The Longitudinal Impact of Maternal Depression and Neighborhood Social Context on Adolescent Mental Health
PurposeMaternal depression and neighborhood characteristics are known to be associated both with each other and with adolescent mental health outcomes. These exposures are also subject to change throughout the life of a child. This study sought to identify multi-trajectories of maternal depression (...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2022-06-01
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| Series: | Frontiers in Pediatrics |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fped.2022.854418/full |
| _version_ | 1818550342763151360 |
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| author | Daphne Lew Daphne Lew Hong Xian Travis Loux Enbal Shacham Darcell Scharff |
| author_facet | Daphne Lew Daphne Lew Hong Xian Travis Loux Enbal Shacham Darcell Scharff |
| author_sort | Daphne Lew |
| collection | DOAJ |
| description | PurposeMaternal depression and neighborhood characteristics are known to be associated both with each other and with adolescent mental health outcomes. These exposures are also subject to change throughout the life of a child. This study sought to identify multi-trajectories of maternal depression (MD) and self-reported neighborhood collective efficacy (NCE) over a 12-year period and determine whether these trajectories are differentially associated with adolescent mental health.MethodsData from the Fragile Families and Child Wellbeing study, a longitudinal cohort study of new parents and their children, were used. Maternal depression (MD) and self-reported NCE when the child was 3, 5, 9, and 15 years of age were the primary exposures of interest. Adolescent depression and anxiety symptomology when the child was 15 years of age were the primary outcomes. Primary analyses were conducted using multi-trajectory modeling and linear regressions.ResultsFive multi-trajectories were identified, two of which were characterized by no MD but either high or low NCE, and three of which were characterized by similarly moderate levels of NCE but either increasing, decreasing, or consistently high MD. Children of mothers with increasing or consistently high depressive symptomology and moderate NCE had significantly higher depression and anxiety scores compared to children of mothers with no depressive symptomology and high NCE.ConclusionAdolescents with consistent and proximal exposure to MD are most likely to suffer from adverse mental health and should be provided with appropriate support systems to mitigate these outcomes. |
| first_indexed | 2024-12-12T08:45:11Z |
| format | Article |
| id | doaj.art-7d8675af55f7487f9c1253045ba4aac7 |
| institution | Directory Open Access Journal |
| issn | 2296-2360 |
| language | English |
| last_indexed | 2024-12-12T08:45:11Z |
| publishDate | 2022-06-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Pediatrics |
| spelling | doaj.art-7d8675af55f7487f9c1253045ba4aac72022-12-22T00:30:34ZengFrontiers Media S.A.Frontiers in Pediatrics2296-23602022-06-011010.3389/fped.2022.854418854418The Longitudinal Impact of Maternal Depression and Neighborhood Social Context on Adolescent Mental HealthDaphne Lew0Daphne Lew1Hong Xian2Travis Loux3Enbal Shacham4Darcell Scharff5Division of Biostatistics, Washington University in St. Louis School of Medicine, Saint Louis, MO, United StatesCenter for Population Health Informatics, Institute for Informatics, Washington University in St. Louis School of Medicine, Saint Louis, MO, United StatesDepartment of Epidemiology and Biostatistics, College for Public Health and Social Justice, Saint Louis University, Saint Louis, MO, United StatesDepartment of Epidemiology and Biostatistics, College for Public Health and Social Justice, Saint Louis University, Saint Louis, MO, United StatesDepartment of Behavioral Science and Health Education, College for Public Health and Social Justice, Saint Louis University, Saint Louis, MO, United StatesDepartment of Behavioral Science and Health Education, College for Public Health and Social Justice, Saint Louis University, Saint Louis, MO, United StatesPurposeMaternal depression and neighborhood characteristics are known to be associated both with each other and with adolescent mental health outcomes. These exposures are also subject to change throughout the life of a child. This study sought to identify multi-trajectories of maternal depression (MD) and self-reported neighborhood collective efficacy (NCE) over a 12-year period and determine whether these trajectories are differentially associated with adolescent mental health.MethodsData from the Fragile Families and Child Wellbeing study, a longitudinal cohort study of new parents and their children, were used. Maternal depression (MD) and self-reported NCE when the child was 3, 5, 9, and 15 years of age were the primary exposures of interest. Adolescent depression and anxiety symptomology when the child was 15 years of age were the primary outcomes. Primary analyses were conducted using multi-trajectory modeling and linear regressions.ResultsFive multi-trajectories were identified, two of which were characterized by no MD but either high or low NCE, and three of which were characterized by similarly moderate levels of NCE but either increasing, decreasing, or consistently high MD. Children of mothers with increasing or consistently high depressive symptomology and moderate NCE had significantly higher depression and anxiety scores compared to children of mothers with no depressive symptomology and high NCE.ConclusionAdolescents with consistent and proximal exposure to MD are most likely to suffer from adverse mental health and should be provided with appropriate support systems to mitigate these outcomes.https://www.frontiersin.org/articles/10.3389/fped.2022.854418/fullmental healthneighborhoodsmaternal-child healthlongitudinal studiesdepressionanxiety |
| spellingShingle | Daphne Lew Daphne Lew Hong Xian Travis Loux Enbal Shacham Darcell Scharff The Longitudinal Impact of Maternal Depression and Neighborhood Social Context on Adolescent Mental Health Frontiers in Pediatrics mental health neighborhoods maternal-child health longitudinal studies depression anxiety |
| title | The Longitudinal Impact of Maternal Depression and Neighborhood Social Context on Adolescent Mental Health |
| title_full | The Longitudinal Impact of Maternal Depression and Neighborhood Social Context on Adolescent Mental Health |
| title_fullStr | The Longitudinal Impact of Maternal Depression and Neighborhood Social Context on Adolescent Mental Health |
| title_full_unstemmed | The Longitudinal Impact of Maternal Depression and Neighborhood Social Context on Adolescent Mental Health |
| title_short | The Longitudinal Impact of Maternal Depression and Neighborhood Social Context on Adolescent Mental Health |
| title_sort | longitudinal impact of maternal depression and neighborhood social context on adolescent mental health |
| topic | mental health neighborhoods maternal-child health longitudinal studies depression anxiety |
| url | https://www.frontiersin.org/articles/10.3389/fped.2022.854418/full |
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