Abstract
Following the United States’ recent engagements in military conflicts, the impact of parent deployment on child adaptation has become an increased focus of research. This study examined the contributions of maternal depressive affect and parenting stress to young children’s (ages 3 to 7) internalizing and externalizing symptomatology. In order to examine how these maternal factors contribute to child well-being, mean level differences and path analysis with group level modelling examined differences between military, single-parent and two-parent civilian families. Mean level differences reflected higher rates of difficulty for military homefront mothers in terms of depressive affect than either single or two-parent families and similar levels of parenting stress with single mothers. Military children demonstrated higher rates of internalizing or externalizing symptoms than children in single or two-parent families. Path analysis results indicated group level differences in links between maternal depressive affect and internalizing symptoms, with military families having stronger associations than single parent families. No group level differences were found between maternal depressive affect and externalizing symptoms. Associations between parenting stress and internalizing symptoms were stronger for military families than two parent families but weaker than single parent families, while the links between parenting stress and externalizing symptoms were the same for military and for single-parent families. These findings have important implications regarding potential intervention/prevention approaches for military families, suggesting that it may be particularly beneficial to target homefront mothers’ depressive affect and parenting stress during deployment as a means for promoting positive child outcomes.
Highlights
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Homefront mothers exhibit higher rates of depressive affect than civilian mothers (i.e. single or two-parent), and more emotion dysregulation and parenting stress than civilian two-parent mothers.
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Young children from military families demonstrated higher rates of internalizing and externalizing symptoms than children from either group of civilian families.
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Different patterns of prediction from maternal depressive affect and parenting stress to children’s internalizing and externalizing symptoms were found based on family type.
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Findings suggest the importance of easily available mental health services, targeting maternal depressive affect and parenting stress for homefront mothers.
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References
Abidin, R. R. (1995). Parenting Stress Index (3rd ed.). Odessa, FL: Psychological Assessment Resources.
Achenbach, T. M., & Edelbrock, C., 1983. Manual for the child behavior checklist and revised child behavior profile. University of Vermont, Burlington, VT.
Achenbach, T. M., McConaughy, S. H., & Howell, C. T. (1987). Child/adolescent behavioral and emotional problems: Implications of cross-informant correlations for situational specificity. Psychological Bulletin, 101(2), 213–232. https://doi.org/10.1037/0033-2909.101.2.213.
Achenbach. T. M. & Rescorlo, L. A. (2001). Manual for the ASEBA preschool forms and profiles. Burlington, VT: University of Vermont, Research Center for Children, Youth, & Families.
Allen, E. S., Rhoades, G. K., & Stanley, S. M. (2011). On the home front: Stress for recently deployed Army couples. Family Process, 50, 235–247. https://doi.org/10.1111/j.1545-5300.2011.01357.x.
Anthony, L. G., Anthony, B. J., Glanville, D. N., Naiman, D. Q., Waanders, C., & Shaffer, S. (2005). The relationships between parenting stress, parenting behaviour and preschoolers’ social competence and behaviour problems in the classroom. Infant and Child Development, 14, 133–154. https://doi.org/10.1002/icd.385.
Aranda, M. C., Middleton, L. S., Flake, E., & Davis, B. E. (2011). Psychosocial screening in children with wartime-deployed parents. Military medicine, 176, 402–407. https://doi.org/10.7205/milmed-d-10-00202.
Arbuckle, J. L. (2019). Amos (Version 26.0) [Computer Program]. Chicago: IBM SPSS.
Barker, L. H., & Berry, K. D. (2009). Developmental issues impacting military families with young children during single and multiple deployments. Military Medicine, 174, 1033–1040.
Boyle, M. H., & Pickles, A. R. (1997). Influence of Maternal Depressive Symptoms on Ratings of Childhood Behavior. Journal of Abnormal Child Psychology, 25, 399–412. https://doi.org/10.1023/A:1025737124888.
Bowlby, J. (1982). Attachment and Loss, Vol. 1: Attachment. Attachment and Loss. Basic Books. 2nd ed. (1st ed. published in 1969).
Brown, G., & Moran, P. (1997). Single mothers, poverty, and depression. Psychological Medicine, 27(1), 21–33. https://doi.org/10.1017/S003291796004060.
Cairney, J., Boyle, M., Offord, D. R., & Racine, Y. (2003). Stress, social support and depression in single and married mothers. Social Psychiatry and Psychiatric Epidemiology, 38, 442–449. https://doi.org/10.1007/s00127-003-0661-0.
Cederbaum, J. A., Gilreath, T. D., Benbenishty, R., Astor, R. A., Pineda, D., De Pedro, K. M., & Atuel, H. (2014). Well-being and suicidal ideation of secondary school students from military families. Journal of Adolescent Health, 54, 672–677. https://doi.org/10.1016/j.jadohealth.2013.09.006.
Chandra, A., Martin, L. T., Hawkins, S. A., & Richardson, A. (2010). The Impact of Parental Deployment on Child Social and Emotional Functioning: Perspectives of School Staff. Journal of Adolescent Health, 46(3), 218–233. https://doi.org/10.1016/j.jadohealth.2009.10.009.
Cox, M. J., & Paley, B. (1997). Families as systems. Annual Review of Psychology, 48(1), 243–267.
Crnic, K., Gaze, C., & Hoffman, C. (2005). Cumulative parenting stress across the preschool period: Relations to maternal parenting and child behaviour at age 5. Infant and Child Development, 14, 117–132. https://doi.org/10.1002/icd.384.
Crnic, K., Low, C. (2002). Everyday stresses and parenting. In Handbook of Parenting: Practical Issues in Parenting (2nd ed), Bornstein M (ed.), vol. 5. Lawrence Erlbaum Associates: Mahwah, NJ; 243–267.
Crnic, K., & Greenberg, M. (1990). Minor parenting stresses with young children. Child Development, 61, 1628–1637.
Deater-Deckard, K. (2006). Parenting stress and child adjustment: Some old hypotheses and new questions. Clinical Psychology Science and Practice, 5, 314–332. https://doi.org/10.1111/j.1468-2850.1998.tb00152.
DeVoe, E. R., Paris, R., Emmert-Aronson, B., Ross, A., & Acker, M. (2017). A randomized clinical trial of a postdeployment parenting intervention for service members and their families with very young children. Psychological Trauma: Theory, Research, Practice, and Policy, 9(S1), 25.
Downey, G., & Coyne, J. C. (1990). Children of depressed parents: An integrative review. Psychological Bulletin, 108, 50–76.
Easterbrooks, M. A., Ginsburg, K., & Lerner, R. M. (2013). Resilience among military youth. The Future of Children, 23, 99–120.
Eaton, K. E., Hoge, C. W., Messer, S. C., Whitt, A. W., Cabrera, O. A., McGurk, D., Cox, A., & Castro, C. A. (2008). Prevalence of Mental Health Problems, Treatment Need, and Barriers to Care among Primary Care-Seeking Spouses of Military Service Members Involved in Iraq and Afghanistan Deployments. Military Medicine, 173(11), 1051–1056. https://doi.org/10.7205/MILMED.173.11.1051.
Fairbank, J. A., Briggs, E. C., Lee, R. C., Corry, N. H., Pflieger, J. C., Gerrity, E. T., Amaya-Jackson, L. M., Stander, V. A., & Murphy, R. A. (2018). Mental health of children of deployed and nondeployed military service members. The Millennium Cohort Family Study. Journal of Developmental and Behavioral Pediatrics, 39, 683–692. https://doi.org/10.1097/DBP.0000000000000606.
Fear, N. T., Reed, R. V., Rowe, R. S., Burdett, H., Pernet, D., Mahar, A., Iversen, A. C., Ramchandanai, P., Seitn, A., & Wessley, S. (2018). Impact of paternal deployment to conflicts in Iraq and Afghanistan and paternal post-traumatic stress disorder on the children of militry fathers. British Journal of Psychiatry, 212, 347–355.
Flake, E. M., Davis, B. E., Johnson, P. L., & Middleton, L. S. (2009). The psychosocial effects of deployment on military children. Journal of Developmental and Behavioral Pediatrics, 30(4), 271.
Gewirtz, A. H., DeGarmo, D. S., & Zamir, O. (2018). After deployment, adaptive parenting tools: 1-year outcomes of an evidence-based parenting program for military families following deployment. Prevention Science, 19, 589–599.
Goodman, S. H., & Gotlib, I. H. (1999). Risk for psychopathology in the children of depressed mothers: A developmental model for understanding mechanisms of transmission. Psychological Review, 106(3), 458–490. https://doi.org/10.1037/0033-295X.106.3.458.
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, 1–27. https://doi.org/10.1007/s10567-010-0080-1.
Hu, L., & Bentler, P. M. (1999). Cutoff criteria for ft indexes in covariance structure analysis: conventional criteria versus new alternatives. Structural Equation Modeling: A Multidisciplinary Journal, 6(1), 1–55. https://doi.org/10.1080/10705519909540118.
Hoge, C. W., Castro, C. A., Messer, S. C., McGurk, D., Cotting, D. I., & Koffman, R. L. (2004). Combat duty in Iraq and Afghanistan, mental health problems, and barriers to care. New England journal of medicine, 351(1), 13–22.
Jensen P. (1999). Mental health in military children: Military risk factors, mental health, and outcomes. In P. McClure (Ed.), Pathways to the Future: A Review of Military Family Research. (pp. 155-183). Military Family Institute.
Kessler, R. C. (2003). Epidemiology of women and depression. Journal of Affective Disorders, 74(1), 5–13. https://doi.org/10.1016/S0165-0327(02)00426-3.
Kochanova, K., Pittman, L. D., & McNeela, L. (2022). Parenting Stress and Child Externalizing and Internalizing Problems Among Low-Income Families: Exploring Transactional Associations. Child psychiatry and human development, 53, 76–88. https://doi.org/10.1007/s10578-020-01115-0.
Kuczynski, L., & Kochanska, G. (1990). Development of children’s noncompliance strategies from toddlerhood to age 5. Developmental Psychology, 26(3), 398–408. https://doi.org/10.1037/0012-1649.26.3.398.
Larsen, R. (2011). Missing data imputation versus full information maximum likelihood with second-level dependencies. Structural Equation Modeling: A Multidisciplinary Journal, 18(4), 649–662.
Lester, P., Liang, L. J., Milburn, N., Mogil, C., Woodward, K., Nash, W., & Saltzman, W. (2016). Evaluation of a family-centered preventive intervention for military families: Parent and child longitudinal outcomes. Journal of the American Academy of Child & Adolescent Psychiatry, 55(1), 14–24.
Lester, P., Peterson, K., Reeves, J., Knauss, L., Glover, D., Mogil, C., Duan, N., Saltzman, W., Pynoos, R., Wilt, K., & Beardslee, W. (2010). The long war and parental combat deployment: effects on military children and at-home spouses. Journal of the American Academy of Child and Adolescent Psychiatry, 49(4), 310–320.
Liang, L. A., Berger, U., & Brand, C. (2019). Psychosocial factors associated with symptoms of depression, anxiety and stress among single mothers with young children: A population-based study. Journal of Affective Disorders, 242, 255–264. https://doi.org/10.1016/j.jad.2018.08.013.
Lieberman, A. F. (2004). Child-Parent Psychotherapy: A Relationship-Based Approach to the Treatment of Mental Health Disorders in Infancy and Early Childhood. In A. J. Sameroff, S. C. McDonough, & K. L. Rosenblum (Eds.), Treating parent-infant relationship problems: Strategies for intervention (pp. 97–122). The Guilford Press.
Lovejoy, M. C., Graczyk, P. A., O’Hare, E., & Neuman, G. (2000). Maternal depression and parenting behavior: a meta-analytic review. Clinical psychology review, 20(5), 561–592. https://doi.org/10.1016/s0272-7358(98)00100-7.
Mansfield, A. J., Kaufman, J. S., Marshall, S. W., Gaynes, B. N., Morrissey, J. P., & Engel, C. C. (2010). Deployment and the use of mental health services among U.S. Army Wives. New England Journal of Medicine, 362, 101–109. https://doi.org/10.1056/NEJMoa0900177.
Masten, A. S., & Cicchtti, D. (2010). Developmental cascases. Development and Psychopathology, 22(3), 491–495. https://doi.org/10.1017/S095457941000022.
Mustillo, S., MacDermid Wadsworth, S., & Lester, P. (2016). Parental deployment and well-being in children: Results from a new study of military families. Journal of Emotional and Behavioral Disorders, 24, 82–91. https://doi.org/10.1177/1063426615598766.
Muthen, B. O., & Khoo, S. T. (1998). Longitudinal studies of achievement growth using latent variable modeling. Learning and Individual Differences, 10, 73–101.
North Atlantic Treaty Organization. (2019). Impact of military life on children from military families. Alla Skomorovsky (Ed.) STO Technical Report. https://apps.dtic.mil/sti/pdfs/AD1071759.pdf.
Padden, D., & Agazio, J. (2013). Caring for military families across the deployment cycle. Journal of Emergency Nursing, 39(6), 562–569.
Palmer, C. (2008). A theory of risk and resilience factors in military families. Military Psychology, 20, 205–217.
Pellegrini, D. (1989). Depressed mothers’ judgments about their children: An examination of the depression–distortion hypothesis. Child Development, 60, 1068–1075.
Radloff, L. S. (1977). The CES-D Scale: A self-report depression scale for research in the general population. Applied Psychological Measurement, 1(3), 385–401. https://doi.org/10.1177/014662167700100306.
Richters, J. (1992). Depressed mothers as informants about their children: A critical review of the evidence for distortion. Psychological Bulletin, 112, 485–499.
Richters, J., & Pellegrini, D. (1989). Depressed mothers’ judgment about their children: An examination of depression–distortion hypothesis. Child Development, 50, 1068–1075.
Riley, A. W., Valdez, C. R., Barrueco, S., Mills, C., Beardslee, W., Sandler, I., & Rawal, P. (2008). Development of family-based program to reduce risk and promote resilience among families affected by maternal depression: Theoretical basis and program description. Clinical Child Family Psychology Review, 11, 12–29. https://doi.org/10.1007/s10567-008-0030-3.
Rueter, M. A., Scaramella, L., Wallace, L. E., & Conger, R. (1999). First onselt of depressive or anxiety disorders predicted by the longitudinal course of internalizing symptoms and parent-adolescent disagreements. Archives of General Psychiatry, 65(8), 726–732. https://doi.org/10.1001/archpsyc.56.8.726.
Sieh, D. S., Visser-Meily, J. M. A., Meijer, A. M. (2013). The relationship between parental depressive symptoms, family type, and adolescent functioning. Plos One, 8, https://doi.org/10.1371/annotation/b8370232-c144-4c14-8168-8dceede5b8e2.
Sullivan, K., Capp, G., Gilreath, T. D., Benbenishty, R., Roziner, I., & Astor, R. A. (2015). Substance abuse and the other adverse outcomes for military-connected youth in California: Results from a large-scale normative population survey. Journal of American Medical Association Pediatrics, 169, 922–928. https://doi.org/10.1001/jamapediatrics.2015.1413.
Tanielian, T., Haycox, L. H., Schell, T. L., Marshall, G. N., Burnam, M. A., Eibner, C., … & Vaiana, M. E. (2008). Invisible wounds of war. Summary and recommendations for addressing psychological and cognitive injuries. Rand Corp Santa Monica CA.
Verdeli, H., Baily, C., Vousoura, E., Belser, A., Singla, D., & Manos, G. (2011). The case for treating depression in military spouses. Journal of Family Psychology, 25(4), 488.
Vilagut, G., Forero, C. G., Barbaglia, G., & Alonson, J. (2016). Screening for depression in the general population with the Center for Epidemiologic Studies Depression (CES-D): A systematic review with Meta-Analysis. Plos One, 11, e0155431 https://doi.org/10.1371/journal.pone.0155431.
White, C. J., de Burgh, H. T., Fear, N. T., & Iversen, A. C. (2011). The impact of deployment to Iraq or Afghanistan on military children: A review of the literature. International Review of Psychiatry, 23(2), 210–217.
Williamson, V., Stevelink, S. A. M., Da Silva, E., & Fear, N. T. (2018). A systematic review of wellbeing in children: A comparison of military and civilian families. Child and Adolescent Psychiatry and Mental Health, 12, 1–11. https://doi.org/10.1186/s13034-018-0252-1.
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This work was supported by CDMRP Grant W81XWH-12-2-0036.
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Aikins, J.W., Aikins, D. Maternal Processes Contributing to Child Internalizing and Externalizing Symptoms: Comparing Military, Two-parent, and Single-parent Families. J Child Fam Stud (2024). https://doi.org/10.1007/s10826-024-02798-y
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DOI: https://doi.org/10.1007/s10826-024-02798-y