Depressed Mothers Research Articles

Postpartum Depression Screening for Mothers of Babies in the Neonatal Intensive Care Unit.

Postpartum depression (PPD) is a prevalent, yet underidentified, problem among mothers with babies in the Neonatal Intensive Care Unit (NICU). Postpartum depression can result in immediate and long-term consequences for mother and baby. Screening, followed by early intervention, is critical for improvement and resolution. The purpose of the project was to initiate early screening for PPD among a high-risk population to identify and refer for early treatment. A screening and referral protocol was implemented using the Edinburgh Postnatal Depression Scale (EPDS), with consults as indicated to an onsite licensed professional clinical counselor. The nurse on the care team was responsible for initiating the screening after 2 weeks postpartum and placing a mental health referral as needed. Retrospective medical record reviews were conducted to determine whether timely screening was implemented among eligible mothers, and if referrals were made for those at-risk based on EPDS score. Twenty-four percent of women screened were at increased risk for PPD based on their EPDS score, approximately double that of the general population (12.5%). All women with a positive screen had a referral placed and were seen by the licensed professional clinical counselor within 3 days. This project recognizes the importance of an interdisciplinary care approach and highlights the need for early identification and treatment for PPD among mothers with babies in the NICU. The project can guide future initiatives to increase the use of screening in the inpatient setting, to detect PPD during its early and more treatable stages.

Can Mother's Depression Affect Infant's Development?

Background: The mental state of the mother is one of the factors influencing the development of infants. Besides, the quality of the child's relationship with her/his parent is very important in childhood development. Objectives: This study aimed at investigating the relationship between the mother's depression and developmental disorders in infants. Methods: This cross-sectional study utilized a sample size of 311 subjects. The study population included all infants and their mothers who were referred to health centers of the city of Hamadan, Iran, to receive the usual one-year care. Mothers’ depression was assessed with the second edition of the Beck Depression Inventory, and children’s developmental disabilities were assessed with one-year Ages and Stages Questionnaire. Results: The mean age of mothers in this study was 29.7 ± 5.6. The prevalence of developmental disorders in infants was 3.5%. This study showed that mothers' depression had no significant relationship with any of the developmental domains in infants. None of the developmental domains in infants were related to the mother's occupation and education. However, the gross motor skills (P-value: 0.007) and problem-solving skills (P-value: 0.031) were significantly related to the socioeconomic level, and communication (P-value: 0.034), and personal-social skills (P-value: 0.026) of the infant were directly related to the mother's age. Conclusions: Mother's depression is not related to the infant's developmental disorders. There is a relationship between the socioeconomic level of the family and gross motor and problem-solving skills of the infant. The mother’s age is directly related to communication and personal-social skills of the infant.

Comparison of Maternal Self-efficacy and Infant Care Behavior Between Mothers with and Without Depression: A Case-Control Study

Background: Postpartum depression (PPD) affects various dimensions of women's lives. The present study aimed to compare infant care behavior and maternal self-efficacy between depressed and non-depressed mothers. Objectives: This case-control study was conducted among 80 (n = 40 per group) postpartum women. Methods: A socio-demographic characteristics form, Edinburgh Postnatal Depression Scale (EPDS), Maternal Self-efficacy Questionnaire (MSQ), and Infant Care Behavior questionnaire were used for data collection. Independent t-test was run for data analysis. The mean score of maternal self-efficacy in the depressed group was 29.3 (3.6), and it was 33.0 (3.3) in the non-depressed group, which was significantly higher in the non-depressed group compared to the depressed group based on independent t-test results (adjusted mean difference: -3.7; 95% Confidence Interval: -2.2 to 5.3; P < 0.001). Results: The mean score of infant care behavior was 72.2 (5.2) in the depressed group and 73.0 (9.0) in the non-depressed group, indicating no significant differences between the two groups according to independent t-test (P = 0.627). Conclusions: Depressed women were less self-efficient; thus, given the central role of mothers, some strategies should be adopted to minimize mothers' postpartum physical and mental problems and promote their self-efficacy and infant care behaviors.

Predictors of Early Postpartum Maternal Functioning Among Women Veterans.

The perinatal period constitutes an important window of opportunity for optimizing healthy development of offspring but is heavily influenced by maternal mental health. Maternal pregnancy-related anxiety (PrA), depression, and post-traumatic stress disorder (PTSD) have been implicated in adverse outcomes for both mother and child. The current study examined whether psychopathology during pregnancy and postpartum was associated with greater experienced parenting stress and bonding difficulties in women veterans, who may be predisposed to develop psychopathology due to heightened risk of exposure to traumatic events. Pregnant veterans (N = 28) completed self-report questionnaires regarding their PrA, depression and PTSD symptoms during pregnancy and postpartum, as well as on their experience of parenting stress and bonding with their infant. PrA was a more robust predictor of postpartum depression (PPD) than depression during pregnancy. PPD, in turn, was significantly associated with bonding and parenting stress, such that more depressed mothers were more likely to experience greater general bonding difficulties, increased rejections and pathological anger towards their infants, greater anxiety towards their infants, and more parenting stress. PrA might be a high-yield modifiable risk factor in the prevention of PPD for women veterans and their subsequent experiences with high parenting stress and bonding difficulties.

Stability of psychopathy in a prospective longitudinal study: Results from the Cambridge Study in delinquent development.

To further understand psychopathy within a Developmental and Life-Course Criminology perspective, the current article investigates the stability and change in psychopathy from childhood to middle age. The Cambridge Study in delinquent development is a prospective longitudinal study of 411 males, where psychopathy was coded based on contemporanously collected data from young people and in adulthood. Psychopathy in middle age was assessed in a medical interview. The findings indicate a high degree of stability of psychopathy across the life-course. To explain stability and change, childhood factors that might predict this were investigated. Few factors were related to stability and change across the life-course. Poor supervision, poor housing, a large family, and having a convicted father were associated with any change. A depressed mother was associated with a later decrease in psychopathy. This investigation has implications not only for the downward extension of psychopathy to childhood, but also for the understanding of the development of criminal and antisocial behavior.

MOVING UPSTREAM: PRIMARY AND SECONDARY PREVENTION STRATEGIES TO MITIGATE THE IMPACTS OF EXPOSURE TO ADVERSE EXPERIENCES IN EARLY CHILDHOOD

National surveys indicate worsening mental health symptoms among parents during the COVID-19 pandemic, exacerbated by stressors including caregiving burden, social isolation, and lack of financial resources. Low-income families and families from Black and Brown communities, where the pandemic’s economic and health effects are most acute, may be particularly vulnerable to emotional distress impacting caregivers. Caregiver stress and mental health problems are modifiable risk factors highly correlated to early childhood social-emotional development and increase vulnerability to disrupted attachment and maladaptive parenting. This Symposium presents emerging findings from 4 empirically based preventative interventions. Presenters describe promising new research findings from 4 initiatives with high-risk families that: 1) identify at birth and provide resources to families at elevated risk for maltreatment in a prospective clinical study emphasizing tolerability, feasibility, and engagement, for which the final phase is a randomized controlled trial; 2) promote caregiver-infant bonding in a clinical sample of depressed mothers, using methods validated in Circle of Security; 3) initiate a proof-of-concept and feasibility study using video feedback in primary care to screen and educate caregivers around parent-child interactions; and 4) implement a parent mindfulness training program in preschools for reduction of stress and mental health symptoms in parents, using a mixed-methods open-label design. Across 4 projects demonstrating new clinical research data, presenters share examples of preventative interventions showing feasibility, engagement, and effectiveness, with noteworthy benefits for underserved families via delivery in a range of clinical and nonclinical settings. Despite stressors exacerbated by the pandemic, these novel projects demonstrate with new research findings that high-risk families with infants and young children can be engaged in a range of psychosocial supports toward prevention of maltreatment, improvement in bonding with Circle of Security, assessment and tailored video feedback around parent-child interactions delivered in primary care, and mindfulness to improve caregiver mental health.

Improving Early Diagnosis of Child Neglect for a Better Response in Healthcare Settings.

Early diagnosis of child neglect is an ongoing challenge with consequences of the child’s safety, health, and effective referral for intervention. This study aims to obtain a selected set of family, maternal, and dyadic variables of the immediate caregiving environment for diagnosis, preventive, and intervention responses in healthcare settings. Mothers and their children under five years old: 51 in the neglected group (NG) and 89 in the non-neglected control group (CG), were recruited through pediatric primary care services and social services in Spain. Family demographics, adverse events, childhood maltreatment, maternal psychopathologies, personality variables, and observed mother–child interactions were assessed. Gradient boosting analyses were applied for the contributor’s relative importance (RI), followed by logistic regression and discriminant analyses for those with higher RI. Parametric analyses showed high diagnostic accuracy (80–82% of NG and 92% of CG) for risky factors of child neglect: having a physically neglected and depressed mother, living in families in need of financial assistance, and large families; and for protective factors: having an older mother and showing higher mother–child emotional availability. Identifying a select group of features makes early diagnosis and preventive intervention more effective for mitigating the impact of child neglect and building mother–child resilience.

Treatment of maternal depression in low‐income women: A feasibility study from Kilifi, Kenya

To test the feasibility and acceptability of a group psychosocial intervention called Learning Through Play (LTP) plus Culturally adapted Cognitive Behaviour Therapy (CaCBT) for depressed Kenyan mothers with children aged 0-36months. This study was a single-arm mixed methods feasibility study to test an integrated parenting intervention for postnatal depression in a low-income rural area of Fumbini village in Kilifi District of Kenya. Women between the ages of 18 and 45years with children up to 3years were screened for depression using the Patient Health Questionnaire (PHQ-9). Those scoring above 10 on PHQ-9 were interviewed using the Revised Clinical Interview Schedule (CIS-R) to confirm the diagnosis of depression. Assessments were carried out at baseline and at the end of the intervention (3months), followed by qualitative interviews with 12 women. Qualitative interviews were analysed using thematic analysis from a socio-constructionist theoretical lens. The LTP Plus was both feasible and acceptable with high satisfaction among the participants. Qualitative results showed that the women perceived the intervention as beneficial in reducing the symptoms of depression, coping with stress and negative emotions. The results also indicated a reduction in scores on PHQ-9, GAD-7 with an increase in perceived social support, health-related quality of life and an improvement in mothers' knowledge about child development at the end of the intervention. This study represents the first feasibility research on integrated parenting intervention in Kenya. The results indicated that culturally adapted LTP plus CaCBT is feasible and acceptable in a low-income setting of Kenya. There is now a need to study the clinical and cost-effectiveness of LTP plus CaCBT in an appropriately powered larger randomised control trial, with a longer follow-up period.

Supplemental Material for A Psychometric Study of the Emotional Availability Scales: Construct Validity and Measurement Invariance Between Depressed and Nondepressed Mother–Infant Dyads

Supplemental Material for A Psychometric Study of the Emotional Availability Scales: Construct Validity and Measurement Invariance Between Depressed and Nondepressed Mother–Infant Dyads

Quality of life of children with allergic disease: the effect of depression and anxiety of children and their mothers

Introduction In comparison with the general population, several studies have reported higher anxiety and depression rates not only in children with allergic diseases but also in their parents. We aimed to evaluate the mental health of children and their mothers affecting quality of life (QoL) in children with allergic diseases, and to compare anxiety and depression in these patients and their mothers with the general population. Methods One hundred and sixty-eight patients aged 8–18 years diagnosed with an allergic disease who visited our outpatient clinic and a control group of 61 children who did not have any chronic or allergic diseases were included in the study. Patients completed the Pediatric QoL Inventory, Trait Anxiety Inventory for Children, and Children’s Depression Inventory, while mothers completed the General Anxiety Disorder-7 (GAD-7) scale and the Patient Health Questionnaire-9 (PHQ-9). Independent samples’ t-test was used to compare children’s QoL, trait anxiety, and depression scores and mothers’ GAD-7 and PHQ-9 scores between the controlled/mild and uncontrolled/moderate-severe groups. The effects of age, gender, disease severity, maternal depression/anxiety, and children’s depression/anxiety on QoL were analyzed with multivariate regression analyses. Results QoL was lower in children with allergic diseases than healthy children, and although the mean QoL score was lower in the group with high disease severity, QoL in children with allergic diseases was not associated with disease severity but inversely related to anxiety/depression and maternal depression. Conclusions As per the results, QoL is impaired in children with allergic diseases. Both anxiety/depression in the child and maternal depression may adversely affect QoL in these patients.

Effects of tracheostomy on mothers of children with cerebral palsy.

We aimed to investigate psychosocial changes such as burnout, caregiver burden, depression, and coping in mothers of children with cerebral palsy (CP) after tracheostomy placement. A total of 48 children with CP and chronic respiratory insufficiency and their mothers participated in the study. The children with tracheostomy were classified as T (+) (n = 26) and those who did not have tracheostomy were classified as T (-) (n = 22). The patients with tracheostomy through invasive mechanical ventilation were classified as TIV (+). The data about the clinical conditions of the patients and the sociodemographic characteristics of the mothers were recorded. Zarit caregiver burden, Maslach burnout, Beck depression, and Coping Orientation to Problems Experienced (COPE) questionnaires were applied to all mothers. Beck depression score was 14 ± 8.24 in T (+) group and 16.09 ± 9.65 in T (-) group (p = .576). There was no significant difference between the T (+) and T (-) groups in the Maslach burnout inventory, Zarit caregiver burden scale, and their subgroups. The first two methods from the COPE scales were identical. In the T (+) group, the third coping method was found as "planning" and in the T (-) group as "active coping". Maslach burnout inventory, Zarit 1, and Zarit 2 scores were higher in patients with only tracheostomy compared to those with TIV (p = .002, p = .018, p = .021). In the study presented, the placement of tracheostomy in children with CP does not increase mother's depression tendencies and mood changes.

Racial inequities in the course of treating perinatal mental health challenges: Results from listening to mothers in California.

BackgroundConcern with depression during the perinatal period has resulted in multiple states enacting legislation to require universal screening of mothers for postpartum depression. Despite this concern, rates of women receiving mental health counseling during pregnancy and postpartum remain low. This study examines factors, especially inequities in race/ethnicity, associated with receiving perinatal mental health counseling.MethodsThis study draws on data from the Listening to Mothers in California survey of 2539 women, based on a representative sample of birth certificate files of women who gave birth in 2016. The survey included a series of mental health questions, based on the 4‐item Patient Health Questionnaire (PHQ‐4), and questions on the receipt of counseling, whether a practitioner asked respondents about their mental health, and whether the respondent was taking medications for anxiety or depression.ResultsWe found non‐Latina Black women to experience both higher rates of prenatal depressive symptoms and significantly lower use of postpartum counseling services and medications than non‐Latina White women. Among women with depressive symptoms, those asked by a practitioner about their mental health status reported a 46% rate of counseling compared with 20% who were not asked, and in a multivariable analysis, those asked were almost six times more likely (aOR 5.96; 95% CI 1.6‐21.7) to report counseling.DiscussionThese findings lend evidence to those advocating for state laws requiring universal screening for depressive symptoms to reduce inequities and help address the underuse of counseling services among all women with depressive symptoms, particularly women of color.

Optimizing Social-Emotional-Communication Development in Infants of Mothers With Depression: Protocol for a Randomized Controlled Trial of a Mobile Intervention Targeting Depression and Responsive Parenting.

BackgroundPostpartum depression interferes with maternal engagement in interventions that are effective in improving infant social-emotional and social-communication outcomes. There is an absence of integrated interventions with demonstrated effectiveness in both reducing maternal depression and promoting parent-mediated practices that optimize infant social-emotional and social-communication competencies. Interventions targeting maternal depression are often separate from parent-mediated interventions. To address the life course needs of depressed mothers and their infants, we need brief, accessible, and integrated interventions that target both maternal depression and specific parent practices shown to improve infant social-emotional and social-communication trajectories.ObjectiveThe aim of this study is to evaluate the efficacy of a mobile internet intervention, Mom and Baby Net, with remote coaching to improve maternal mood and promote parent practices that optimize infant social-emotional and social-communication development.MethodsThis is a two-arm, randomized controlled intent-to-treat trial. Primary outcomes include maternal depression symptoms and observed parent and infant behaviors. Outcomes are measured via direct observational assessments and standardized questionnaires. The sample is being recruited from the urban core of a large southern city in the United States. Study enrollment was initiated in 2017 and concluded in 2020. Participants are biological mothers with elevated depression symptoms, aged 18 years or older, and who have custody of an infant less than 12 months of age. Exclusion criteria at the time of screening include maternal homelessness or shelter residence, inpatient mental health or substance abuse treatment, or maternal or infant treatment of a major mental or physical illness that would hinder meaningful study participation.ResultsThe start date of this grant-funded randomized controlled trial (RCT) was September 1, 2016. Data collection is ongoing. Following the institutional review board (IRB)–approved pilot work, the RCT was approved by the IRB on November 17, 2017. Recruitment was initiated immediately following IRB approval. Between February 15, 2018, and March 11, 2021, we successfully recruited a sample of 184 women and their infants into the RCT. The sample is predominantly African American and socioeconomically disadvantaged.ConclusionsData collection is scheduled to be concluded in March 2022. We anticipate that relative to the attention control condition, which is focused on education around maternal depression and infant developmental milestones with matching technology and coaching structure, mothers in the Mom and Baby Net intervention will experience greater reductions in depression and gains in sensitive and responsive parent practices and that their infants will demonstrate greater gains in social-emotional and social-communication behavior.Trial RegistrationClinicalTrials.gov NCT03464630; https://clinicaltrials.gov/ct2/show/NCT03464630International Registered Report Identifier (IRRID)DERR1-10.2196/31072

Depressed and Socioeconomically Disadvantaged Mothers' Progression Into a Randomized Controlled Mobile Mental Health and Parenting Intervention: A Descriptive Examination Prior to and During COVID-19.

Infants of low-income and depressed mothers are at high risk for poor developmental outcomes. Early parenting mediates infant experiences from birth, and early intervention can support sensitive and responsive parent practices that optimize infant outcomes via promoting developmental competencies. However, low-income and depressed mothers experience substantial challenges to participating in early intervention. They also have extremely limited access to interventions targeting depression. Interventions targeting maternal depression and parent practices can improve maternal and infant outcomes. Mobile internet-based interventions overcome numerous barriers that low-resource mothers face in accessing home-based interventions. Pandemic-related stressors likely reduce family resources and exacerbate distress of already heavily-burdened mother-infant dyads. During crises such as the COVID-19 pandemic, evidence-based remote coaching interventions are paramount. This article reports on a mobile intervention for improving maternal mood and increasing parent practices that promote infant development. An ongoing randomized controlled trial study provided a unique opportunity to monitor progression from referral to intervention initiation between two groups of depressed mothers: those prior to the pandemic and during the pandemic. The study also examines mother and infant characteristics at baseline. The sample consisted primarily of Black mothers experiencing extreme poverty who self-referred to the study in a large southern city, which is one of the most income disparate in the United States. Prior to the pandemic, 97% of study participants successfully progressed from consent to intervention, as compared to significantly fewer–86%–during the pandemic. Mother-infant dyads during COVID-19, as compared to those prior to COVID-19, displayed similar pre-intervention demographic characteristics and intrapersonal characteristics.

Maternal postnatal depression and offspring depression at age 24 years in a UK-birth cohort: the mediating role of maternal nurturing behaviours concerning feeding, crying and sleeping

Background: Maternal postnatal depression (PND) is a risk factor for offspring depression in adulthood. However, few longitudinal studies have examined the role of maternal nurturing parenting behaviours in the association between maternal PND and offspring depression in adulthood. Methods: We examined pathways from maternal PND measured using self-reported Edinburgh Postnatal Depression Scale at 8 weeks to offspring ICD-10 depression diagnosed using the Clinical Interview Schedule-Revised computerised assessment at 24 years through maternal-reported nurturing behaviours concerning feeding, sleeping and crying measured from pregnancy to age 3 years 6 months in 5,881 members of the UK-based birth cohort study, the Avon Longitudinal Study of Parents and Children. Results: The fully adjusted model revealed an indirect effect from PND to adult offspring depression through the combination of all parenting factors (probit regression coefficient [ B]=0.038, 95% confidence interval [CI] 0.005, 0.071); however, there was no evidence of a direct effect from early maternal PND to offspring depression once the indirect effect via parenting factors was accounted for ( B=0.009, 95%CI -0.075, 0.093). Specificity analyses revealed indirect effects through maternal worries about feeding ( B=0.019, 95%CI 0.003, 0.035, p=0.010) and maternal perceptions and responses to crying ( B=0.018, 95%CI 0.004, 0.032, p=0.012). Conclusions: The adverse impact of maternal PND on offspring depression in early adulthood was explained by maternal nurturing behaviours concerning feeding, crying and sleeping in early childhood. Residual confounding and measurement error likely limit reliable conclusions. If found causal, interventions providing support to reduce worries around maternal nurturing behaviours and treating depression could reduce adverse outcomes in adult offspring of depressed mothers.

Clinically depressed and typically developing mother–infant dyads: Domain base rates and correspondences, relationship contingencies and attunement

Maternal depression is associated with adverse outcomes in infants. Unfavorable parenting practices likely constitute one pathway of risk transmission from mother to infant, but definitional and methodological variation in the extant literature precludes a comprehensive or conclusive understanding of potential underlying mechanisms. This study aimed to illuminate the role of maternal clinical depression in mother-infant interaction by turning a microanalytic lens on four substantive relationship issues: base rates, correspondences, contingencies, and attunement. Several maternal parenting practices (aggregated into social, didactic, and language domains) and several infant behaviors (aggregated into social, exploration, and non-distress vocalization domains) were microcoded to 0.10s from naturalistic hour long interactions of clinically depressed mothers (n = 60) and matched non-depressed controls (n = 60) with their 5-month-olds. Clinically depressed mothers spontaneously engaged their infants less didactically, were less contingent to their infants in social, didactic, and language domains, and were less attuned with their infants than were non-depressed mothers. Infants of clinically depressed mothers vocalized non-distress less than infants of non-depressed mothers. These differences unveil key disadvantages in the everyday lived experiences of infants of clinically depressed mothers. The findings advance understanding of maternal depression and its effects and have implications for identifying infants at risk on account of their mothers' clinical depression.

Maternal postnatal depression and offspring depression at age 24 years in a UK-birth cohort: the mediating role of maternal nurturing behaviours concerning feeding, crying and sleeping.

Background: Maternal postnatal depression (PND) is a risk factor for offspring depression in adulthood. However, few longitudinal studies have examined the role of maternal nurturing parenting behaviours in the association between maternal PND and offspring depression in adulthood. Methods: We examined pathways from maternal PND measured using self-reported Edinburgh Postnatal Depression Scale at 8 weeks to offspring ICD-10 depression diagnosed using the Clinical Interview Schedule-Revised computerised assessment at 24 years through maternal-reported nurturing behaviours concerning feeding, sleeping and crying measured from pregnancy to age 3 years 6 months in 5,881 members of the UK-based birth cohort study, the Avon Longitudinal Study of Parents and Children. Results: The fully adjusted model revealed an indirect effect from PND to adult offspring depression through the combination of all parenting factors (probit regression coefficient [ B]=0.038, 95% confidence interval [CI] 0.005, 0.071); however, there was no evidence of a direct effect from early maternal PND to offspring depression once the indirect effect via parenting factors was accounted for ( B=0.009, 95%CI -0.075, 0.093). Specificity analyses revealed indirect effects through maternal worries about feeding ( B=0.019, 95%CI 0.003, 0.035, p=0.010) and maternal perceptions and responses to crying ( B=0.018, 95%CI 0.004, 0.032, p=0.012). Conclusions: The adverse impact of maternal PND on offspring depression in early adulthood was explained by maternal nurturing behaviours concerning feeding, crying and sleeping in early childhood. Residual confounding and measurement error likely limit reliable conclusions. If found causal, interventions providing support to reduce worries around maternal nurturing behaviours and treating depression could reduce adverse outcomes in adult offspring of depressed mothers.

Olfactory shifts linked to postpartum depression

Postpartum Depression (PPD) is the most common non-obstetric complications associated with childbearing, but currently has poor diagnostic regimes. Sensory symptoms of PPD are understudied, particularly with regard to the sense of olfaction. The present study addresses this research gap by assessing differences in olfactory abilities between 39 depressed mothers, who were within the perinatal period (i.e., during pregnancy and up to 1-year post pregnancy) and assessed with Edinburgh Postnatal Depression Scale, and their case-matched healthy volunteers. The assessments include two olfactory testing sessions conducted 4-weeks apart, each comprising a standard odour detection threshold test (i.e., Snap & Sniff Olfactory Test System), and intensity and valence ratings for 3 “pleasant” and 3 “unpleasant” odorants. The results revealed no difference between patients (M = 5.6; SE = 0.3) and control group (M = 5.7; SE = 0.4) in terms of olfactory detection threshold. However, the patients group perceived the 3 “unpleasant” odours as significantly less pleasant (p < 0.05), and 2 odorants (1 “pleasant” and 1 “unpleasant”) as less intense. Additionally, these results did not appear to be significantly interacted with the individual’s perinatal stage. The present study is the first to evaluate associations between olfactory function and PPD. Findings from the study suggest that, while PPD has little effect on the early stages of olfactory processing, these conditions may have stronger influence on higher-order olfactory perception, including both hedonic and intensity perception. These novel findings add knowledge to sensory symptoms of PPD.

Maternal depressed mood and child development over the first five years of life in South Africa

BackgroundWhile the negative impact of peri-natal depression is well-documented in high-income countries, the long-term effects across the life course in low and middle-income countries is less clear. Children's adjustment over the first five years is examined as a function of patterns of maternal depressed mood. MethodsPregnant women in 24 peri-urban townships (N = 1,238) were randomized to a home-visiting intervention or standard care and reassessed five times, with high retention. There were no intervention effects on children past 18 months. Multilevel regression models examined the impact of depressed mood on child outcomes. Using the Edinburgh Postnatal Depression Scale, four patterns of maternal depressed mood were identified: never (40.6%); antenatal (13.0%); early childhood (26.1%); and recurrent episodes of depressed mood (20.3 %). FindingsMothers' patterns of depressive symptoms and child outcomes were similar, regardless of intervention. Never depressed mothers were significantly younger, had higher income, less food insecurity, were more likely to have electricity, be living with HIV or have an HIV positive partner, and had fewer problems with alcohol than depressed mothers. Children of mothers who experienced depressed mood weighed less, were more aggressive, and were hospitalized more often than children of never depressed mothers, but were similar in cognitive and social development. InterpretationsDepressed mood, has significant negative impacts on South African children's growth and aggressive behavior. The timing of maternal depressed mood was less important than never having a depressed mood or a recurrent depressed mood. FundingThere were no funding conflicts in executing this trial.

Do mothers and fathers agree? Examining interparental ratings of youth externalizing behaviors among ethnically diverse families

This study examined the association between youth, parent, and family characteristics in mother-father agreement of youth externalizing behaviors among ethnically diverse families. Eighty-eight mother-father dyads of youth (44% Latino, 38% European-American, 17% African American) 6-16 years participated. Overall associations between parent's reports of youth behavior problems were positively correlated. Significant predictors of parent difference scores in regression analyses included mother's depression scores (negatively), mother and father parenting stress scores (positively and negatively, respectively), and child's symptom severity (positively in the Inattention and Learning Problems models; negatively in the Defiance/Aggression model). Results highlight the need for psychosocial screening of youth's parents during child psychological assessment to identify situations in which both parent reports are needed for youth assessment. Further, it contributes to the small literature base of discrepancies in parent reports in minority youth and expands upon the minimal research involving paternal caregivers.