Early Father Involvement Moderates Biobehavioral Susceptibility to Mental Health Problems in Middle Childhood - 09/08/11
, MARILYN J. ESSEX, Ph.D., ABBEY ALKON, R.N., Ph.D., H. HILL GOLDSMITH, Ph.D., HELENA C. KRAEMER, Ph.D., DAVID J. KUPFER, M.D.ABSTRACT |
Objective |
To study how early father involvement and children’s biobehavioral sensitivity to social contexts interactively predict mental health symptoms in middle childhood.
Method |
Fathers’ involvement in infant care and maternal symptoms of depression were prospectively ascertained in a community-based study of child health and development in Madison and Milwaukee, WI. In a subsample of 120 children, behavioral, autonomic, and adrenocortical reactivity to standardized challenges were measured as indicators of biobehavioral sensitivity to social context during a 4-hour home assessment in 1998, when the children were 7 years of age. Mental health symptoms were evaluated at age 9 years using parent, child, and teacher reports.
Results |
Early father involvement and children’s biobehavioral sensitivity to context significantly and interactively predicted symptom severity. Among children experiencing low father involvement in infancy, behavioral, autonomic, and adrenocortical reactivity became risk factors for later mental health symptoms. The highest symptom severity scores were found for children with high autonomic reactivity that, as infants, had experienced low father involvement and mothers with symptoms of depression.
Conclusions |
Among children experiencing minimal paternal caretaking in infancy, heightened biobehavioral sensitivity to social contexts may be an important predisposing factor for the emergence of mental health symptoms in middle childhood. Such predispositions may be exacerbated by the presence of maternal depression. J. Am. Child Adolesc. Psychiatry, 2006;45(12):000-000.
Le texte complet de cet article est disponible en PDF.Key Words : father involvement, stress reactivity, biobehavioral sensitivity to context, mental health symptoms, maternal depression, longitudinal studies
Plan
| This work was supported by grants from the MacArthur Foundation Research Network on Psychopathology and Development and the National Institute of Mental Health (R01-MH44340, P50-MH53524); additional support was provided by the HealthEmotions Research Institute, University of Wisconsin-Madison. The paper is dedicated to the memory of our irreplaceable colleagues, Drs. Dan Offord and Richard Harrington. The authors gratefully acknowledge the assistance of Professors John Cacioppo, Gary Berntson, Ned Kalin, and Jerome Kagan; David Lozano; and the MacArthur Assessment Battery Working Group (Jennifer Ablow, Abbey Alkon, Jeff Armstrong, W. Thomas Boyce, Marilyn J. Essex, Lauren Goldstein, Helena C. Kraemer, David Kupfer, Jeffrey Measelle, Charles Nelson, Jodi Quas, Nancy Smider, and Laurence Steinberg). Disclosure: The authors have no financial relationships to disclose. |
Vol 45 - N° 12
P. 1510-1520 - décembre 2006 Retour au numéroBienvenue sur EM-consulte, la référence des professionnels de santé.
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