Maternal psychological distress in primary care and association with child behavioural outcomes at age three
Stephanie L. Prady
Kate E. Pickett
Tim Croudace
Dan Mason
Emily Petherick
Rosie R.C. McEachan
Simon Gilbody
John Wright
2134/20542
https://repository.lboro.ac.uk/articles/journal_contribution/Maternal_psychological_distress_in_primary_care_and_association_with_child_behavioural_outcomes_at_age_three/9629468
Observational studies indicate children whose
mothers have poor mental health are at increased risk of
socio-emotional behavioural difficulties, but it is unknown
whether these outcomes vary by the mothers’ mental health
recognition and treatment status. To examine this question,
we analysed linked longitudinal primary care and
research data from 1078 women enrolled in the Born in
Bradford cohort. A latent class analysis of treatment status
and self-reported distress broadly categorised women
as (a) not having a common mental disorder (CMD) that
persisted through pregnancy and the first 2 years after
delivery (N = 756, 70.1 %), (b) treated for CMD (N = 67,
6.2 %), or (c) untreated (N = 255, 23.7 %). Compared to
children of mothers without CMD, 3-year-old children with
mothers classified as having untreated CMD had higher
standardised factor scores on the Strengths and Difficulties
Questionnaire (d = 0.32), as did children with mothers
classified as having treated CMD (d = 0.27). Results were only slightly attenuated in adjusted analyses. Children of
mothers with CMD may be at risk for socio-emotional and
behavioural difficulties. The development of effective treatments
for CMD needs to be balanced by greater attempts to
identify and treat women.
2016-03-10 15:16:40
Health inequality
Maternal mental health
Anxiety
Depression
Strengths and difficulties questionnaire
Latent class methods
Medical and Health Sciences not elsewhere classified