The Relationship Among Caregiver Depressive Symptoms, Parenting Behavior, and Family-centered Care

Deborah Winders Davis, PhD; John Myers, PhD; M. Cynthia Logsdon, PhD, C-WHNP, FAAN; Nerissa S. Bauer, MD, MPH

Disclosures

J Pediatr Health Care. 2016;30(2):121-132. 

In This Article

Results

A total of 2,063 were included in the analysis; 1,562 (75.7%) were not depressed, and 501 (24.3%) were depressed. No difference in demographic variables was found between persons who did and did not report depressive symptoms (Table 2). Depression was significantly correlated with only one other predictor, which was how well the individual coped with the demands of parenthood. Depression was inversely related to coping well with the demands of parenthood (r = −0.455, p = .020).

Influence of Depression on Outcomes

Depressive symptomatology significantly decreased the odds that an individual performed more than the median number of routines (odds ratio [OR] = 0.68, 95% confidence interval [CI] = 0.54–0.82, p = .018) and increased the odds that an individual performed more than the median number of punitive behaviors (OR = 1.51, 95% CI = 1.15–1.92, p = .007; see Table 3). This finding suggests that these relationships were not mediated by FCC.

Influence of FCC on Outcomes

FCC independently and significantly increased the odds that an individual performed more than the median number of routines (OR = 1.12, 95% CI = 1.03–1.23, p = .011; see Table 4).

Other Influences on Outcomes

Coping (OR = 0.23, 95% CI = 0.08–0.40, p < .001) and social support (OR = 0.17, 95% CI = 0.03–0.39, p < .001) decreased the odds that an individual performed more than the median number of punitive behaviors. Coping (OR = 1.54, 95% CI = 1.30–1.70, p < .001) and social support (OR = 1.37, 95% CI = 1.14–1.68, p < .001) increased the odds that an individual performed more than the median number of positive disciplinary strategies (see Table 4). No significant interaction effects existed between depression and any other variable studied (FCC, coping, social support, or ethnicity). That is, the relationship between the presence of depressive symptoms and each outcome was not moderated by another predictor.

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