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

Hagai Maoz; Tina Goldstein; Benjamin I. Goldstein; David A. Axelson; Jieyu Fan; Mary Beth Hickey; Kelly Monk; Dara Sakolsky; Rasim S. Diler; David Brent; David J. Kupfer; Boris Birmaher

doi:10.1016/j.jaac.2014.07.005

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

Hagai Maoz, Tina Goldstein, Benjamin I. Goldstein, David A. Axelson, Jieyu Fan, Mary Beth Hickey, Kelly Monk, Dara Sakolsky, Rasim S. Diler, David Brent, David J. Kupfer, Boris Birmaher^*

^*Corresponding author for this work

Research output: Contribution to journal › Article › peer-review

53 Scopus citations

Abstract

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.

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).

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.

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.

Original language	English
Pages (from-to)	1111-1122.e5
Journal	Journal of the American Academy of Child and Adolescent Psychiatry
Volume	53
Issue number	10
DOIs	https://doi.org/10.1016/j.jaac.2014.07.005
State	Published - 1 Oct 2014
Externally published	Yes

Funding

Funders	Funder number
Depressive and Bipolar Disorder Alternative Treatment Foundation
The Fine Foundation
National Institute of Mental Health	R01 MH060952
National Institute on Drug Abuse
Pittsburgh Foundation
National Center for Advancing Translational Sciences	UL1TR000005
Ryan Licht Sang Bipolar Foundation
Eunice Kennedy Shriver National Institute of Child Health and Human Development
Canadian Institutes of Health Research
Heart and Stroke Foundation of Canada
Ontario Mental Health Foundation

Keywords

bipolar disorder
depression
high risk
offspring

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10.1016/j.jaac.2014.07.005

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Maoz, H., Goldstein, T., Goldstein, B. I., Axelson, D. A., Fan, J., Hickey, M. B., Monk, K., Sakolsky, D., Diler, R. S., Brent, D., Kupfer, D. J., & Birmaher, B. (2014). The effects of parental mood on reports of their children's psychopathology. Journal of the American Academy of Child and Adolescent Psychiatry, 53(10), 1111-1122.e5. https://doi.org/10.1016/j.jaac.2014.07.005

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abstract = "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.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).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.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.",

keywords = "bipolar disorder, depression, high risk, offspring",

author = "Hagai Maoz and Tina Goldstein and Goldstein, {Benjamin I.} and Axelson, {David A.} and Jieyu Fan and Hickey, {Mary Beth} and Kelly Monk and Dara Sakolsky and Diler, {Rasim S.} and David Brent and Kupfer, {David J.} and Boris Birmaher",

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T1 - The effects of parental mood on reports of their children's psychopathology

AU - Maoz, Hagai

AU - Goldstein, Tina

AU - Goldstein, Benjamin I.

AU - Axelson, David A.

AU - Fan, Jieyu

AU - Hickey, Mary Beth

AU - Monk, Kelly

AU - Sakolsky, Dara

AU - Diler, Rasim S.

AU - Brent, David

AU - Kupfer, David J.

AU - Birmaher, Boris

PY - 2014/10/1

Y1 - 2014/10/1

N2 - 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.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).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.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.

AB - 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.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).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.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.

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

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