Cargando…

Temporal effects of maternal psychological distress on child mental health problems at ages 3, 5, 7 and 11: analysis from the UK Millennium Cohort Study

BACKGROUND: Psychological distress is common among women of childbearing age, and limited longitudinal research suggests prolonged exposure to maternal distress is linked to child mental health problems. Estimating effects of maternal distress over time is difficult due to potential influences of ch...

Descripción completa

Detalles Bibliográficos
Autores principales: Hope, Steven, Pearce, Anna, Chittleborough, Catherine, Deighton, Jessica, Maika, Amelia, Micali, Nadia, Mittinty, Murthy, Law, Catherine, Lynch, John
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cambridge University Press 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6378410/
https://www.ncbi.nlm.nih.gov/pubmed/29886852
http://dx.doi.org/10.1017/S0033291718001368
_version_ 1783395921348788224
author Hope, Steven
Pearce, Anna
Chittleborough, Catherine
Deighton, Jessica
Maika, Amelia
Micali, Nadia
Mittinty, Murthy
Law, Catherine
Lynch, John
author_facet Hope, Steven
Pearce, Anna
Chittleborough, Catherine
Deighton, Jessica
Maika, Amelia
Micali, Nadia
Mittinty, Murthy
Law, Catherine
Lynch, John
author_sort Hope, Steven
collection PubMed
description BACKGROUND: Psychological distress is common among women of childbearing age, and limited longitudinal research suggests prolonged exposure to maternal distress is linked to child mental health problems. Estimating effects of maternal distress over time is difficult due to potential influences of child mental health problems on maternal distress and time-varying confounding by family circumstances. METHODS: We analysed the UK Millennium Cohort Study, a nationally representative sample with data collected throughout childhood. Adopting a marginal structural modelling framework, we investigated effects of exposure to medium/high levels of maternal psychological distress (Kessler-6 score 8+) on child mental health problems (Strengths and Difficulties Questionnaire borderline/abnormal behaviour cut-off) using maternal and child mental health data at 3, 5, 7 and 11 years, accounting for the influence of child mental health on subsequent maternal distress, and baseline and time-varying confounding. RESULTS: Prior and concurrent exposures to maternal distress were associated with higher levels of child mental health problems at ages 3, 5, 7 and 11 years. For example, elevated risks of child mental health problems at 11 years were associated with exposure to maternal distress from 3 years [risk ratio (RR) 1.27 (95% confidence interval (CI) 1.08–1.49)] to 11 years [RR 2.15 (95% CI 1.89–2.45)]. Prolonged exposure to maternal distress at ages 3, 5, 7 and 11 resulted in an almost fivefold increased risk of child mental health problems. CONCLUSIONS: Prior, concurrent and, particularly, prolonged exposure to maternal distress raises risks for child mental health problems. Greater support for mothers experiencing distress is likely to benefit the mental health of their children.
format Online
Article
Text
id pubmed-6378410
institution National Center for Biotechnology Information
language English
publishDate 2019
publisher Cambridge University Press
record_format MEDLINE/PubMed
spelling pubmed-63784102019-02-22 Temporal effects of maternal psychological distress on child mental health problems at ages 3, 5, 7 and 11: analysis from the UK Millennium Cohort Study Hope, Steven Pearce, Anna Chittleborough, Catherine Deighton, Jessica Maika, Amelia Micali, Nadia Mittinty, Murthy Law, Catherine Lynch, John Psychol Med Original Articles BACKGROUND: Psychological distress is common among women of childbearing age, and limited longitudinal research suggests prolonged exposure to maternal distress is linked to child mental health problems. Estimating effects of maternal distress over time is difficult due to potential influences of child mental health problems on maternal distress and time-varying confounding by family circumstances. METHODS: We analysed the UK Millennium Cohort Study, a nationally representative sample with data collected throughout childhood. Adopting a marginal structural modelling framework, we investigated effects of exposure to medium/high levels of maternal psychological distress (Kessler-6 score 8+) on child mental health problems (Strengths and Difficulties Questionnaire borderline/abnormal behaviour cut-off) using maternal and child mental health data at 3, 5, 7 and 11 years, accounting for the influence of child mental health on subsequent maternal distress, and baseline and time-varying confounding. RESULTS: Prior and concurrent exposures to maternal distress were associated with higher levels of child mental health problems at ages 3, 5, 7 and 11 years. For example, elevated risks of child mental health problems at 11 years were associated with exposure to maternal distress from 3 years [risk ratio (RR) 1.27 (95% confidence interval (CI) 1.08–1.49)] to 11 years [RR 2.15 (95% CI 1.89–2.45)]. Prolonged exposure to maternal distress at ages 3, 5, 7 and 11 resulted in an almost fivefold increased risk of child mental health problems. CONCLUSIONS: Prior, concurrent and, particularly, prolonged exposure to maternal distress raises risks for child mental health problems. Greater support for mothers experiencing distress is likely to benefit the mental health of their children. Cambridge University Press 2019-03 2018-06-11 /pmc/articles/PMC6378410/ /pubmed/29886852 http://dx.doi.org/10.1017/S0033291718001368 Text en © Cambridge University Press 2018 http://creativecommons.org/licenses/by/4.0/ This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Articles
Hope, Steven
Pearce, Anna
Chittleborough, Catherine
Deighton, Jessica
Maika, Amelia
Micali, Nadia
Mittinty, Murthy
Law, Catherine
Lynch, John
Temporal effects of maternal psychological distress on child mental health problems at ages 3, 5, 7 and 11: analysis from the UK Millennium Cohort Study
title Temporal effects of maternal psychological distress on child mental health problems at ages 3, 5, 7 and 11: analysis from the UK Millennium Cohort Study
title_full Temporal effects of maternal psychological distress on child mental health problems at ages 3, 5, 7 and 11: analysis from the UK Millennium Cohort Study
title_fullStr Temporal effects of maternal psychological distress on child mental health problems at ages 3, 5, 7 and 11: analysis from the UK Millennium Cohort Study
title_full_unstemmed Temporal effects of maternal psychological distress on child mental health problems at ages 3, 5, 7 and 11: analysis from the UK Millennium Cohort Study
title_short Temporal effects of maternal psychological distress on child mental health problems at ages 3, 5, 7 and 11: analysis from the UK Millennium Cohort Study
title_sort temporal effects of maternal psychological distress on child mental health problems at ages 3, 5, 7 and 11: analysis from the uk millennium cohort study
topic Original Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6378410/
https://www.ncbi.nlm.nih.gov/pubmed/29886852
http://dx.doi.org/10.1017/S0033291718001368
work_keys_str_mv AT hopesteven temporaleffectsofmaternalpsychologicaldistressonchildmentalhealthproblemsatages357and11analysisfromtheukmillenniumcohortstudy
AT pearceanna temporaleffectsofmaternalpsychologicaldistressonchildmentalhealthproblemsatages357and11analysisfromtheukmillenniumcohortstudy
AT chittleboroughcatherine temporaleffectsofmaternalpsychologicaldistressonchildmentalhealthproblemsatages357and11analysisfromtheukmillenniumcohortstudy
AT deightonjessica temporaleffectsofmaternalpsychologicaldistressonchildmentalhealthproblemsatages357and11analysisfromtheukmillenniumcohortstudy
AT maikaamelia temporaleffectsofmaternalpsychologicaldistressonchildmentalhealthproblemsatages357and11analysisfromtheukmillenniumcohortstudy
AT micalinadia temporaleffectsofmaternalpsychologicaldistressonchildmentalhealthproblemsatages357and11analysisfromtheukmillenniumcohortstudy
AT mittintymurthy temporaleffectsofmaternalpsychologicaldistressonchildmentalhealthproblemsatages357and11analysisfromtheukmillenniumcohortstudy
AT lawcatherine temporaleffectsofmaternalpsychologicaldistressonchildmentalhealthproblemsatages357and11analysisfromtheukmillenniumcohortstudy
AT lynchjohn temporaleffectsofmaternalpsychologicaldistressonchildmentalhealthproblemsatages357and11analysisfromtheukmillenniumcohortstudy