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Level RA, Shisler SM, Seay DM, et al. Within- and between-family transactions of maternal depression and child engagement in the first 2 years of life: Role of prenatal maternal risk and tobacco use. Depress Anxiety. 2021;38(12):1279-1288doi: 10.1002/da.23211.
Level, R. A., Shisler, S. M., Seay, D. M., Ivanova, M. Y., Kelm, M. R., Eiden, R. D., & Schuetze, P. (2021). Within- and between-family transactions of maternal depression and child engagement in the first 2 years of life: Role of prenatal maternal risk and tobacco use. Depression and anxiety, 38(12), 1279-1288. https://doi.org/10.1002/da.23211
Level, Rachel A, et al. "Within- and between-family transactions of maternal depression and child engagement in the first 2 years of life: Role of prenatal maternal risk and tobacco use." Depression and anxiety vol. 38,12 (2021): 1279-1288. doi: https://doi.org/10.1002/da.23211
Level RA, Shisler SM, Seay DM, Ivanova MY, Kelm MR, Eiden RD, Schuetze P. Within- and between-family transactions of maternal depression and child engagement in the first 2 years of life: Role of prenatal maternal risk and tobacco use. Depress Anxiety. 2021 Dec;38(12):1279-1288. doi: 10.1002/da.23211. Epub 2021 Aug 26. PMID: 34435727; PMCID: PMC8665021.
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Depress Anxiety. 2021 Dec;38(12):1279-1288. doi: 10.1002/da.23211. Epub 2021 Aug 26.

Within- and between-family transactions of maternal depression and child engagement in the first 2 years of life: Role of prenatal maternal risk and tobacco use.

Depression and anxiety

Rachel A Level, Shannon M Shisler, Danielle M Seay, Miglena Y Ivanova, Madison R Kelm, Rina D Eiden, Pamela Schuetze

Affiliations

  1. Department of Psychology, Pennsylvania State University, State College, Pennsylvania, USA.
  2. Research Institute on Addictions, State University of New York at Buffalo, Buffalo, New York, USA.
  3. Department of Psychology, State University of New York at Buffalo, Buffalo, New York, USA.

PMID: 34435727 PMCID: PMC8665021 DOI: 10.1002/da.23211

Abstract

BACKGROUND: This study examined transactional associations among maternal depression, maternal sensitivity, and child engagement in the context of a low-income, diverse sample with maternal cigarette smoking during pregnancy (MSDP) as a moderator of these transactions.

METHODS: A random-intercept cross-lagged panel model was used to investigate within- and between-family variability from infancy to toddlerhood. The sample included 247 mother-child dyads (47% girls; 51% African-American; 178 MSDP, 69 non-MSDP). Assessments were conducted once during each trimester of pregnancy and at 2, 9, 16, and 24 months of child ages.

RESULTS: Between-family associations revealed that children exposed to higher levels of sensitive parenting across time had higher behavioral engagement from infancy to toddlerhood. At the within-family level, increased sensitive parenting at 9 months was predictive of increased child engagement at 16 months which in turn predicted increases in sensitive parenting at 24 months. Increased maternal depression was concurrently associated with lower maternal sensitivity at 2 months and lower child engagement at 16 months. Contrary to hypotheses, changes in maternal depression were not associated to changes in parenting or child engagement. These associations did not vary between prenatally smoking and nonsmoking mothers. However, there was significantly higher stability in maternal depression across time among nonsmoking mothers compared to those in the MSDP group. Additionally, increased maternal depression was related to lower-than-expected child engagement at 9 months only for the nonsmoking group.

CONCLUSIONS: Results highlight transactional processes at the within-family level and the importance of timing for parent and child effects on transactional processes.

© 2021 Wiley Periodicals LLC.

Keywords: addiction; bidirectional associations; child/adolescent; depression; maternal depression; maternal-child; mother-child interactions; parenting; pregnancy and postpartum; prenatal tobacco exposure; random intercept cross-lagged panel model; smoking

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