Parental Depression Research Articles

Prediction of non-suicidal self-injury in adolescents at the family level using regression methods and machine learning

BackgroundAdolescent non-suicidal self-injury (NSSI) is a major public health issue. Family factors are significantly associated with NSSI in adolescents, while studies on forecasting NSSI at the family level are still limited. In addition to regression methods, machine learning (ML) techniques have been recommended to improve the accuracy of family-level risk prediction for NSSI. MethodsUsing a dataset of 7967 students and their primary caregivers from a cross-sectional study, logistic regression model and random forest model were used to test the forecasting accuracy of NSSI predictions at the family level. Cross-validation was used to assess model prediction performance, including the area under the receiver operator curve (AUC), precision, Brier score, accuracy, sensitivity, specificity, positive predictive value and negative predictive value. ResultsThe top three important family-related predictors within the random forest algorithm included family function (importance:42.66), family conflict (importance:42.18), and parental depression (importance:27.21). The most significant family-related risk predictors and protective predictors identified by the logistic regression model were family history of mental illness (OR:2.25) and help-seeking behaviors of mental distress from parents (OR:0.65), respectively. The AUCs of the two models, logistic regression and random forest, were 0.852 and 0.835, respectively. LimitationsThe key limitation is that this cross-sectional survey only enabled the authors to examine predictors that were considered to be proximal rather than distal. ConclusionsThese findings highlight the significance of family-related factors in forecasting NSSI in adolescents. Combining both conventional statistical methods and ML methods to improve risk assessment of NSSI at the family level deserves attention.

Mediating role of parental depression, parental bonding, and child self-esteem between family income and child depression: a longitudinal study

ABSTRACT The underlying mechanisms between family income and mental health of children merit further investigation. Based on the family stress model and the psychological factors model, we proposed that familial factors (parental depression and parenting) and the individual factor (child self-esteem) would mediate the relationship between family income and child depression concurrently. Data were obtained from a nationally representative longitudinal survey (i.e., the China Family Panel Studies), involving 1,283 families (2,732 parents and 1,384 children). The age of the children ranged from 4 to 15 years (M age = 8.04, SD = 1.87) at baseline. Path analysis showed that the effect of family income (in 2010, T1) on child depression (in 2014, T3) was mediated by parental depression (in 2012, T2), parental bonding (in 2012 or 2014, T2 or T3), and child self-esteem (in 2012 or 2014, T2 or T3), in a parallel rather than sequential manner. The findings indicate that health policies and psychosocial interventions that simultaneously improve parental depression, parenting techniques, and child self-esteem would be an effective approach to alleviate the impact of family income on child depression.

Longitudinal relationship between parental and adolescent smartphone addiction: serial mediating effects of adolescent self-esteem and depression

PurposeThis study longitudinally investigated the predictors and mediators of adolescent smartphone addiction by examining the impact of parental smartphone addiction at T1 on adolescent smartphone addiction at T3, as well as the separate and sequential role of adolescent self-esteem and depression at T2 as mediating factors.Design/methodology/approachThis study used a hierarchical regression and the PROCESS macro (Model 6) to investigate research model by collecting 3,904 parent-adolescent pairs. Panel data were collected from three waves of the Korean Children and Youth Panel Survey (KCYPS).FindingsFirst, the result showed that parental smartphone addiction at T1 significantly and positively predicted adolescent smartphone addiction at T3. Second, the serial mediation analysis revealed that the impact of parental smartphone addiction at T1 on adolescent smartphone addiction at T3 was mediated by adolescent self-esteem and depression at T2 independently and serially.Originality/valueThe findings enhance our comprehension of the impact of parental smartphone addiction, adolescent self-esteem and depression, on adolescent smartphone addiction.

The Effects of Positive Self-talk on Anxiety and Grief Among Women with Spontaneous Abortion: A Quasi-Experimental Study

Background: Spontaneous abortion (SA) is a common pregnancy complication with challenging prediction and prevention for healthcare providers. It can lead to stress, anxiety, depression, and grief for parents. Self-talk (ST) is a communication skill with a significant role in the relationship of events and emotions and can facilitate the management of most emotional and behavioral disorders. However, there is limited information about its effects on women with SA. Objectives: The aim of this study was to assess the effects of positive ST on anxiety and grief among women with SA. Methods: This quasi-experimental study was conducted in 2021 using a two-group pre-test-post-test design. Eighty women with SA were randomly selected from a teaching hospital in Zahedan, Iran, and were alternately allocated to an intervention group and a control group on a weekly basis. Participants in the intervention group received education about positive ST in eight 20-minute sessions held twice weekly. Data were collected before and 2 months after the intervention using a demographic questionnaire, the Hospital Anxiety and Depression Scale, and the Perinatal Grief Scale. The SPSS v. 16.0 software was used to analyze the data at a significance level of < 0.05 using the Shapiro-Wilk, paired-sample and independent-sample t tests, and chi-square test. Results: The age mean of the participants was 26.40 ± 5.63 years in the intervention group and 24.45 ± 5.11 years in the control group. The groups did not significantly differ from each other respecting baseline demographic and clinical characteristics (P > 0.05). The mean scores of anxiety (control: 4.57 ± 1.98, intervention: 2.60 ± 1.59) and grief (control: 64.85 ± 22.68, intervention: 50.97 ± 16.522) significantly decreased in both groups (P = 0.001, P = 0.003), and the amount of decrease in the intervention group was significantly more than the control group (P < 0.05). Accordingly, the pre-test mean scores of anxiety (P = 0.74) and grief (P = 0.95) did not show significant between-group differences, and the post-test mean scores of anxiety (P < 0.001) and grief (P = 0.004) in the intervention group were significantly less than the control group. Conclusions: Positive ST is effective in significantly reducing anxiety and grief among women with SA. Nurses and psychologists can use positive ST to reduce post-SA psychological complications among afflicted women.

Are there reciprocal interplays among Chinese adolescents', fathers', and mothers' depression at the within-family level? A family systems perspective.

Controversy surrounds the reciprocity between adolescent and parental depression. Limited studies rigorously tested the transactional model of depression from a family systems perspective considering the involvement of all family members, particularly in non-Western nations, using advanced modeling approaches that disentangle between- and within-unit (i.e., family) variances (e.g., random intercept cross-lagged panel model [RI-CLPM]). This population-based multi-informant longitudinal study applied RI-CLPM to evaluate the temporal dynamics of the interrelations among adolescent, maternal, and paternal depression in 1,733 Chinese families assessed biannually. Findings from two large independent samples (primary sample [N = 1,733]; replication sample [N = 989]) converged to suggest, in macro timescales: (a) more depressed parents-especially mothers-generally have more depressed adolescents (between-family associations); (b) a family member becoming more depressed than usual co-occurred with other members becoming more depressed than usual in the same wave (within-family cofluctuations), with the mother-adolescent dyads exhibiting greater concordance than the father-adolescent dyads; and (c) a family member becoming more depressed than usual did not prospectively predict other members becoming more depressed than usual (i.e., no within-family reciprocal effects). While patterns of cross-lagged effects were consistently null across contexts, cofluctuations were stronger in rural than urban families and stronger in families with older adolescents. Overall, findings suggest that in macro timescales, the previously identified associations between adolescent and parental depression likely occurred at the trait-like between-family level and state-like within-family cofluctuations. Future studies employing micro timescales (e.g., daily) can complement macro-timescale analysis to provide greater temporal resolution of the within-family interplays of affective symptoms between family members. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

176. Adolescent and Young Adult Depression: A Within-Person Analysis of Compounding Risks of Internalizing Symptoms, Parent Depression, and Parenting from Preadolescence Through Young Adulthood

176. Adolescent and Young Adult Depression: A Within-Person Analysis of Compounding Risks of Internalizing Symptoms, Parent Depression, and Parenting from Preadolescence Through Young Adulthood

Parental pathological narcissism and child depression: the indirect effects of child attachment and perspective taking

Parental pathological narcissism and child depression: the indirect effects of child attachment and perspective taking

Psychosocial Risk Exposure Limits Routine Pediatric Oral Health Care

ObjectivesTo identify social, psychological, and contextual factors that influenced attendance at routine oral health visits in a cohort of 189 preschool children who were followed over a 2-year period. MethodsGeneralized estimating equation was used to examine the association between clinic attendance and the predictors. Odds ratios and 95% confidence intervals were reported in the multiple logistic regression models. The study was conducted in Rochester, NY between February 2016-February 2021. ResultsPrior to the COVID-19 pandemic declaration, the rate of cancelled and no-show appointments was greater for routine clinic visits (20% and 24%, respectively) than for research visits (14% and 9% respectively) for the same participants; these rates increased during the pandemic. After adjusting for socio-demographic factors, the likelihood of a cancelled or no-show appointment was associated with parental depression (OR 1.06 CI 1.03-1.09), regardless of the type or occurrence of the visit. ConclusionsFindings from this study demonstrate that attendance to oral health care in young children is reliably reduced with parental depression and that this may provide one mechanism for early emerging health inequalities of oral health.

Exposure to parental depression in adolescence and proinflammatory phenotypes 20 years later

Although the biological embedding model of adversity proposes that stressful experiences in childhood create a durable proinflammatory phenotype in immune cells, research to date has relied on study designs that limit our ability to make conclusions about whether the phenotype is long-lasting. The present study leverages an ongoing 20-year investigation of African American youth to test research questions about the extent to which stressors measured in childhood forecast a proinflammatory phenotype in adulthood, as indicated by exaggerated cytokine responses to bacterial stimuli, monocyte insensitivity to inhibitory signals from hydrocortisone, and low-grade inflammation. Parents reported on their depressive symptoms and unsupportive parenting tendencies across youths’ adolescence. At age 31, youth participants (now adults) completed a fasting blood draw. Samples were incubated with lipopolysaccharide and doses of hydrocortisone to evaluate proinflammatory processes. Additionally, blood samples were tested for indicators of low-grade inflammation, including IL-6, IL-8, IL-10, and TNF-α, and soluble urokinase plasminogen activator receptor. Analyses revealed that parental depression across youths’ adolescence prospectively predicted indicators of proinflammatory phenotypes at age 31. Follow-up analyses suggested that unsupportive parenting mediated these associations. These findings suggest that exposure to parental depression in adolescence leaves an imprint on inflammatory activity that can be observed 20 years later.

Evaluation of a web-based information platform on youth depression and mental health in parents of adolescents with a history of depression

Research shows the important role of parents’ mental health literacy in detecting depressive symptoms and supporting their children to seek professional help. Improving mental health literacy in parents has recently gained even greater importance due to the negative impact of the COVID-19 pandemic on children and adolescents’ mental health. The aim of the present experimental pre-post-follow-up study was to examine knowledge change after the reception of contents from an innovative web-based platform (www.ich-bin-alles.de/eltern) containing evidence-based information on youth depression and mental health in parents of adolescents with a history of depression. A second aim was to assess evaluation of the layout and the acceptance of the platform. N = 33 parents of adolescents with a history of depression (either current or remitted depression) were presented different content domains of the website. Participants’ knowledge about depression was assessed at pre- and post-intervention, and at a four week follow-up. Moreover, parents evaluated the acceptance and the layout of the website. The trial was preregistered at clinicaltrials.gov (NCT05335564). The results showed a significant increase in total knowledge from pre to post, which remained stable over the course of four weeks. Explorative analyses showed that sociodemographic variables did not influence the extent of knowledge gain. Acceptance rates were high and evaluations of the website’s layout were positive. The findings show that the web-based information portal is a promising and appealing means to increase parental knowledge on youth depression. Low-threshold psychoeducational approaches like websites are particularly relevant in times of crisis and increased prevalence rates of depressive symptoms and disorders (ehealth). These results are an important basis for future studies as well as approaches that aim to impart knowledge about mental disorders like youth depression via web-based means. Furthermore, they bear implications for policy decisions concerning mental health education and campaigns.

The level of depression in parents of children with physiologic immaturity

Study: The study aimed to identify the actuality of prone depression. At its center is the level of depression, which is what analyzes those who want to have children with physical immaturity, as well as the techniques needed for his issues, seeing him related to a range of issues: what is this physiological immaturity, why there is a need to get accurate information about it, the psychological state of parents with children with physiological immaturity and coping with it, and the impact of children with physiological immaturity on other family members. Purpose: The objectives of the study dealing with depression related to depression were to find gender differences in the level of depression in children with physiological immaturity, for the reason that some of them are those whose targets hypothesized that children with physiological immaturity are at a moderate level” and the second hypothesis: “Women as parents have a higher level of depression than men as parents. Methodology: A sample of 70 participants was independently surveyed, and the measuring instrument was Beck’s inventory for depression as well as demographic data to determine the gender of participants. Before determining the inventory, the parents were explained the purpose of realizing that some of the data that will be obtained will remain anonymous and confidential. The data from the results supports our hypothesis: physiological immaturity is moderate. As well as t-test analysis, it was shown that the female gender has a higher level of depression than the male gender. Results: To derive the results obtained from the paper, we used the t-test analysis, which showed that there are differences between women (between 21.79 + 5.2) and men (between 17.91 + 6.1) in terms of the level of depression. It seems that women showed higher levels of depression (t = –2.844, p = 0.006).

Parent-couple satisfaction, parent depression, and child mental health in families with autistic children.

Within two-parent households, the parent-couple subsystem (marital or romantic partner relationship) is posited to shape the mental health of both parents and children. Autistic children and their parents have an elevated-risk for mental health problems. The present study longitudinally examined the mediating role of the quality of the parent-couple relationship in time-ordered pathways between changes in the mental health problems of autistic children and in parent depression symptoms at a within-family level. Using four time points of data collected on 188 families of autistic children (aged 5-12 years) across 3 years, the bidirectional associations between parent-couple relationship satisfaction, parent depressive symptoms, and child internalizing and externalizing mental health problems were investigated. Two multi-group (grouped by parent gender) complete longitudinal mediation models in structural equation modeling using Mplus software were conducted. Parent-couple relationship satisfaction mediated: (1) the association between higher parent depressive symptoms and higher child internalizing mental health problems 12 months later for both mothers and fathers, and (2) the association between higher child externalizing mental health problems and higher father depression symptoms 12 months later. Father depression symptoms mediated a pathway from lower parent-couple satisfaction to higher child internalizing mental health problems 12 months later, and mother depression symptoms mediated the pathway from higher child externalizing mental health problems to lower parent-couple satisfaction 12 months later. Findings highlight the bidirectional and complex ways that parent and child mental health and the quality of the parent-couple relationship are entwined across time in families of autistic children. Family-wide interventions that address the needs of multiple family members and family systems are best suited to improve the mental health of parents and autistic children.

Mindfulness-enhanced parenting programmes for improving the psychosocial outcomes of children (0 to 18 years) and their parents.

Mindfulness-enhanced parenting programmes for improving the psychosocial outcomes of children (0 to 18 years) and their parents.

Caregiver Burden and Depression in Parents of Children with Chronic Diseases.

Caregiver burden is a factor that caregivers undertake for patients with chronic diseases and individuals in need of care. Depending on the symptoms of the disease and the processes following the diagnosis, depression problems may develop in caregivers. In this study, it was aimed at determining the caregiving burden of parents who have children with chronic diseases, the condition of special needs, and the factors that affect this burden. This study is a descriptive cross-sectional study conducted with 206 parents of children who had been diagnosed with a chronic disease for at least 1 year. The sociodemographic data, the Patient Health Questionnaire 2 and 9, and the Burden Scale for Family Caregivers were provided to the parents. Eighty-four of the participants had little or no caregiver burden, while 122 had moderate and severe caregiver burden. The mean caregiving burden score of mothers was higher (P = .004). Fathers' caregiver burden scores varied depending on the level of education (P = .031). Caregiving burden score was found to differ according to income level (P < .001). The mean caregiving burden score of individuals with chronic disease in the family was higher (P < .001). It was determined that individuals with higher Patient Health Questionnaire 2 and 9 scores and those who did not receive psychological support were higher (P < .001). Parents who are providing care for children with chronic diseases should be supported and closely monitored for signs of depression. Cite this article as: Güven Baysal Ş, Çorabay S. Caregiver burden and depression conditions in parents of children with chronic diseases. Turk Arch Pediatr. 2024;59(1):70-77.

Addressing depression in parents of neonates: the critical need for integrated care in the NICU

Background Major Depressive Disorder (MDD) during the perinatal period is a significant global health concern, ranking as the fourth-leading contributor to the global burden of disease and the second-leading cause of disability in individuals aged 15–44. This study investigates the association between perinatal MDD, poor nutrition, low prenatal care adherence, substance use and increased suicide risk. Methodology A comprehensive review of existing research studies examined the prevalence and consequences of perinatal MDD. Studies focusing on symptoms, risk factors, and associated outcomes in mothers and infants were analyzed to provide a comprehensive overview of the multifaceted impact of MDD during the perinatal period. Conclusion Approximately 10–15% of women experience postpartum depression, with over 60% reporting symptoms within the first 6 weeks postpartum. perinatal MDD increases the likelihood of preterm birth, small-for-gestational-age newborns and developmental delay. These findings underscore the critical need for comprehensive screening, identification and intervention approaches to mitigate the short and long term consequences of perinatal MDD.

A Specific, Measurable, Achievable, Relevant, Timed (SMART) Nursing Project Reduces Anxiety, Depression, and Post-Traumatic Stress Disorder in Parents of Childhood or Adolescent Osteosarcoma Patients.

Specific, measurable, achievable, relevant, timed (SMART) principle improves the nursing utility by setting individual goals for participants and helping them to achieve these goals. Our study intended to investigate the impact of a SMART nursing project on reducing mental stress and post-traumatic stress disorder (PTSD) in parents of childhood or adolescent osteosarcoma patients. In this randomized, controlled study, 66 childhood or adolescent osteosarcoma patients and 126 corresponding parents were enrolled and divided into SMART or normal care (NC) groups at a 1:1 ratio. All parents received a 3-month corresponding intervention and a 6-month interview. Our study revealed that the self-rating anxiety scale score at the 3rd month (M3) (P < 0.05) and the 6th month (M6) (P < 0.01), and anxiety rate at M3 (P < 0.05) and M6 (P < 0.05) were lower in parents in SMART group vs. NC group. The self-rating depression scale score at M3 and M6, and depression rate at M3 and M6 were lower in parents in SMART group vs. NC group (all P < 0.05). Impact of events scale-revised score at the 1st month (M1) (P < 0.05), M3 (P < 0.05), and M6 (P < 0.01) were lower in parents in SMART group vs. NC group. By subgroup analyses, the SMART nursing project showed better impacts on decreasing anxiety, depression, and PTSD in parents with an undergraduate education or above than in those with a high school education or less. Conclusively, SMART nursing project reduces anxiety, depression, and PTSD in parents of childhood or adolescent osteosarcoma patients, which is more effective in those with higher education.

Parental Involvement, Academic Self-Efficacy, and Depression on Academic Performance Among Chinese Students During COVID-19 Pandemic.

This study was conducted to identify the factors (especially parental involvement, academic self-efficacy, and depression) associated with academic performance among Chinese K-12 students during the COVID-19 pandemic. This cross-sectional study used data from the 2020 China Family Panel Studies (CFPS). The CFPS was conducted from July to December 2020 during the COVID-19 pandemic. A multistage probability sample proportional to size was used for the survey. The final sample consisted of 1747 K-12 students. This study used the 14-item Chinese Parental Involvement and Support Scale, the Responsibility Scale, and the 8-item Center for Epidemiologic Studies Depression Scale to measure parental involvement, academic self-efficacy, and depression, respectively. An ordered probit regression and structural equation models were employed to analyze the factors associated with academic performance. A multiple imputation technique was applied to compute missing values in selected variables. We found that parental involvement and academic self-efficacy were positively associated with good academic performance. In contrast, depression was negatively associated with good academic performance. Moreover, academic stress, male, rural residency, middle school, family size, high income, online gaming daily, reading, and intelligence quotient were statistically significant predictors on academic performance. The empirical findings suggested that parental involvement and academic self-efficacy were positively and significantly associated with good academic performance. However, depression was negatively and significantly associated with good academic performance. These results showed that policymakers and practitioners can help improve academic success and address educational inequalities among K-12 students by implementing a series of reforms.

Life quality, depression, and anxiety levels in parents of children with primary immunodeficiency.

Primary immune deficiencies (PID) encompasses genetic disorders that result in recurrent infections and immune dysregulation, often increasing the risk of malignancies. The aim of this study is to determine the quality of life, depression, and anxiety in parents of children with PID. Various validated assessment tools, including the Beck Depression Inventory (BDI), State and Trait Anxiety Inventory (STAI), the 36-item Short Form Survey (SF-36), and a demographic form, were employed to gather data from 85 parents of 64 PID patients and 85 parents of 75 healthy children. The findings reveal that parents of PID patients exhibited higher BDI, STAI-S, STAI-T, and fatigue subdomain of SF-36 (p = .013, p = .013, p = .027, p = .000). Both parents had lower energy levels than the normal population, but mothers experienced higher levels of anxiety and depression. PID mothers' had higher scores than fathers of PID patients with healthy children in BDI, STAI-S, and STAI-T (p = .002, p = .010, p = .001). Mothers of PID patients reported lower scores in RLEP, E/F, EWB, P, and GH compared to fathers (p = .009, p = .005, p = .034, p = .001, p = .003). Additionally, the study found that STAI-T influenced all subdimensions of HRQOL. These results highlight the substantial emotional and psychological burden placed on parents caring for children with PID. The study underscores the importance of supporting caregivers to enhance the overall well-being of both parents and children with PID. Such support can potentially alleviate depression and anxiety levels among parents, ultimately improving their quality of life and aiding in the management of children with PID.

Academic but not social self-esteem mediates the association between Chinese adolescents’ perceived parental psychological control and depressive symptoms

Parental psychological control has been consistently shown to have a strong impact on adolescents’ self-development and mental well-being. However, the majority of research on the link between parental psychological control, self-esteem, and mental health is conducted in Western nations and has primary focused on global self-esteem. The current study drew on non-Western data and tested a mediation model in which adolescents’ academic and social self-esteem were hypothesized to mediate the association between parental psychological control and depression. A large sample ( N = 3,257) of adolescents in southern China reported perceived psychological control from both their mother and father, their academic and social self-esteem, and depressive symptoms. Structural equation modeling results indicated that both mother and father control had significant direct effects on adolescent depression as well as significant indirect effects on depression through lower academic self-esteem. Social self-esteem failed to mediate the association between parental control and depression. Theoretical and practical implications of these findings are discussed.

Heavy users, mobile gamers, and social networkers: Patterns of objective smartphone use in parents of infants and associations with parent depression, sleep, parenting, and problematic phone use.

Smartphone use during parenting is common, which may lead to distraction (also known as technoference). However, it is likely that some phone activities are less disruptive to parents and children. In this study, we explored smartphone use (via passive sensing across 8 days) within 264 parents of infants, measuring parents' application use on their phone (e.g., messaging, social media, mobile gaming, video chat) and phone use across contexts (e.g., during feeding and at bedtime). We utilized latent profile analysis to identify profiles of users, revealing five user types: Moderate User Social Networkers (37%), followed by Moderate User Gamers (20%), Moderate User Video Chatters (17%), Low Users (15%), and Heavy Users (11%). Parents varied in their use, from Low Users, who used their phone approximately 2.4 hours each day, spent only 13% of their child time on their phone, and used their phone for about 18 minutes at bedtime, to Heavy Users, who spent approximately 8 hours a day, about 50% of their child time on their phone, and about 1 hour at bedtime. Heavy Users showed higher depressive symptoms and poorer sleep (although not poorer sleep than Moderate User Gamers). Surprisingly, we found no differences between groups in perceptions of parenting stress, responsiveness to their infant, or problematic phone use and distraction. We also explored demographic differences across groups. We call for future work to examine parent phone use more comprehensively and holistically and to view specific phone use activities as simultaneously interconnected with other types of use activities.