Timing of initial exposure to maternal major depression and children's mental health symptoms in kindergarten
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Background: Little is known about the influence on child mental health symptoms of the timing of initial exposure to maternal major depression or whether the timing is associated with ‘pure’ or co-occurring internalising and externalising symptoms. Aims: To address these issues, while also taking account of child gender and family socio-economic status. Method: In a prospective community-based study, 421 kindergarten teachers rated children's symptoms. Previous assessments of maternal major depression indicated whether children were first exposed during infancy, in the toddler/pre-school period, or never. Results: Exposure during infancy was associated with high internalising symptoms, especially when co-occurring with high externalising symptoms. Initial exposure in the toddler/pre-school years increased the risk of ‘pure’ externalising symptoms among girls. Conclusions: The association of child mental health symptoms with the timing of initial exposure to maternal depression highlights the need for effective prevention and intervention strategies addressed to the developmental issues of each period.
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A RAD section was added to the Developmental and Well-Being Assessment (DAWBA) structured diagnostic interview manual, developed from the corresponding section of the Child and Adolescent Psychiatric Assessment interview.
“Recently, a RAD section was added to the Developmental and Well-Being Assessment (DAWBA) structured diagnostic interview manual [27], developed from the corresponding section of the Child and Adolescent Psychiatric Assessment interview [28].”
From Mental disorders in foster children: a study of prevalence, comorbidity and risk factors (2013) · cites this paper as [28]
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References 26 · Cited by 150
- Authors
- Essex, M. J., Klein, M. H., Miech, R., & Smider, N. A.
- Affiliations
- University of Wisconsin–Madison (US)
- Johns Hopkins University (US)
- Corresponding author
- Essex, Marilyn J.
- Venue
- British Journal of Psychiatry
- Publisher
- Royal College of Psychiatrists
- Published
- 2001-08
- Volume
- 179
- Issue
- 2
- Pages
- 151-156
- ISSN
- 0007-1250 (ISSN-L)
- 1472-1465
- OpenAlex
- W2124924027
- Cited by
- 150
- References
- 26
- Citations by year
- 2025: 1 · 2024: 1 · 2023: 1 · 2021: 2 · 2020: 17 · 2019: 2 · 2018: 5 · 2017: 5 · 2016: 3 · 2015: 7 · 2014: 7 · 2013: 6 · 2012: 6
- FWCI
- 9.69
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- The British Journal of Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- Funders
- John D. and Catherine T. MacArthur Foundation
- National Institute of Mental Health (R01MH44340, MH44340, P50-MH53524, R01MH044340)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Maternal Mental Health During Pregnancy and Postpartum
- Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
- Social Sciences › Sociology and Political Science › Family Support in Illness
- Keywords
- internalizing problems, externalising symptoms, kindergarten children, child gender differences, family socioeconomic status, infancy, child mental health prevention
- MeSH terms
- Adolescent, Child, Child Behavior Disorders, Child Development, Developmental Disabilities, Child, Preschool, Depressive Disorder, Female, Humans, Infant, Mother-Child Relations, Pregnancy, Prospective Studies, Psychiatric Status Rating Scales, Sex Factors, Socioeconomic Factors, Time Factors, Logistic Models
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