TY - JOUR PY - 2009// TI - A longitudinal study of maternal depression and child maltreatment in a national sample of families investigated by child protective services JO - Archives of pediatrics and adolescent medicine A1 - Conron, Kerith J. A1 - Beardslee, William A1 - Koenen, Karestan C. A1 - Buka, Stephen L. A1 - Gortmaker, Steven L. SP - 922 EP - 930 VL - 163 IS - 10 N2 - OBJECTIVE: To assess whether a change in depression predicts a mother's change in maltreatment. DESIGN: Observational, repeated measures study. SETTING: National Survey of Child and Adolescent Well-being, 1999 to 2004. PARTICIPANTS: Mothers who retained custody of a child aged 0 to 15 years following a maltreatment investigation and completed at least 2 of 3 surveys (n = 2386). MAIN EXPOSURE: Change in depression status between baseline and 18- and 36-month follow-ups, assessed with the Composite International Diagnostic Interview Short Form. MAIN OUTCOME MEASURES: Change in psychological aggression, physical assault, and neglect between baseline and 18- and 36-month follow-ups, assessed with the Conflict Tactics Scale Parent-Child version. RESULTS: One-third (35.5%) of mothers experienced onset or remission of depression. Onset of depression was associated with an increase of 2.3 (95% confidence interval, 0.2-4.4) psychologically aggressive acts in an average 12-month period, but was not statistically significantly associated with change in physical assault or neglect. CONCLUSION: Depression is positively associated with maternal perpetration of psychological aggression in high-risk families.
Language: en
LA - en SN - 1072-4710 UR - http://dx.doi.org/10.1001/archpediatrics.2009.176 ID - ref1 ER -