Objectives. Our objective was to examine the relationship between low- and high-level depressive symptoms in mothers’ and children’s risks in the areas of home and car safety, monitoring, and exposure to violence. Methods. Participants included 978 mothers of preschool-age children who were interviewed about their home environment and screened for maternal depression. Results. Whereas only 5.7% scored at high depressive levels on the screen, another 21.3% scored at low depressive levels. Logistic regression analyses controlling for demographics revealed that children were significantly more likely to experience home safety risks in 6 of 7 areas when mothers reported either low or high levels of depressive symptoms. Conclusions. Results suggest that children whose mothers experience even low-level depressive symptoms are at increased risk for safety problems in the home environment, pointing to the need for screening and interventions to reduce the risk of injury.
ErtelKARich-EdwardsJKoenenKC. Maternal depression in the United States: nationally representative rates and risks. J Womens Health (Larchmt). 2011;20: 1609-1617.
ChungEKMcCollumKFEloITLeeHJCulhaneJF. Maternal depressive symptoms and infant health practices among low-income women. Pediatrics. 2004;113:e523-e529.
5.
CarterASGarrity-RokousFChazan-CohenRLittleCBriggs-GowanM. Maternal depression and comorbidity: predicting early parenting, attachment security, and toddler social-emotional problems and competencies. J Am Acad Child Adolesc Psychiatry. 2001;40:18-26.
6.
CummingsEMKellerPSDaviesPT. Towards a family process model of maternal and paternal depressive symptoms: exploring multiple relations with child and family functioning. J Child Psychol Psychiatry. 2005;46:479-489.
7.
DowneyGCoyneJC. Children of depressed parents: an integrative review. Psychol Bull. 1990;108:50.
8.
GoodmanSHGotlibIH. Risk for psychopathology in the children of depressed mothers: a developmental model for understanding mechanisms of transmission. Psychol Rev. 1999;106:458-490.
9.
Zahn-WaxlerCDuggalSGruberR. Parental psychopathology. In: BornsteinMH., ed. Social Conditions and Applied Parenting. 2nd ed.Mahwah, NJ: Lawrence Erlbaum; 2002:295-327. Handbook of Parenting; vol 4.
10.
Hwa-FroelichDCookCFlickLH. Maternal sensitivity and communication styles: mothers with depression. J Early Interv. 2008;31:44-66.
11.
JacobTJohnsonSL. Parent-child interaction among depressed fathers and mothers: impact on child functioning. J Fam Psychol. 1997;11:391-409.
12.
PaulsonJFDauberSLeifermanJA. Individual and combined effects of postpartum depression in mothers and fathers on parenting behavior. Pediatrics. 2006;118:659-668.
13.
McLearnKTMinkovitzCSStrobinoDMMarksEHouW. The timing of maternal depressive symptoms and mothers’ parenting practices with young children: implications for pediatric practice. Pediatrics. 2006;118: e174-e182.
14.
McLennanJDKotelchuckM. Parental prevention practices for young children in the context of maternal depression. Pediatrics. 2000;105:1090-1095.
15.
MulvaneyCKendrickD. Depressive symptoms in mothers of pre-school children: effects of deprivation, social support, stress and neighbourhood social capital. Soc Psychiatry Psychiatr Epidemiol. 2005;40: 202-208.
16.
KroenkeKSpitzerRLWilliamsJ. The Patient Health Questionnaire-2: validity of a two-item depression screener. Med Care. 2003;41:1284-1292.
17.
Whiteside-MansellLBradleyRHConnersNABokonyPA. The family map: structured family interview to identify risks and strengths in head start families. NHSA Dialog. 2007;(10):189-209.
18.
PignoneMPGaynesBNRushtonJL. Screening for depression in adults: a summary of the evidence for the U.S. preventive services task force. Ann Intern Med. 2002;136:765.
19.
OlsonALDietrichAJPrazarGHurleyJ. Brief maternal depression screening at well-child visits. Pediatrics. 2006;118:207-216.
20.
OlsonALDietrichAJPrazarG. Two approaches to maternal depression screening during well child visits. J Dev Behav Pediatr. 2005;26:169-176.
21.
SolomonAHaagaDArnowBA. Is clinical depression distinct from subthreshold depressive symptoms? A review of the continuity issue in depression research. J Nerv Ment Dis. 2001;189:498-506.
22.
SchorEL. The future pediatrician: promoting children’s health and development. J Pediatr. 2007;151:S-S16.
23.
Briggs-GowanMHorwitzSMSchwab-StoneMLeventhalJMLeafPJ. Mental health in pediatric settings: distribution of disorders and factors related to service use. J Am Acad Child Adolesc Psychiatry. 2000;39: 841-849.
24.
OffordDRBoyleMHSzatmariPRae-GrantN. Ontario child health study: II. six-month prevalence of disorder and rates of service utilization. Arch Gen Psychiatry. 1987;44:832-836.
25.
OlsonALKemperKJKelleherKJHammondCSZuckermanBSDietrichAJ. Primary care pediatricians’ roles and perceived responsibilities in the identification and management of maternal depression. Pediatrics. 2002;110:1169-1176.
26.
WhooleyMAAvinsALMirandaJBrownerWS. Case-finding instruments for depression: two questions are as good as many. J Gen Intern Med. 1997;12:439-445.
27.
BradleyRHWhiteside-MansellL. Children in poverty. In: AmmermanRTHersenM., eds. Handbook of Prevention and Treatment With Children and Adolescents: Intervention in the Real World Context. Hoboken, NJ: John Wiley; 1997:13-58.
HorwitzSMKelleherKJSteinR. Barriers to the identification and management of psychosocial issues in children and maternal depression. Pediatrics. 2007;119:e208-e218.
30.
KahnRSWisePHFinkelsteinJABernsteinHHLoweJAHomerCJ. The scope of unmet maternal health needs in pediatric settings. Pediatrics. 1999;103:5-581.
