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Evidence-Based Mental Health 2003;6:15; doi:10.1136/ebmh.6.1.15
Copyright © 2003 by BMJ Publishing Group Ltd, Royal College of Psychiatrists, & British Psychological Society.
Evidence-Based Mental Health 2003; 6:15
© 2003 BMJ Publishing Group, Royal College of Psychiatrists, & British Psychological Society

Aetiology

Mothers depression in early childhood increases the risk of adolescent anxiety and depression

Spence SH, Najman JM, Bor W et al. Maternal anxiety and depression, poverty and marital relationship factors during early childhood as predictors of anxiety and depressive symptoms in adolescence. Journal of Child Psychology and Psychiatry 2002 May; 43: 457–69.[CrossRef]

QUESTION: Are anxiety and depression at 14 years related to poverty, marital break-up and maternal anxiety and depression during early childhood?

The first 150 words of the full text of this article appear below.

Design

Longitudinal cohort study.

Setting

Brisbane, Australia.

Participants

Pregnant women were enrolled at an average of 18 weeks gestation, reinterviewed 3–5 days after birth and again when their child was 6 months, 5 years and 14 years old. Children were assessed at 14 years. Complete data were available for 4434 families.

Assessment of risk factors

Poverty and martial break-up were assessed using maternal self report. The depression subscale from the Delusions Symptoms States Inventory was used to assess maternal anxiety and depression. Mother’s marital relationship distress was categorised using Dyadic Satisfaction items from the Spanier Dyadic Adjustment Scale.

Main outcome measures

Anxiety and depressive symptoms at 14 years assessed using Child Behaviour Checklist and Youth Self report subscales.

Main results

After controlling for poverty and marital relationship factors, maternal anxiety and depression during early childhood predicted high anxiety and depression symptoms at age 14. The effect was small, but increased with repeated exposure to maternal depression. Poverty, marital break-up and distressed marital . . . [Full text of this article]

Judy Garber, PhD

Professor Vanderbilt University, Nashville, Tennessee, USA


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