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. 2014 Oct;53(10):1111-22.e5.
doi: 10.1016/j.jaac.2014.07.005. Epub 2014 Aug 6.

The effects of parental mood on reports of their children's psychopathology

Hagai Maoz  1 , Tina Goldstein  1 , Benjamin I Goldstein  2 , David A Axelson  3 , Jieyu Fan  1 , Mary Beth Hickey  1 , Kelly Monk  1 , Dara Sakolsky  1 , Rasim S Diler  1 , David Brent  1 , David J Kupfer  1 , Boris Birmaher  4
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The effects of parental mood on reports of their children's psychopathology

Hagai Maoz et al. J Am Acad Child Adolesc Psychiatry. 2014 Oct.

Abstract

Objective: In this study, we aimed to assess whether current mood state (depressed or manic/hypomanic) among parents with a mood disorder would affect their reports of their offspring's psychopathology.

Method: Sixty-five parents with current depression, 42 parents with current mania/hypomania, 181 parents with mood disorder in remission, and their offspring (n = 479, aged 6-18 years) completed assessments of offspring psychopathology as part of the Pittsburgh Bipolar Offspring Study (BIOS). We compared rates of offspring psychopathology assessed using the following: a clinician-administered semi-structured interview with parent and child using the Schedule for Affective Disorders and Schizophrenia for School-Age Children (K-SADS); parent-reported Child Behavior Checklist (CBCL); offspring self-reported Youth Self Reports (YSR) for those 11 years and older (n = 250); and teachers' reports when available (n = 209).

Results: There were no between-group differences in rates of psychopathology yielded from the K-SADS, except for more depressive disorders in offspring of parents with current mania/hypomania compared to offspring of parents in remission. Conversely, using the CBCL and comparing with parents who were in remission, parents with current depression reported significantly more externalizing psychopathology in offspring, whereas parents with current mania/hypomania reported more externalizing and internalizing psychopathology in their offspring. On the YSR, offspring of parents with current mania/hypomania had more internalizing psychopathology compared to offspring of parents in remission. Teacher's reports showed no between-group differences in rates of any psychopathology.

Conclusion: Parental active mood symptomatology, especially during a manic/hypomanic episode, significantly affects their reports of their offspring's psychopathology. Trained interviewers reduce potential report bias. Clinicians and studies assessing children's psychopathology should take into account parental current mood state.

Keywords: bipolar disorder; depression; high risk; offspring.

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