offspring. We tested the association between maternal anxiety and depressive symptoms and paternal emotional problems with CD and ODD symptoms in adolescent offspring aged 17. Data was from the Raine Study, a birth cohort study based in Western Australia. Offspring CD and ODD symptoms at age 17 years were measured using the DSM-oriented scales of the Child Behavior Checklist (CBCL). Depression, Anxiety, and Stress Scale (DASS) was used to assess maternal depressive and anxiety symptoms, and a self-reported questionnaire measured paternal emotional problems when the offspring was 10 years. Negative binomial regression model was used to explore associations. Adjusting for potential confounding factors, we found an increased risk of CD symptoms in the offspring of mothers with anxiety [RR = 1.76 (95%CI; 1.08-2.86)], depressive [RR = 1.40 (95%CI; 1.01-1.95)], and comorbid anxiety and depressive symptoms [RR = 2.24 (95%CI 1.35-3.72)]. We also found an increased risk of ODD symptoms in offspring of mothers with depressive [RR = 1.24 (95%CI 1.02-1.52)], but not anxiety symptoms [RR = 1.23 (95%CI 0.92-1.67)]. No associations were seen with paternal emotional problems. Our study showed that adolescents whose mothers reported anxiety, depressive, and comorbid anxiety and depressive symptoms had a higher risk of CD and ODD symptoms at age 17. The findings have implications for preventive strategies.

Sections du résumé

BACKGROUND
Epidemiological data indicate that paternal and maternal mental health difficulties are predictors of conduct disorder (CD) and oppositional defiant disorder (ODD) in offspring. We tested the association between maternal anxiety and depressive symptoms and paternal emotional problems with CD and ODD symptoms in adolescent offspring aged 17.
METHODS
Data was from the Raine Study, a birth cohort study based in Western Australia. Offspring CD and ODD symptoms at age 17 years were measured using the DSM-oriented scales of the Child Behavior Checklist (CBCL). Depression, Anxiety, and Stress Scale (DASS) was used to assess maternal depressive and anxiety symptoms, and a self-reported questionnaire measured paternal emotional problems when the offspring was 10 years. Negative binomial regression model was used to explore associations.
RESULTS
Adjusting for potential confounding factors, we found an increased risk of CD symptoms in the offspring of mothers with anxiety [RR = 1.76 (95%CI; 1.08-2.86)], depressive [RR = 1.40 (95%CI; 1.01-1.95)], and comorbid anxiety and depressive symptoms [RR = 2.24 (95%CI 1.35-3.72)]. We also found an increased risk of ODD symptoms in offspring of mothers with depressive [RR = 1.24 (95%CI 1.02-1.52)], but not anxiety symptoms [RR = 1.23 (95%CI 0.92-1.67)]. No associations were seen with paternal emotional problems.
CONCLUSION
Our study showed that adolescents whose mothers reported anxiety, depressive, and comorbid anxiety and depressive symptoms had a higher risk of CD and ODD symptoms at age 17. The findings have implications for preventive strategies.

Identifiants

pubmed: 33831677
pii: S0022-3956(21)00206-5
doi: 10.1016/j.jpsychires.2021.03.054
pii:
doi:

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

53-59

Informations de copyright

Copyright © 2021 Elsevier Ltd. All rights reserved.

Auteurs

Getinet Ayano (G)

School of Public Health, Curtin University, Perth, WA, Australia. Electronic address: g.yaya@postgrad.curtin.edu.au.

Ashleigh Lin (A)

Telethon Kids Institute, The University of Western Australia, Perth, WA, Australia. Electronic address: Ashleigh.Lin@telethonkids.org.au.

Kim Betts (K)

School of Public Health, Curtin University, Perth, WA, Australia. Electronic address: Kim.Betts@curtin.edu.au.

Robert Tait (R)

National Drug Research Institute, Faculty of Health Sciences, Curtin University, Perth, WA, Australia. Electronic address: robert.tait@curtin.edu.au.

Berihun Assefa Dachew (BA)

School of Public Health, Curtin University, Perth, WA, Australia. Electronic address: berihun.dachew@curtin.edu.au.

Rosa Alati (R)

School of Public Health, Curtin University, Perth, WA, Australia; Institute of Social Science Research, The University of Queensland, QLD, Australia. Electronic address: rosa.alati@curtin.edu.au.

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Classifications MeSH