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Major paternal depression and child consultation for developmental and behavioural problems

Dave, S; Sherr, L; Senior, R; Nazareth, I; (2009) Major paternal depression and child consultation for developmental and behavioural problems. BRIT J GEN PRACT , 59 (560) 180 - 185. 10.3399/bjgp09X407063.

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Abstract

BackgroundIt is well established that maternal depression is associated with enhanced child consultation for developmental and behaviour problems, but there is a dearth of research on paternal depression and child outcome.AimTo assess the association of major paternal depressed mood and child consultation for developmental and behaviour problems.Design of studyCross-sectional study.SettingGeneral practices in London and Hertfordshire, UK.MethodFathers of children aged 4-6 years were recruited via 13 general practices. A sample of 248 biological father and mother dyads completed measures on depressive syndrome (Patient Health Questionnaire), child consultations with health professionals for developmental and behaviour problems, fathering, couple relationship quality, alcohol misuse, other psychiatric impairment, and sociodemographic factors.ResultsEight out of 248 fathers (3%) had a major depressive syndrome. Sixty-five out of 247 (26%) fathers reported they were responsible for taking their child to see the doctor at least half the time compared with mothers. Children of fathers with a major depressive syndrome were almost nine times more likely to have consulted a health professional for speech and language problems (adjusted odds ratio [OR] = 8.67, 95% confidence interval [CI] = 1.99 to 37.67, P = 0.004) and seven times more likely to have consulted for externalising behaviour problems (adjusted OR = 6.98, 95% CI = 1.00 to 48.76, P = 0.05).ConclusionChildren of fathers with major depression were more likely to consult for speech and language problems and externalising behaviour problems. A longitudinal study is recommended to identify causal mechanisms.

Type: Article
Title: Major paternal depression and child consultation for developmental and behavioural problems
DOI: 10.3399/bjgp09X407063
Keywords: child, child behaviour, child development, consultation, depression, paternal behaviour, MATERNAL DEPRESSION, YOUNG-CHILDREN, MOTHERS, FATHERS, ADJUSTMENT, MEDIATORS, SYMPTOMS, ILLNESS, PARENTS, FAMILY
UCL classification: UCL > Provost and Vice Provost Offices
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Pop Health Sciences > Institute for Global Health
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Pop Health Sciences > Institute for Global Health > Infection and Population Health
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Pop Health Sciences > Institute of Epidemiology and Health
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Pop Health Sciences > Institute of Epidemiology and Health > Primary Care and Population Health
URI: http://discovery.ucl.ac.uk/id/eprint/150258
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