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Familial depression and respiratory illness in children
Renee D Goodwin1, Priya Wickramaratne, Yoko Nomura
1Department of Epidemiology, Mailman School of Public Health, College of Physicians and Surgeons, Columbia University, and New York State Psychiatric Institute, New York, NY 10032, USA. rdg66@columbia.edu
Insights
Children with parents experiencing major depression have a higher risk of developing respiratory illnesses. This link between parental depression and childhood respiratory disease is significant and warrants further investigation.
Area of Science:
- Psychiatry and Developmental Pediatrics
- Epidemiology and Public Health
Background:
- Parental major depression is a significant mental health concern with potential intergenerational impacts.
- Understanding the link between parental mental health and offspring physical health is crucial for early intervention.
Purpose of the Study:
- To investigate the association between parental major depression and the prevalence of respiratory illness in youth.
- To explore potential mediating factors in the relationship between parental depression and childhood respiratory conditions.
Main Methods:
- A three-generation family cohort study involving 161 children, their parents, and grandparents.
- Assessed lifetime prevalence of respiratory illness in offspring based on parental major depression status.
- Adjusted for covariates including age, sex, parental prenatal smoking, and functional impairment.
Main Results:
- Parental major depression was significantly associated with an increased likelihood of respiratory illness in youth (OR, 3.7; 95% CI, 1.6-8.6).
- The association remained significant after controlling for parental respiratory disease, prenatal smoking, and functional impairment.
Conclusions:
- Youth with parents suffering from major depression exhibit a heightened vulnerability to respiratory illness.
- The observed association is not explained by parental respiratory illness, prenatal smoking, or functional impairment, suggesting a distinct pathway.
Objective:
To determine the relationship between parental major depression and respiratory illness in youth.
Design:
Three-generation family cohort study.
Setting:
Baseline study initiated at the Yale University Depression Research Unit.
Participants:
One hundred sixty-one children and their parents and grandparents.
Main Exposure:
Family history of major depression.
Main Outcome Measures:
We studied the lifetime prevalence of respiratory illness and a range of other physical disorders, including gastrointestinal, neurodevelopmental, and cardiovascular diseases, in offspring of parents with and without major depression. Analyses were also stratified by parental and grandparental major depression status and were adjusted for age, sex, parental prenatal smoking, and parental functional impairment.
Results:
Parental major depression is associated with a significantly increased likelihood of respiratory illness in youth (odds ratio, 3.7; 95% confidence interval, 1.6-8.6). This association persists after adjusting for age, sex, parental prenatal smoking, parental respiratory disease, and parental functional impairment.
Conclusions:
Our results suggest that youth of parents with major depression may have heightened vulnerability to respiratory illness. Neither parental respiratory illness, prenatal smoking, nor functional impairment appears to explain this link.
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