Document Detail


Associations of early exposure to intimate partner violence and parental depression with subsequent mental health outcomes.
MedLine Citation:
PMID:  23381234     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
IMPORTANCE: Children with known exposure to intimate partner violence (IPV) or maternal depression are at risk for negative mental health outcomes as early as preschool age. Active ongoing surveillance for these risk factors can lead to earlier mental health intervention for children.
OBJECTIVE: To examine the association between parent reports of IPV and depressive symptoms within the first 3 years of a child's life with subsequent mental health conditions and psychotropic drug treatment.
DESIGN: Prospective cohort study linking parental IPV and depression with subsequent billing and pharmacy data between November 1, 2004, and June 7, 2012.
SETTING: Four pediatric clinics.
PARTICIPANTS: A total of 2422 children receiving care from clinics that implemented the Child Health Improvement Through Computer Automation (CHICA) system.
MAIN OUTCOME MEASURES: Any report of IPV and/or parental depressive symptoms from birth to age 3 years, mental health diagnoses made with International Classification of Diseases, Ninth Revision criteria, and any psychotropic drug treatment between ages 3 and 6 years.
RESULTS: Fifty-eight caregivers (2.4%) reported both IPV and depressive symptoms before their children were aged 3 years, 69 (2.8%) reported IPV only, 704 (29.1%) reported depressive symptoms only, and 1591 (65.7%) reported neither exposure. Children of parents reporting both IPV and depressive symptoms were more likely to have a diagnosis of attention-deficit/hyperactivity disorder (adjusted odds ratio = 4.0; 95% CI, 1.5-10.9), even after adjusting for the child's sex, race/ethnicity, and insurance type. Children whose parents reported depressive symptoms were more likely to have been prescribed psychotropic medication (adjusted odds ratio = 1.9; 95%, CI 1.0-3.4).
CONCLUSIONS AND RELEVANCE: Exposure to both IPV and depression before age 3 years is associated with preschool-aged onset of attention-deficit/hyperactivity disorder; early exposure to parental depression is associated with being prescribed psychotropic medication. Pediatricians play a critical role in performing active, ongoing surveillance of families with these known social risk factors and providing early intervention to negate long-term sequelae.
Authors:
Nerissa S Bauer; Amy L Gilbert; Aaron E Carroll; Stephen M Downs
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Publication Detail:
Type:  Journal Article; Multicenter Study; Research Support, N.I.H., Extramural; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  JAMA pediatrics     Volume:  167     ISSN:  2168-6211     ISO Abbreviation:  JAMA Pediatr     Publication Date:  2013 Apr 
Date Detail:
Created Date:  2013-04-02     Completed Date:  2013-06-24     Revised Date:  2013-12-09    
Medline Journal Info:
Nlm Unique ID:  101589544     Medline TA:  JAMA Pediatr     Country:  United States    
Other Details:
Languages:  eng     Pagination:  341-7     Citation Subset:  AIM; IM    
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MeSH Terms
Descriptor/Qualifier:
Age Factors
Attention Deficit Disorder with Hyperactivity / epidemiology
Child, Preschool
Female
Humans
Logistic Models
Male
Parent-Child Relations
Parents / psychology*
Prospective Studies
Psychotropic Drugs / therapeutic use
Risk Factors
Spouses*
Grant Support
ID/Acronym/Agency:
1R01HS018453/HS/AHRQ HHS; R01 HS017939/HS/AHRQ HHS; R01 LM010031/LM/NLM NIH HHS
Chemical
Reg. No./Substance:
0/Psychotropic Drugs
Comments/Corrections
Comment In:
Evid Based Ment Health. 2013 Nov;16(4):102   [PMID:  23868927 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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