Sherryl Goodman - Academia.edu (original) (raw)
Papers by Sherryl Goodman
Clinical Child and Family Psychology Review
Although maternal insensitivity, infant negative emotion expression, and maternal depression are ... more Although maternal insensitivity, infant negative emotion expression, and maternal depression are consistently found to be associated, the processes by which these associations develop in the course of routine interactions are not well understood. To examine the processes by which these factors may become related, this paper characterizes the real-time sequences of mother and infant behaviors associated with infant soothing (or lack thereof) in mothers (n = 202) with a history of depression and their 3-month old infants. Analyses indicate that overall, maternal contingent responding to individual episodes of infant distress increases the likelihood of infant soothing in real-time. However, clustering analyses indicate that contingent responding does not significantly increase real-time soothing in infants who showed high negative affect expression.
Developmental Psychobiology
Journal of abnormal psychology, May 1, 2018
Given high health costs of depression during pregnancy and the first postnatal year, it is import... more Given high health costs of depression during pregnancy and the first postnatal year, it is important to understand mechanisms involved in the emergence and perpetuation of symptoms during this time. In a series of 2 studies, we aim to clarify bidirectional relations between mothers' physiological stress regulation-stress-related activation of the hypothalamic-pituitary-adrenal (HPA) axis-and their course of depressive symptoms. In Study 1, 230 pregnant women recruited from a women's mental health program gave 3 saliva samples in the context of psychosocial stress at 24, 30, and 36-weeks gestation. They self-reported depressive symptoms across the three trimesters of pregnancy and first year postpartum. Multilevel models revealed women with elevated salivary cortisol during pregnancy showed a course of escalating ante- and postnatal symptoms, implicating HPA hyperactivation as a precursor to worsening mood problems. In Study 2, 54 mothers from a community sample self-reported...
Psychological assessment, 2018
Understanding parenting from both parent and child perspectives is critical to child clinical and... more Understanding parenting from both parent and child perspectives is critical to child clinical and developmental research. Similarities and differences between parents' and children's reports can be highly informative, but only if they derive from psychometrically sound measures that assess the same parenting constructs. We examined the psychometric properties of the child and parent forms of the Parenting Perception Inventory (Bruce et al., 2006), which measures perceptions of two higher-order dimensions: positive, warm, supportive parenting; and negative, harsh, critical parenting. Data from a four-wave, longitudinal study of community children and adolescents (n = 876, Mage = 9.5 at the beginning), and data from a study of children (n = 131, Mage = 9.35) of depressed and nondepressed mothers provided psychometric support for both measures. Factor analyses revealed the existence of two factors in both the child and parent forms, and showed strong congruence across the two f...
Development and psychopathology, Aug 1, 2018
Psychotropic medication use and psychiatric symptoms during pregnancy each are associated with ad... more Psychotropic medication use and psychiatric symptoms during pregnancy each are associated with adverse neurodevelopmental outcomes in offspring. Commonly, studies considering medication effects do not adequately assess symptoms, nor evaluate children when the effects are believed to occur, the fetal period. This study examined maternal serotonin reuptake inhibitor and polypharmacy use in relation to serial assessments of five indices of fetal neurobehavior and Bayley Scales of Infant Development at 12 months in N = 161 socioeconomically advantaged, non-Hispanic White women with a shared risk phenotype, diagnosed major depressive disorder. On average fetuses showed the expected development over gestation. In contrast, infant average Bayley psychomotor and mental development scores were low (M = 84.10 and M = 89.92, range of normal limits 85-114) with rates of delay more than 2-3 times what would be expected based on this measure's normative data. Controlling for prenatal and post...
Clinical Psychology: Science and Practice
When providing mental health services to adults, we are often treating individuals who, among the... more When providing mental health services to adults, we are often treating individuals who, among their other roles, are also parents. The goal of this article was to provide practitioners with the state of the science about both the impact of parental psychopathology on children and the role that children's well-being has in parental psychopathology. We discuss the benefits of integrated care for adult clients who are parents, as well as the barriers to providing integrated care for both parents and children in psychotherapy, and provide recommendations for practice. With this information, practitioners will gain greater awareness of their opportunities to treat adults in their parenting roles as well as to contribute to prevention of mental disorders in children.
Child development, 2017
Depression in mothers is a significant risk factor for the development of maladjustment in childr... more Depression in mothers is a significant risk factor for the development of maladjustment in children. This article focuses on modifiable risk processes linking depression in mothers and adaptation in their young children (i.e., infancy through preschool age). First, the authors present evidence of the efficacy of interventions for reducing the primary source of risk: maternal depression. Second, they describe a central mechanism-parenting behaviors-underlying the relation between maternal depression and children's adjustment. Third, the authors recommend two different integrated interventions that successfully treat mothers' depression and enhance parenting skills with infants and young children. Finally, the authors note the possible need for supplementary interventions to address severity and comorbidity of mothers' depression, barriers to engaging in treatment, and the sustainability of program benefits.
Journal of consulting and clinical psychology, 2017
Depression among pregnant women is a prevalent public health problem associated with poor materna... more Depression among pregnant women is a prevalent public health problem associated with poor maternal and offspring development. Behavioral activation (BA) is a scalable intervention aligned with pregnant women's preference for nonpharmacological depression care. This is the first test of the effectiveness of BA for depression among pregnant women, which aimed to evaluate the effectiveness of BA as compared with treatment as usual (TAU). Pregnant women (mean age = 28.75 years; SD = 5.67) with depression symptoms were randomly assigned to BA (n = 86) or TAU (n = 77). Exclusion criteria included known bipolar or psychotic disorder or immediate self-harm risk. Follow-up assessment occurred 5 and 10 weeks postrandomization and 3 months postpartum using self-report measures of primary and secondary outcomes and putative targets. Compared with TAU, BA was associated with significantly lower depressive symptoms (d = 0.34, p = .04) and higher remission (56.3% vs. 30.3%, p = .003). BA also ...
Development and Psychopathology, 2016
Associations between infants' frontal EEG asymmetry and temperamental negative affectivity (N... more Associations between infants' frontal EEG asymmetry and temperamental negative affectivity (NA) across infants' first year of life and the potential moderating role of maternal prenatal depressive symptoms were examined prospectively in infants (n= 242) of mothers at elevated risk for perinatal depression. In predicting EEG, in the context of high prenatal depressive symptoms, infant NA and frontal EEG asymmetry were negatively associated at 3 months of age and positively associated by 12 months of age. By contrast, for low depression mothers, infant NA and EEG were not significantly associated at any age. Postnatal depressive symptoms did not add significantly to the models. Dose of infants' exposure to maternal depression mattered: infants exposed either pre- or postnatally shifted from a positive association at 3 months to a negative association at 12 months; those exposed both pre- and postnatally shifted from a negative association at 3 months to a positive associat...
Early Childhood Research Quarterly, 2017
Risk for internalizing problems and social skills deficits likely emerges in early childhood when... more Risk for internalizing problems and social skills deficits likely emerges in early childhood when emotion processing and social competencies are developing. Positively biased processing of social information is typical during early childhood and may be protective against poorer psychosocial outcomes. We tested the hypothesis that young children with relatively less positively biased attention to, interpretations of, and attributions for their mother's emotions would exhibit poorer prosocial skills and more internalizing problems. A sample of 4- to 6-year-old children (N=82) observed their mothers express happiness, sadness and anger during a simulated emotional phone conversation. Children's attention to their mother when she expressed each emotion was rated from video. Immediately following the phone conversation, children were asked questions about the conversation to assess their interpretations of the intensity of mother's emotions and misattributions of personal responsibility for her emotions. Children's prosocial skills and internalizing problems were assessed using mother-report rating scales. Interpretations of mother's positive emotions as relatively less intense than her negative emotions, misattributions of personal responsibility for her negative emotions, and lack of misattributions of personal responsibility for her positive emotions were associated with poorer prosocial skills. Children who attended relatively less to mother's positive than her negative emotions had higher levels of internalizing problems. These findings suggest that children's attention to, interpretations of, and attributions for their mother's emotions may be important targets of early interventions for preventing prosocial skills deficits and internalizing problems.
Community Mental Health Journal, Apr 1, 1993
This paper reports data on reliability and validity of the Role Functioning Scale (RFS) a measure... more This paper reports data on reliability and validity of the Role Functioning Scale (RFS) a measure of level of functioning of adults in four domains. Psychometric properties were tested on an inner city sample of 112 psychiatrically disturbed and well, predominantly African-American, low-income mothers of young children. The RFS has good interitem, test-retest, and interrater reliability. The four scales and global RFS Index discriminated accurately between well and disturbed subjects. The Global RFS Index was significantly correlated with self-esteem and degree of disturbance. Individual scales demonstrated predicted relationships with quality of child-rearing and other independent behavioral indices. Results are discussed in terms of the unique information provided by the RFS and its potential contribution to treatment planning.
This paper summarizes results of a study which determined usage of mental health services by chil... more This paper summarizes results of a study which determined usage of mental health services by children with depressive disorders and whether patterns of service use and parents' perceptions of service use barriers are the same for children with depressive disorders as for those with disruptive disorders. The study used data from the Methods for Epidemiology of Child and Adolescent Mental Disorders (MECA) Study. In the MECA sample, 176 children met diagnostic criteria for either depressive (N=44) or disruptive (N=96) disorders or both (N=36). In the MECA study, measures of depressive and disruptive disorder were administered and an interview protocol determined service utilization and barriers to services. The study found that children with depressive disorder were less likely to use services than children with disruptive disorder. Also, parents of children with depressive disorders report more barriers to service than parents of children with disruptive disorders. Findings suggest that children with depressive disorders are less likely to be identified or referred to mental health services and that they have more difficulties in accessing services. (DB) Reproductions supplied by EDRS are the best that can be made from the ori inal document.
The vulnerability of children to developmental problems was studied in three groups of young chil... more The vulnerability of children to developmental problems was studied in three groups of young children: (1) children with schizophrenic mothers (N=35); (2) children with severely depressed mothers (N=19); and children with well mothers (N=21). The children ranged in age from birth to 5 years, with 64 percent under age 2, and came from families who were black, inner-city residents with low incomes and poorly educated mothers who were usually heads of households. The children were evaluated three times, at 1-year intervals, using an extensive battery of tests, observations, and interviews to examine their social, intellectual, and emotional development and the quality of their child-rearing environment. Data from the first evaluations indicated that schizophrenic offspring, as a group, exhibited more social behavior problems than the children with depressed or well mothers. The children of depressed mothers also scored poorly in the areas of role play and using the mother as a resource but otherwise performed comparably to the well group. At the time of the third evaluation, however, the children with depressed mothers actually were worse off than the other two groups on five of six variables for social behavior. (VW)
Expressed emotion in a mother's communications about her child may reflect both direct and subtle... more Expressed emotion in a mother's communications about her child may reflect both direct and subtle ways in which she transmits aspects of her depressive affective and cognitive style to her children. This study considered whether: (1) depressed mothers
Cognitive and Behavioral Practice, 2016
Amer J Commun Psychol, 1984
This paper provides a review of high-risk studies and preventive interventions with children who ... more This paper provides a review of high-risk studies and preventive interventions with children who have an increased likelihood of developing psychopathology because they are the offspring of emotionally disturbed parents. The research implications for preventive interventions are summarized in terms of selection of participants, goals for prevention, intervention methods, and intervention research methodology. Next, several preventive intervention programs are reviewed and evaluated for their responsiveness to the research literature. The review revealed that, despite theoretical and methodological diversity in the research literature, the findings provide many suggestions for the design of preventive interventions. On the other hand, intervention programs were most often found to have not used research findings in program design. This review concludes with suggestions for needed research and guidelines for future preventive interventions. Since Mednick and Schulsinger (1968) first described the model, many researchers adopted high-risk research methods. Research using the highrisk approach involves identifying a population out of which a large proportion will, eventually develop the disorder of interest (usually schizophrenia). 1The preparation of this manuscript was facilitated by grant #5-RO1-MH35042-03 from the National Institute of Mental Health. The author gratefully acknowledges the assistance provided by several of the researchers whose work is reviewed herein. Also appreciated are Stephen Goldston, I. J. Knopf, Steven Nowicki, and Wade Silverman for their careful reviews of a previous draft. Jayne Zaloba and Linda McLeod provided their secretarial skills in the final preparation of the manuscript.
Journal of Abnormal Child Psychology, Sep 1, 1995
The social problem-solving skill of generating effective alternative solutions was tested as a mo... more The social problem-solving skill of generating effective alternative solutions was tested as a moderator of the relation between negative life stress and depressed mood in children. Boys (n = 25) and girls (n = 25), ages 8 to 12 years, from inner-city, lower socioeconomic group families, completed measures of depression symptoms, negative impact of life events, and quantity and effectiveness of alternative solutions to social problems. Results indicated that the effectiveness of alternative solutions children generate in response to peer social problems moderates the relation between stress and depression. Children who experienced a high impact of negative life events, with less effective social problem-solving skills, reported higher levels of depression compared to children who experienced a high impact of negative life events but exhibited more effective social problem-solving skills. Results are discussed in terms of alternative theoretical models for the mechanisms whereby effective social problem-solving skills moderate stress-related depression. The research was completed while the second author was an honors student in the Department of Psychology at Emory University. We appreciate the work of Bill Barfoot in coding and assessing reliability, Julie Johnson and Colleen Byrne in the development of the project and review of an early version of the manuscript, and Clayton Hilmert and Ellison Designs in the final preparation of the manuscript. We appreciate the cooperation of the staff at Grady Memorial Hospital and the nursing staff and head nurse Eady Awbury in the Pediatric Emergency Clinic at Hughes Spalding Children's Hospital of Grady Health System. Helpful feedback on the findings was received from Drs.
Journal of Consulting and Clinical Psychology, 2015
Clinical decision-making regarding the prevention of depression is complex for pregnant women wit... more Clinical decision-making regarding the prevention of depression is complex for pregnant women with histories of depression and their health care providers. Pregnant women with histories of depression report preference for nonpharmacological care, but few evidence-based options exist. Mindfulness-based cognitive therapy has strong evidence in the prevention of depressive relapse/recurrence among general populations and indications of promise as adapted for perinatal depression (MBCT-PD). With a pilot randomized clinical trial, our aim was to evaluate treatment acceptability and efficacy of MBCT-PD relative to treatment as usual (TAU). Pregnant adult women with depression histories were recruited from obstetric clinics at 2 sites and randomized to MBCT-PD (N = 43) or TAU (N = 43). Treatment acceptability was measured by assessing completion of sessions, at-home practice, and satisfaction. Clinical outcomes were interview-based depression relapse/recurrence status and self-reported depressive symptoms through 6 months postpartum. Consistent with predictions, MBCT-PD for at-risk pregnant women was acceptable based on rates of completion of sessions and at-home practice assignments, and satisfaction with services was significantly higher for MBCT-PD than TAU. Moreover, at-risk women randomly assigned to MBCT-PD reported significantly improved depressive outcomes compared with participants receiving TAU, including significantly lower rates of depressive relapse/recurrence and lower depressive symptom severity during the course of the study. MBCT-PD is an acceptable and clinically beneficial program for pregnant women with histories of depression; teaching the skills and practices of mindfulness meditation and cognitive-behavioral therapy during pregnancy may help to reduce the risk of depression during an important transition in many women's lives. (PsycINFO Database Record
Clinical Child and Family Psychology Review
Although maternal insensitivity, infant negative emotion expression, and maternal depression are ... more Although maternal insensitivity, infant negative emotion expression, and maternal depression are consistently found to be associated, the processes by which these associations develop in the course of routine interactions are not well understood. To examine the processes by which these factors may become related, this paper characterizes the real-time sequences of mother and infant behaviors associated with infant soothing (or lack thereof) in mothers (n = 202) with a history of depression and their 3-month old infants. Analyses indicate that overall, maternal contingent responding to individual episodes of infant distress increases the likelihood of infant soothing in real-time. However, clustering analyses indicate that contingent responding does not significantly increase real-time soothing in infants who showed high negative affect expression.
Developmental Psychobiology
Journal of abnormal psychology, May 1, 2018
Given high health costs of depression during pregnancy and the first postnatal year, it is import... more Given high health costs of depression during pregnancy and the first postnatal year, it is important to understand mechanisms involved in the emergence and perpetuation of symptoms during this time. In a series of 2 studies, we aim to clarify bidirectional relations between mothers' physiological stress regulation-stress-related activation of the hypothalamic-pituitary-adrenal (HPA) axis-and their course of depressive symptoms. In Study 1, 230 pregnant women recruited from a women's mental health program gave 3 saliva samples in the context of psychosocial stress at 24, 30, and 36-weeks gestation. They self-reported depressive symptoms across the three trimesters of pregnancy and first year postpartum. Multilevel models revealed women with elevated salivary cortisol during pregnancy showed a course of escalating ante- and postnatal symptoms, implicating HPA hyperactivation as a precursor to worsening mood problems. In Study 2, 54 mothers from a community sample self-reported...
Psychological assessment, 2018
Understanding parenting from both parent and child perspectives is critical to child clinical and... more Understanding parenting from both parent and child perspectives is critical to child clinical and developmental research. Similarities and differences between parents' and children's reports can be highly informative, but only if they derive from psychometrically sound measures that assess the same parenting constructs. We examined the psychometric properties of the child and parent forms of the Parenting Perception Inventory (Bruce et al., 2006), which measures perceptions of two higher-order dimensions: positive, warm, supportive parenting; and negative, harsh, critical parenting. Data from a four-wave, longitudinal study of community children and adolescents (n = 876, Mage = 9.5 at the beginning), and data from a study of children (n = 131, Mage = 9.35) of depressed and nondepressed mothers provided psychometric support for both measures. Factor analyses revealed the existence of two factors in both the child and parent forms, and showed strong congruence across the two f...
Development and psychopathology, Aug 1, 2018
Psychotropic medication use and psychiatric symptoms during pregnancy each are associated with ad... more Psychotropic medication use and psychiatric symptoms during pregnancy each are associated with adverse neurodevelopmental outcomes in offspring. Commonly, studies considering medication effects do not adequately assess symptoms, nor evaluate children when the effects are believed to occur, the fetal period. This study examined maternal serotonin reuptake inhibitor and polypharmacy use in relation to serial assessments of five indices of fetal neurobehavior and Bayley Scales of Infant Development at 12 months in N = 161 socioeconomically advantaged, non-Hispanic White women with a shared risk phenotype, diagnosed major depressive disorder. On average fetuses showed the expected development over gestation. In contrast, infant average Bayley psychomotor and mental development scores were low (M = 84.10 and M = 89.92, range of normal limits 85-114) with rates of delay more than 2-3 times what would be expected based on this measure's normative data. Controlling for prenatal and post...
Clinical Psychology: Science and Practice
When providing mental health services to adults, we are often treating individuals who, among the... more When providing mental health services to adults, we are often treating individuals who, among their other roles, are also parents. The goal of this article was to provide practitioners with the state of the science about both the impact of parental psychopathology on children and the role that children's well-being has in parental psychopathology. We discuss the benefits of integrated care for adult clients who are parents, as well as the barriers to providing integrated care for both parents and children in psychotherapy, and provide recommendations for practice. With this information, practitioners will gain greater awareness of their opportunities to treat adults in their parenting roles as well as to contribute to prevention of mental disorders in children.
Child development, 2017
Depression in mothers is a significant risk factor for the development of maladjustment in childr... more Depression in mothers is a significant risk factor for the development of maladjustment in children. This article focuses on modifiable risk processes linking depression in mothers and adaptation in their young children (i.e., infancy through preschool age). First, the authors present evidence of the efficacy of interventions for reducing the primary source of risk: maternal depression. Second, they describe a central mechanism-parenting behaviors-underlying the relation between maternal depression and children's adjustment. Third, the authors recommend two different integrated interventions that successfully treat mothers' depression and enhance parenting skills with infants and young children. Finally, the authors note the possible need for supplementary interventions to address severity and comorbidity of mothers' depression, barriers to engaging in treatment, and the sustainability of program benefits.
Journal of consulting and clinical psychology, 2017
Depression among pregnant women is a prevalent public health problem associated with poor materna... more Depression among pregnant women is a prevalent public health problem associated with poor maternal and offspring development. Behavioral activation (BA) is a scalable intervention aligned with pregnant women's preference for nonpharmacological depression care. This is the first test of the effectiveness of BA for depression among pregnant women, which aimed to evaluate the effectiveness of BA as compared with treatment as usual (TAU). Pregnant women (mean age = 28.75 years; SD = 5.67) with depression symptoms were randomly assigned to BA (n = 86) or TAU (n = 77). Exclusion criteria included known bipolar or psychotic disorder or immediate self-harm risk. Follow-up assessment occurred 5 and 10 weeks postrandomization and 3 months postpartum using self-report measures of primary and secondary outcomes and putative targets. Compared with TAU, BA was associated with significantly lower depressive symptoms (d = 0.34, p = .04) and higher remission (56.3% vs. 30.3%, p = .003). BA also ...
Development and Psychopathology, 2016
Associations between infants' frontal EEG asymmetry and temperamental negative affectivity (N... more Associations between infants' frontal EEG asymmetry and temperamental negative affectivity (NA) across infants' first year of life and the potential moderating role of maternal prenatal depressive symptoms were examined prospectively in infants (n= 242) of mothers at elevated risk for perinatal depression. In predicting EEG, in the context of high prenatal depressive symptoms, infant NA and frontal EEG asymmetry were negatively associated at 3 months of age and positively associated by 12 months of age. By contrast, for low depression mothers, infant NA and EEG were not significantly associated at any age. Postnatal depressive symptoms did not add significantly to the models. Dose of infants' exposure to maternal depression mattered: infants exposed either pre- or postnatally shifted from a positive association at 3 months to a negative association at 12 months; those exposed both pre- and postnatally shifted from a negative association at 3 months to a positive associat...
Early Childhood Research Quarterly, 2017
Risk for internalizing problems and social skills deficits likely emerges in early childhood when... more Risk for internalizing problems and social skills deficits likely emerges in early childhood when emotion processing and social competencies are developing. Positively biased processing of social information is typical during early childhood and may be protective against poorer psychosocial outcomes. We tested the hypothesis that young children with relatively less positively biased attention to, interpretations of, and attributions for their mother's emotions would exhibit poorer prosocial skills and more internalizing problems. A sample of 4- to 6-year-old children (N=82) observed their mothers express happiness, sadness and anger during a simulated emotional phone conversation. Children's attention to their mother when she expressed each emotion was rated from video. Immediately following the phone conversation, children were asked questions about the conversation to assess their interpretations of the intensity of mother's emotions and misattributions of personal responsibility for her emotions. Children's prosocial skills and internalizing problems were assessed using mother-report rating scales. Interpretations of mother's positive emotions as relatively less intense than her negative emotions, misattributions of personal responsibility for her negative emotions, and lack of misattributions of personal responsibility for her positive emotions were associated with poorer prosocial skills. Children who attended relatively less to mother's positive than her negative emotions had higher levels of internalizing problems. These findings suggest that children's attention to, interpretations of, and attributions for their mother's emotions may be important targets of early interventions for preventing prosocial skills deficits and internalizing problems.
Community Mental Health Journal, Apr 1, 1993
This paper reports data on reliability and validity of the Role Functioning Scale (RFS) a measure... more This paper reports data on reliability and validity of the Role Functioning Scale (RFS) a measure of level of functioning of adults in four domains. Psychometric properties were tested on an inner city sample of 112 psychiatrically disturbed and well, predominantly African-American, low-income mothers of young children. The RFS has good interitem, test-retest, and interrater reliability. The four scales and global RFS Index discriminated accurately between well and disturbed subjects. The Global RFS Index was significantly correlated with self-esteem and degree of disturbance. Individual scales demonstrated predicted relationships with quality of child-rearing and other independent behavioral indices. Results are discussed in terms of the unique information provided by the RFS and its potential contribution to treatment planning.
This paper summarizes results of a study which determined usage of mental health services by chil... more This paper summarizes results of a study which determined usage of mental health services by children with depressive disorders and whether patterns of service use and parents' perceptions of service use barriers are the same for children with depressive disorders as for those with disruptive disorders. The study used data from the Methods for Epidemiology of Child and Adolescent Mental Disorders (MECA) Study. In the MECA sample, 176 children met diagnostic criteria for either depressive (N=44) or disruptive (N=96) disorders or both (N=36). In the MECA study, measures of depressive and disruptive disorder were administered and an interview protocol determined service utilization and barriers to services. The study found that children with depressive disorder were less likely to use services than children with disruptive disorder. Also, parents of children with depressive disorders report more barriers to service than parents of children with disruptive disorders. Findings suggest that children with depressive disorders are less likely to be identified or referred to mental health services and that they have more difficulties in accessing services. (DB) Reproductions supplied by EDRS are the best that can be made from the ori inal document.
The vulnerability of children to developmental problems was studied in three groups of young chil... more The vulnerability of children to developmental problems was studied in three groups of young children: (1) children with schizophrenic mothers (N=35); (2) children with severely depressed mothers (N=19); and children with well mothers (N=21). The children ranged in age from birth to 5 years, with 64 percent under age 2, and came from families who were black, inner-city residents with low incomes and poorly educated mothers who were usually heads of households. The children were evaluated three times, at 1-year intervals, using an extensive battery of tests, observations, and interviews to examine their social, intellectual, and emotional development and the quality of their child-rearing environment. Data from the first evaluations indicated that schizophrenic offspring, as a group, exhibited more social behavior problems than the children with depressed or well mothers. The children of depressed mothers also scored poorly in the areas of role play and using the mother as a resource but otherwise performed comparably to the well group. At the time of the third evaluation, however, the children with depressed mothers actually were worse off than the other two groups on five of six variables for social behavior. (VW)
Expressed emotion in a mother's communications about her child may reflect both direct and subtle... more Expressed emotion in a mother's communications about her child may reflect both direct and subtle ways in which she transmits aspects of her depressive affective and cognitive style to her children. This study considered whether: (1) depressed mothers
Cognitive and Behavioral Practice, 2016
Amer J Commun Psychol, 1984
This paper provides a review of high-risk studies and preventive interventions with children who ... more This paper provides a review of high-risk studies and preventive interventions with children who have an increased likelihood of developing psychopathology because they are the offspring of emotionally disturbed parents. The research implications for preventive interventions are summarized in terms of selection of participants, goals for prevention, intervention methods, and intervention research methodology. Next, several preventive intervention programs are reviewed and evaluated for their responsiveness to the research literature. The review revealed that, despite theoretical and methodological diversity in the research literature, the findings provide many suggestions for the design of preventive interventions. On the other hand, intervention programs were most often found to have not used research findings in program design. This review concludes with suggestions for needed research and guidelines for future preventive interventions. Since Mednick and Schulsinger (1968) first described the model, many researchers adopted high-risk research methods. Research using the highrisk approach involves identifying a population out of which a large proportion will, eventually develop the disorder of interest (usually schizophrenia). 1The preparation of this manuscript was facilitated by grant #5-RO1-MH35042-03 from the National Institute of Mental Health. The author gratefully acknowledges the assistance provided by several of the researchers whose work is reviewed herein. Also appreciated are Stephen Goldston, I. J. Knopf, Steven Nowicki, and Wade Silverman for their careful reviews of a previous draft. Jayne Zaloba and Linda McLeod provided their secretarial skills in the final preparation of the manuscript.
Journal of Abnormal Child Psychology, Sep 1, 1995
The social problem-solving skill of generating effective alternative solutions was tested as a mo... more The social problem-solving skill of generating effective alternative solutions was tested as a moderator of the relation between negative life stress and depressed mood in children. Boys (n = 25) and girls (n = 25), ages 8 to 12 years, from inner-city, lower socioeconomic group families, completed measures of depression symptoms, negative impact of life events, and quantity and effectiveness of alternative solutions to social problems. Results indicated that the effectiveness of alternative solutions children generate in response to peer social problems moderates the relation between stress and depression. Children who experienced a high impact of negative life events, with less effective social problem-solving skills, reported higher levels of depression compared to children who experienced a high impact of negative life events but exhibited more effective social problem-solving skills. Results are discussed in terms of alternative theoretical models for the mechanisms whereby effective social problem-solving skills moderate stress-related depression. The research was completed while the second author was an honors student in the Department of Psychology at Emory University. We appreciate the work of Bill Barfoot in coding and assessing reliability, Julie Johnson and Colleen Byrne in the development of the project and review of an early version of the manuscript, and Clayton Hilmert and Ellison Designs in the final preparation of the manuscript. We appreciate the cooperation of the staff at Grady Memorial Hospital and the nursing staff and head nurse Eady Awbury in the Pediatric Emergency Clinic at Hughes Spalding Children's Hospital of Grady Health System. Helpful feedback on the findings was received from Drs.
Journal of Consulting and Clinical Psychology, 2015
Clinical decision-making regarding the prevention of depression is complex for pregnant women wit... more Clinical decision-making regarding the prevention of depression is complex for pregnant women with histories of depression and their health care providers. Pregnant women with histories of depression report preference for nonpharmacological care, but few evidence-based options exist. Mindfulness-based cognitive therapy has strong evidence in the prevention of depressive relapse/recurrence among general populations and indications of promise as adapted for perinatal depression (MBCT-PD). With a pilot randomized clinical trial, our aim was to evaluate treatment acceptability and efficacy of MBCT-PD relative to treatment as usual (TAU). Pregnant adult women with depression histories were recruited from obstetric clinics at 2 sites and randomized to MBCT-PD (N = 43) or TAU (N = 43). Treatment acceptability was measured by assessing completion of sessions, at-home practice, and satisfaction. Clinical outcomes were interview-based depression relapse/recurrence status and self-reported depressive symptoms through 6 months postpartum. Consistent with predictions, MBCT-PD for at-risk pregnant women was acceptable based on rates of completion of sessions and at-home practice assignments, and satisfaction with services was significantly higher for MBCT-PD than TAU. Moreover, at-risk women randomly assigned to MBCT-PD reported significantly improved depressive outcomes compared with participants receiving TAU, including significantly lower rates of depressive relapse/recurrence and lower depressive symptom severity during the course of the study. MBCT-PD is an acceptable and clinically beneficial program for pregnant women with histories of depression; teaching the skills and practices of mindfulness meditation and cognitive-behavioral therapy during pregnancy may help to reduce the risk of depression during an important transition in many women's lives. (PsycINFO Database Record