Transdiagnostic and disorder-specific models of intergenerational transmission of internalizing pathology

• Published in: Psychological medicine Vol. 44; no. 1; pp. 161 - 172
• Main Authors: Starr, L. R., Conway, C. C., Hammen, C. L., Brennan, P. A.
• Format: Journal Article
• Language: English
• Published: Cambridge, UK Cambridge University Press 01.01.2014
• Subjects: Adolescent; Adult; Adult and adolescent clinical studies; Age; Anxiety Disorders - psychology; Anxiety-Depression; Australia; Biological and medical sciences; Child & adolescent psychiatry; Child of Impaired Parents - psychology; Depression; Depressive Disorder - psychology; Female; General aspects; Humans; Intergenerational Relations; Intergenerational transmission; Internalization; Longitudinal Studies; Male; Medical sciences; Mental depression; Miscellaneous; Models, Psychological; Mood disorders; Mothers; Mothers - psychology; Original Articles; Pathology; Psychology. Psychoanalysis. Psychiatry; Psychopathology; Psychopathology. Psychiatry; Young Adult; Australia; Intergenerational transmission; internalizing disorders; maternal anxiety disorders; maternal depression; Mood disorder; Internalizing disorder; Anxiety disorder; Depression; Maternal diseases; Internalization; Intergeneration relation; Mental disorder; Models
• ISSN: 0033-2917; 1469-8978
• DOI: 10.1017/S003329171300055X

Numerous studies have supported an association between maternal depression and child psychiatric outcomes, but few have controlled for the confounding effects of both maternal and offspring co-morbidity. Thus, it remains unclear whether the correspondence between maternal and offspring depressive and anxiety disorders is better explained by associations between shared features of maternal and offspring internalizing disorders or by specific effects exerted by unique aspects of individual disorders. Pairs of mothers and offspring overselected for maternal depression (n = 815) were assessed at offspring age 15 years for anxiety and depressive disorders; 705 completed a follow-up at offspring age 20 years. For both mothers and offspring, structural equation modeling was used to distinguish transdiagnostic internalizing pathology--representing the overlap among all depressive and anxiety disorders--from diagnosis-specific forms of pathology. To discriminate between general versus specific pathways of intergenerational transmission of psychopathology, we examined (a) the general association between the maternal and offspring internalizing factors and (b) the correlations between maternal and offspring diagnosis-specific pathology for each disorder. For mothers and offspring, a unidimensional latent variable model provided the best fit to the correlations among depressive and anxiety disorders. The maternal transdiagnostic internalizing factor strongly predicted the corresponding factor among offspring. In addition, the unique component of post-traumatic stress disorder among offspring was significantly related to the analogous unique component among mothers, but specific components of other maternal disorders, including depression, did not predict corresponding offspring pathology. Results suggest that intergenerational transmission of internalizing disorders is largely non-specific.