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Published on: September 19, 2019
Parental depressive symptoms: relationship to child development, parenting, health, and results on parent-reported
Angela C LaRosa1, Frances P Glascoe, Michelle M Macias
1Department of Pediatrics, Medical University of South Carolina, Charleston, SC 29425-0567, USA. larosaa@musc.edu
Insights
Parents with depressive symptoms accurately identify developmental delays but may underestimate their child's advanced development. Parental depression negatively impacts parenting behaviors and perceptions of child health, highlighting the need for prompt screening and intervention.
Area of Science:
- Child Development
- Pediatric Health
- Mental Health Screening
Background:
- Parental mental health significantly influences child development and well-being.
- Accurate developmental screening is crucial for early intervention.
- Depressive symptoms in parents can affect their perceptions and behaviors.
Purpose of the Study:
- To assess the accuracy of parent-reported developmental screens in parents with depressive symptoms.
- To investigate how parental depressive symptoms affect perceptions of child health and parenting.
- To explore the association between parental depression and child developmental outcomes.
Main Methods:
- 382 parent-child dyads (0-2 years) were assessed using Brigance screens and scales.
- Evaluated parent-reported developmental screens, parent-child interactions, and child health.
- Utilized a caretaker depression screen to categorize parental mental health status.
Main Results:
- 15% of parents screened positive for depression.
- Depressed parents were twice as likely to perceive child health problems and rate development as average or below.
- Children of depressed parents were 1.7 times more likely to fall below developmental cutoffs; however, accuracy in identifying average/delayed development was similar, but above-average development was underestimated.
Conclusions:
- Parents with depressive symptoms are as accurate as non-depressed parents in identifying developmental delays.
- Parental depressive symptoms negatively correlate with parenting practices, health/developmental perceptions, and child outcomes.
- The findings support routine depression screening for parents and timely intervention to improve child and family well-being.
Objective:
To determine whether parents with depressive symptoms can accurately complete parent-reported developmental screens, and to explore effects of parental depressive symptoms on perceptions of children's health and parenting behaviors.
Study Design:
A total of 382 parent-child (ages 0 to 2 years) dyads from pediatric sites across 17 U.S. states were evaluated with the directly administered and parent-reported Brigance Infant Toddler Screen, the Brigance Parent-Child Interactions Scale, a child development and health rating scale, and a caretaker depression screen. Groups were compared by parental status by depression screening.
Results:
Fifteen percent of parents had positive scores on screening for depression. Parents with a positive screen result for depression were twice as likely to rate their children as below average or average and to perceive health problems in their children. Their children were 1.7 times more likely to perform below Brigance Screen cutoffs. Parents with a positive screen result for depression were as accurate as parents with a negative screen result for depression in identifying delayed or average development but were significantly less likely to rate their above-average children as such and reported fewer positive parenting practices.
Conclusion:
Parents with a positive depression screen result were as accurate in identifying developmental problems as parents with a negative depression screen result. Parental depressive symptoms are negatively associated with parenting behaviors, parental perspective on health and development, and child outcomes, which supports screening for depression and intervening promptly.
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