scholarly journals Maternal Relationship Insecurity and Depressive Symptoms as Moderators of Home Visiting Impacts on Child Outcomes

2013 ◽  
Vol 23 (8) ◽  
pp. 1430-1443 ◽  
Author(s):  
Fallon Cluxton-Keller ◽  
Lori Burrell ◽  
Sarah S. Crowne ◽  
Elizabeth McFarlane ◽  
S. Darius Tandon ◽  
...  
Keyword(s):  
Depressive Symptoms ◽  
Home Visiting ◽  
Child Outcomes ◽  
Maternal Relationship

scholarly journals Examining the Effectiveness of the Fathers and Babies Intervention: A Pilot Study

2021 ◽  
Vol 12 ◽  
Author(s):  
S. Darius Tandon ◽  
Jaime Hamil ◽  
Emma E. Gier ◽  
Craig F. Garfield
Keyword(s):  
Mental Health ◽  
Depressive Symptoms ◽  
Parenting Practices ◽  
Home Visiting ◽  
Child Outcomes ◽  
Perinatal Period ◽  
Self Report ◽  
Future Research ◽  
Dyadic Relationships ◽  
Post Intervention

There is increasing recognition of the importance of addressing the mental health of fathers, including during the perinatal period. Fathers exhibiting mental health concerns during the perinatal period are at heightened risk for future negative mental health outcomes and are less likely to engage in nurturing relationships with their children, leading to a sequalae of negative child outcomes during infancy and into adolescence. Although interventions have been developed for perinatal fathers, they typically do not focus directly on addressing paternal mental health. To fill this gap, we developed the Fathers and Babies intervention to be delivered to perinatal fathers whose partners (mothers) were enrolled in home visiting programs. A pre-post longitudinal study was conducted in which 30 father-mother dyads were recruited from home visiting programs. Fathers received the 12-session Fathers and Babies intervention while the mother concurrently received the Mothers and Babies intervention delivered to her by a home visitor. Baseline, 3- and 6-month self-report surveys were conducted with both fathers and mothers. Fathers and mothers had statistically significant decreases in perceived stress between baseline and both follow-up time points, with moderate effect sizes generated for both sexes. No statistically significant differences were found for depressive symptoms, anxiety symptoms, or perceived partner support, although we found small effects for reductions in depressive symptoms among fathers, as well as increases in the percentage of fathers and mothers who reported high levels of emotional and instrumental support post-intervention. While preliminary, these findings suggest the potential for Fathers and Babies to positively impact the mental health of fathers in the perinatal period, and also signal the viability of home visiting as a setting for delivering this intervention. Future research should employ a comparison group to generate stronger evidence of intervention effectiveness and include measurement of dyadic relationships and paternal parenting practices.

Sustained benefits of a preschool home visiting program: Child outcomes in fifth grade

2021 ◽  
Vol 56 ◽  
pp. 260-271
Author(s):  
Karen L. Bierman ◽  
Brenda S. Heinrichs ◽  
Janet A. Welsh ◽  
Robert L. Nix
Keyword(s):  
Home Visiting ◽  
Child Outcomes ◽  
Fifth Grade ◽  
Home Visiting Program

scholarly journals Maternal Relationship Security as a Moderator of Home Visiting Impacts on Maternal Psychosocial Functioning

2012 ◽  
Vol 14 (1) ◽  
pp. 25-39 ◽  
Author(s):  
Elizabeth McFarlane ◽  
Lori Burrell ◽  
Sarah Crowne ◽  
Fallon Cluxton-Keller ◽  
Loretta Fuddy ◽  
...  
Keyword(s):  
Psychosocial Functioning ◽  
Home Visiting ◽  
Maternal Relationship

scholarly journals Does father–child conflict mediate the association between fathers’ postnatal depressive symptoms and children's adjustment problems at 7 years old?

2016 ◽  
Vol 46 (8) ◽  
pp. 1719-1733 ◽  
Author(s):  
S. Nath ◽  
G. Russell ◽  
W. Kuyken ◽  
L. Psychogiou ◽  
T. Ford
Keyword(s):  
Emotion Regulation ◽  
Depressive Symptoms ◽  
Child Outcomes ◽  
Self Report ◽  
Behavioural Problems ◽  
Emotional And Behavioural Problems ◽  
Postnatal Depressive Symptoms ◽  
Paternal Depressive Symptoms ◽  
Externalizing And Internalizing Problems ◽  
Children's Emotion

BackgroundPaternal depressive symptoms are associated with children's emotional and behavioural problems, which may be mediated by negative parenting. But there is no research on the influence of paternal depressive symptoms on children's emotion regulation and limited literature investigating fathers’ parenting as a mediator in the pathway between paternal depressive symptoms and children's externalizing and internalizing problems. We aimed to investigate the mediating role of father–child conflict (at 3 years) in the association between postnatal paternal depressive symptoms (at 9 months) and children's emotional and behavioural problems (at 7 years) (aim 1). We also examined whether mediation pathways were more pronounced for boys or for girls (aim 2).MethodSecondary data analysis was conducted on the Millennium Cohort Study, when children were 9 months, 3 years and 7 years old (n = 3520). Main study variables were measured by self-report questionnaires. Fathers completed the Rutter Scale (depressive symptoms) and the Parent–Child Relationship Questionnaire (father–child conflict), while mothers completed the Strengths and Difficulties Questionnaire and the Social Behaviour Questionnaire (child emotional and behavioural problems, emotion regulation). We used structural equation modelling to estimate direct, indirect and total effects of paternal depressive symptoms on child outcomes, mediated by father–child conflict whilst adjusting for relevant covariates (maternal depressive symptoms, child temperament, marital conflict, and socio-economic factors such as poverty indicator and fathers’ education level). Multi-group and interaction analysis was then conducted to determine the differential effect by gender of the association between paternal depressive symptoms on child outcomes via father–child conflict.ResultsFather–child conflict mediated the association between paternal depressive symptoms and emotion regulation problems [standardized indirect effect (SIE) 95% confidence interval (CI) −0.03 to −0.01, p < 0.001; standardized total effect (STE) 95% CI −0.05 to −0.01, p < 0.05] (aim 1). Father–child conflict mediated a larger proportion of the effect in boys (SIE 95% CI −0.03 to −0.01, p < 0.001; STE 95% CI −0.05 to 0.00, p = 0.063) than it did in girls (SIE 95% CI −0.02 to −0.01, p < 0.001; STE 95% CI −0.04 to 0.01, p = 0.216) (aim 2).ConclusionsFather–child conflict may mediate the association between postnatal paternal depressive symptoms and children's emotion regulation problems. Paternal depressive symptoms and father–child conflict resolution may be potential targets in preventative interventions.

Antenatal interpersonal sensitivity as an early predictor of vulnerable mother–infant relationship quality

2019 ◽  
Vol 24 (4) ◽  
pp. 860-875 ◽  
Author(s):  
Karen Hazell Raine ◽  
Philip Boyce ◽  
Karen Thorpe
Keyword(s):  
Mental Health ◽  
Depressive Symptoms ◽  
Relationship Quality ◽  
Child Outcomes ◽  
Maternal Sensitivity ◽  
Ethnically Diverse ◽  
Perinatal Period ◽  
Interpersonal Sensitivity ◽  
Diverse Populations ◽  
Perinatal Depressive Symptoms

Maternal mental health problems in the perinatal period incur significant human and economic costs attributable to adverse child outcomes. In response, governments invest in screening for perinatal depressive symptoms. Mother–infant relationship quality (MIRQ) is a key mechanism linking maternal perinatal mental health to child outcomes. Perinatal depressive symptoms are typically transient while personality style, including interpersonal sensitivity, is a more stable construct. We have demonstrated that antenatal interpersonal sensitivity independently predicted MIRQ at 12 months postpartum. Building on our previous work, the objective of this study was to examine the associations of antenatal interpersonal sensitivity and depressive symptoms with MIRQ 1 year postnatal. A sample of 73 women attending routine antenatal care, 61 (84%) from ethnically diverse populations, were studied across the perinatal period. At ⩽26 weeks, gestation interpersonal sensitivity and depressive symptoms were measured. At 12 months, postnatal mental health and MIRQ was assessed in 35 of the mother–infant dyads. We found no significant statistical association between antenatal interpersonal sensitivity and depressive symptoms with postnatal MIRQ. Interpersonal sensitivity ( r = –.24) showed weak association with MIRQ. Depressive symptom scores were not associated ( r =–.01). Maternal sensitivity assessment (MIRQ) using the CARE-Index identified low mean scores signifying low levels of maternal sensitivity (potential range 0–14; mean score = 6.3). We cautiously suggest that the findings raise questions about the presentation and assessment of perinatal mental health status among ethnically diverse populations and scoping of parenting support needs within this population.

Emotion Expression, Emotionality, Depressive Symptoms, and Stress: Maternal Profiles Related to Child Outcomes

2015 ◽  
Vol 43 (7) ◽  
pp. 1319-1331 ◽  
Author(s):  
Emma Hooper ◽  
Xin Feng ◽  
Lisa Christian ◽  
Natasha Slesnick
Keyword(s):  
Depressive Symptoms ◽  
Child Outcomes ◽  
Emotion Expression

scholarly journals Chronicity, severity, and timing of maternal depressive symptoms: Relationships with child outcomes at age 5.

2000 ◽  
Vol 36 (6) ◽  
pp. 759-766 ◽  
Author(s):  
Patricia A. Brennan ◽  
Constance Hammen ◽  
Margaret J. Andersen ◽  
William Bor ◽  
Jake M. Najman ◽  
...  
Keyword(s):  
Depressive Symptoms ◽  
Child Outcomes ◽  
Maternal Depressive Symptoms

scholarly journals Distinguishing postpartum and antepartum depressive trajectories in a large population-based cohort: the impact of exposure to adversity and offspring gender

2017 ◽  
Vol 48 (7) ◽  
pp. 1139-1147 ◽  
Author(s):  
C. A. Denckla ◽  
A. D. Mancini ◽  
N. S. Consedine ◽  
S. M. Milanovic ◽  
A. Basu ◽  
...  
Keyword(s):  
Depressive Symptoms ◽  
Maternal Age ◽  
Child Outcomes ◽  
Large Population ◽  
Growth Mixture Modeling ◽  
Temporal Patterns ◽  
Population Based ◽  
Child Gender ◽  
Offspring Gender ◽  
The Impact

AbstractBackgroundDistinguishing temporal patterns of depressive symptoms during pregnancy and after childbirth has important clinical implications for diagnosis, treatment, and maternal and child outcomes. The primary aim of the present study was to distinguish patterns of chronically elevated levels of depressive symptoms v. trajectories that are either elevated during pregnancy but then remit after childbirth, v. patterns that increase after childbirth.MethodsThe report uses latent growth mixture modeling in a large, population-based cohort (N = 12 121) to investigate temporal patterns of depressive symptoms. We examined theoretically relevant sociodemographic factors, exposure to adversity, and offspring gender as predictors.ResultsFour distinct trajectories emerged, including resilient (74.3%), improving (9.2%), emergent (4.0%), and chronic (11.5%). Lower maternal and paternal education distinguished chronic from resilient depressive trajectories, whereas higher maternal and partner education, and female offspring gender, distinguished the emergent trajectory from the chronic trajectory. Younger maternal age distinguished the improving group from the resilient group. Exposure to medical, interpersonal, financial, and housing adversity predicted membership in the chronic, emergent, and improving trajectories compared with the resilient trajectory. Finally, exposure to medical, interpersonal, and financial adversity was associated with the chronic v. improving group, and inversely related to the emergent class relative to the improving group.ConclusionsThere are distinct temporal patterns of depressive symptoms during pregnancy, after childbirth, and beyond. Most women show stable low levels of depressive symptoms, while emergent and chronic depression patterns are separable with distinct correlates, most notably maternal age, education levels, adversity exposure, and child gender.

scholarly journals Effectiveness of home visiting programs on child outcomes: a systematic review

2013 ◽  
Vol 13 (1) ◽  
Author(s):  
Shelley Peacock ◽  
Stephanie Konrad ◽  
Erin Watson ◽  
Darren Nickel ◽  
Nazeem Muhajarine
Keyword(s):  
Systematic Review ◽  
Home Visiting ◽  
Child Outcomes
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