Abstract
Maternal depression is a robust risk factor for heightened internalizing symptoms in offspring. Studies also suggest that maternal depression is associated with greater maternal emotion regulation (ER) difficulties. However, emotion regulation has been conceptualized as a multidimensional construct, and few studies have identified specific components of ER related to maternal depression and the role these components may play in the relationship between maternal depression and child internalizing symptoms. Mothers (n = 73) of young children (ages 4–9; 42 females), recruited from both clinical and community settings, reported their depression symptoms and emotion regulation difficulties. Children’s internalizing symptoms were assessed using both parental report and a semi-structured clinical interview. Regression analyses revealed that maternal depression symptoms were positively related to maternal ER, specifically, limited access to emotion regulation strategies and non-acceptance of emotional responses. Structural equation models revealed that the relation between maternal depression and child internalizing problems was mediated only through mother’s limited access to emotion regulation strategies. Our findings offer new insight for targeting mothers’ limited access to emotion strategies as a novel early intervention method to help break the intergenerational transmission of internalizing symptoms from mother to child.
Highlights
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Maternal depression was associated with internalizing symptoms in young children.
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Maternal depression was associated with differential components of emotion regulation difficulties.
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Mothers’ limited access to emotion regulation strategies mediated maternal depression and child’s internalizing symptoms.
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Abela, J. R. Z., Skitch, S. A., Adams, P., & Hankin, B. L. (2006). The timing of parent and child depression: a hopelessness theory perspective. Journal of Clinical Child & Adolescent Psychology, 35(2), 253–263. https://doi.org/10.1207/s15374424jccp3502_9.
Achenbach, T. (1991). Las depresiones infantiles. Ediciones Morata.
Aldao, A. (2013). The future of emotion regulation research: capturing context. Perspectives on Psychological Science, 8(2), 155–172. https://doi.org/10.1177/1745691612459518.
Aldao, A., & Nolen-Hoeksema, S. (2010). Specificity of cognitive emotion regulation strategies: a transdiagnostic examination. Behaviour Research and Therapy, 48(10), 974–983. https://doi.org/10.1016/j.brat.2010.06.002.
Aldao, A., & Nolen-Hoeksema, S. (2012). When are adaptive strategies most predictive of psychopathology? Journal of Abnormal Psychology, 121(1), 276–281. https://doi.org/10.1037/a0023598.
Aldao, A., Nolen-Hoeksema, S., & Schweizer, S. (2010). Emotion-regulation strategies across psychopathology: a meta-analytic review. Clinical Psychology Review, 30(2), 217–237. https://doi.org/10.1016/j.cpr.2009.11.004.
Asbrand, J., Svaldi, J., Krämer, M., Breuninger, C., & Tuschen-Caffier, B. (2016). Familial accumulation of social anxiety symptoms and maladaptive emotion regulation. PLoS ONE, 11(4). https://doi.org/10.1371/journal.pone.0153153.
Bandura, A. (1977). Social learning theory. Englewood Cliffs, NJ: Prentice-Hall.
Bardeen, J. R., Fergus, T. A., & Orcutt, H. K. (2012). An examination of the latent structure of the difficulties in emotion regulation scale. Journal of Psychopathology and Behavioral Assessment, 34(3), 382–392. https://doi.org/10.1007/s10862-012-9280-y.
Bariola, E., Gullone, E., & Hughes, E. K. (2011). Child and adolescent emotion regulation: the role of parental emotion regulation and expression. Clinical Child and Family Psychology Review, 14(2), 198 https://doi.org/10.1007/s10567-011-0092-5.
Bariola, E., Hughes, E. K., & Gullone, E. (2012). Relationships between parent and child emotion regulation strategy use: a brief report. Journal of Child and Family Studies, 21(3), 443–448. https://doi.org/10.1007/s10826-011-9497-5.
Barocas, R., Seifer, R., & Sameroff, A. J. (1985). Defining environmental risk: multiple dimensions of psychological vulnerability. American Journal of Community Psychology, 13(4), 433–447. https://doi.org/10.1007/BF00911218.
Beardslee, W. R., Gladstone, T. R. G., & O’Connor, E. E. (2011). Transmission and prevention of mood disorders among children of affectively ill parents: a review. Journal of the American Academy of Child and Adolescent Psychiatry, 50(11), 1098–1109. https://doi.org/10.1016/j.jaac.2011.07.020.
Beck, A. T., Epstein, N., Brown, G., & Steer, R. A. (1988). An inventory for measuring clinical anxiety: psychometric properties. Journal of Consulting and Clinical Psychology, 56, 893–897. https://doi.org/10.1037/0022-006X.56.6.893.
Beck, A. T., Steer, R. A., & Brown, G. K. (1996). Beck depression inventory-II. San Antonio, 78(2), 490–498.
Beesdo, K., Knappe, S., & Pine, D. S. (2009). Anxiety and anxiety disorders in children and adolescents: developmental issues and implications for DSM-V. Psychiatric Clinics of North America, 32(3), 483–524. https://doi.org/10.1016/j.psc.2009.06.002.
Bentler, P. M. (1990). Comparative fit indexes in structural models. Psychological Bulletin, 107(2), 238–246. https://doi.org/10.1037/0033-2909.107.2.238.
Berking, M., Ebert, D., Cuijpers, P., & Hofmann, S. G. (2013). Emotion regulation skills training enhances the efficacy of inpatient cognitive behavioral therapy for major depressive disorder: a randomized controlled trial. Psychotherapy and Psychosomatics, 82(4), 234–245. https://doi.org/10.1159/000348448.
Berking, M., Wirtz, C. M., Svaldi, J., & Hofmann, S. G. (2014). Emotion regulation predicts symptoms of depression over five years. Behaviour Research and Therapy, 57, 13–20. https://doi.org/10.1016/j.brat.2014.03.003.
Birmaher, B., Ehmann, M., Axelson, D. A., Goldstein, B. I., Monk, K., Kalas, C., & Brent, D. A. (2008). Schedule for affective disorders and schizophrenia for school-age children (K-SADS-PL) for the assessment of preschool children—a preliminary psychometric study. J Psychiatr Res. 2009, 43(7), 680–686. https://doi.org/10.1016/j.jpsychires.2008.10.003.
Bittner, A., Egger, H. L., Erkanli, A., Costello, E. J., Foley, D. L., & Angold, A. (2007). What do childhood anxiety disorders predict? Journal of Child Psychology and Psychiatry, 48(12), 1174–1183. https://doi.org/10.1111/j.1469-7610.2007.01812.x.
Brennan, P., Hammen, C., Katz, A., & Brocque, R. (2002). Maternal depression, paternal psychopathology, and adolescent diagnostic outcomes. Journal of Consulting and Clinical Psychology, 70(5), 1075–1085. https://doi.org/10.1037/002-006X.70.5.1075.
Brennan, P. A., Hammen, C., Andersen, M. J., Bor, W., Najman, J. M., & Williams, G. M. (2000). Chronicity, severity, and timing of maternal depressive symptoms: relationships with child outcomes at age 5. Developmental Psychology, 36(6), 759–766. https://doi.org/10.1037/0012-1649.36.6.759.
Burt, K. B., Van Dulmen, M. H. M., Carlivati, J., Egeland, B., Alan Sroufe, L., Forman, D. R., & Carlson, E. A. (2005). Mediating links between maternal depression and offspring psychopathology: the importance of independent data. Journal of Child Psychology and Psychiatry, 46(5), 490–499. https://doi.org/10.1111/j.1469-7610.2004.00367.x.
Calkins, S. D., & Leerkes, E. M. (2004). Early attachment processes and the development of emotional self- regulation. In Vohs, K. D., & Baumeister, R. F. (Eds), Handbook of self-regulation: Research, theory, and applications (2nd edn., pp 324–339). The Guilford Press.
Cisler, J. M., & Olatunji, B. O. (2012). Emotion regulation and anxiety disorders. Current Psychiatry Reports, 14(3), 182–187. https://doi.org/10.1007/s11920-012-0262-2.
Cole, P. M., Martin, S. E., & Dennis, T. A. (2004). Emotion regulation as a scientific construct: methodological challenges and directions for child development research. Journal of Child Development. Mar- Apr, 75(2), 317–333. https://doi.org/10.1111/j.1467-8624.2004.00673.x.
Cole, P. M., Michel, M. K., & Teti, L. O. (1994). The development of emotion regulation and dysregulation: a clinical perspective. Monographs of the Society for Research in Child Development, 59(2/3), 73 https://doi.org/10.2307/1166139.
Conway, K. P., Swendsen, J., Husky, M. M., He, J.-P., & Merikangas, K. R. (2016). Association of lifetime mental disorders and subsequent alcohol and illicit drug use: results from the national comorbidity survey–adolescent supplement. Journal of the American Academy of Child & Adolescent Psychiatry, 55(4), 280–288. https://doi.org/10.1016/j.jaac.2016.01.006.
Crespo, L. M., Trentacosta, C. J., Aikins, D., & Wargo-Aikins, J. (2017). Maternal emotion regulation and children’s behavior problems: the mediating role of child emotion regulation. Journal of Child and Family Studies, 26(10), 2797–2809. https://doi.org/10.1007/s10826-017-0791-8.
Daughters, S. B., Gorka, S. M., Rutherford, H. J. V., & Mayes, L. C. (2014). Maternal and adolescent distress tolerance: the moderating role of gender. Emotion, 14(2), 416–424. https://doi.org/10.1037/a0034991.
Deater-Deckard, K., Li, M., & Bell, M. A. (2016). Multifaceted emotion regulation, stress and affect in mothers of young children. Cognition and Emotion, 30(3), 444–457. https://doi.org/10.1080/02699931.2015.1013087.
Dixon-Gordon, K. L., Aldao, A., & De Los Reyes, A. (2015). Repertoires of emotion regulation: a person-centered approach to assessing emotion regulation strategies and links to psychopathology. Cognition and Emotion, 29(7), 1314–1325. https://doi.org/10.1080/02699931.2014.983046.
Eftekhari, A., Zoellner, L. A., & Vigil, S. A. (2009). Patterns of emotion regulation and psychopathology. Anxiety, Stress, & Coping, 22(5), 571–586. https://doi.org/10.1080/10615800802179860.
Ehring, T., Fischer, S., Schnülle, J., Bösterling, A., & Tuschen-Caffier, B. (2008). Characteristics of emotion regulation in recovered depressed versus never depressed individuals. Personality and Individual Differences, 44(7), 1574–1584. https://doi.org/10.1016/j.paid.2008.01.013.
Ehring, T., Tuschen-Caffier, B., Schnülle, J., Fischer, S., & Gross, J. J. (2010). Emotion regulation and vulnerability to depression: spontaneous versus instructed use of emotion suppression and reappraisal. Emotion, 10(4), 563–572. https://doi.org/10.1037/a0019010.
Eisenberg, N. (2001). The core and correlates of affective social competence. Social Development, 10(1), 120–124. https://doi.org/10.1111/1467-9507.00151.
Eisenberg, N., Cumberland, A., & Spinrad, T. L. (1998). Parental socialization of emotion. Psychological Inquiry, 9(4), 241–273. https://doi.org/10.1207/s15327965pli0904_1.
Eisenberg, N., & Spinrad, T. L. (2004). Emotion‐related regulation: sharpening the definition. Child development, 75(2), 334–339. https://doi.org/10.1111/j.1467-8624.2004.00674.x.
Eisenberg, N., Valiente, C., Spinrad, T. L., Cumberland, A., Liew, J., Reiser, M., & Losoya, S. H. (2009). Longitudinal relations of children’s effortful control, impulsivity, and negative emotionality to their externalizing, internalizing, and co-occurring behavior problems. Developmental Psychology, 45(4), 988 https://doi.org/10.1037/a0016213.
Gaffrey, M. S., Luby, J. L. Kiddie Schedule for Affective Disorders and Schizophrenia- Early Childhood Version (K-SADS-EC). St Louis, MO: Washington University School of Medicine. 2012
Garnefski, N., & Kraaij, V. (2006). Relationships between cognitive emotion regulation strategies and depressive symptoms: a comparative study of five specific samples. Personality and Individual Differences, 40(8), 1659–1669. https://doi.org/10.1016/j.paid.2005.12.009.
Goodman, S. H., Rouse, M. H., Connell, A. M., Broth, M. R., Hall, C. M., & Heyward, D. (2011). Maternal depression and child psychopathology: a meta-analytic review. Clinical Child and Family Psychology Review, 14(1), 1–27. https://doi.org/10.1007/s10567-010-0080-1.
Gottman J. M., Katz L. F., Hooven C. Meta-emotion: How families communicate emotionally. Lawrence Erlbaum Associates, Inc; Mahwah, NJ: 1997.
Gratz, K. L., & Roemer, L. (2004). Multidimensional assessment of emotion regulation and dysregulation: development, factor structure, and initial validation of the difficulties in emotion regulation scale. Journal of Psychopathology and Behavioral Assessment, 26(1), 41–54. https://doi.org/10.1023/B:JOBA.0000007455.08539.94.
Gross, J. J. (1998). The emerging field of emotion regulation: an integrative review. Review of General Psychology, 2(3), 271–299. https://doi.org/10.1037/1089-2680.2.3.271.
Gross, J. J., & Johnson, O. P. (2003). Individual differences in two emotion regulation processes: Implications for affect, relationships, and well-being. Journal of Personality and Social Psychology, 85(2), 348–362. https://doi.org/10.1037/0022-3514.85.2.348.
Han, Z. R., Lei, X., Qian, J., Li, P., Wang, H., & Zhang, X. (2016). Parent and child psychopathological symptoms: the mediating role of parental emotion dysregulation. Child and Adolescent Mental Health, 21(3), 161–168. https://doi.org/10.1111/camh.12169.
Han, Z. R., & Shaffer, A. (2013). The relation of parental emotion dysregulation to children’s psychopathology symptoms: the moderating role of child emotion dysregulation. Child Psychiatry & Human Development, 44(5), 591–601. https://doi.org/10.1007/s10578-012-0353-7.
Ip, K. I., Jester, J. M., Sameroff, A., & Olson, S. L. (2019). Linking Research Domain Criteria (RDoC) constructs to developmental psychopathology: the role of self-regulation and emotion knowledge in the development of internalizing and externalizing growth trajectories from ages 3 to 10. Development and Psychopathology, 31(4), 1557–1574. https://doi.org/10.1017/S0954579418001323.
Jazaieri, H., Urry, H. L., B, P. D., Gross, J. J., & A, P. D. (2013). Affective disturbance and psychopathology: an emotion regulation perspective. J Exp Psychopathol, 10–5127. https://doi.org/10.5127/jep.030312
Joormann, J., & Gotlib, I. H. (2010). Emotion regulation in depression: Relation to cognitive inhibition. Cognition and Emotion, 24(2), 281–298. https://doi.org/10.1080/02699930903407948.
Joormann, J., & Stanton, C. H. (2016). Examining emotion regulation in depression: a review and future directions. Behaviour Research and Therapy, 86, 35–49. https://doi.org/10.1016/j.brat.2016.07.007.
Kashdan, T. B., Zvolensky, M. J., & Mcleish, A. C. (2008). Anxiety sensitivity and affect regulatory strategies: individual and interactive risk factors for anxiety-related symptoms. Journal of Anxiety Disorders, 22(3), 429–440. https://doi.org/10.1016/j.janxdis.2007.03.011.
Kauffman, J., Birmaher, B., Brent, D., Rao, U., Flynn, C., Moreci, P., Williamson, D., & Ryan, N. (1997). Schedule for Affective Disorders and Schizophrenia for School-Age Children-Present and Lifetime Version (K-SADS- PL): Initial reliability and validity data. J Am Acad Child Adolesc Psychiatry, 36, 980–988. https://doi.org/10.1097/00004583-199707000-00021.
Lengua, L. J., Bush, N. R., Long, A. C., Kovacs, E. A., & Trancik, A. M. (2008). Effortful control as a moderator of the relation between contextual risk factors and growth in adjustment problems. Development and psychopathology, 20(2), 509–528. https://doi.org/10.1017/S0954579408000254.
Lengua, L. J., & Kovacs, E. A. (2005). Bidirectional associations between temperament and parenting and the prediction of adjustment problems in middle childhood. Journal of Applied Developmental Psychology, 26, 21–38. https://doi.org/10.1016/j.appdev.2004.10.001.
Liu, D. Y., & Thompson, R. J. (2017). Selection and implementation of emotion regulation strategies in major depressive disorder: an integrative review. Clinical Psychology Review, 57, 183–194. https://doi.org/10.1016/j.cpr.2017.07.004.
McMain, S., Korman, L. M., & Dimeff, L. (2001). Dialectical behavior therapy and the treatment of emotion dysregulation. Journal of Clinical Psychology, 57(2), 183–196. https://doi.org/10.1002/1097-4679(200102)57:2<183::AID-JCLP5>3.0.CO;2-Y.
Morelen, D., Shaffer, A., & Suveg, C. (2016). Maternal emotion regulation: links to emotion parenting and child emotion regulation. Journal of Family Issues, 37(13), 1891–1916. https://doi.org/10.1177/0192513X14546720.
Morris, A. S., Silk, J. S., Steinberg, L., Myers, S. S., & Robinson, L. R. (2007). The role of the family context in the development of emotion regulation. Social development (Oxford, England), 16(2), 361–388. https://doi.org/10.1111/j.1467-9507.2007.00389.x.
Morris, A. S., Silk, J. S., Steinberg, L., Sessa, F. M., Avenevoli, S., & Essex, M. J. (2002). Temperamental vulnerability and negative parenting as interacting predictors of child adjustment. Journal of Marriage and Family, 64(2), 461–471. https://doi.org/10.1111/j.1741-3737.2002.00461.x.
Muthén, B., & Asparouhov, T. (2012). Bayesian structural equation modeling: a more flexible representation of substantive theory. Psychological Methods, 17(3), 313–335. https://doi.org/10.1037/a0026802.
Nolen-Hoeksema, S., & Aldao, A. (2011). Gender and age differences in emotion regulation strategies and their relationship to depressive symptoms. Personality and Individual Differences, 51(6), 704–708. https://doi.org/10.1016/j.paid.2011.06.012.
Ohayon, M. M. (2007). Epidemiology of depression and its treatment in the general population. Journal of Psychiatric Research, 41(3–4), 207–213. https://doi.org/10.1016/j.jpsychires.2006.10.006.
Pinquart, M. (2017). Associations of parenting dimensions and styles with internalizing symptoms in children and adolescents: a meta-analysis. Marriage & Family Review, 53(7), 613–640. https://doi.org/10.1080/01494929.2016.1247761.
Ravel, V. V., & Walker, B. L. (2019). Unpacking ‘culture’: caregiver socialization of emotion and child functioning in diverse families. Developmental Review, 51, 146–174. https://doi.org/10.1016/j.dr.2018.11.001.
Rodriguez, L. M., Lee, K., Onufrak, J., Dell, J. B., Quist, M., Drake, H. P., & Bryan, J. (2020). Effects of a brief interpersonal conflict cognitive reappraisal intervention on improvements in access to emotion regulation strategies and depressive symptoms in college students. Psychology & health, 35(10), 1207–1227. https://doi.org/10.1080/08870446.2019.1711090.
Rosenblum, K. L., Muzik, M., Morelen, D. M., Alfafara, E. A., Miller, N. M., Waddell, R. M., & Ribaudo, J. (2017). A community-based randomized controlled trial of Mom Power parenting intervention for mothers with interpersonal trauma histories and their young children. Archives of women’s mental health, 20(5), 673–686. https://doi.org/10.1007/s00737-017-0734-9.
Rutherford, H. J., Wallace, N. S., Laurent, H. K., & Mayes, L. C. (2015). Emotion regulation in parenthood. Developmental Review, 36, 1–14. https://doi.org/10.1016/j.dr.2014.12.008.
Sameroff, A. (2010). A unified theory of development: a dialectic integration of nature and nurture. Child Development, 81(1), 6–22. https://doi.org/10.1111/j.1467-8624.2009.01378.x.
Shapero, B. G., & Steinberg, L. (2013). Emotional reactivity and exposure to household stress in childhood predict psychological problems in adolescence. Journal of Youth and Adolescence, 42(10), 1573–1582. https://doi.org/10.1007/s10964-013-9954-0.
Sheppes, G., Suri, G., & Gross, J. J. (2015). Emotion regulation and psychopathology. Annual Review of Clinical Psychology, 11(1), 379–405. https://doi.org/10.1146/annurev-clinpsy-032814-112739.
Silk, J. S., Shaw, D. S., Forbes, E. E., Lane, T. L., & Kovacs, M. (2006). Maternal depression and child internalizing: the moderating role of child emotion regulation. Journal of Clinical Child & Adolescent Psychology, 35(1), 116–126. https://doi.org/10.1207/s15374424jccp3501_10.
Steiger, J. H. (1990). Structural model evaluation and modification: an interval estimation approach. Multivariate Behavioral Research, 25(2), 173–180. https://doi.org/10.1207/s15327906mbr2502_4.
Strine, T. W., Mokdad, A. H., Balluz, L. S., Gonzalez, O., Crider, R., Berry, J. T., & Kroenke, K. (2008). Depression and anxiety in the United States: findings from the 2006 Behavioral Risk Factor Surveillance System. Psychiatric Services, 59(12), 1383–1390. https://doi.org/10.1176/appi.ps.59.12.1383.
Suveg, C., Hoffman, B., Zeman, J. L., & Thomassin, K. (2009). Common and specific emotion-related predictors of anxious and depressive symptoms in youth. Child Psychiatry and Human Development, 40(2), 223–239. https://doi.org/10.1007/s10578-008-0121-x.
Suveg, C., Morelen, D., Brewer, G. A., & Thomassin, K. (2010). The emotion dysregulation model of anxiety: a preliminary path analytic examination. Journal of anxiety disorders, 24(8), 924–930. https://doi.org/10.1016/j.janxdis.2010.06.018.
Thompson, R. A. (1994). Emotion regulation: a theme in search of definition. Monographs of the Society for Research in Child Development, 59(2/3), 25 https://doi.org/10.2307/1166137.
Zeman, J., Cassano, M., Perry-Parrish, C., & Stegall, S. (2006). Emotion regulation in children and adolescents. Journal of Developmental and Behavioral Pediatrics: JDBP, 27(2), 155–168. https://doi.org/10.1097/00004703-200604000-00014.
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The authors thank the University of Michigan Department of Psychiatry; the Kid Power research team and NICHD.
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This work was supported by the Susan Nolen-Hoeksema Postdoctoral Fellowship awarded to K.I.I., and the National Institutes of Mental Health (R03MH102648; MPI: K.R., K.F.), and the Strategic Translational Research Awards (PI: K.I.I.).
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Ip, K.I., McCrohan, M., Morelen, D. et al. Maternal Emotion Regulation Difficulties and the Intergenerational Transmission of Risk. J Child Fam Stud 30, 2367–2378 (2021). https://doi.org/10.1007/s10826-021-02019-w
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DOI: https://doi.org/10.1007/s10826-021-02019-w