TY - JOUR
T1 - A Refined Model of Stress–Diathesis Relationships in Mothers With Significant Depressive Symptom Severity
AU - Matsuda, Yui
AU - Schwartz, Todd A.
AU - Chang, Yun Kyung
AU - Beeber, Linda S.
N1 - Funding Information:
https://orcid.org/0000-0003-4936-1504 Matsuda Yui 1 https://orcid.org/0000-0002-0232-2543 Schwartz Todd A. 2 Chang YunKyung 3 https://orcid.org/0000-0002-0957-5914 Beeber Linda S. 4 1 Yui Matsuda, PhD, APHN-BC, MPH, University of Miami, Coral Gables, FL, USA 2 Todd A. Schwartz, DrPH, University of North Carolina at Chapel Hill, NC, USA 3 YunKyung Chang, PhD, MPH, University of North Carolina at Chapel Hill, NC, USA 4 Linda S. Beeber, PhD, PMHCNS-BC, FAAN, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA Yui Matsuda, University of Miami School of Nursing and Health Studies, 5030 Brunson Dr., Coral Gables, FL 33146, USA. Email: ymatsuda@miami.edu 10 2019 1078390319877228 © The Author(s) 2019 2019 American Psychiatric Nurses Association BACKGROUND: Mothers’ depressive symptoms affect their children’s growth as well as physical and mental well-being. Moreover, mothers of young children with developmental delay or disability (DD) tend to have higher depressive symptoms. AIMS: The purpose of this study was to examine associations between maternal depressive symptoms and number of children with DD among mothers with significant levels of depressive symptoms, while accounting for maternal diathesis factors and family stress factors. METHOD: This study was a secondary analysis of pooled baseline data collected from 2004 to 2012 in the northeastern and southeastern United States from three intervention studies to reduce depressive symptoms of mothers with young children ( n = 364). Multiple regression analyses were conducted to examine associations between maternal depressive symptoms and number of children with DD, followed by the post hoc pairwise comparison. RESULTS: In the model including family stress factors, we found a significant test for linear trend in the mean for maternal depressive symptoms across the number of children with DD ( F [1] = 4.3, p = .0388). CONCLUSIONS: Mothers who have multiple children with DD tend to experience higher depressive symptoms; thus, interventions are needed to help prevent these mothers from experiencing higher depressive symptoms or to reduce their current depressive symptoms. Both theory-based and strength-based interventions can target conflict management at the family level, reducing maternal depressive symptoms while improving mothers’ self-efficacy, which would help mothers care for their own health, manage family conflict, and seek appropriate support to manage the children’s medical and developmental needs. children with disability/developmental delay diathesis maternal depressive symptoms self-efficacy national institute of nursing research https://doi.org/10.13039/100000056 2T32NR008856 edited-state corrected-proof The authors would like to thank Dr. James Britton, the Center of Excellence for Health Disparities Research: El Centro, National Center on Minority Health and Health Disparities Grant (P60MD002266) and the University of Miami School of Nursing and Health Studies for the editorial support. Author Roles LSB led her research teams to collect the primary data. YM and LSB conceived the study. YM, TAS, and YC determined the methodology. TAS and YC analyzed the data. YM took the lead in writing and organizing the manuscript. TAS and YC wrote the method and results sections, and created tables and figures. LSB provided critical feedback. All four authors reviewed the final manuscript before submitting for publication. Declaration of Conflicting Interests The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article. Funding The author(s) disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: This research was funded by the National Institute of Nursing Research (NINR) at the National Institutes of Health (Grant Number: 2T32NR008856). Its contents are solely the responsibility of the authors and do not necessarily represent the official views of NINR. ORCID iDs Yui Matsuda https://orcid.org/0000-0003-4936-1504 Todd A. Schwartz https://orcid.org/0000-0002-0232-2543 Linda S. Beeber https://orcid.org/0000-0002-0957-5914
PY - 2019
Y1 - 2019
N2 - BACKGROUND: Mothers’ depressive symptoms affect their children’s growth as well as physical and mental well-being. Moreover, mothers of young children with developmental delay or disability (DD) tend to have higher depressive symptoms. AIMS: The purpose of this study was to examine associations between maternal depressive symptoms and number of children with DD among mothers with significant levels of depressive symptoms, while accounting for maternal diathesis factors and family stress factors. METHOD: This study was a secondary analysis of pooled baseline data collected from 2004 to 2012 in the northeastern and southeastern United States from three intervention studies to reduce depressive symptoms of mothers with young children (n = 364). Multiple regression analyses were conducted to examine associations between maternal depressive symptoms and number of children with DD, followed by the post hoc pairwise comparison. RESULTS: In the model including family stress factors, we found a significant test for linear trend in the mean for maternal depressive symptoms across the number of children with DD (F[1] = 4.3, p =.0388). CONCLUSIONS: Mothers who have multiple children with DD tend to experience higher depressive symptoms; thus, interventions are needed to help prevent these mothers from experiencing higher depressive symptoms or to reduce their current depressive symptoms. Both theory-based and strength-based interventions can target conflict management at the family level, reducing maternal depressive symptoms while improving mothers’ self-efficacy, which would help mothers care for their own health, manage family conflict, and seek appropriate support to manage the children’s medical and developmental needs.
AB - BACKGROUND: Mothers’ depressive symptoms affect their children’s growth as well as physical and mental well-being. Moreover, mothers of young children with developmental delay or disability (DD) tend to have higher depressive symptoms. AIMS: The purpose of this study was to examine associations between maternal depressive symptoms and number of children with DD among mothers with significant levels of depressive symptoms, while accounting for maternal diathesis factors and family stress factors. METHOD: This study was a secondary analysis of pooled baseline data collected from 2004 to 2012 in the northeastern and southeastern United States from three intervention studies to reduce depressive symptoms of mothers with young children (n = 364). Multiple regression analyses were conducted to examine associations between maternal depressive symptoms and number of children with DD, followed by the post hoc pairwise comparison. RESULTS: In the model including family stress factors, we found a significant test for linear trend in the mean for maternal depressive symptoms across the number of children with DD (F[1] = 4.3, p =.0388). CONCLUSIONS: Mothers who have multiple children with DD tend to experience higher depressive symptoms; thus, interventions are needed to help prevent these mothers from experiencing higher depressive symptoms or to reduce their current depressive symptoms. Both theory-based and strength-based interventions can target conflict management at the family level, reducing maternal depressive symptoms while improving mothers’ self-efficacy, which would help mothers care for their own health, manage family conflict, and seek appropriate support to manage the children’s medical and developmental needs.
KW - children with disability/developmental delay
KW - diathesis
KW - maternal depressive symptoms
KW - self-efficacy
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U2 - 10.1177/1078390319877228
DO - 10.1177/1078390319877228
M3 - Article
AN - SCOPUS:85074614975
JO - Journal of the American Psychiatric Nurses Association
JF - Journal of the American Psychiatric Nurses Association
SN - 1078-3903
ER -