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A longitudinal study of maternal depression and child maltreatment in a national sample of families investigated by child protective services. Archives of pediatrics & adolescent medicine [Arch Pediatr Adolesc Med] Journal article

 
Conron KJ, Beardslee W, Koenen KC, Buka SL, Gortmaker SL 
A longitudinal study of maternal depression and child maltreatment in a national sample of families investigated by child protective services. [Journal Article, Research Support, N.I.H., Extramural]
Arch Pediatr Adolesc Med 2009 Oct; 163(10):922-30.


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.



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