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Protective and resource factors in highand low-risk children: A comparison of children with unipolar, bipolar, medically ill, and normal mothers

Published online by Cambridge University Press:  09 September 2009

Marilyn Conrad
Affiliation:
University of California, Los Angeles
Constance Hammen*
Affiliation:
University of California, Los Angeles
*
Address correspondence and reprint requests to: Constance Hammen, Department of Psychology, UCLA, 401 Hilgard Avenue, Los Angeles, CA 90024.

Abstract

This study distinguished between factors that were protective for children at high risk and those that were resources for children regardless of risk level and determined the generality of these factors across three different risk definitions: school-age children of mothers with (a) unipolar depression (n = 22), (b) bipolar disorder (n = 18), and (c) medical illness (n = 18), each compared to a low-risk control group (n = 38). Results were verified at a 1-year follow-up. Positive self-concept, academic success, social competence, and positive perceptions of the mothers were resource factors associated with lower diagnostic ratings for children in all risk groups. Maternal social competence and having a healthy father in the home were resource factors for maternal unipolar risk but, unexpectedly, were vulnerability factors for maternal bipolar risk. Children's friendships were protective for children of medically ill mothers; however, frequent contact with an adult friend was a risk factor for unipolar offspring. The latter finding suggests that such contact might be a consequence of poor parent-child relationships. Findings are discussed in terms of possible interventions for children at risk, and suggestions for additional research are offered.

Type
Research Article
Copyright
Copyright © Cambridge University Press 1993

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References

Achenbach, T. M. (1978). The child behavior profile: I. Boys 6–11. Journal of Consulting and Clinical Psychology, 46, 478488.CrossRefGoogle Scholar
Achenbach, T. M., & Edelbrock, C. S. (1983). Manual for the Child Behavior Checklist behavior profile. Burlington: Department of Psychiatry, University of Vermont.Google Scholar
Anthony, E. J. (1987). Children at high risk for psychosis growing up successfully. In Anthony, E. J. & Cohler, B. J. (Eds.), The invulnerable child (pp. 147184). New York: Guilford Press.Google Scholar
Beardslee, W. R., & Podorefsky, D. (1988). Resilient adolescents whose parents have serious affective and other psychiatric disorders: Importance of selfunderstanding and relationships. American Journal of Psychiatry, 145(1), 6369.Google Scholar
Chambers, W., Puig-Antich, J., Hirsch, M., Paez, P., Ambrosini, P., Tabrizi, M., & Davies, M. (1985). The assessment of affective disorders in children and adolescents by semi-structured interview. Archives of General Psychiatry, 42, 696702.CrossRefGoogle Scholar
Cicchetti, D., & Toth, S. L. (1992). The role of developmental theory in prevention and intervention. Development and Psychopathology, 4, 489493.CrossRefGoogle Scholar
Conduct Problems Prevention Research Group. (1992). A developmental and clinical model for the prevention of conduct disorder: The FAST Track Program. Development and Psychopathology, 4, 509527.CrossRefGoogle Scholar
Crockenberg, S. B. (1981). Infant irritability, mother responsiveness, and social support influences on the security of infant-mother attachment. Child Development, 52, 857865.CrossRefGoogle ScholarPubMed
Endicott, J., & Spitzer, R. L. (1979). Use of Research Diagnostic Criteria and the Schedule for Affective Disorders and Schizophrenia to study affective disorders. American Journal of Psychiatry, 136, 5256.Google ScholarPubMed
Garmezy, N. (1985). Stress-resistant children: The search for protective factors. In Stevenson, J. E. (Ed.), Recent research in developmental psychopathology (pp. 213233). Oxford: Pergamon Press.Google Scholar
Garmezy, N. (1987). Stress, competence and development: Continuities in the study of schizophrenic adults, children vulnerable to psychopathology, and the search for stress-resistant children. American Journal of Orthopsychiatry, 57(2), 159174.CrossRefGoogle Scholar
Garmezy, N., Masten, A. S., & Tellegen, A. (1984). A study of stress and competence in children: A building block for developmental psychopathology. Child Development, 55, 97111.Google Scholar
Hammen, C. (1991). Depression runs in families: The social context of risk and resilience in children of depressed mothers. New York: Springer-Verlag.CrossRefGoogle Scholar
Hammen, C., Adrian, C., Gordon, D., Burge, D., Jaenicke, C., & Hiroto, D. (1987). Children of depressed mothers: Maternal strain and symptoms predictors. Journal of Abnormal Psychology, 96, 190198.Google Scholar
Hammen, C., Burge, D., Burney, E., & Adrian, C. (1990). Longitudinal study of diagnoses in children of women with unipolar and bipolar affective disorder. Archives of General Psychiatry, 47, 11121120.CrossRefGoogle ScholarPubMed
Hammen, C., Gordon, D., Burge, D., Adrian, C., Jaenicke, C., & Hiroto, D. (1987). Maternal affective disorders, illness, and stress: Risk for children's psychopathology. American Journal of Psychiatry, 144(6), 736741.Google ScholarPubMed
Hazzard, A., Christensen, A., & Margolin, G. (1983). Children's perceptions of parental behaviors. Journal of Abnormal Child Psychology, 11, 4959.Google Scholar
Jenkins, J. M., & Smith, M. A. (1990). Factors protecting children living in disharmonious homes: Maternal reports. Journal of the American Academy of Child and Adolescent Psychiatry, 29, 6069.CrossRefGoogle ScholarPubMed
Kauffman, C., Grunebaum, H., Cohler, B., & Gamer, E. (1979). Superkids: Competent children of psychotic mothers. American Journal of Psychiatry, 136, 13981402.Google ScholarPubMed
Keller, M., Beardslee, W., Dorer, D., Lavori, P., Samuelson, H., & Klerman, G. (1986). Impact of severity and chronicity of parental affective illness on adaptive functioning and psychopathology in children. Archives of General Psychiatry, 43, 930937.CrossRefGoogle ScholarPubMed
Lewis, R. J., Dlugokinski, E. L., Caputo, L. M., & Griffin, R. B. (1988). Children at risk for emotional disorders: Risk and resource dimensions. Clinical Psychology Review, 8, 417440.CrossRefGoogle Scholar
Masten, A. S., Best, K. M., & Garmezy, N. (1990). Resilience and development: Contributions from the study of children who overcame adversity. Development and Psychopathology, 2(4), 425444.CrossRefGoogle Scholar
Pellegrini, D., Kosisky, S., Nackman, D., Cytryn, L., McKnew, D. H., Gershon, E., Hamovit, J., & Cammuso, K. (1986). Personal and social resources in children of patients with bipolar affective disorder and children of normal control subjects. American Journal of Psychiatry, 143(7), 856861.Google Scholar
Piers, E. (1977). The Piers-Harris Children's Self-Concept Test: Research monograph # 1. Nashville, TN: Counselor Recordings and Tests.Google Scholar
Piers, E. (1984). Revised manual for the Piers-Harris Children's Self-Concept Scale. Los Angeles: Western Psychological Services.Google Scholar
Piers, E., & Harris, D. (1969). The Piers-Harris Children's Self-Concept Scale. Nashville, TN: Counselor Recordings and Tests.Google Scholar
Radke-Yarrow, M., & Sherman, T. (1990). Hard growing: Children who survive. In Rolf, J., Masten, A. S., Cicchetti, D., Nuechterlein, K. H., & Weintraub, S. (Eds.), Risk and protective factors in the development of psychopathology (pp. 97119). New York: Cambridge University Press.Google Scholar
Richters, J., & Weintraub, S. (1990). Beyond diathesis: Toward an understanding of high-risk environments. In Rolf, J., Masten, A. S., Cicchetti, D., Nuechterlein, K., & Weintraub, S. (Eds.), Risk and protective factors in the development of psychopathology (pp. 6796). New York: Cambridge University Press.CrossRefGoogle Scholar
Rutter, M. (1987). Psychosocial resilience and protective mechanisms. American Journal of Orthopsychiatry, 57(3), 316331.Google Scholar
Rutter, M. (1990). Psychosocial resilience and protective mechanisms. In Rolf, J., Masten, A. S., Cicchetti, D., Nuechterlein, K. H., & Weintraub, S. (Eds.), Risk and protective factors in the development of psychopathology (pp. 181214). New York: Cambridge University Press.Google Scholar
Seifer, R., & Sameroff, A. J. (1987). Multiple determinants of risk and invulnerability. In Anthony, E. J. & Cohler, B. J. (Eds.), The invulnerable child (pp. 5169). New York: Guilford Press.Google Scholar
Stiffman, A. R., Jung, K. G., & Feldman, R. A. (1986). A multivariate risk model for childhood behavior problems. American Journal of Orthopsychiatry, 56, 204211.CrossRefGoogle ScholarPubMed
Weissman, M. (1988). Psychopathology in the children of depressed parents: Direct interview studies. In Dunner, D., Gershon, E., & Barrett, J. (Eds.), Relatives at risk for mental disorders (pp. 143159). New York: Raven Press.Google Scholar
Weissman, M. M., & Bothwell, S. (1976). The assessment of social adjustment by patient self-report. Archives of General Psychiatry, 33, 11111115.Google Scholar
Weissman, M. M., Sholomskas, D., & John, K. (1981). The assessment of social adjustment: An update. Archives of General Psychiatry, 38, 12501258.Google Scholar
Werner, E. E., & Smith, R. S. (1982). Vulnerable but invincible: A study of resilient children. New York: McGraw-Hill.Google Scholar