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.
Abstract

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