Symptoms of depression and anxiety during the child rearing period : A longitudinal study of Norwegian mothers

Depression and anxiety are the most common mental health problems among women, with various negative impacts both for the women concerned and their families. Greater understanding of developmental trajectories of maternal symptoms of depression and anxiety during the child rearing period would have significant benefits for public health, informing prevention and treatment approaches. The overall aim of this study was to explore symptoms of depression and anxiety among mothers in Norway over 13 years of the child rearing period (i.e. from toddlerhood to adolescence). With the use of a person-oriented approach, we wanted to explore the heterogeneity in symptoms and the characteristics and predictors of different subgroups of mothers. Six trajectories based on maternal scores from six waves of data collection of symptoms of anxiety and depression were identified; a ‘No symptoms’ group with mothers without symptoms; a ‘Low’ group with mothers reporting low symptom levels; a ‘Moderate-low’ group with mothers reporting moderately low symptom levels; a ‘Moderate’ group with mothers with moderate symptoms; a ‘High-chronic’ group with mothers with overall high symptom levels; and a ‘Low-rising’ group with mothers starting with a low symptom level that increased over time. The mothers in the High-chronic symptom group differed from the other mothers in age, education, having paid work and living with a partner. The overall stability of maternal temperament across six waves was examined, and its stability among the symptom groups identified through the latent profile analysis. The study confirmed that the stability of temperament, when based on the overall sample, was relatively high, but that this disguised important variations in temperament among different subgroups of individuals. Changes in temperament tended to parallel changes in symptoms. When we looked at predictors of group membership from time 1, temperamental distress, followed by child related stressors, were the strongest predictors of membership in a group with high symptoms over time compared to groups with low symptom levels. Stressors related to living conditions, and social support from partner and friends/family were also significant predictors. Extended knowledge of differences in developmental pathways of symptoms over a large time span will improve our understanding of the complexity and variation in symptoms of depression and anxiety. Knowledge that can help improve preventive initiatives targeting mothers will have huge public health benefits as it concerns whole families

The role of social capital for wellbeing in people with long-term illness and disease

Long-term illness and disease are major public health challenges in Norway influencing people’s wellbeing. Social capital is known to be associated with good health and wellbeing, however people with long-term illness and disease have increased risk of less participation and social isolation. Thus, more knowledge about how social capital is associated with wellbeing in people living with long-lasting illness and diseases is needed. In 2019, 16,558 people (18–79 yrs.) living in Østfold, Norway, answered a web-based questionnaire about neighborhood quality, social factors, and wellbeing. Stepwise logistic regression analysis on an analytical sample of 6,517 respondents with longterm illness or disease was conducted, to investigate the main association between social capital (operationalized by social support, civic participation, trust, and sense of belonging) and wellbeing, after introducing sociodemographic factors and possible confounders. The main association between social capital and wellbeing was significant, and adding social capital to the model increased the explained variance of wellbeing to 43%. Participants with high social support had 2.7 times higher odds of reporting high wellbeing, compared to participants with low social support. Civic participation increased the odds for reporting high wellbeing by 30%, and for each unit increase on the scales of trust and sense of belonging, the odds increased by 14 and 23%, respectively. These findings underscore the importance of facilitating social capital for this group.publishedVersio

The role of social capital for wellbeing in people with long-term illness and disease

publishedVersio

Trajectories of maternal symptoms of anxiety and depression. A 13-year longitudinal study of a population-based sample

<p>Abstract</p> <p>Background</p> <p>There is a lack of population-based studies of developmental trajectories following mothers throughout the whole child-rearing phase and there are few longitudinal studies focusing on both symptoms of depression and anxiety. The aim of the current study is to identify latent trajectory groups based on counts of symptoms of anxiety and depression among mothers throughout the child-rearing phase and the relations of the latent groups to maternal socio-demographic variables.</p> <p>Methods</p> <p>Data is from a prospective, longitudinal study of nearly 1000 families in Norway followed from when the index children were 18 months until they were 14.5 years old (the TOPP study). The study used latent profile analysis (LPA) to identify latent groups of mothers with distinct trajectories across time of symptom counts. Latent group differences on socio-demographic variables were tested with one-way ANOVAs, chi-square tests and exact tests.</p> <p>Results</p> <p>Six trajectories based on maternal scores from six waves of data collection of symptoms of anxiety and depression were identified; a 'No symptoms' group with mothers without symptoms; a 'Low' group with mothers reporting low symptom levels; a 'Moderate-low' group with mothers reporting moderately low symptom levels; a 'Moderate' group with mothers with moderate symptoms; a 'High-chronic' group with mothers with overall high symptom levels; and a 'Low-rising' group with mothers starting with a low symptom level that increased over time. The mothers in the High-chronic symptom group differed from the other mothers on several socio-demographic variables. They were significantly younger than the mothers in the Low group comprising the oldest mothers. The mothers in the High-chronic group had significantly lower education, were less likely to have paid work and were less likely to be living with a partner than the mothers in the other groups.</p> <p>Conclusions</p> <p>The study shows socio-demographic differences between mothers classified into six trajectory groups based on symptoms of anxiety and depression covering 13 years of the child-rearing period. Specific socio-demographic risk factors characterised mothers in the High-chronic symptom group. Identifying subgroups with enduring problems might inform more targeted preventive efforts.</p

Maternal Psychological Distress and Offspring Psychological Adjustment in Emerging Adulthood: Findings from Over 18 Years

Objective: To examine the long-term prediction of psychological maladaptive (i.e., symptoms of anxiety and depression) and adaptive adjustment (i.e., self-efficacy) in emerging adult offspring from trajectories of maternal psychological distress from toddlerhood to adolescence. Method: Trajectories of maternal psychological distress (low, moderate, high, and low-rising patterns) from toddlerhood (age 1.5 years) to adolescence (age 14.5 years) were used to predict psychological adjustment in emerging adult offspring (age 18–20 years) (n 5 400). Results: Adverse maternal distress trajectories during childhood were linked to maladaptive and adaptive adjustment in adult offspring. Consistently high maternal distress levels experienced across childhood predicted higher symptoms of anxiety and depression and lower self-efficacy than low maternal distress trajectories. Two other adverse maternal distress trajectories (consistently moderate and low-rising patterns) compared with the low trajectory predicted higher offspring depressive symptoms. The findings persisted when adjusting for potential confounders: offspring gender and maternal education, relationship status, language, and economy. Conclusion: The current study showed longitudinal multiinformant impact from adverse maternal distress trajectories to adult offspring maladjustment over 18 years, emphasizing the importance of early identification and prevention

Examination of the double burden hypothesis—a systematic review of work–family conflict and sickness absence

Background: Women consistently have higher sickness absence than men. The double-burden hypothesis suggests this is due to higher work–family burden in women than men. The current study aimed to systematically review prospective studies of work–family conflict and subsequent sickness absence. Methods: A systematic search was conducted in the electronic databases Medline, PsycINFO, and Embase with subject heading terms and keywords with no language or time restrictions. Two reviewers independently screened abstracts and read full-texts with pre-defined inclusion and exclusion criteria. Results: Eight included studies (n = 40 856 respondents) measure perceived work–family conflict and subsequent sickness absence. We found moderate evidence for a positive relationship between work–family conflict and subsequent sickness absence, and that women experience higher levels of work–family conflict than men. Conclusion: Work–family conflict is associated with later sickness absence, and work–family conflict is more common for women than for men. This indicates that work–family conflict may contribute to the gender gap in sick leave. However, further studies are needed to confirm whether this relationship is causal

Trajectories of maternal symptoms of depression and anxiety over 13 years: the influence of stress, social support, and maternal temperament

<p>Abstract</p> <p>Background</p> <p>Depression and anxiety are the most common mental health problems among women, with various negative impacts both for the women concerned and their families. Greater understanding of developmental trajectories of maternal symptoms of depression and anxiety over the child rearing period would have significant benefits for public health, informing prevention and treatment approaches. The aim of the current study was to examine whether stressors related to child rearing and living conditions, social support, and maternal temperament, predicted mothers’ membership in groups with different trajectories of symptoms of depression and anxiety during 13 years of the child rearing phase.</p> <p>Methods</p> <p>The data were from a prospective, longitudinal study of 913 mothers in Norway followed from when their children were 18 months old (time 1) until they were 14.5 years (time 6) (the TOPP study). Multinomial logistic regression analyses were used to test whether child related stressors, stressors related to the living conditions, social support and maternal temperament at time 1 predicted membership in groups based on maternal symptoms of depression and anxiety over the subsequent 13 years.</p> <p>Results</p> <p>Temperamental distress, followed by child related stressors, were the strongest predictors of membership in a group with high symptoms of depression and anxiety over time. Stressors related to living conditions, and social support from partner and friends/family were also significant predictors. No interaction effects among predictors were found.</p> <p>Conclusions</p> <p>This study indicates that factors present early in the child rearing phase may provide substantial prediction of the variance in maternal symptoms of depression and anxiety over the following 13 years. Temperamental distress and child related stressors were the strongest predictors of membership in different depression and anxiety symptom trajectory groups.</p