Archives of Psychiatric Nursing
Volume 22, Issue 3 , Pages 135-146, June 2008

Depressive Symptoms Among Primary Caregivers of Children With Mental Health Needs: Mediating and Moderating Variables

Indiana University School of Nursing, Indianapolis, IN

Division of Biostatistics, Indiana University School of Medicine, Indianapolis, IN

Clinical Psychology, Riley Hospital Child Psychiatry Clinic, Indiana University School of Medicine Indianapolis, IN

Division of Biostatistics, Indiana University School of Nursing, Indianapolis, IN

Received 10 February 2007; received in revised form 21 June 2007; accepted 24 June 2007.

The prevalence and severity of depressive symptoms among 155 primary caregivers of children with mental health problems were examined along with variables that mediated or moderated the association of child behavior problems with caregivers' depressive symptoms. Forty percent of participants scored 22 or higher on the Center for Epidemiological Studies Depression Scale, indicating that they might have a serious depression. Perceived personal control, subjective distress, and role disruption mediated the association between internalizing child behavior problems and depressive symptoms. Tangible social support moderated the association between internalizing behavior problems and depressive symptoms. Intangible social support moderated the association between externalizing behavior problems and depressive symptoms.

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 This research was funded in part by Grant P30 NR05035 from the National Institute of Nursing Research, National Institutes of Health, to the Center for Enhancing Quality of Life in Chronic Illness at Indiana University School of Nursing, the Indiana Division of Mental Health and Addiction, and the Association for the Advancement of Mental Health Research and Education, Inc. The authors thank the coinvestigators, Erika LeBaron, Brenda Costello Wells, and Kim Walton, for help with recruitment; the participants for their efforts; and Phyllis Dexter for editorial assistance.

PII: S0883-9417(08)00025-3

doi:10.1016/j.apnu.2007.06.016

Archives of Psychiatric Nursing
Volume 22, Issue 3 , Pages 135-146, June 2008