Research Article| Volume 12, ISSUE 1, P50-58, February 1998

Maternal depressive symptoms and homeless children's mental health: Risk and resiliency

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      Homelessness places children at risk for mental health problems. Maternal depression may influence child outcomes through its effects on the mother-child relationship. This study examined the relationship between maternal depressive symptoms and child mental health in a sample of homeless mothers and their preschool children. The relationship between maternal depressive symptoms and child behavior problems was not significant. The data suggest that mental health services for homeless mothers and their young children are needed. However, 70% of the children in this sample had no behavior problems. Their adaptation reflects resilience to extraordinary stressors and provides a unique opportunity to understand child resiliency.
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        • Abidin R.R.
        • Jenkins C.L.
        • McGaughey M.C.
        The relationship of early family variables to children's subsequent behavioral adjustment.
        Journal of Clinical Child Psychology. 1992; 21: 60-69
        • Achenbach T.M.
        • Edelbrock C.S.
        Manual for the Child Behavior Checklist and Revised Behavior Profile.
        University of Vermont, New York1983
        • Barnard K.E.
        The research cycle: Nursing, the profession, the discipline.
        Western Journal of Nursing Research. 1982; 4: 1-12
        • Bassuk E.L.
        Who are the homeless families?.
        Community Mental Health Journal. 1990; 26: 425-434
        • Bassuk E.L.
        • Rosenberg L.
        Psychosocial characteristics of homeless children and children with homes.
        Pediatrics. 1990; 85: 257-261
        • Bassuk E.L.
        • Rubin L.
        Homeless children: A neglected population.
        American Journal of Orthopsychiatry. 1987; 57: 279-286
        • Belsky J.
        • Fish M.
        • Isabella R.
        Continuity and discontinuity in infant negative and positive emotionality: Family antecedents and attachment consequences.
        in: Hertzig M. Farber E.A. Annual Progress in Child Psychiatry and Development. Bruner/Mazel, Burlington, VT1993: 42-66
        • Berkman L.F.
        • Berkman C.S.
        • Kasl S.
        • Freeman D.H.
        • Leo L.
        • Ostfeld A.M.
        • Coroni-Huntley J.
        • Brody J.A.
        Depressive symptoms in relation to physical health and functioning in the elderly.
        American Journal of Epidemiology. 1986; 124: 372-388
        • Breakey W.R.
        It's time for the public health community to declare war on homelessness.
        American Journal of Public Health. 1997; 87 ([Editorial]): 153-155
        • Campbell S.B.
        Longitudinal studies of active and aggressive preschoolers: Individual differences in early behavior and in outcome.
        in: Cicchetti D. Toth S. Internalizing and externalizing expression of dysfunction. Rochester Symposium on Developmental Psychopathology. Vol. 2. Erlbaum, New York1991: 57-89
        • Dix T.
        The affective organization of parenting: Adaptive and maladaptive processes.
        Psychological Bulletin. 1991; 110: 3-25
        • Downey G.
        • Coyne J.C.
        Children of depressed parents: An integrative review.
        Psychological Bulletin. 1990; 108: 50-76
        • Garbarino J.
        Raising children in socially toxic environments.
        Jossey-Bass Publishers, Hillsdale, NJ1995
        • Goodyear I.M.
        Developmental and psychopathology: The impact of recent life events in anxious and depressed school-aged children.
        Journal of the Royal Society of Medicine. 1994; 67: 327-329
        • Gross D.
        Implications of maternal depression for the development of young children.
        IMAGE: Journal for Nursing Scholarship. 1989; 21: 103-107
        • Gross D.
        • Conrad B.
        • Fogg L.
        • Willis L.
        • Garvey C.
        A longitudinal study of maternal depression and preschool children's mental health.
        Nursing Research. 1995; 44: 96-101
        • Hall L.A.
        Prevalence and correlates of depressive symptoms in mothers of young children.
        Public Health Nursing. 1990; 7: 71-79
        • Hall L.A.
        • Gurley D.N.
        • Sachs B.
        • Kryscio R.J.
        Psychosocial predictors of maternal depressive symptoms, parenting attitudes, and child behavior in single-parent families.
        Nursing Research. 1991; 40: 214-220
        • Hausman B.
        • Hammen C.
        Parenting in homeless families: The double crisis.
        American Journal of Orthopsychiatry. 1993; 63: 358-369
        • Hops H.
        Age- and gender-specific effects of parental depression: A commentary.
        Developmental Psychology. 1995; 31: 428-431
        • Kohn M.
        The Kohn Social Competence Scale and Kohn Symptom Checklist for the preschool child: A follow-up report.
        Journal of Abnormal Child Psychology. 1977; 5: 249-263
        • Kohn M.
        KPC/KSC: Kohn Problem Checklist/Kohn Social Competence Scale manual.
        research edition. The Psychological Corporation/Harcourt Brace Jovanovich, Inc., San Francisco, CA1988
        • Lahey B.B.
        • Conger R.D.
        • Atkenson B.M.
        • Treiber F.A.
        Parenting behavior and the emotional status of physically abusive mothers.
        Journal of Consulting and Clinical Psychology. 1984; 52: 1062-1071
        • Leadbeater B.J.
        • Bishop S.J.
        Predictors of behavior problems in preschool children in inner-city Afro-American and Puerto Rican adolescent mothers.
        Child Development. 1994; 65: 638-648
        • Link B.G.
        • Susser E.
        • Stueve A.
        • Phelan J.
        • Moore R.E.
        • Struening E.
        Lifetime and five-year prevalence of homelessness in the United States.
        American Journal of Public Health. 1994; 84: 1902-1912
        • Lerner J.A.
        • Inui T.S.
        • Trupin E.W.
        • Douglas E.
        Preschool behavior can predict future psychiatric disorders.
        Journal of the American Academy of Child Psychiatry. 1985; 24: 42-48
        • Mach-Ward G.
        • Meyer H.
        • Bertacchi J.
        Lessons leaders learn.
        Zero To Three. 1996; 17: 8-15
        • McDermott P.A.
        A nationwide study of developmental and gender prevalence for psychopathology in childhood and adolescence.
        Journal of Abnormal Child Psychology. 1996; 24: 53-66
        • Munro B.H.
        • Page E.B.
        Statistical methods for health care research.
        2nd ed. J.B. Lippincott, San Antonio1993
        • Myers J.
        • Weissman M.
        Use of a self-report symptom scale to detect depression in a community sample.
        American Journal of Psychiatry. 1980; 137: 1081-1083
        • Patterson G.R.
        Coercive family process.
        Castaglia, Philadelphia1982
        • Perry B.D.
        • Pollard B.A.
        • Blakley T.I.
        • Barker W.I.
        • Vigilant D.
        Childhood trauma, the neurobiology of adaptation, and “use-dependent” development of the brain: How states become traits.
        Infant Mental Health Journal. 1995; 16: 271-289
        • Pettit G.S.
        • Bates J.E.
        Family interaction patterns and children's behavior problems from infancy to four years.
        Developmental Psychology. 1989; 25: 413-420
        • Radloff L.
        The CES-D Scale: A self-report scale for research in the general population.
        Applied Psychological Measurement. 1977; 1: 385-401
        • Rafferty Y.
        • Shinn M.
        The impact of homelessness on children.
        American Psychologist. 1991; 46: 1170-1179
        • Rose S.L.
        • Rose S.A.
        • Feldman J.F.
        Stability of behavior problems in very young children.
        Development & Psychopathology. 1989; 1: 5-20
        • Rutter M.
        Psychosocial resilience and protective mechanisms.
        American Journal of Orthopsychiatry. 1987; 57: 316-331
      1. Rutter M. Studies of psychosocial risk: The power of longitudinal data. Cambridge University Press, Eugene, OR1992
      2. (DHEW Publication No. (PHS) 80-166)
        • Sayetta R.B.
        • Johnson D.P.
        Basic data on depressive symptomatology: United States, 1974–75.
        in: National Center for Health Statistics, Vital and Health Statistics, Series 11, No. 216. U.S. Government Printing Office, New York1980
        • Schwartz C.E.
        • Dorer D.J.
        • Beardslee W.R.
        • Lavor P.W.
        • Keller M.B.
        Maternal expressed emotion and parental affective disorder: Risk for childhood depressive disorder, substance abuse, or conduct disorder.
        Journal of Psychiatric Research. 1990; 24: 231-250
        • Smith E.M.
        • North C.S.
        • Spitzmagel E.L.
        Alcohol, drugs and psychiatric comorbidity among homeless women: An epidemiologic study.
        Journal of Clinical Psychiatry. 1993; 54: 82-87
      3. Tannenbaum, L. & Forehand, R. The unique contribution of four maternal stressors to adolescent functioning. Journal of Early Adolescence, 12, 314–325.

        • Thompson M.J.J.
        • Stevenson J.
        • Sonuga-Barke E.
        • Nott P.
        • Bhatti Z.
        • Price A.
        • Hudswell M.
        Mental health of preschool children and their mothers in a mixed urban/rural population: Prevalence and ecological factors.
        British Journal of Psychiatry. 1996; 168: 16-25
        • U.S. General Accounting Office
        Children and youths—About 68000 homeless and 186000 in shared housing at any given time.
        Author, Washington, DC1989
        • Webster-Stratton C.
        • Hammond M.
        Maternal depression and its relationship to life stress, perceptions of child behavior problems, parenting behaviors, and child conduct problems.
        Journal of Abnormal Child Psychology. 1988; 16: 299-315
        • Weissman M.W.
        • Sholomskas D.
        • Pottenger M.
        • Prusoff B.A.
        • Locke B.Z.
        Assessing depressive symptoms in 5 psychiatric populations: A validation study.
        American Journal of Epidemiology. 1977; 106: 203-214
        • Werner E.E.
        • Smith R.S.
        Overcoming the odds: High risk children from birth to adulthood.
        Cornell University Press, Washington, DC1992
        • Zima B.T.
        • Bussing R.
        • Forness S.R.
        • Benjamin B.
        Sheltered homeless children: Their eligibility and unmet need for special education evaluation.
        American Journal of Public Health. 1997; 87: 236-240
        • Zima B.T.
        • Wells K.B.
        • Benjamin B.
        • Duan N.
        Mental health problems among homeless mothers: Relationship to service use and child mental health problems.
        Archives of General Psychiatry. 1996; 53: 328-332
        • Zima B.T.
        • Wells K.B.
        • Freeman H.E.
        Emotional and behavioral problems and severe academic delays among sheltered homeless children in Los Angelos County.
        American Journal of Public Health. 1994; 84: 260-264