Emotional and cardiovascular reactivity to a child-focused interpersonal stressor among depressed mothers of psychiatrically ill children
Open accessAbstract
BACKGROUND: Impairment in maternal interpersonal function represents a risk factor for poor psychiatric outcomes among children of depressed mothers. However, the mechanisms by which this effect occurs have yet to be fully elucidated. Elevated levels of emotional or physiological reactivity to interpersonal stress may impact depressed mothers' ability to effectively negotiate child-focused conflicts. This effect may become particularly pronounced when depressed mothers are parenting a psychiatrically ill child. METHODS: The current feasibility study evaluated mothers' emotional and cardiovascular reactivity in response to an acute, child-focused stress task. Twenty-two depressed mothers of psychiatrically ill children were recruited from a larger clinical trial; half were randomly assigned to receive an adapted form of interpersonal psychotherapy (IPT-MOMS), while the other half received treatment as usual (TAU). For comparison purposes, a matched sample of 22 nondepressed mothers of psychiatrically healthy children was also evaluated. RESULTS: Depressed mothers receiving minimal-treatment TAU displayed the greatest increases in depressed mood, heart rate, and diastolic blood pressure in response to the child-focused stress task, and significantly differed from the relatively low levels of reactivity observed among nondepressed mothers of healthy children. In contrast, depressed mothers receiving IPT-MOMS displayed patterns of reactivity that fell between these extreme groups. Maternal stress reactivity was associated not only with maternal psychiatric symptoms, but also with levels of chronic parental stress and maternal history of childhood emotional abuse. CONCLUSIONS: Future, more definitive research is needed to evaluate depressed mothers' interpersonal stress reactivity, its amenability to treatment, and its long-term impact on child psychiatric outcomes.
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Mothers with histories of emotional abuse show more pronounced physiological indicators of emotional reactivity, including during child-focused stress tasks.
“Mothers with histories of emotional abuse have more pronounced physiological indicators of emotional reactivity,[16] which has also been demonstrated within a child focused stress task.[17]”
From Role of maternal childhood trauma on parenting among depressed mothers of psychiatrically ill children (2013) · cites this paper as [17]
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- Authors
- Cyranowski, J. M., Swartz, H. A., Hofkens, T. L., & Frank, E.
- Affiliations
- University of Pittsburgh Medical Center (US)
- University of Pittsburgh (US)
- Corresponding author
- Cyranowski, Jill M.
- Venue
- Depression and Anxiety
- Publisher
- Hindawi Limited
- Published
- 2009-02
- Volume
- 26
- Issue
- 2
- Pages
- 110-116
- ISSN
- 1091-4269 (ISSN-L)
- 1520-6394
- PMC
- PMC3392042
- OpenAlex
- W2033888048
- Cited by
- 12
- References
- 25
- Citations by year
- 2024: 2 · 2020: 2 · 2018: 2 · 2017: 1 · 2014: 2 · 2013: 2 · 2012: 1
- FWCI
- 0.00
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Depression and Anxiety (publishedVersion, public-domain)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Heart, Lung, and Blood Institute (HL 076858, HL 076852, R24HL076852, R24HL076858)
- National Institute of Mental Health (MH-64144, MH64518, K23MH064518, R01MH083647, K01MH064144)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
- Social Sciences › Sociology and Political Science › Family Support in Illness
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Maternal Mental Health During Pregnancy and Postpartum
- Keywords
- maternal depression, emotional reactivity, cardiovascular reactivity, heart rate, diastolic blood pressure, depressive mood, interpersonal psychotherapy, childhood emotional abuse, feasibility study
- MeSH terms
- Adolescent, Adult, Affect, Anxiety Disorders, Arousal, Mental Disorders, Blood Pressure, Child, Depressive Disorder, Emotions, Female, Heart Rate, Humans, Middle Aged, Mother-Child Relations, Personality Inventory, Psychometrics, Psychotherapy, Stress, Psychological, Child of Impaired Parents
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