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Journal of Developmental & Behavioral Pediatrics:
doi: 10.1097/DBP.0b013e318293ab05
Original Articles

Pathways from Maternal Distress and Child Problem Behavior to Adolescent Depressive Symptoms: A Prospective Examination from Early Childhood to Adolescence

Nilsen, Wendy PhD*; Gustavson, Kristin PhD*; Røysamb, Espen PhD*,†; Kjeldsen, Anne PhD*; Karevold, Evalill PhD*

Supplemental Author Material
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Objective: The main aim of this study was to identify the pathways from maternal distress and child problem behaviors (i.e., internalizing and externalizing problems) across childhood and their impact on depressive symptoms during adolescence among girls and boys.

Method: Data from families of 921 Norwegian children in a 15-year longitudinal community sample were used. Using structural equation modeling, the authors explored the interplay between maternal-reported distress and child problem behaviors measured at 5 time points from early (ages 1.5, 2.5, and 4.5 years) and middle (age 8.5 years) childhood to early adolescence (age 12.5 years), and their prediction of self-reported depressive symptoms during adolescence (ages 14.5 and 16.5 years).

Results: The findings revealed paths from internalizing and externalizing problems throughout the development for corresponding problems (homotypic paths) and paths from early externalizing to subsequent internalizing problems (heterotypic paths). The findings suggest 2 pathways linking maternal-rated risk factors to self-reported adolescent depressive symptoms. There was a direct path from early externalizing problems to depressive symptoms. There was an indirect path from early maternal distress going through child problem behavior to depressive symptoms. In general, girls and boys were similar, but some gender-specific effects appeared. Problem behaviors in middle childhood had heterotypic paths to subsequent problems only for girls.

Conclusion: The findings highlight the developmental importance of child externalizing problems, as well as the impact of maternal distress as early as age 1.5 years for the development of adolescent depressive symptoms. Findings also indicate a certain vulnerable period in middle childhood for girls.

Note: See Supplemental Digital Content 1, at, for a video introduction to this article.

© 2013 by Lippincott Williams & Wilkins

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