Mother-child interactions in depressed children and children at high risk and low risk for future depression.

Abstract:

OBJECTIVE:To compare mother-child interactions and parenting styles in families of children with major depressive disorder, youths at high risk for depression, and healthy controls. METHOD:Currently depressed (n = 43), high-risk (n = 28), and healthy control (n = 41) youths and their mothers engaged in a standardized videotaped problem-solving interaction. Measures of affect and behavior for both mothers and children were obtained, in addition to global measures of parenting. RESULTS:Depressed children demonstrated more negativity and less positivity in dyadic interactions than did children at high risk and control children. Mothers of depressed children were more disengaged than control mothers. Exploratory repeated-measures analyses in a subgroup of depressed children (n = 16) suggested mother-child interactions do not significantly change when children recover from depression. Children at high risk demonstrated less positivity in dyadic interactions than did controls. Mothers with a history of major depressive disorder and mothers with higher current depressive symptoms demonstrated patterns of disengagement and low control in interactions with children. CONCLUSIONS:Mother-child interactions in depressed youths are marked by maternal disengagement and low child positivity that may not improve when children recover. The bidirectional effects of maternal disengagement and low levels of child positivity may precede onset of major depressive disorder in children and serve as risk factors for recurrent depression in youths.

authors

Dietz LJ,Birmaher B,Williamson DE,Silk JS,Dahl RE,Axelson DA,Ehmann M,Ryan ND

doi

10.1097/CHI.0b013e3181676595

subject

Has Abstract

pub_date

2008-05-01 00:00:00

pages

574-582

issue

5

eissn

0890-8567

issn

1527-5418

pii

S0890-8567(09)62424-2

journal_volume

47

pub_type

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