258504 Maternal Depression Among Low Income African American and Latina Mothers and Developmental Outcomes of Their Young Children

Tuesday, October 30, 2012

Carmen Ochoa-Paniagua, MPH Candidate , Health Promotion & Behavioral Sciences, UT School of Public Health, Dallas, TX
Margaret Caughy, ScD , Dallas Regional Campus, UT School of Public Health, Dallas, TX
Margaret Tresch Ownen, PhD , School of Behavioral & Brain Sciences, University of Texas Dallas, Richardson, TX
Ana-Maria Mata-Otero , School of Behavioral & Brain Sciences, University of Texas Dallas, Richardson, TX
Jamie Hurst , Child Development Institute, Texas Christian University, Fort Worth, TX
Adriana Baird , School of Behavioral & Brain Sciences, University of Texas Dallas, Richardson, TX
Nazly Hasanizadeh , School of Behavioral & Brain Sciences, University of Texas Dallas, Richardson, TX
Melissa Amos , School of Behavioral & Brain Sciences, University of Texas Dallas, Richardson, TX
Depression data using the Center for Epidemiological Studies Depression (CESD) scale were collected during home visits with 208 Latina mothers and 170 African American mothers as part of a longitudinal study of developmental outcomes in their 2 year old children. Average family income-to-needs ratio was 75% of the federal poverty level. Latina mothers were predominantly foreign-born (78%), Spanish-speaking (80%), and Mexican-origin (96%). The majority (86%) of Latina mothers were married compared to only 29% of African American mothers in the sample. Approximately 9% of the African American mothers and 12% of the Latina mothers reported depressive symptoms at or above the CESD cutoff of 16. At Time 1 (child age 2 years), mother-child data were collected by coding video recordings of structured interaction tasks, and child outcome measures included assessment of child behavior problems and self regulation skills. Depressive symptoms appeared to be more strongly related to deficits in the quality of mother-child interaction in Latina mothers, with depressed Latina mothers displaying lower sensitivity and cognitive stimulation, and higher negative regard than non-depressed Latina mothers. Children of Latina mothers with depressive symptoms displayed significantly higher child behavior problems at age 2. Time 2 home visits (child age 3 years) were completed in December 2011, and preliminary analyses indicate that children of depressed mothers displayed deficits in socioemotional competence regardless of ethnicity. We will explore how pathways between maternal depression and child competence are moderated by ethnicity.

Learning Areas:
Public health or related research
Social and behavioral sciences

Learning Objectives:
1.Define the various styles of mother-child interactions. 2.List the mother-child interactions associated with poor child outcomes. 3.Discuss how policies could improve developmental outcomes among children with depressed mothers.

Keywords: Depression, Maternal and Child Health

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am conducting an Independent Study Project on Maternal & Child Health with Dr. Margaret Caughy, ScD, principle investigator. Further, I am enrolled in the UTSPH Maternal & Child Health (MCH) Fellowship program. The MCH Fellowship program aims to develop the next generation of leaders in Maternal & Child Health.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.