Risk factors for parental psychopathology: a study in families with children or adolescents with psychopathology.

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  • Additional Information
    • Source:
      Publisher: Country of Publication: Germany NLM ID: 9212296 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1435-165X (Electronic) Linking ISSN: 10188827 NLM ISO Abbreviation: Eur Child Adolesc Psychiatry Subsets: MEDLINE
    • Publication Information:
      Publication: 2010- : Heidelberg : Springer Medizin
      Original Publication: Toronto ; Lewiston, NY : Hogrefe & Huber, [1992-
    • Subject Terms:
      Psychopathology*; Antisocial Personality Disorder/*psychology ; Attention Deficit Disorder with Hyperactivity/*psychology ; Child of Impaired Parents/*statistics & numerical data ; Mental Disorders/*epidemiology ; Parents/*psychology; Adolescent ; Adult ; Attention Deficit Disorder with Hyperactivity/epidemiology ; Child ; Child of Impaired Parents/psychology ; Depressive Disorder/psychology ; Female ; Humans ; Male ; Netherlands/epidemiology ; Parent-Child Relations ; Risk Factors ; Self Report ; Socioeconomic Factors
    • Abstract:
      The parents of children with psychopathology are at increased risk for psychiatric symptoms. To investigate which parents are mostly at risk, we assessed in a clinical sample of families with children with psychopathology, whether parental symptom scores can be predicted by offspring psychiatric diagnoses and other child, parent and family characteristics. Parental depressive, anxiety, avoidant personality, attention-deficit/hyperactivity (ADHD), and antisocial personality symptoms were measured with the Adult Self Report in 1805 mothers and 1361 fathers of 1866 children with a psychiatric diagnosis as assessed in a child and adolescent psychiatric outpatient clinic. In a multivariate model, including all parental symptom scores as outcome variables, all offspring psychiatric diagnoses, offspring comorbidity and age, parental age, parental educational attainment, employment, and relationship status were simultaneously tested as predictors. Both 35.7% of mothers and 32.8% of fathers scored (sub)clinical for at least one symptom domain, mainly depressive symptoms, ADHD symptoms or, only in fathers, avoidant personality symptoms. Parental psychiatric symptoms were predicted by unemployment. Parental depressive and ADHD symptoms were further predicted by offspring depression and offspring ADHD, respectively, as well as by not living together with the other parent. Finally, parental avoidant personality symptoms were also predicted by offspring autism spectrum disorders. In families with children referred to child and adolescent psychiatric outpatient clinics, parental symptom scores are associated with adverse circumstances and with similar psychopathology in their offspring. This signifies, without implying causality, that some families are particularly vulnerable, with multiple family members affected and living in adverse circumstances.
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    • Contributed Indexing:
      Keywords: Childhood psychopathology; Family circumstances; Parental psychopathology; Parent–offspring associations; Risk factors
    • Publication Date:
      Date Created: 20180413 Date Completed: 20190118 Latest Revision: 20190118
    • Publication Date:
      20240104
    • Accession Number:
      PMC6245117
    • Accession Number:
      10.1007/s00787-018-1156-6
    • Accession Number:
      29644474