Sensitive Fathering Buffers the Effects of Chronic Maternal Depression on Child Psychopathology

Child Psychiatry Hum Dev. 2018 Oct;49(5):779-785. doi: 10.1007/s10578-018-0795-7.

Abstract

Maternal depression across the first years of life carries long-term negative consequences for children's well-being; yet, few studies focused on fathers as potential source of resilience in the context of chronic maternal depression. Utilizing an extreme-case design, a community birth cohort of married/cohabitating mothers (N = 1983) with no comorbid risk was repeatedly tested for maternal depression across the first year and again at 6 years, leading to two matched cohorts; 46 mothers with chronic depression and 103 non-depressed controls. At 6 years, mother and child underwent psychiatric diagnosis and mother-child and father-child interactions observed. Partners of depressed mothers exhibited reduced sensitivity, lower reciprocity, and higher tension during interactions, particularly among children with psychopathology. Maternal depression increased child propensity to display Axis-I disorder upon school-entry by fourfold. Sensitive fathering reduced this risk by half. Findings underscore the father's resilience-promoting role in cases of maternal depression and emphasize the need for father-focused interventions.

Keywords: Child psychopathology; Fatherhood; Longitudinal studies; Maternal depression; Parent–child interaction.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Child
  • Child of Impaired Parents / psychology*
  • Child, Preschool
  • Depression / psychology
  • Depressive Disorder / psychology*
  • Family Health
  • Father-Child Relations*
  • Fathers / psychology*
  • Female
  • Humans
  • Infant
  • Male
  • Mother-Child Relations*
  • Mothers / psychology*
  • Psychopathology