scholarly journals Co-occurring change in children's conduct problems and maternal depression: Latent class individual participant data meta-analysis of the Incredible Years parenting program

2019 ◽  
Vol 31 (5) ◽  
pp. 1851-1862 ◽  
Author(s):  
Patty Leijten ◽  
Frances Gardner ◽  
G.J. Melendez-Torres ◽  
Joyce Weeland ◽  
Judy Hutchings ◽  
...  
Keyword(s):  
Depressive Symptoms ◽  
Conduct Problems ◽  
Repeated Measures ◽  
Latent Class ◽  
Parenting Program ◽  
Maternal Depressive Symptoms ◽  
Individual Participant Data ◽  
Incredible Years ◽  
Individual Participant ◽  
The Incredible Years

AbstractChildren vary in the extent to which they benefit from parenting programs for conduct problems. How does parental mental health change if children benefit less or more? We assessed whether changes in conduct problems and maternal depressive symptoms co-occur following participation in the Incredible Years parenting program. We integrated individual participant data from 10 randomized trials (N = 1280; children aged 2–10 years) and distinguished latent classes based on families' baseline and post-test conduct problems and maternal depressive symptoms, using repeated measures latent class analysis (RMLCA) and latent transition analysis (LTA). Classes differed mainly in severity of conduct problems and depression (RMLCA; 4 classes). Conduct problems reduced in all classes. Depressive symptoms did not change in most classes, except in a class of families where conduct problems and depression were particularly severe. Incredible Years led to a greater likelihood of families with particularly severe conduct problems and depression moving to a class with mild problems (LTA; 3 classes). Our findings suggest that for the majority of families, children's conduct problems reduce, but maternal depressive symptoms do not, suggesting relative independence, with the exception of families with severe depression and severe conduct problems where changes for the better do co-occur.

scholarly journals Longer-Term Outcomes of the Incredible Years Parenting Intervention

2020 ◽  
Author(s):  
Geertjan Overbeek ◽  
Jolien van Aar ◽  
Bram Orobio de Castro ◽  
Walter Matthys ◽  
Joyce Weeland ◽  
...  
Keyword(s):  
Mental Health ◽  
Conduct Problems ◽  
Service Use ◽  
Mental Health Problems ◽  
Emotional Problems ◽  
Parenting Intervention ◽  
Adhd Symptoms ◽  
Incredible Years ◽  
Peer Problems ◽  
The Incredible Years

Abstract Conduct problems can develop into behavior disorders and put children at risk for other mental health problems. Parenting interventions have been shown to successfully reduce conduct problems and are often expected to prevent the development of broader mental health problems. Few studies have evaluated the longer-term and broader effects of these interventions. To what extent are parenting intervention effects sustained in the years after the intervention? And do effects pertain to conduct problems specifically, or do they also affect broader aspects of children’s mental health? We used a randomized controlled trial to assess the longer-term (2.5 years) effects of the Incredible Years parenting intervention on children’s conduct problems in an indicated prevention setting (N = 387; 79% retention rate). Using a multi-method (survey and computerized tasks) and multi-informant (parents, teachers, and children) approach, we tested whether initial effects on conduct problems were sustained, and whether Incredible Years had broader effects on children’s peer problems, emotional problems, attention-deficit/hyperactivity disorder (ADHD) symptoms, attention and inhibition deficits, and service use. Incredible Years, relative to control (no intervention), led to sustained reductions in parent-reported conduct problems (Cohen’s d = 0.31), but not teacher- and child-reported conduct problems. There were no broader benefits: Incredible Years did not reduce children’s peer problems, emotional problems, ADHD-symptoms, attention and inhibition deficits, or their service use. Improvements in parents’ perceptions of child conduct problems sustained until 2.5 years later. Our findings do not show benefits of Incredible Years as a preventive intervention for children’s broader mental health.

scholarly journals Subclinical thyroid dysfunction and depressive symptoms: protocol for a systematic review and individual participant data meta-analysis of prospective cohort studies

BMJ Open ◽  
2019 ◽  
Vol 9 (7) ◽  
pp. e029716
Author(s):  
Lea Wildisen ◽  
Elisavet Moutzouri ◽  
Shanthi Beglinger ◽  
Lamprini Syrogiannouli ◽  
Anne R Cappola ◽  
...  
Keyword(s):  
Systematic Review ◽  
Depressive Symptoms ◽  
Cohort Studies ◽  
Prospective Cohort ◽  
Thyroid Dysfunction ◽  
Meta Analysis ◽  
Individual Participant Data ◽  
Prospective Cohort Studies ◽  
Individual Participant

IntroductionProspective cohort studies on the association between subclinical thyroid dysfunction and depressive symptoms have yielded conflicting findings, possibly because of differences in age, sex, thyroid-stimulating hormone cut-off levels or degree of baseline depressive symptoms. Analysis of individual participant data (IPD) may help clarify this association.Methods and analysisWe will conduct a systematic review and IPD meta-analysis of prospective studies on the association between subclinical thyroid dysfunction and depressive symptoms. We will identify studies through a systematic search of the literature in the Ovid Medline, Ovid Embase, Cochrane Central Register of Controlled Trials (CENTRAL) and Cumulative Index to Nursing and Allied Health Literature (CINAHL) databases from inception to April 2019 and from the Thyroid Studies Collaboration. We will ask corresponding authors of studies that meet our inclusion criteria to collaborate by providing IPD. Our primary outcome will be depressive symptoms at the first available individual follow-up, measured on a validated scale. We will convert all the scores to the Beck Depression Inventory scale. For each cohort, we will estimate the mean difference of depressive symptoms between participants with subclinical hypothyroidism or hyperthyroidism and control adjusted for depressive symptoms at baseline. Furthermore, we will adjust our multivariable linear regression analyses for age, sex, education and income. We will pool the effect estimates of all studies in a random-effects meta-analysis. Heterogeneity will be assessed by I2. Our secondary outcomes will be depressive symptoms at a specific follow-up time, at the last available individual follow-up and incidence of depression at the first, last and at a specific follow-up time. For the binary outcome of incident depression, we will use a logistic regression model.Ethics and disseminationFormal ethical approval is not required as primary data will not be collected. Our findings will have considerable implications for patient care. We will seek to publish this systematic review and IPD meta-analysis in a high-impact clinical journal.PROSPERO registration numberCRD42018091627.

A prospective longitudinal study of the impact of early postnatal vs. chronic maternal depressive symptoms on child development

2011 ◽  
Vol 26 (8) ◽  
pp. 484-489 ◽  
Author(s):  
A.-L. Sutter-Dallay ◽  
L. Murray ◽  
L. Dequae-Merchadou ◽  
E. Glatigny-Dallay ◽  
M.-L. Bourgeois ◽  
...  
Keyword(s):  
Depressive Symptoms ◽  
Longitudinal Study ◽  
Child Development ◽  
Postnatal Depression ◽  
Repeated Measures ◽  
Maternal Depressive Symptoms ◽  
Prospective Longitudinal Study ◽  
Postnatal Depressive Symptoms ◽  
Prospective Longitudinal ◽  
The Impact

AbstractBackgroundFew studies of the effects of postnatal depression on child development have considered the chronicity of depressive symptoms. We investigated whether early postnatal depressive symptoms (PNDS) predicted child developmental outcome independently of later maternal depressive symptoms.MethodsIn a prospective, longitudinal study, mothers and children were followed-up from birth to 2 years; repeated measures of PNDS were made using the Edinburgh Postnatal Depression Scale (EPDS); child development was assessed using the Bayley Scales II. Multilevel modelling techniques were used to examine the association between 6 week PNDS, and child development, taking subsequent depressive symptoms into account.ResultsChildren of mothers with 6 week PNDS were significantly more likely than children of non-symptomatic mothers to have poor cognitive outcome; however, this association was reduced to trend level when adjusted for later maternal depressive symptoms.ConclusionEffects of early PNDS on infant development may be partly explained by subsequent depressive symptoms.

Maternal depressive symptoms and infant temperament in the first year of life predict child behaviour at 3 years of age

2020 ◽  
Author(s):  
Silvia Rigato ◽  
Sophia Charalambous ◽  
Manuela Stets ◽  
Karla Holmboe
Keyword(s):  
Depressive Symptoms ◽  
Conduct Problems ◽  
Short Form ◽  
Child Behaviour ◽  
Infant Temperament ◽  
First Year ◽  
Maternal Depressive Symptoms ◽  
Child Conduct Problems ◽  
Child Conduct ◽  
First Year Of Life

Postnatal maternal depression is associated with negative developmental outcomes in infancy and childhood. In a longitudinal study, mothers (N=63) completed questionnaires about their own depressive symptoms and their child’s behaviour at four time-points during the first year postpartum and again at 3 years postpartum. Maternal depressive symptoms and infant temperament measured in the first year of life by the Beck Depression Inventory-II (Beck et al., 1996) and the Infant Behavior Questionnaire – Revised, Very Short Form (Putnam et al., 2014), respectively, were related to child behaviour at 3 years of age as measured by the Strengths and Difficulties Questionnaire (Goodman, 1997). Maternal depressive scores during infancy was associated with later child conduct problems, suggesting a long-term association between maternal mental health and the development of child behaviour. Temperament across the first year of life was also associated with behavioural outcomes at 3 years of age: whereas infant negative affect predicted child conduct problems, infant surgency was associated with hyperactivity, and, along with infant orienting/regulatory capacity, also with child prosocial behaviour. These findings highlight the need for identification of those mothers and infants who struggle in the first postnatal year and for early interventions that can support optimal child development.

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