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Published on: June 13, 2021
Parental Postpartum Depression and Children's Socioemotional Development: The Role of Socioeconomic Inequality
Myriam Clément1,2,3, Massimiliano Orri4, Marilyn N Ahun4
1University of Quebec in Outaouais, Saint-Jerome, Quebec, Canada.
Insights
Parental postpartum depression (PPD) increases children's risk for mental health issues. This risk is amplified in low socioeconomic status (SES) families, particularly when both parents experience PPD.
Area of Science:
- Child Psychology
- Mental Health Research
- Sociology
Background:
- Parental postpartum depression (PPD) is a known risk factor for childhood mental health problems.
- The interaction between PPD and family socioeconomic status (SES) on child mental health remains underexplored.
Purpose of the Study:
- To investigate the interactive effect of family SES on the association between parental PPD and child mental health symptoms.
- To examine PPD's impact across childhood and adolescence.
Main Methods:
- Utilized data from the Quebec Longitudinal Study of Child Development.
- Assessed maternal and paternal depressive symptoms using the Center for Epidemiologic Studies Depression Scale.
- Measured child internalizing/externalizing symptoms via the Social Behavior Questionnaire and Mental Health and Social Inadaptation Assessment for Adolescents.
- Employed cross-classified 3-level mixed effects modeling to analyze associations.
Main Results:
- Family SES moderated the link between parental PPD and child mental health symptoms.
- In low SES families, both maternal and paternal PPD were associated with increased child mental health problems.
- In average to high SES families, only maternal PPD showed a significant association with child mental health problems.
Conclusions:
- Parental PPD significantly elevates the risk of mental health problems in children.
- The impact of parental PPD on child mental health is more pronounced in low SES families, highlighting a critical vulnerability.
Objective:
Parental postpartum depression (PPD) is a documented risk factor for mental health problems in childhood, but little is known about its interplay with family socioeconomic status (SES). This study tested the interactive effect of SES in the associations of PPD with mental health symptoms in children from infancy to adolescence.
Method:
Data used for this study were from the Quebec Longitudinal Study of Child Development. Data included self-reported maternal and paternal depressive symptoms at 5 months postpartum, using the Center for Epidemiologic Studies Depression Scale. Parents, teachers, and children/adolescents reported internalizing/externalizing symptoms in children/adolescents using the Social Behavior Questionnaire (ages 3.5-13 years) and the Mental Health and Social Inadaptation Assessment for Adolescents (ages 15-17 years). Mothers reported SES at baseline. Cross-classified 3-level mixed effects modeling was used to test associations.
Results:
After excluding 168 single-parent families, the sample consisted of 1,899 families with usable data. Of these, 314 (16.5%) families reported maternal PPD, and 151 (8.0%) reported paternal PPD. Family SES moderated the association between PPD in both parents and mental health symptoms in children. In low SES families, paternal PDD (β = .27, 95% CI 0.10-0.45, p = .003) and maternal PPD (β = .38, 95% CI 0.25-0.50, p < .001) were associated with greater child mental health problems in children, whereas this was the case only for maternal PPD in average or high SES families (β = 0.20, 95% CI 0.10-0.29, p < .001).
Conclusion:
PPD in both parents increases the risk of mental health problems in children, with a greater effect in low SES families.
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