Prevalence and predictors of parental depressive episodes: Results from a 15-year longitudinal study

• Published in: Journal of affective disorders Vol. 295; pp. 255 - 263
• Main Authors: Pineros-Leano, María, Saran, Indrani, Parchment, Tyrone M., Grafft, Natalie
• Format: Journal Article
• Language: English
• Published: Elsevier B.V 01.12.2021
• Subjects: Child development; Longitudinal data; Maternal depression; Paternal depression; Protective factors; Risk factors; Maternal depression; Paternal depression; Longitudinal data; Child development; Protective factors; Risk factors
• ISSN: 0165-0327; 1573-2517
• DOI: 10.1016/j.jad.2021.08.030

•Across waves, mothers had an average maternal depression prevalence of 18%.•Fathers had a lower prevalence rate than mothers across waves.•Social support, employment, and perceived health decreased the likelihood of depressive episodes.•Substance misuse and having a parent with a history of depression increased the likelihood of depressive episodes.•Parental depressive episodes are prevalent in a sample of predominantly minority parents. Background: Depression affects approximately 7.5 million parents in the United States each year. Parental depression has detrimental consequences for both the parent and the parent-child relationship. The purpose of this study was to: (1) understand the prevalence of parental depressive episodes longitudinally, (2) identify the risk and protective factors for parental depressive episodes, and (3) compare the risk and protective factors for depressive episodes among mothers and fathers. Methods: We used six waves of the Fragile Families and Child Wellbeing Study to descriptively examine parental depression over a period of 15 years. We used logistic and fixed effects regressions to assess the association between a number of demographic, health and parenting variables and maternal and paternal depression. Results: Our sample was primarily Black (48%) and Hispanic/Latino (27%). Fathers had a slightly lower prevalence of depression compared to mothers at all waves (approximately 13% averaged across waves for fathers, compared to 18% for mothers). Factors negatively correlated with depression among mothers and fathers included: social support, employment, and better-perceived health. Factors positively associated with depression for mothers and fathers were substance misuse and having a parent with a history of depression, anxiety, or drug misuse. Limitations: Our study was unable to identify causal relationships and the directionality of the relationship between depression and other variables of interest. Conclusions: We found that parental depression is prevalent in a sample of predominantly racially minoritized parents. Addressing comorbidities and increasing social support access may help manage parental depression and ensure a healthy child development.