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J Pediatr. 2013 Jan;162(1):189-94.e1. doi: 10.1016/j.jpeds.2012.06.047. Epub 2012 Aug 4.

Markers of maternal depressive symptoms in an urban pediatric clinic.

Author information

1
Child Neurosciences Center, Department of Pediatrics, Manila Doctors Hospital, Manila, Philippines. janharoldsia@gmail.com

Abstract

OBJECTIVE:

To identify markers of maternal depressive symptoms in medical records of children aged 1-6 years.

STUDY DESIGN:

Using a case-control methodology, mothers who were screened for depressive symptoms with the Quick Inventory of Depressive Symptomatology Self-Rated Questionnaire (QIDS-SR) at well-child visits between June 2006 and June 2008 in an inner-city pediatric clinic were grouped into cases with depressive symptoms (QIDS-SR score ≥ 11) and controls with no symptoms (QIDS-SR score ≤ 5). Potential markers for maternal depressive symptoms were collected from the children's medical record and grouped into 3 domains: (1) child health and development (eg, maternal concerns/negative attributions regarding the child's behavior); (2) child health care utilization (eg, missed appointments); and (3) maternal psychosocial factors (eg, single parent). The association between maternal depressive symptoms and each factor was determined using multiple logistic regression to calculate aORs.

RESULTS:

Maternal depressive symptoms were significantly associated with reports of concerns/negative attributions about the child's behavior (aOR, 2.35; P = .01) and concerns about speech (aOR, 2.40; P = .04) and sleep (aOR, 7.75; P < .001); these were identified at the visit when the depression screening was done. Other associations included history of maternal depression (aOR, 4.94; P = .001) and a previous social work referral (aOR, 1.98; P = .01).

CONCLUSION:

Information readily available to pediatricians was associated with maternal depressive symptoms and can serve as clinical markers to help identify at-risk mothers during well-child visits.

PMID:
22871489
PMCID:
PMC3494748
DOI:
10.1016/j.jpeds.2012.06.047
[Indexed for MEDLINE]
Free PMC Article

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