Evidence map›Paper›PMID 29886852›Full record

ArticlePsychological medicine2019

Temporal effects of maternal psychological distress on child mental health problems at ages 3, 5, 7 and 11: analysis from the UK Millennium Cohort Study.

Steven Hope, Anna Pearce, Catherine Chittleborough, Jessica Deighton, Amelia Maika, Nadia Micali, Murthy Mittinty, Catherine Law, John Lynch

Abstract read
In one paragraph

Article in Psychological medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 1 synthesis or guideline pooled it.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Steven HopeUCL Great Ormond Street Institute of Child Health,London,UK.ORCID 0000-0001-6759-6927
Anna PearceUCL Great Ormond Street Institute of Child Health,London,UK.
Catherine ChittleboroughSchool of Public Health, University of Adelaide,Adelaide,Australia.
Jessica DeightonUCL and Anna Freud National Centre for Children and Families,London,UK.
Amelia MaikaFaculty of Social and Political Science,Gadjah Mada University,Yogyakarta,Indonesia.
Nadia MicaliUCL Great Ormond Street Institute of Child Health,London,UK.
Murthy MittintySchool of Public Health, University of Adelaide,Adelaide,Australia.
Catherine LawUCL Great Ormond Street Institute of Child Health,London,UK.
John LynchSchool of Public Health, University of Adelaide,Adelaide,Australia.

Funding

Department of Health 10090001
6 · The paper itself

Abstract

backgroundPsychological distress is common among women of childbearing age, and limited longitudinal research suggests prolonged exposure to maternal distress is linked to child mental health problems. Estimating effects of maternal distress over time is difficult due to potential influences of child mental health problems on maternal distress and time-varying confounding by family circumstances.

methodsWe analysed the UK Millennium Cohort Study, a nationally representative sample with data collected throughout childhood. Adopting a marginal structural modelling framework, we investigated effects of exposure to medium/high levels of maternal psychological distress (Kessler-6 score 8+) on child mental health problems (Strengths and Difficulties Questionnaire borderline/abnormal behaviour cut-off) using maternal and child mental health data at 3, 5, 7 and 11 years, accounting for the influence of child mental health on subsequent maternal distress, and baseline and time-varying confounding.

resultsPrior and concurrent exposures to maternal distress were associated with higher levels of child mental health problems at ages 3, 5, 7 and 11 years. For example, elevated risks of child mental health problems at 11 years were associated with exposure to maternal distress from 3 years [risk ratio (RR) 1.27 (95% confidence interval (CI) 1.08-1.49)] to 11 years [RR 2.15 (95% CI 1.89-2.45)]. Prolonged exposure to maternal distress at ages 3, 5, 7 and 11 resulted in an almost fivefold increased risk of child mental health problems.

conclusionsPrior, concurrent and, particularly, prolonged exposure to maternal distress raises risks for child mental health problems. Greater support for mothers experiencing distress is likely to benefit the mental health of their children.

Indexed as

Psychological DistressAdolescentAdultAge FactorsChildChild, PreschoolFemaleHumansLongitudinal StudiesMaleMental DisordersMothersPsychiatric Status Rating ScalesRisk FactorsSurveys and QuestionnairesTime FactorsChild developmentepidemiologylife coursematernal factors

Identifiers

PMID29886852
PMCPMC6378410

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.