The relationship of depressive symptoms to parenting competence and social support in inner-city mothers of young children

Research output: Contribution to journalArticle

55 Citations (Scopus)

Abstract

Objective: Despite the high prevalence of maternal depression and its negative consequences for children, many pediatricians fail to identify this problem. Our goal was to determine whether simple questions about parenting competence and the adequacy of maternal social support might be useful to providers in determining which inner-city mothers are likely to be depressed. Methods: We surveyed a convenience sample of 279 English-speaking mothers of children 6 months to 3 years old prior to a routine visit at an urban, hospital-based general pediatrics clinic. The mothers self-completed the Psychiatric Symptom Index (PSI) and the Parenting Stress Index Sense of Competence subscale, and rated the adequacy of their social support, and provided health and sociodemographic data by face-to-face interview. Results: 41% of mothers had "high" PSI symptom levels and 22% had scores above a criterion that suggests major depressive disorder. In addition, 15% experienced high parenting stress (low competence) and 42% reported little or no social support. High distress was unrelated to a variety of sociodemographic risk factors, but significantly associated with a poor sense of parenting competence (Adj. OR = 3.3, 95% CI = 1.5, 7.0) and inadequate perceived social support (Adj. OR = 2.3, 95% CI = 1.2, 4.4), as well as with having health-related activity limitations (Adj. OR = 3.2, 95% CI = 1.1, 9.0). Conclusions: Negative ratings of parenting competence, low perceived social support, and presence of health-related activity restrictions can be usefulmarkers of likely depression among inner-city mothers of young children. These factors are often assessed during routine pediatric visits and may be helpful to pediatricians in identifying mothers needing further evaluation or treatment by mental health specialists.

Original languageEnglish (US)
Pages (from-to)105-112
Number of pages8
JournalMaternal and Child Health Journal
Volume10
Issue number1
DOIs
StatePublished - Jan 2006

Fingerprint

Parenting
Social Support
Mental Competency
Mothers
Depression
Psychiatry
Health
Pediatrics
Urban Hospitals
Major Depressive Disorder
Mental Health
Interviews

Keywords

  • Depression
  • Mothers
  • Parenting competence
  • Social support
  • Stress

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Epidemiology

Cite this

@article{7dfa230a671644a6a5344fe2f07617ca,
title = "The relationship of depressive symptoms to parenting competence and social support in inner-city mothers of young children",
abstract = "Objective: Despite the high prevalence of maternal depression and its negative consequences for children, many pediatricians fail to identify this problem. Our goal was to determine whether simple questions about parenting competence and the adequacy of maternal social support might be useful to providers in determining which inner-city mothers are likely to be depressed. Methods: We surveyed a convenience sample of 279 English-speaking mothers of children 6 months to 3 years old prior to a routine visit at an urban, hospital-based general pediatrics clinic. The mothers self-completed the Psychiatric Symptom Index (PSI) and the Parenting Stress Index Sense of Competence subscale, and rated the adequacy of their social support, and provided health and sociodemographic data by face-to-face interview. Results: 41{\%} of mothers had {"}high{"} PSI symptom levels and 22{\%} had scores above a criterion that suggests major depressive disorder. In addition, 15{\%} experienced high parenting stress (low competence) and 42{\%} reported little or no social support. High distress was unrelated to a variety of sociodemographic risk factors, but significantly associated with a poor sense of parenting competence (Adj. OR = 3.3, 95{\%} CI = 1.5, 7.0) and inadequate perceived social support (Adj. OR = 2.3, 95{\%} CI = 1.2, 4.4), as well as with having health-related activity limitations (Adj. OR = 3.2, 95{\%} CI = 1.1, 9.0). Conclusions: Negative ratings of parenting competence, low perceived social support, and presence of health-related activity restrictions can be usefulmarkers of likely depression among inner-city mothers of young children. These factors are often assessed during routine pediatric visits and may be helpful to pediatricians in identifying mothers needing further evaluation or treatment by mental health specialists.",
keywords = "Depression, Mothers, Parenting competence, Social support, Stress",
author = "Silver, {Ellen J.} and Heneghan, {Amy M.} and Bauman, {Laurie J.} and Stein, {Ruth E. K.}",
year = "2006",
month = "1",
doi = "10.1007/s10995-005-0024-4",
language = "English (US)",
volume = "10",
pages = "105--112",
journal = "Maternal and Child Health Journal",
issn = "1092-7875",
publisher = "Springer GmbH & Co, Auslieferungs-Gesellschaf",
number = "1",

}

TY - JOUR

T1 - The relationship of depressive symptoms to parenting competence and social support in inner-city mothers of young children

AU - Silver, Ellen J.

AU - Heneghan, Amy M.

AU - Bauman, Laurie J.

AU - Stein, Ruth E. K.

PY - 2006/1

Y1 - 2006/1

N2 - Objective: Despite the high prevalence of maternal depression and its negative consequences for children, many pediatricians fail to identify this problem. Our goal was to determine whether simple questions about parenting competence and the adequacy of maternal social support might be useful to providers in determining which inner-city mothers are likely to be depressed. Methods: We surveyed a convenience sample of 279 English-speaking mothers of children 6 months to 3 years old prior to a routine visit at an urban, hospital-based general pediatrics clinic. The mothers self-completed the Psychiatric Symptom Index (PSI) and the Parenting Stress Index Sense of Competence subscale, and rated the adequacy of their social support, and provided health and sociodemographic data by face-to-face interview. Results: 41% of mothers had "high" PSI symptom levels and 22% had scores above a criterion that suggests major depressive disorder. In addition, 15% experienced high parenting stress (low competence) and 42% reported little or no social support. High distress was unrelated to a variety of sociodemographic risk factors, but significantly associated with a poor sense of parenting competence (Adj. OR = 3.3, 95% CI = 1.5, 7.0) and inadequate perceived social support (Adj. OR = 2.3, 95% CI = 1.2, 4.4), as well as with having health-related activity limitations (Adj. OR = 3.2, 95% CI = 1.1, 9.0). Conclusions: Negative ratings of parenting competence, low perceived social support, and presence of health-related activity restrictions can be usefulmarkers of likely depression among inner-city mothers of young children. These factors are often assessed during routine pediatric visits and may be helpful to pediatricians in identifying mothers needing further evaluation or treatment by mental health specialists.

AB - Objective: Despite the high prevalence of maternal depression and its negative consequences for children, many pediatricians fail to identify this problem. Our goal was to determine whether simple questions about parenting competence and the adequacy of maternal social support might be useful to providers in determining which inner-city mothers are likely to be depressed. Methods: We surveyed a convenience sample of 279 English-speaking mothers of children 6 months to 3 years old prior to a routine visit at an urban, hospital-based general pediatrics clinic. The mothers self-completed the Psychiatric Symptom Index (PSI) and the Parenting Stress Index Sense of Competence subscale, and rated the adequacy of their social support, and provided health and sociodemographic data by face-to-face interview. Results: 41% of mothers had "high" PSI symptom levels and 22% had scores above a criterion that suggests major depressive disorder. In addition, 15% experienced high parenting stress (low competence) and 42% reported little or no social support. High distress was unrelated to a variety of sociodemographic risk factors, but significantly associated with a poor sense of parenting competence (Adj. OR = 3.3, 95% CI = 1.5, 7.0) and inadequate perceived social support (Adj. OR = 2.3, 95% CI = 1.2, 4.4), as well as with having health-related activity limitations (Adj. OR = 3.2, 95% CI = 1.1, 9.0). Conclusions: Negative ratings of parenting competence, low perceived social support, and presence of health-related activity restrictions can be usefulmarkers of likely depression among inner-city mothers of young children. These factors are often assessed during routine pediatric visits and may be helpful to pediatricians in identifying mothers needing further evaluation or treatment by mental health specialists.

KW - Depression

KW - Mothers

KW - Parenting competence

KW - Social support

KW - Stress

UR - http://www.scopus.com/inward/record.url?scp=33645137907&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=33645137907&partnerID=8YFLogxK

U2 - 10.1007/s10995-005-0024-4

DO - 10.1007/s10995-005-0024-4

M3 - Article

C2 - 16382333

AN - SCOPUS:33645137907

VL - 10

SP - 105

EP - 112

JO - Maternal and Child Health Journal

JF - Maternal and Child Health Journal

SN - 1092-7875

IS - 1

ER -