Severity indicators of maternal depression: impact on behavioral problems of schoolchildren
DOI:
https://doi.org/10.18554/refacs.v8i0.4654Keywords:
Depression, Child, Behavior, Mental health, Severity of ilness index.Abstract
This is a cross-sectional study conducted in the city of Ribeirão Preto aims to systematize clinical indicators associated with the severity of recurrent depression in mothers of school-aged children and assess the impact of these indicators on their children’s behavior, as well as to identify whether there is interference of social determinants associated with the sociodemographic conditions of families. Data collection considered the period from 2007 to 2013, 100 mothers with school-age children were evaluated and divided into Depression Group and Comparison Group with 50 dyads each. Sociodemographic questionnaire, Questionnaire on Patient Health-9, Structured Clinical Interview and Capacity and Difficulties Questionnaire were used. It was found that, regardless of social vulnerabilities, the severity of depression was configured as a risk factor for more behavioral problems in children in general (p<0.001; R²a=0.138), internalizing (emotional symptoms - p<0.001; R²a=0.186 - and relationship problems - p<0.001; R²a=0.141) and externalizing (conduct problems - p = 0.044; R²a=0.031). The evaluation of specific clinical indicators of depression can be used as a complement in the systematic screening of depression at different levels of health care, expanding the quality of evaluations and the care for maternal and child mental health.
References
American Psychiatric Association. Manual Diagnóstico e Estatístico de Transtornos Mentais – DSM-5. 9ed. Porto Alegre: Artmed Editora; 2014.
World Health Organization. Depression and other commom mental health [Internet]. Geneva: WHO; 2017 [citado em 16 abr 2019]. Disponível em: https://apps.who.int/iris/bitstream/handle/10665/254610/WHO-MSD-MER-2017.2-eng.pdf;jsessionid=9862C65A30FA4A7808AB011308217674?sequence=1
World Health Organization. Depression [Internet]. Geneva: WHO; 2018 [citado em 16 abr 2019]. Disponível em: https://www.who.int/en/news-room/fact-sheets/detail/depression
Molina MRAL, Wiener CD, Branco JC, Jansen K, Souza LDMD, Tomasi E, Pinheiro RT. Prevalência de depressão em usuários de unidades de atenção primária. Rev Psiquiatr Clín. [Internet]. 2012 [citado em 16 abr 2019]; 39(6):194-7. Disponível em: http://www.scielo.br/pdf/rpc/v39n6/03.pdf DOI: http://dx.doi.org/10.1590/S0101-60832012000600003
Cardoso TSG, Siquara GM, Freitas PM. Relações entre depressão materna e problemas de comportamento em crianças. Psicol Argum. [Internet]. 2014 [citado em 16 abr 2019]; 32(79):131-41. DOI: http://dx.doi.org/10.7213/psicol.argum.32.079.AO08
Hser Y, Lanza I, Li L, Kahn E, Evans E, Schulte M. Maternal mental health and children’s internalizing and externalizing behaviors: beyond maternal substance use disorders. J Child Fam Stud. [Internet]. 2015 [citado em 16 abr 2019]; 24:638-48. Disponível em: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4349431/pdf/nihms543556.pdf DOI: http://dx.doi.org/10.1007/s10826-013-9874-3
Jacobs RH, Talati A, Wickramaratne P, Warner V. The influence of paternal and maternal major depressive disorder on offspring psychiatric disorders. J Child Fam Stud. [Internet]. 2015 [citado em 16 abr 2019]; 24(8):2345-51. Disponível em: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4706755/pdf/nihms625139.pdf DOI: http://dx.doi.org/10.1007/s10826-014-0037-y
Van Doorn MME, Kuijpers RCWM, Lichtwarck-Aschoff A, Bodden D, Jansen M, Gramic I. Does mother-child interaction mediate the relation between maternal depressive symptoms and children’s mental health problems? J Child Fam Stud. [Internet]. 2016 [citado em 16 abr 2019]; 25:1257-68. Disponível em: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4779455/pdf/10826_2015_Article_309.pdf DOI: http://dx.doi.org/10.1007/s10826-015-0309-1
Yan N, Zhou N, Ansari A. Maternal depression and children’s cognitive and socio-emotional development at first grade: the moderating role of classroom emotional climate J Child Fam Stud. [Internet]. 2016 [citado em 16 abr 2019]; 25:1247-56. Disponível em: https://link.springer.com/content/pdf/10.1007%2Fs10826-015-0301-9.pdf DOI: http://dx.doi.org/10.1007/s10826-015-0301-9
Boyd RC, Waanders C. Protective factors for depression among African American children of predominantly low-income mothers with depression. J Child Fam Stud. [Internet]. 2013 [citado em 16 abr 2019]; 22:85-95. Disponível em: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4196212/pdf/nihms-628256.pdf DOI: http://dx.doi.org/10.1007/s10826-012-9588-y
World Health Organization. Social determinants of mental health [Internet]. Geneva: WHO; 2014 [citado em 16 abr 2019]. Disponível em: http://www.who.int/mental_health/publications/gulbenkian_ paper_social_determinants_of_mental_health/en/
Sweeney S, MacBeth M. The effects of paternal depression on child and adolescent outcomes: a systematic review. J Affect Disord. [Internet]. 2016 [citado em 16 abr 2019]; 15(205):44-59. Disponível em: https://reader.elsevier.com/reader/sd/pii/S0165032715312404?token=346E3F6C0928F805366A985B7183A9F29D9A18652A17A905581203636920B9164E9774DEEA9567AC2BC32272E7DB4140. DOI: http://dx.doi.org/10.1016/j.jad.2016.05.073
Goodman SH, Rouse MH, Connel AM, Broth MR, Hall CM, Heyward D. Maternal depression and child psychopathology: a meta-analytic review. Clin Child Fam Psychol Rev. [Internet]. 2011 [citado em 16 abr 2019]; 14(1):1-27. Disponível em: https://link.springer.com/content/pdf/10.1007%2Fs10567-010-0080-1.pdf. DOI: http://dx.doi.org/10.1007/s10567-010-0080-1
Pizeta FA, Silva TBF, Cartafina MIB, Loureiro SR. Depressão materna e riscos para o comportamento e a saúde mental das crianças: uma revisão. Estud Psicol. (Natal) [Internet]. 2013 [citado em 16 abr 2019]; 18(3):429-37. Disponível em: http://www.scielo.br/pdf/epsic/v18n3/03.pdf DOI: http://dx.doi.org/10.1590/S1413-294X2013000300003
Organização Mundial de Saúde. Classificação de transtornos mentais e de comportamento da CID-10: descrições clínicas e diretrizes diagnósticas. Porto Alegre: Artes Médicas; 2014.
Schmidt MI, Duncan BB, Azevedo e Silva G, Menezes AM, Monteiro CA, Barreto SM, et al. Chronic non-communicable diseases in Brazil: burden and current challenges. Lancet [Internet]. 2011 [citado em 16 abr 2019]; 377:1949-61. Disponível em: https://reader.elsevier.com/reader/sd/pii/S0140673611601359?token=73D55812D237719577E92FE94CDC158C655408C074F653A7D51F4B448F847878031FDC7BD4C89E631176D62AA3800017 DOI: http://dx.doi.org/10.1016/S0140-6736(11)60135-9
Spitzer R, Kroenke K, Williams J. Validation and utility of a self-report Version of PRIME-MD: the PHQ Primary Care Study. J Am Med Assoc. [Internet]. 1999 [citado em 16 abr 2019]; 282(18):1737-44. Disponível em: https://jamanetwork.com/journals/jama/fullarticle/192080 DOI: http://dx.doi.org/10.1001/jama.282.18.1737
Kroenke K, Spitzer RL, Williams JB. The PHQ-9: validity of a brief depression severity measure. J Gen Intern Med. [Internet]. 2001 [citado em 16 abr 2019]; 16(9):606-13. Disponível em: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1495268/pdf/jgi_01114.pdf DOI: http://dx.doi.org/10.1046/j.1525-1497.2001.016009606.x
Osório FL, Mendes AV, Crippa JA, Loureiro SR. Study of the discriminative validity of the PHQ‐9 and PHQ‐2 in a sample of Brazilian women in the context of primary health care. Perspect Psychiatr Care [Internet]. 2009 [citado em 16 abr 2019]; 45(3):216-27. Disponível em: https://onlinelibrary.wiley.com/doi/epdf/10.1111/j.1744-6163.2009.00224.x DOI: http://dx.doi.org/10.1111/j.1744-6163.2009.00224.x
Del-Ben CM. Estudo da confiabilidade do diagnóstico psiquiátrico obtido através da entrevista clínica estruturada para o DSM-III-R (SCID) em serviço ambulatorial de um hospital escola. [dissertação]. Ribeirão Preto, SP: Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo; 1995.
Del-Ben CM, Vilela JAA, Crippa JAS, Hallak JEC, Labate CM, Zuardi AW. Confiabilidade da Entrevista Clínica Estruturada para DSM-IV – versão clínica traduzida para o português. Rev Bras Psiquiatr. [Internet]. 2001 [citado em 16 abr 2019]; 3(23):156-9. Disponível em: http://www.scielo.br/pdf/rbp/v23n3/a08v23n3.pdf DOI: http://dx.doi.org/10.1590/S1516-44462001000300008
Goodman R. The strengths and difficulties questionnaire: a research note. J Child Psychol Psychiatry [Internet]. 1997 [citado em 16 abr 2019]; 38(5):581-6. Disponível em: https://onlinelibrary.wiley.com/doi/epdf/10.1111/j.1469-7610.1997.tb01545.x DOI: http://dx.doi.org/10.1111/j.1469-7610.1997.tb01545.x
Fleitlich BW, Cortázar PG, Goodman R. Questionário de Capacidades e Dificuldades (SDQ). Infanto Rev Neuropsiquiatr Infânc Adolesc. [Internet]. 2000 [citado em 16 abr 2019]; 1(8):44-50. Disponível em: https://pesquisa.bvsalud.org/portal/resource/pt/lil-275954
Woerner W, Fleitlich-Bilyk B, Martinussen R, Fletcher J, Cucchiaro G, Dalgalarrondo P, et al. The Strengths and Difficulties Questionnaire overseas: evaluations e applications of the SDQ beyond Europe. Eur Child Adolesc Psychiatry [Internet]. 2004 [citado em 16 abr 2019]; 13(Suppl. 2):II47-II54. Disponível em: https://link.springer.com/content/pdf/10.1007%2Fs00787-004-2008-0.pdf. DOI: http://dx.doi.org/10.1007/s00787-004-2008-0
Maroco J Análise estatística com o SPSS. 6a ed. Pero Pinheiro, Portugal: Ed. Reportnumber; 2014.
Barker ED, Copeland W, Maughan B, Jaffee SR, Uher R. The relative impact of maternal depression and associated risk factors on offspring psychopathology. Br J Psychiatr. [Internet]. 2012 [citado em 05 de jan 2020]; 200(2):124-9. Disponível em: https://www.cambridge.org/core/services/aop-cambridge-core/content/view/2C2DBAD78CB2763623790D8D85F8518F/S0007125000257590a.pdf/relative_impact_of_maternal_depression_and_associated_risk_factors_on_offspring_psychopathology.pdf DOI: http://dx.doi.org/10.1192/bjp.bp.111.092346
Bouvette-Turcot AA, Unternaehrer E, Gaudreau H, Lydon JE, Steiner M, Meaney MJ. The joint contribution of maternal history of early adversity and adulthood depression to socioeconomic status and potential relevance for offspring development. J Affect Disord. [Internet]. 2017 [citado em 05 de jan 2020]; 207:26-31. Disponível em: https://reader.elsevier.com/reader/sd/pii/S0165032716304864?token=9BC36B833AE0CDD06046D4D630C87BCA49B6DEE44DBE12B6EA787FDAACB05C220002C021D03FC8DE03007CD2BB8AC9A1 DOI: http://dx.doi.org/10.1016/jjad.2016.08.012
Evans GW, Li D, Whipple SS. Cumulative risk and child development. Psychol Bull. [Internet]. 2013 [citado em 05 de jan 2020]; 139(6):1342-96. Disponível em: https://psycnet.apa.org/fulltext/2013-12151-001.pdf. DOI: http://dx.doi.org/10.1037/a0031808
Callender KA, Olson SL, Choe DE, Sameroff AJ. The effects of parental depressive symptoms, appraisals, and physical punishment on later child externalizing behavior. J Abnorm Child Psychol. [Internet]. 2012 [citado em 05 de jan 2020]; 40(3):471-83. Disponível em: https://link.springer.com/content/pdf/10.1007%2Fs10802-011-9572-9.pdf DOI: http://dx.doi.org/10.1007/s10802-011-9572-9
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