A three generation study of the mental health relationships between grandparents, parents and children

BMC Psychiatry

Stephen R Zubrick¹  David Lawrence¹  Megan Shipley¹  Francis Mitrou¹  Kirsten J Hancock¹ 

[1] Telethon Institute for Child Health Research, The University of Western Australia, PO Box 855, West Perth, WA 6872, Australia

关键词: Children and families;    Mental health;    Intergenerational transfer;   

Others  :  1123897
DOI  :  10.1186/1471-244X-13-299

 received in 2013-04-15, accepted in 2013-11-06,  发布年份 2013

【 摘 要 】

Background

It is well known that children of parents with mental illness are at greater risk of mental illness themselves. However the patterns of familial mental health problems across multiple generations in families are less clear. This study aimed to examine mental health relationships across three generations of Australian families.

Methods

Mental health data, along with a range of family demographic information, were collected from over 4600 families in Growing Up in Australia: The Longitudinal Study of Australian Children, a nationally representative cohort study. The social and emotional wellbeing of two cohorts of children aged 4–5 years and 8–9 years was measured using the parent-rated Strengths and Difficulties Questionnaire (SDQ). The mental health of mothers and fathers was measured using the Kessler 6-item K6 scale, and the mental health history of maternal and paternal grandmothers and grandfathers was measured using a dichotomous parent-report item. Multivariate linear regression analyses were used assess the relationships between grandparent and parent mental health and child social and emotional wellbeing at ages 4–5 years and 8–9 years.

Results

Both cohorts of children had greater mental health distress with higher SDQ scores on average if their mother or father had a mental health problem. For children aged 8–9 years, a history of mental health problems in maternal grandmothers and grandfathers was associated with higher SDQ scores in grandchildren, after controlling for maternal and paternal mental health and other family characteristics. For children aged 4–5 years, only a mental health history in paternal grandfathers was associated with higher SDQ scores.

Conclusions

The mental health histories of both parents and grandparents play an important role in the social and emotional wellbeing of young children.

【 授权许可】

   
2013 Hancock et al.; licensee BioMed Central Ltd.

【 参考文献 】

• [1]Beardslee WR, Keller MB, Seifer R, Lavori PW, Staley J, Podorefsky D, Shera D: Prediction of adolescent affective disorder: effects of prior parental affective disorders and child psychopathology. J Am Acad Child Adolesc Psychiatry 1996, 35(3):279-288.
• [2]Connell AM, Goodman SH: The association between psychopathology in fathers versus mothers and Children’s internalizing and externalizing behavior problems: a meta-analysis. Psychol Bull 2002, 128(5):746-773.
• [3]Dean K, Stevens H, Mortensen PB, Murray RM, Walsh E, Pedersen CB: Full spectrum of psychiatric outcomes among offspring with parental history of mental disorder. Arch Gen Psychiatry 2010, 67(8):822-829.
• [4]Oyserman D, Mowbray CT, Meares PA, Firminger KB: Parenting among mothers with a serious mental illness. Am J Orthopsychiatry 2000, 70(3):296-315.
• [5]Hay DF, Pawlby S, Sharp D, Asten P, Mills A, Kumar R: Intellectual problems shown by 11-year-old children whose mothers had postnatal depression. J Child Psychol Psychiatry 2001, 42(7):871-889.
• [6]Hinshaw SP: Externalizing behavior problems and academic underachievement in childhood and adolescence: causal relationships and underlying mechanisms. Psychol Bull 1992, 111(1):127-155.
• [7]Smith M: Parental mental health: disruptions to parenting and outcomes for children. Child and Family Social Work 2004, 9:3-11.
• [8]Abkevich V, Camp NJ, Hensel CH, Neff CD, Russell DL, Hughes DC, Plenk AM, Lowry MR, Richards RL, Carter C, et al.: Predisposition locus for major depression at chromosome 12q22-12q23.2. Am J Hum Genet 2003, 73(6):1271-1281.
• [9]Dick DM, Foroud T, Flury L, Bowman ES, Miller MJ, Rau NL, Moe PR, Samavedy N, El-Mallakh R, Manji H, et al.: Genomewide linkage analyses of bipolar disorder: a new sample of 250 pedigrees from the national institute of mental health genetics initiative. American journal of human genetics 2003, 73(1):107-114.
• [10]Singh AL, D’Onofrio BM, Slutske WS, Turkheimer E, Emery RE, Harden KP, Heath AC, Madden PAF, Statham DJ, Martin NG: Parental depression and offspring psychopathology: a children of twins study. Psychol Med 2011, 41:1385-1395.
• [11]Cents RAM, Tiemeier H, Luijk MPCM, Jaddoe VWV, Hofman A, Verhulst FC, Lambregtse-van den Berg MP: Grandparental anxiety and depression predict young children’s internalizing and externalizing problems: the generation R study. J Affect Disord 2011, 128:95-105.
• [12]Hammen C, Shih JH, Brennan PA: Intergenerational transmission of depression: test of an interpersonal stress model in a community sample. J Consult Clin Psychol 2004, 72(3):511-522.
• [13]Olino TM, Pettit JW, Klein DN, Allen NB, Seeley JR, Lewinsohn PM: Influence of parental and grandparental major depressive disorder on behavior problems in early childhood: a three-generation study. J Am Acad Child Adolesc Psychiatry 2008, 47(1):53-60.
• [14]Pettit JW, Olino TM, Roberts RE, Seeley JR, Lewinsohn PM: Intergenerational transmission of internalizing problems: effects of parental and grandparental major depressive disorder on child behavior. J Clin Child Adolesc Psychol 2008, 37(3):640-650.
• [15]Warner V, Weissman MM, Mufson L, Wickramaratne P: Grandparents, parents, and grandchildren at high risk for depression: a three-generation study. J Am Acad Child Adolesc Psychiatry 1999, 38:289-296.
• [16]Weissman MM, Wickramaratne P, Nomura Y, Warner V, Verdeli H, Pilowsky DJ, Grillon C, Bruder G: Families at high and low risk for depression. Arch Gen Psychiatry 2005, 62:29-36.
• [17]Johnston DW, Schurer S, Shields MA: Evidence on the Long Shadow of Poor Mental Health across Three Generations. 2011. [IZA Discussion Paper No. 6014] Available at SSRN: http://ssrn.com/abstract=1944717 webcite
• [18]Soloff C, Lawrence D, Johnstone R: Sample Design: LSAC Technical Paper No. 1. Melbourne: Australian Institute of Family Studies; 2005.
• [19]Hull B, Lawrence G, MacIntyre CR, MacIntyre P: Immunisation Coverage: Australia 2001. Sydney: National Centre for Immunisation Research and Surveillance of Vaccine Preventable Diseases; 2001.
• [20]Soloff C, Lawrence D, Misson S, Johnstone R: Wave 1 Weighting and Non-Response: LSAC Technical Paper No. 3. Melbourne: Australian Institute of Family Studies; 2006.
• [21]Sipthorp M, Misson S: Wave 3 Weighting and Non-Response (LSAC Technical Paper, No. 6). Melbourne: Australian Institute of Family Studies; 2009.
• [22]Kessler RC, Andrews G, Colpe LJ, Hiripi E, Mrocrek DK, Normand SL: Short screening scales to monitor population prevalence and trends in non-specific psychological distress. Psychol Med 2002, 32:959-976.
• [23]Kessler RC, Barker PR, Colpe LJ, Epstein JF, Gfroerer JC, Hiripi E, Howes MJ, Normand SL, Manderscheid RW, Walters EE, et al.: Screening for serious mental illness in the general population. Arch Gen Psychiatry 2003, 60:184-189.
• [24]Strazdins L, Shipley M, Broom DH: What does family-friendly really mean? Wellbeing, time and the quality of parents’ jobs. Australian Bulletin of Labour 2007, 33(2):202-225.
• [25]Strazdins L, Shipley M, O’Brien LV, Broom DH: Job quality and inequality: Parents’ jobs and children’s emotional and behavioural difficulties. Soc Sci Med 2010, 70:2052-2060.
• [26]Kessler RC, Üstün TB: The world mental health (WMH) survey initiative version of the world health organization (WHO) composite international diagnostic interview (CIDI). Int J Methods Psychiatr Res 2004, 13(2):93-121.
• [27]Goodman R: Psychometric properties of the strengths and difficulties questionnaire (SDQ). J Am Acad Child Adolesc Psychiatry 2001, 40:1337-1345.
• [28]Blakemore T, Strazdins L, Gibbings J: Measuring family socio-economic position. Australian Social Policy Journal 2009, 8:121-168.
• [29]Haveman R, Wolfe B: The determinants of children’s attainments: a review of methods and findings. J Econ Lit 1995, 33:1829-1878.
• [30]Black SE, Devereux PJ: Recent developments in intergenerational mobility. Handb Labor Econ 2011, 4:1487-1541.
• [31]Hancock KJ, Edwards B, Zubrick SR: Echoes of Disadvantage across the Generations? The Influence of Unemployment and Separation of Grandparents on their Grandchildren. Melbourne: Australian Institute of Family Studies; 2013. [LSAC Annual Statistical Report 2012]