Maternal Mental Health and Children’s Problem Behaviours: A Bi-directional Relationship?

Lowthian, Emily; Bedston, Stuart; Kristensen, Sara Madeleine; Akbari, Ashley; Fry, Rich; Huxley, Katy; Johnson, Rhodri; Kim, Hyun Sue; Owen, Rhiannon; Taylor, Chris; Griffiths, Lucy

doi:10.1007/s10802-023-01086-5

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Maternal Mental Health and Children’s Problem Behaviours: A Bi-directional Relationship?

Emily Lowthian

, Stuart Bedston, Sara Madeleine Kristensen, Ashley Akbari

, Rich Fry

, Katy Huxley, Rhodri Johnson, Hyun Sue Kim, Rhiannon Owen

, Chris Taylor, Lucy Griffiths

Research on Child and Adolescent Psychopathology, Volume: 51, Issue: 11, Pages: 1611 - 1626

Swansea University Authors: Emily Lowthian , Stuart Bedston, Ashley Akbari , Rich Fry , Rhodri Johnson, Rhiannon Owen , Lucy Griffiths

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DOI (Published version): 10.1007/s10802-023-01086-5

Abstract

Transactional theory and the coercive family process model have illustrated how the parent-child relationship is reciprocal. Emerging research using advanced statistical methods has examined these theories, but further investigations are necessary. In this study, we utilised linked health data on ma...

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Published in:	Research on Child and Adolescent Psychopathology
ISSN:	2730-7166 2730-7174
Published:	Springer Science and Business Media LLC 2023
Online Access:	Check full text
URI:	https://cronfa.swan.ac.uk/Record/cronfa63770
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spelling	v2 63770 2023-07-04 Maternal Mental Health and Children’s Problem Behaviours: A Bi-directional Relationship? db5bc529b8a9dfca2b4a268d14e03479 0000-0001-9362-0046 Emily Lowthian Emily Lowthian true false c79d07eaba5c9515c0df82b372b76a41 Stuart Bedston Stuart Bedston true false aa1b025ec0243f708bb5eb0a93d6fb52 0000-0003-0814-0801 Ashley Akbari Ashley Akbari true false d499b898d447b62c81b2c122598870e0 0000-0002-7968-6679 Rich Fry Rich Fry true false 5f97fd65ef8cf66db750f645f115454c Rhodri Johnson Rhodri Johnson true false 0d30aa00eef6528f763a1e1589f703ec 0000-0001-5977-376X Rhiannon Owen Rhiannon Owen true false e35ea6ea4b429e812ef204b048131d93 0000-0001-9230-624X Lucy Griffiths Lucy Griffiths true false 2023-07-04 SOSS Transactional theory and the coercive family process model have illustrated how the parent-child relationship is reciprocal. Emerging research using advanced statistical methods has examined these theories, but further investigations are necessary. In this study, we utilised linked health data on maternal mental health disorders and explored their relationship with child problem behaviours via the Strengths and Difficulties Questionnaire for over 13 years. We accessed data from the Millennium Cohort Study, linked to anonymised individual-level population-scale health and administrative data within the Secure Anonymised Information Linkage (SAIL) Databank. We used Bayesian Structural Equation Modelling, specifically Random-Intercept Cross-Lagged Panel Models, to analyse the relationships between mothers and their children. We then explored these models with the addition of time-invariant covariates. We found that a mother’s mental health was strongly associated over time, as were children’s problem behaviours. We found mixed evidence for bi-directional relationships, with only emotional problems showing bi-directional associations in mid to late childhood. Only child-to-mother pathways were identified for the overall problem behaviour score and peer problems; no associations were found for conduct problems or hyperactivity. All models had strong between-effects and clear socioeconomic and sex differences. We encourage the use of whole family-based support for mental health and problem behaviours, and recommend that socioeconomic, sex and wider differences should be considered as factors in tailoring family-based interventions and support. Journal Article Research on Child and Adolescent Psychopathology 51 11 1611 1626 Springer Science and Business Media LLC 2730-7166 2730-7174 Maternal mental health, Child development, Structural equation modelling, Millennium Cohort Study, Bayesian analysis 1 11 2023 2023-11-01 10.1007/s10802-023-01086-5 COLLEGE NANME Social Sciences School COLLEGE CODE SOSS Swansea University SU Library paid the OA fee (TA Institutional Deal) This work was supported by Health Data Research UK, which receives its funding from HDR UK Ltd (HDR-9006) funded by the UK Medical Research Council, Engineering and Physical Sciences Research Council, Economic and Social Research Council, Department of Health and Social Care (England), Chief Scientist Office of the Scottish Government Health and Social Care Directorates, Health and Social Care Research and Development Division (Welsh Government), Public Health Agency (Northern Ireland), British Heart Foundation (BHF) and the Wellcome Trust. This work was supported by the ADR Wales programme of work. The ADR Wales programme of work is aligned to the priority themes as identified in the Welsh Government’s national strategy: Prosperity for All. ADR Wales brings together data science experts at Swansea University Medical School, staff from the Wales Institute of Social and Economic Research and Data (WISERD) at Cardiff University and specialist teams within the Welsh Government to develop new evidence which supports Prosperity for All by using the SAIL Databank at Swansea University, to link and analyse anonymised data. ADR Wales is part of the Economic and Social Research Council (part of UK Research and Innovation) funded ADR UK (grant ES/S007393/1). 2024-06-06T13:09:11.7916378 2023-07-04T10:18:01.8619214 Faculty of Humanities and Social Sciences School of Social Sciences - Education and Childhood Studies Emily Lowthian 0000-0001-9362-0046 1 Stuart Bedston 2 Sara Madeleine Kristensen 3 Ashley Akbari 0000-0003-0814-0801 4 Rich Fry 0000-0002-7968-6679 5 Katy Huxley 6 Rhodri Johnson 7 Hyun Sue Kim 8 Rhiannon Owen 0000-0001-5977-376X 9 Chris Taylor 10 Lucy Griffiths 0000-0001-9230-624X 11 63770__28282__2271e1c16a8a45518c599975423845c8.pdf 63770.VOR.pdf 2023-08-09T15:28:59.0395499 Output 1698535 application/pdf Version of Record true © The Author(s) 2023. Distributed under the terms of a Creative Commons Attribution 4.0 License (CC BY 4.0). true eng https://creativecommons.org/licenses/by/4.0/
title	Maternal Mental Health and Children’s Problem Behaviours: A Bi-directional Relationship?
spellingShingle	Maternal Mental Health and Children’s Problem Behaviours: A Bi-directional Relationship? Emily Lowthian Stuart Bedston Ashley Akbari Rich Fry Rhodri Johnson Rhiannon Owen Lucy Griffiths
title_short	Maternal Mental Health and Children’s Problem Behaviours: A Bi-directional Relationship?
title_full	Maternal Mental Health and Children’s Problem Behaviours: A Bi-directional Relationship?
title_fullStr	Maternal Mental Health and Children’s Problem Behaviours: A Bi-directional Relationship?
title_full_unstemmed	Maternal Mental Health and Children’s Problem Behaviours: A Bi-directional Relationship?
title_sort	Maternal Mental Health and Children’s Problem Behaviours: A Bi-directional Relationship?
author_id_str_mv	db5bc529b8a9dfca2b4a268d14e03479 c79d07eaba5c9515c0df82b372b76a41 aa1b025ec0243f708bb5eb0a93d6fb52 d499b898d447b62c81b2c122598870e0 5f97fd65ef8cf66db750f645f115454c 0d30aa00eef6528f763a1e1589f703ec e35ea6ea4b429e812ef204b048131d93
author_id_fullname_str_mv	db5bc529b8a9dfca2b4a268d14e03479_*_Emily Lowthian c79d07eaba5c9515c0df82b372b76a41__Stuart Bedston aa1b025ec0243f708bb5eb0a93d6fb52__Ashley Akbari d499b898d447b62c81b2c122598870e0__Rich Fry 5f97fd65ef8cf66db750f645f115454c__Rhodri Johnson 0d30aa00eef6528f763a1e1589f703ec__Rhiannon Owen e35ea6ea4b429e812ef204b048131d93_**_Lucy Griffiths
author	Emily Lowthian Stuart Bedston Ashley Akbari Rich Fry Rhodri Johnson Rhiannon Owen Lucy Griffiths
author2	Emily Lowthian Stuart Bedston Sara Madeleine Kristensen Ashley Akbari Rich Fry Katy Huxley Rhodri Johnson Hyun Sue Kim Rhiannon Owen Chris Taylor Lucy Griffiths
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description	Transactional theory and the coercive family process model have illustrated how the parent-child relationship is reciprocal. Emerging research using advanced statistical methods has examined these theories, but further investigations are necessary. In this study, we utilised linked health data on maternal mental health disorders and explored their relationship with child problem behaviours via the Strengths and Difficulties Questionnaire for over 13 years. We accessed data from the Millennium Cohort Study, linked to anonymised individual-level population-scale health and administrative data within the Secure Anonymised Information Linkage (SAIL) Databank. We used Bayesian Structural Equation Modelling, specifically Random-Intercept Cross-Lagged Panel Models, to analyse the relationships between mothers and their children. We then explored these models with the addition of time-invariant covariates. We found that a mother’s mental health was strongly associated over time, as were children’s problem behaviours. We found mixed evidence for bi-directional relationships, with only emotional problems showing bi-directional associations in mid to late childhood. Only child-to-mother pathways were identified for the overall problem behaviour score and peer problems; no associations were found for conduct problems or hyperactivity. All models had strong between-effects and clear socioeconomic and sex differences. We encourage the use of whole family-based support for mental health and problem behaviours, and recommend that socioeconomic, sex and wider differences should be considered as factors in tailoring family-based interventions and support.
published_date	2023-11-01T13:09:13Z
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Maternal Mental Health and Children’s Problem Behaviours: A Bi-directional Relationship?

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