Hostname: page-component-cd9895bd7-lnqnp Total loading time: 0 Render date: 2024-12-22T17:52:21.427Z Has data issue: false hasContentIssue false
  • English
  • Français

Perceptions of self, mother and family and behavior of prepubertal depressed children

Published online by Cambridge University Press:  15 April 2020

A. Brand-Gothelf ,
N. Yoeli-Bligh ,
E. Gilboa-Schechtman ,
N. Benaroya-Milshtein  and
A. Apter
A. Brand-Gothelf*
Affiliation:
The Feinberg Child Study Center, Schneider Children's Medical Center of Israel, Petah Tiqwa, Israel Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel
N. Yoeli-Bligh
Affiliation:
The Feinberg Child Study Center, Schneider Children's Medical Center of Israel, Petah Tiqwa, Israel Department of Psychology and the Gonda Brain Science Center, Bar-Ilan University, Ramat-Gan, Israel
E. Gilboa-Schechtman
Affiliation:
Department of Psychology and the Gonda Brain Science Center, Bar-Ilan University, Ramat-Gan, Israel
N. Benaroya-Milshtein
Affiliation:
The Feinberg Child Study Center, Schneider Children's Medical Center of Israel, Petah Tiqwa, Israel Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel
A. Apter
Affiliation:
The Feinberg Child Study Center, Schneider Children's Medical Center of Israel, Petah Tiqwa, Israel Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel
*
*Corresponding author at: The Feinberg Child Study Center, Schneider Children's Medical Center of Israel, 14, Kaplan Street, Petah Tiqwa 49202, Israel. Tel.: +972 3 925 3617; fax: +972 3 925 3684. E-mail address:[email protected] (A. Brand-Gothelf).
Get access

Abstract

Purpose:

To characterize the perceptions of self, mother and family of prepubertal children and to determine if the perceptions of children with depression and their behavior towards their mothers are different from children with anxiety disorders and nonpsychiatric controls.

Methods:

Children (aged 7–13 years) with major depressive disorder (n = 30), anxiety disorders (n = 37) and nonpsychiatric controls (n = 32) underwent structured psychiatric evaluations and completed questionnaires on their perceptions of themselves and their relations with their mothers and families. The child–mother dyad was observed during structured interactions.

Results:

Self-perceptions of depressed children were significantly more negative than those of children with anxiety and controls. Depression severity negatively correlated with the child's self-perception and positively correlated with perceptions of the mother as being more rejecting, controlling, less accepting and less allowing autonomy, and of the family as being less cohesive. Depression severity was also positively associated with the child's hostile attitude towards the mother during the interactions.

Conclusion:

Our findings of greater negative perceptions of self, mother and family in depressed children compared to children with anxiety disorders and nonpsychiatric children suggest that approaches specifically addressing negative perceptions and targeting familial relationships could be especially effective for treating young children with depression.

Keywords

DepressionChildrenAnxietySelf-esteemPerceptionFamily
Type
Original article
Information
European Psychiatry , Volume 30 , Issue 1 , January 2015 , pp. 69 - 74
Copyright
Copyright © Elsevier Masson SAS 2015

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Abela, JR, Taylor, G. Specific vulnerability to depressive mood reactions in schoolchildren: the moderating role of self-esteem. J Clin Child Adolesc Psychol 2003; 32: 408–418.CrossRefGoogle ScholarPubMed
ACTION AO. Practice parameter for the assessment and treatment of children and adolescents with depressive disorders. J Am Acad Child Adolesc Psychiatry 2007; 46.Google Scholar
Apter, A, Orvaschel, H, Laseg, M, Moses, T, Tyano, S. Psychometric properties of the K-SADS-P in an Israeli adolescent inpatient population. J Am Acad Child Adolesc Psychiatry 1989; 28: 61–65.CrossRefGoogle Scholar
Birmaher, B, Ryan, ND, Williamson, DE, Brent, DA, Kaufman, J, Dahl, RE, et al.Childhood and adolescent depression: a review of the past 10 years. Part I. J Am Acad Child Adolesc Psychiatry 1996; 35: 1503–1526.Google ScholarPubMed
Birmaher, B, Khetarpal, S, Brent, D, Cully, M, Balach, L, Kaufman, J, et al.The screen for child anxiety related emotional disorders (SCARED): scale construction and psychometric characteristics. J Am Acad Child Adolesc Psychiatry 1997; 36: 545–553.CrossRefGoogle ScholarPubMed
Burt, CE, Cohen, LH, Bjorck, JP. Perceived family environment as a moderator of young adolescents’ life stress adjustment. Am J Commun Psychol 1988; 16: 101–122.CrossRefGoogle ScholarPubMed
Cole, DA, Truglio, R, Peeke, L. Relation between symptoms of anxiety and depression in children: a multitrait-multimethod-multigroup assessment. J Consult Clin Psychol 1997; 65: 110.CrossRefGoogle ScholarPubMed
Compton, SN, March, JS, Brent, D, Albano, A, Weersing, VR, Curry, J. Cognitive-behavioral psychotherapy for anxiety and depressive disorders in children and adolescents: an evidence-based medicine review. J Am Acad Child Adolesc Psychiatry 2004; 43: 930–959.CrossRefGoogle Scholar
Coyne, JC. Toward an interactional description of depression. Psychiatry 1976; 39: 28–40.CrossRefGoogle ScholarPubMed
Cumsille, PE, Epstein, N. Family cohesion, family adaptability, social support, and adolescent depressive symptoms in outpatient clinic families. J Fam Psychol 1994; 8: 202.CrossRefGoogle Scholar
Dietz, LJ, Mufson, L, Irvine, H, Brent, DA. Family-based interpersonal psychotherapy for depressed preadolescents: an open-treatment trial. Early Interv Psychiatry 2008; 2: 154–161CrossRefGoogle Scholar
Giuli, C, Hudson, W. Assessing parent-child relationship disorders in clinical practice: the child's point of view. J Soc Serv Res 1978; 1: 77–92.CrossRefGoogle Scholar
Hops, H, Davis, B, Longoria, N. Methodological issues in direct observation: illustrations with the Living in Familial Environments (LIFE) coding system. J Clin Child Psychol 1995; 24: 193–203.CrossRefGoogle Scholar
Jacobs, L, Joseph, S. Cognitive Triad Inventory and its association with symptoms of depression and anxiety in adolescents. Pers Individual Differ 1997; 22: 769–770.CrossRefGoogle Scholar
Kaslow, NJ, Deering, CG, Racusin, GR. Depressed children and their families. Clin Psychol Rev 1994; 14: 39–59.CrossRefGoogle Scholar
Kaufman, J, Birmaher, B, Brent, D, Rao, U, Flynn, C, Moreci, P, et al.Schedule for Affective Disorders and Schizophrenia for School-Age Children-Present and Lifetime Version (K-SADS-PL): initial reliability and validity data. J Am Acad Child Adolesc Psychiatry 1997; 36: 980–988.CrossRefGoogle ScholarPubMed
Klerman, G, Weissman, M, Rounsaville, B, Chevron, EInterpersonal psychotherapy of depression New York: Basic Books; 1984.Google Scholar
Kovacs, MChildren's depression inventory: manual North Tonawanda, NY: Multi-Health Systems; 1992.Google Scholar
Kovacs, M. Presentation and course of major depressive disorder during childhood and later years of the life span. J Am Acad Child Adolesc Psychiatry 1996; 35: 705–715CrossRefGoogle ScholarPubMed
Kovacs, M, Devlin, B. Internalizing disorders in childhood. J Child Psychol Psychiatry 1998; 39: 47–63CrossRefGoogle ScholarPubMed
Marton, P, Maharaj, S. Family factors in adolescent unipolar depression. Can J Psychiatry 1993; 38(6): 373–382.CrossRefGoogle ScholarPubMed
McLeod, BD, Weisz, JR, Wood, JJ. Examining the association between parenting and childhood depression: a meta-analysis. Clin Psychol Rev 2007; 27: 986–1003.CrossRefGoogle ScholarPubMed
Murphy, DA, Marelich, WD, Hoffman, D. Assessment of anxiety and depression in young children: support for two separate constructs. J Clin Child Psychol 2000; 29: 383–391.CrossRefGoogle ScholarPubMed
Olson, DH, Portner, J, Lavee, YFamily adaptability and cohesion evaluation scales (FACES III) St Paul: University of Minnesota, Family Social Science; 1985.Google Scholar
Pavlidis, K, McCauley, E. Autonomy and relatedness in family interactions with depressed adolescents. J Abnorm Child Psychol 2001; 29: 11–21.CrossRefGoogle ScholarPubMed
Poznanski, EO, Mokros, HBChildren's depression rating scale, revised (CDRS-R): manual Los Angeles: Western Psychological Services; 1996.Google Scholar
Puig-Antich, J, Kaufman, J, Ryan, ND, Williamson, DE, Dahl, RE, Lukens, E, et al.The psychosocial functioning and family environment of depressed adolescents. J Am Acad Child Adolesc Psychiatry 1993; 32: 244–253.CrossRefGoogle ScholarPubMed
Renouf, AG, Harter, S. Low self-worth and anger as components of the depressive experience in young adolescents. Dev Psychopathol 1990; 2: 293–310.CrossRefGoogle Scholar
Rosenberg, MConceiving the self Malabar, FL: Krieger; 1986.Google Scholar
Schaefer, ESChildren's reports of parental behavior: an inventory. Child Dev 1965; 36: 413–424.CrossRefGoogle Scholar
Shanee, N, Apter, A, Weizman, APsychometric properties of the K-SADS-PL in an Israeli adolescent clinical population. Isr J Psychiatry Relat Sci 1997; 34: 179–186.Google Scholar
Sheeber, L, Sorensen, EFamily relationships of depressed adolescents: a multimethod assessment. J Clin Child Psychol 1998; 27: 268–277.CrossRefGoogle ScholarPubMed
Stark, KD, Humphrey, LL, Crook, K, Lewis, KPerceived family environments of depressed and anxious children: child's and maternal figure's perspectives. J Abnorm Child Psychol 1990; 18: 527–547.CrossRefGoogle ScholarPubMed
Teichman, YChildhood depression: a family perspective. Isr J Psychiatry Relat Sci 1989; 26: 46.Google ScholarPubMed
Weisz, JR, McCarty, CA, Valeri, SMEffects of psychotherapy for depression in children and adolescents: a meta-analysis. Psychol Bull 2006; 132: 132.CrossRefGoogle ScholarPubMed
Submit a response

Comments

No Comments have been published for this article.