Abstract
BackgroundMaternal depression has been linked to adverse outcomes in the offspring. Existing literature is mainly based on parental reports, which can be an unreliable source when the parent has depression.AimTo explore if maternal depression was associated with daily health complaints and low self-assessed health (SAH) in the offspring.Design and settingParticipants were 45 727 children from the Danish National Birth Cohort recruited between 1996 and 2002. At 11-year follow-up, mothers and their children were invited to complete a questionnaire. Maternal depression was categorised into: no depression, first-time treatment, continued treatment, post-treatment, and relapse.MethodBinomial regression was used to estimate the adjusted prevalence proportion ratio (aPPR) of frequent health complaints and low SAH in children of mothers with depression compared to children of mothers without depression.ResultsThe prevalence of any daily health complaint was 11.4%, daily somatic complaints 4.1%, daily mental complaints 8.9%, both daily mental and somatic complaints 1.5%, and low SAH 5.3%. Children of mothers with depression (any category) were more likely to report a daily health complaint: first-time treatment aPPR 1.35 (95% confidence interval [CI] = 0.96 to 1.85), continued treatment aPPR 1.59 (95% CI = 1.37 to 1.85), post-treatment aPPR 1.30 (95% CI = 1.20 to 1.41), and relapse aPPR 1.56 (95% CI = 1.35 to 1.79). Children of mothers with depression were also more likely to report low SAH: first-time treatment aPPR 1.58 (95% CI = 0.99 to 2.54), continued treatment aPPR 1.86 (95% CI = 1.51 to 2.28), post-treatment aPPR 1.34 (95% CI = 1.19 to 1.50), and relapse aPPR 1.56 (95% CI = 1.26 to 1.93). Girls had a higher prevalence of mental and somatic health complaints and more often reported low SAH compared to boys.ConclusionTreatment of maternal depression was associated with higher prevalence of daily health complaints and low SAH in the offspring at age 11 years. The association was strongest for children of mothers with continued depression or relapse.
Highlights
Non-specific health complaints such as headache, abdominal pain, and back pain in pre-adolescents are increasing.[1,2,3,4] In primary health care, non-specific complaints account for more than two-thirds of reported symptoms.[5]
Children of mothers with depression were more likely to report a daily health complaint: first-time treatment adjusted prevalence proportion ratio (aPPR) 1.35 (95% confidence interval [CI] = 0.96 to 1.85), continued treatment aPPR 1.59, post-treatment aPPR 1.30, and relapse aPPR 1.56
Children of mothers with depression were more likely to report low selfassessed health (SAH): first-time treatment aPPR 1.58, continued treatment aPPR 1.86, post-treatment aPPR 1.34, and relapse aPPR 1.56
Summary
Non-specific health complaints such as headache, abdominal pain, and back pain in pre-adolescents are increasing.[1,2,3,4] In primary health care, non-specific complaints account for more than two-thirds of reported symptoms.[5]. GPs manage children with non-specific complaints, as well as parents suffering from depression. It is important that GPs be aware of any association between the two. It might be possible that addressing family difficulties related to parental depression could relieve non-specific health complaints in the offspring. When a GP sees a mother with depression, awareness of possible health complaints in the offspring might benefit the entire family. Maternal depression has been linked to adverse outcomes in the offspring. Existing literature is mainly based on parental reports, which can be an unreliable source when the parent has depression
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