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Title: Maternal psychological distress in primary care and association with child behavioural outcomes at age three
Authors: Prady, Stephanie L.
Pickett, Kate E.
Croudace, Tim
Mason, Dan
Petherick, Emily S.
McEachan, Rosie R.C.
Gilbody, Simon
Wright, John
Keywords: Health inequality
Maternal mental health
Strengths and difficulties questionnaire
Latent class methods
Issue Date: 2015
Publisher: Springer / © The Authors
Citation: PRADY, S.L. ... et al, 2015. Maternal psychological distress in primary care and association with child behavioural outcomes at age three. European Child & Adolescent Psychiatry, DOI:10.1007/s00787-015-0777-2
Abstract: Observational studies indicate children whose mothers have poor mental health are at increased risk of socio-emotional behavioural difficulties, but it is unknown whether these outcomes vary by the mothers’ mental health recognition and treatment status. To examine this question, we analysed linked longitudinal primary care and research data from 1078 women enrolled in the Born in Bradford cohort. A latent class analysis of treatment status and self-reported distress broadly categorised women as (a) not having a common mental disorder (CMD) that persisted through pregnancy and the first 2 years after delivery (N = 756, 70.1 %), (b) treated for CMD (N = 67, 6.2 %), or (c) untreated (N = 255, 23.7 %). Compared to children of mothers without CMD, 3-year-old children with mothers classified as having untreated CMD had higher standardised factor scores on the Strengths and Difficulties Questionnaire (d = 0.32), as did children with mothers classified as having treated CMD (d = 0.27). Results were only slightly attenuated in adjusted analyses. Children of mothers with CMD may be at risk for socio-emotional and behavioural difficulties. The development of effective treatments for CMD needs to be balanced by greater attempts to identify and treat women.
Description: This is an Open Access article published by Springer and distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons. org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.
Sponsor: This article presents independent research funded by the Medical Research Council, award reference MR/J013501/1, and the National Institute for Health Research Collaboration for Leadership in Applied Health Research and Care Yorkshire and Humber (NIHR CLAHRC YH).
Version: Published
DOI: 10.1007/s00787-015-0777-2
URI: https://dspace.lboro.ac.uk/2134/20542
Publisher Link: http://dx.doi.org/10.1007/s00787-015-0777-2
ISSN: 1018-8827
Appears in Collections:Published Articles (Sport, Exercise and Health Sciences)

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