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Parent Depression and Anger in Peer-Delivered Parent Support Services
S Serene Olin1, Sa Shen2, James Rodriguez3
1The Child Study Center at NYU Langone Medical Center, Department of Child and Adolescent Psychiatry, New York, NY, 10016.
Journal of Child and Family Studies
|August 5, 2017
Summary
This study explored parent support services for children's mental health. Parent depression and anger expression influenced engagement with peer advocates, especially for non-depressed parents.
Area of Science:
- Child and Adolescent Psychiatry
- Mental Health Services Research
- Parenting Support
Background:
- Limited knowledge exists regarding parents utilizing peer-delivered support for children's mental health issues.
- Peer parent advocate services are crucial for supporting families facing behavioral difficulties.
- Understanding the characteristics of parents seeking these services is essential for service improvement.
Purpose of the Study:
- To describe the characteristics of parents seeking peer parent advocate services for children's behavioral difficulties.
- To examine the association between parent depression, anger expression, and the working alliance with peer advocates.
- To identify factors influencing the effectiveness of peer support in children's mental health.
Main Methods:
- Prospective study of 124 parents seeking peer parent advocate services.
- Analysis of parent demographics, depressive symptoms, anger expression, caregiver strain, and child symptoms.
- Linear mixed effects models used to assess associations and interactions.
Main Results:
- The study sample primarily comprised low-income mothers of color with children exhibiting significant behavioral problems.
- A high percentage of parents (64%) reported clinically significant depressive symptoms at baseline.
- Parent depression interacted with anger expression to affect working alliances, particularly agreement on goals, among parents with depressive symptoms; anger expression negatively impacted alliances in non-depressed parents.
Conclusions:
- Peer parent advocates need tailored training to effectively engage diverse parent populations, especially those with co-occurring depression and behavioral challenges.
- Understanding the interplay of parent mental health and communication styles is key to optimizing peer support outcomes.
- Findings inform the development of more responsive and effective peer support interventions in pediatric mental health.
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