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Title: Effects of Maternal Depressive Symptomatology on the Continuity and Discontinuity of Problem Behaviors and Substance Use in Offspring: A Life Course Perspective
Resulting in 1 citation.
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Chang, Jen Jen |
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Effects of Maternal Depressive Symptomatology on the Continuity and Discontinuity of Problem Behaviors and Substance Use in Offspring: A Life Course Perspective Ph.D. Dissertation, School of Public Health, Department of Maternal and Child Health, University of North Carolina at Chapel Hill, March 2006. DAI-B 66/09, p. 4752, Mar 2006 Cohort(s): Children of the NLSY79, NLSY79 Publisher: ProQuest Dissertations & Theses (PQDT) Keyword(s): Behavior Problems Index (BPI); CESD (Depression Scale); Child Health; Children, Behavioral Development; Depression (see also CESD); Ethnic Differences; Fathers, Involvement; Growth Curves; Hispanics; Pre-natal Care/Exposure; Racial Differences; Substance Use; Variables, Independent - Covariate Permission to reprint the abstract has not been received from the publisher. Maternal depression has been well documented to adversely impact maternal-child relationships, parenting practices, family functioning, and children's development and well-being. Using data from the National Longitudinal Survey of Youth, this dissertation first examined the effects of maternal depressive symptoms (MDS) on the trajectories of child problem behaviors (CPB) through growth curve model analysis. Further, this dissertation investigated the association between MDS and offspring substance use from childhood to adulthood by applying Generalized Estimating Equations analysis. Finally, the dissertation used data from the Florida Healthy Start Prenatal Screening program to study the lifetime mental health services use (MHS) by race/ethnicity among pregnant women with depression. Findings of this dissertation indicate that children of mothers with depressive symptoms had higher levels of CPB over time. The adverse effect of early exposure to MDS on CPB may be greater for younger children than older children. The effects of MDS on CPB varied by different levels of father's involvement. Higher levels of father's involvement were associated with less CPB. Similarly, early exposure to MDS was associated with increased risk of cigarette and marijuana use but not with alcohol use from childhood to young adulthood, after controlling for confounders. In the investigation of MHS, Whites were more likely to use MHS than Blacks and Hispanics. Racial/ethnic differences were found in the factors that impede or enable MHS use. Residential instability, drug/alcohol use during pregnancy, an existing illness, and violence victimization were significant predictors of increased use of MHS use among all ethnic subgroups after controlling for covariates. Higher education attainment increased MHS use among Whites and Hispanics only. Health insurance coverage and smoking during pregnancy significantly predicted increased use of MHS among Blacks and Hispanics only. Having more children is inversely associated with MHS use among Whites. Findings from this dissertation further our understanding of the long term effects of MDS on child problem behaviors and factors related to racial differences in MHS women with depression. Maternal depression is an important public health problem. Policies and programs that promote depression screening among women are needed to ensure positive developmental outcomes in children. |
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Bibliography Citation
Chang, Jen Jen. Effects of Maternal Depressive Symptomatology on the Continuity and Discontinuity of Problem Behaviors and Substance Use in Offspring: A Life Course Perspective. Ph.D. Dissertation, School of Public Health, Department of Maternal and Child Health, University of North Carolina at Chapel Hill, March 2006. DAI-B 66/09, p. 4752, Mar 2006. |