Predictors of maternal depressive symptom trajectories over the first 18 months in home visiting

Angelique R. Teeters, Robert T. Ammerman, Chad E. Shenk, Neera K. Goyal, Alonzo T. Folger, Frank W. Putnam, Judith B. Van Ginkel

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

Maternal depression negatively impacts maternal functioning and parenting behaviors. Mothers participating in home visiting programs are at particularly elevated risk for depressive symptoms due to demographic and associated risk factors. Moreover, additional empirical evidence has demonstrated that mothers with depression do not benefit from home visiting interventions to the same extent as their peers without depression. The purpose of this study was to identify predictors of depression course in mothers participating in home visiting over the first 18 months of service. Participants were 220 low income mothers participating in a home visiting program who completed the Beck Depression Inventory-II (BDI-II) at enrollment and 9 and 18 months later. Measures of childhood maltreatment history, social support, and locus of control were also collected at enrollment. Group-based trajectory modeling revealed 3 groups labeled as minimal (63.6%), mild (30.5%), and moderate-severe (5.9%). Although a slight decrease in depressive symptoms was observed over time in the minimal and mild groups, mothers in the moderatesevere group exhibited a large increase from enrollment to 9 months that persisted through 18 months. Membership in the mild and moderate-severe groups was predicted by history of childhood maltreatment, low levels of social support, and an external locus of control. Implications of these findings for home visiting programs are discussed.

Original languageEnglish (US)
Pages (from-to)415-424
Number of pages10
JournalAmerican Journal of Orthopsychiatry
Volume86
Issue number4
DOIs
StatePublished - Jan 1 2016

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Mothers
Depression
Internal-External Control
Social Support
Parenting
Trajectory
Depressive Symptoms
Predictors
History
Demography
Equipment and Supplies
Enrollment
Locus of Control
Maltreatment
Childhood

All Science Journal Classification (ASJC) codes

  • Developmental and Educational Psychology
  • Arts and Humanities (miscellaneous)
  • Psychology (miscellaneous)
  • Psychiatry and Mental health

Cite this

Teeters, A. R., Ammerman, R. T., Shenk, C. E., Goyal, N. K., Folger, A. T., Putnam, F. W., & Van Ginkel, J. B. (2016). Predictors of maternal depressive symptom trajectories over the first 18 months in home visiting. American Journal of Orthopsychiatry, 86(4), 415-424. https://doi.org/10.1037/ort0000159
Teeters, Angelique R. ; Ammerman, Robert T. ; Shenk, Chad E. ; Goyal, Neera K. ; Folger, Alonzo T. ; Putnam, Frank W. ; Van Ginkel, Judith B. / Predictors of maternal depressive symptom trajectories over the first 18 months in home visiting. In: American Journal of Orthopsychiatry. 2016 ; Vol. 86, No. 4. pp. 415-424.
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Teeters, AR, Ammerman, RT, Shenk, CE, Goyal, NK, Folger, AT, Putnam, FW & Van Ginkel, JB 2016, 'Predictors of maternal depressive symptom trajectories over the first 18 months in home visiting', American Journal of Orthopsychiatry, vol. 86, no. 4, pp. 415-424. https://doi.org/10.1037/ort0000159

Predictors of maternal depressive symptom trajectories over the first 18 months in home visiting. / Teeters, Angelique R.; Ammerman, Robert T.; Shenk, Chad E.; Goyal, Neera K.; Folger, Alonzo T.; Putnam, Frank W.; Van Ginkel, Judith B.

In: American Journal of Orthopsychiatry, Vol. 86, No. 4, 01.01.2016, p. 415-424.

Research output: Contribution to journalArticle

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