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Behavioral Problems in Offspring of Bipolar Mothers

Received: 22 July 2015    Accepted: 26 September 2015    Published: 29 September 2015
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Abstract

Background and purpose: The prevalence of behavioral problems in children with mentally ill parents may be higher compared to children with mentally healthy parents. This study was carried out to assess the behavioral problems in children with bipolar mothers. Material and methods: This case-control study was conducted between 50 children (6-11 years) of mothers with bipolar I disorder as a case group and 50 children of healthy mothers as control group in Sari, Iran, during 2011-13. With psychiatric interview based on DSM-IV-R and Minnesota Multiphasic Personality Inventory (MMPI), bipolar disorder in mothers was confirmed and other prominent psychiatric disorders were ruled out. The psychological health of control mothers was confirmed using psychiatric interview and general health questionnaire (GHQ). The behavioral problems of children in two groups were compared using Achenbach child behavior questionnaire. Data were analyzed using SPSS-19, Chi- Square and Student’s t-test. Results: Somatic complaints, anxiety and depression, social problems, externalization and internalization scores and also behavioral problems total scores were significantly higher in case group compared to control group (P< 0.05). No significant differences between case group and control group were mentioned with respect to isolation, attention problems, thought problems, antisocial behaviors. Conclusion: Psychiatric and behavioral problems in children with bipolar mothers were higher, compared to children of healthy mothers. Child psychological counseling and psychiatric management in along to mothers’ treatment is advisable.

Published in European Journal of Preventive Medicine (Volume 3, Issue 6)
DOI 10.11648/j.ejpm.20150306.11
Page(s) 167-171
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Achenbach Child Behavior Questionnaire (ACBQ), Bipolar Disorder Type I, Child Behavioral Problems

References
[1] Bradford R. Quality of Life in Young People: Rating and Factor Structure of the Quality of Life Profile, Adolescent Version. Journal of Child and Adolescent Psychiatry. 2002; 25:261-274.
[2] Rescorla L, Achenbach TH, Lvanova MY, Dumenci L, Almqvist F, Bilenberg N, et al. Behavioral and Emotional Problems Reported by Parents of Children Age 6 to 16 in 31 Societies. J Emot Behav Disord. 2007; 15(3):130-42.
[3] Gershuny B S, Baer L, Radomsky AS, Wilson K A, Jenike MA. Connection among Symptoms of Obsessive-Compulsive Disorder and Posttraumatic Stress Disorder: A Case Series. Behav Res Ther. 2003; 41: 1029- 41.
[4] Wamboldt MZ, Reiss D. Exploration of Parenting Environments in the Evolution of Psychiatric Problems in Children. Am J Psychiatry. 2006; 163:951- 3.
[5] Weller EB, Rowan A, Elia J, Weller RA. Aggressive Behavior in Patients with attention- deficit htperactivity disorder, Conduct Disorder and pervasive devwlopmental disorders. J Clin Psychiatry. 1999; 60(15):5-11.
[6] Jung HH, Kim CH, Chang JH, Park YG, Chung SS, Chang JW. Bilateral Anterior Cingulotomy for Refractory Obsessive- Compulsive Disorder: long Term Follow-up Results. Stereotact Funct Neurosurg. 2006; 84: 144-89.
[7] Cohen BE, Marmar CR, Neylan TC, Schiller NB, Ali S, Whooley MA. Posttraummatic Stress Disorder and Health-related Quality of Life in Patients with Coronary Heart Disease: finding from the heart and soul study. Arch Gen Psychiatry. 2009; 66(11):1214-20.
[8] Sutor B, Hansen MR, Black JL. Obsessive-Compulsive Treatment in Patients with Down Syndrome: a case series. Down Syndr Res Pract.2006; 10:1-13.
[9] Scott S. National Dissemination of Effective Parenting Programs to Improve Child Outcomes. Br J Psychiatry.2010; 196 (1):1-3.
[10] Brook DW, Brook JS, Rosen Z, De La Rosa M, Montoya ID, Whiteman M. Early Risk Factor for Violence in Colombian Adolescents. Am J Psychiatry.2003; 160:1470-78.
[11] Rosenzweig JM, Bernnan EM, Huffsutter K, Bradley JR. Child Care and Employed Parents of Children with Emotional or Behavioral Disorders. J Emot Behav Disord. 2008; 16(2):78-89.
[12] Donatelli JA, Seidman LJ, Goldstein JM. Tsuang MT, Buka SL. Children of Parents with Affective and None-affective Psychosis: A Longitudinal Study of Behavior Problems. Am J Psychiatry. 2010; 167(11):1331-8.
[13] Keyes M, Legrand LN, Lacono WG, McGue M. Parental Smoking and Adolescent Problem Behavior: An Adoption Study of General and Specific Effects. AM J Psychiatry. 2008; 165(10):1338-44.
[14] Moss HB, Lynch KG, Hardie TL, Baron DA. Family Functioning and Peer Affiliation in Children of Fathers with Antisocial Personality Disorder and Substance Dependence: Association with Problem Behaviors. Am J Psychiatry.2002; 159(4):607-14.
[15] Monshouwer K, VAN Dorsselaer S, Verdurmen J, Bogt TT, DE Graaf R, Volleberg W. Cannabis Use and Mental Health in Secondary School Children: Finding from a Dutch Survey. Br J Psychiatry. 2006; 188:148-53.
[16] Asasthi A. Preserve and Strengthen Family to Promote Mental Health. Indian J Psychiatry. 2010; 52(2):113-126.
[17] Pilowsky DJ, Wickramaraine PJ, Rush A, Hughes CW, Gerber J, Mally E, et al. Children of Currently Depressed Mothers: a STAR*D Ancillary Study. J Clin Psychiatry. 2006; 67(1):126-36.
[18] Aggarwal S, Prabhu CH, Anand LC, Kotwal LC. Stressful Life Events among Adolescents: The Development of a New Measure. Indian J Psychiatry.2007; 49(2):96-102.
[19] Boisjoli R, Vitaro F, Lacuoure E, Baker ED, Tremblay RE. Impact and Clinical Significance of a Preventive Intervention for Disruptive Boys: 15- Tear Follow-up. Br J Psychiatry.2007; 191:415-19.
[20] Rutter M. Child Psychiatric Disorders: Measures Causal Mechanism a d Interventions. Arch Gen Psychiatry. 1997; 54(9):785-9.
[21] Radaue J, VAN den Heuvel OA, SSurguladze S, Mataix- Cols D. Meta-analytical Comparison of Voxel-based Morphometry Studies in Obsessive- Compulsive Disorders Vs other Anxiety Disorders. Arch Gen Psychiatry. 2010; 67(7):701-11.
[22] Siever LJ. Neurobiology of Aggression and Violence. Am J Psychiatry.2008; 165(4):429-42.
[23] Siever LJ, Weinstein LN. The Neurobiology of Personality Disorders: Implications of Psychoanalysis. Am J Psychoanal Assoc.2009; 57(2):361-98.
[24] Stanley B, Siever LJ. The Interpersonal Dimention of Borderline Personality Disorder: toward a Neuropeptide Model. Am J Psychiatry.2010; 167(1):24-39.
[25] young SN. The Neurobiology of Human Social Behaviour: an Important but Neglected Topic. J Psychiatry Neurosci. 2008; 33(5):391-2.
[26] Terao T. Aggression, Suicide and Lithium Treatment. Am J Psychiatry. 2007; 156(10):1356-7.
[27] Berman ME, Mc Clokey MS, Fanning JA, Schumache JA Coccaro EF. Serotonin Augmentation Reduces Response to Attack in Aggressive Individuals. J Psychol Sci. 2009; 20(6):714-30.
[28] Kebir O, Tabbane K, Sengupta S, Joober R. Candidate Genes and Neuropsychological Phenotypes in Children with ADHD: Review of Association Studies. J Psychiatry Neurosci. 2009; 34(2); 88-101.
[29] Bayer JK, Sanson AV, Hemphill SA. Children Mood, Fears and Worries: Development of an Early Childhood Parent Questionnaire. J Emot Behav Disord.2006; 14(1):41-9.
[30] Uhing BM, Mooney P, Ryser GR. Differences in Strength Assessment Scores for Youth with and without ED across the Youth and Parent Rating Scales of the BERS-2. J Emot Behav Disord. 2005; 13(3):181-7.
[31] Mohammadi MR, Mesgarpour B, Sahimi Izadian E. Psychological Tests and Psychiatric Medication in Children and Adolescents. 1th ed, Tehran: Teymoorzadeh. 2007; pp: 161-8.(Persian).
[32] Weaver CM, Shaw DS, Dishion TJ, Wilson MN. Parenting Self-efficacy and Problem Behavior in Children at High risk for Early Conduct Problem: The Medication Role of Maternal Depression. J Infant Behav Dev. 2008; 31(4):594-605.
[33] Ary DV, Duncan TE, Duncan SC, Hops H. Adolescent Problem Behavior: the Influence of Parents and Peers. Behav Res Ther. 2008; 31(4): 549-607.
[34] Bullock BM, Dishion TJ. Family Processesand Adolescent Problem Behavior Integrating Relationship Narratives into Understanding Development and Change. J Am Acad Child Adol Psychiatry. 2007; 46(3):396-407.
[35] Daniel SS, Grzywacz JG, Leerks E, Tucker J, Han WJ. Nonstandard Marernal Work Schedules during Infancy: Implications for Childrens’ early Behavior Problems. Infant Behav Dev. 2009; 32(2):195-207.
[36] Valiente C, Eiseiser M, Spinard TL, Riser M, Cumberland A, Losoya SH, et al. Relationship among Mothers’ Expressivity, Childrens’ Effortful Control and their Problem Behaviors: a four Year Longitudinal Study. Emotion. 2006; 6(3): 459-72.
[37] Coulthard H, Blissett J, Harris G, The Relationship between Parental Eating Problems and Childrens’ Feeding Behavior: a Selective Review of the Literature. Eat Behav. 2004; 5(2):103-5.
[38] Moosavi M, Ahmadi M. Behavioral Disorders in Children with Major Depressive Mothers. J GorGan Uni Med Sci. 2012; 14(3): 115-20(Persian).
[39] Pakashati L. Childrens and Adolescents’ Aggressive Behavior in Context: yhe Development and Application of Aggressive problem- solving Strategies. Aggress Viol Behav. 2005; 5(5): 467-90.
[40] Chun H, Mobley M. Gender and Grade-level Comparison in the Structure of Problem Behaviors among Adolescents. J Adol. 2010; 33(1):197-207.
[41] Bartels M, Hudziak JJ, Boomsma DI. A study of Parent Rating of Internalizing and Externalizing Problem Behavior in 12 Year-old Twin. J Am Acad Child and Adol Psychiatry. 2003; 42(11):1357-59.
[42] Halpern LF. The Relations of Coping and Family Environment to Preschoolers Problem Behavior. J App Dev Psychol. 2004; 25(4):399-421.
[43] Olive PH, Guerin DW, Coffman JK. Big Five Personality Traits, Parenting Behaviors and Adolescents’ Behavior Problems: a Medication Model. J Indiv Diff. 2009; 47(6):631-6.
[44] Ostiguy CS, Ellenbogen MA, Hodgin S. Personality of Parents with Bipolar Disorder and Interpersonal Functioning among their Offspring: a Prospective 10 Year Study. J Dev Psychopath. 2012; 24(2): 573-87.
[45] Garcia- Amador M, De La Serna E, Vila M, Romero S, Valenti M, Sanchez - Gistau V, et al. Parents with Bipolar Disorder: Are Disease Charecteristics good Predictors of Psychopathology in Offspring JEuro Psychiatry. 2012; http://informahealthcare.com/doli/abs/10.3109/1365101.
[46] Moosavi M, Ahmadi M. Comparative Survay on Children Behavior Problems from Obsessive- Compulsive and Healthy Mothers. J Mazand Univ Med Sci. 2012; 22(86):103-8(Persian).
[47] Van Meurs I, Reef J, Verhulst FC, Van der Ende J. Integrational Transmission of Child Problem Behaviors: a Longitudinal Population- Based Study. J Am Child Adol Psychiatry. 2009; 48(2): 138-45.
[48] Van Aken C, Junger M, Verhoeven M, Van Aken MA, Dekovic M. The Longitudinal Relation Between Parenting and Toddlers’ Attention Problem and Aggressive Behaviors. J Infant Behav Dev. 2008; 31(3): 432-46.
[49] Eiden RD, Edward EP, Leonard KE. A Conceptual Model for the Development of Externalizing Behavior Problem among Children of Alcoholic Families Role of Parenting and Children's Self regulation. J Dev Psychol. 2007; 43(5):1187-201.
[50] Gardner F, Shaw DS, dishion TJ. Randomized Prevention Trial of Conduct Problems: Effects of Proactive Parenting and Links to Toddler Disruptive Behaviors. J Fam Psychol .2007; 21(3):398-406.
[51] Colsmam M, Wulfert E. Conflict Resolution Style as an Indicator of Adolescents’ Substance Use and other Problem Behaviors. J Addict Behav. 2002; 27(4):633.
[52] Daniel Rasic; Tomas Hajek; Martin Alda; Rudolf Uher. (2015). Risk of Mental Illness in Offspring of Parents With Schizophrenia, Bipolar Disorder, and Major Depressive Disorder A Meta-analysis of Family High-Risk Studies. Available: http://www.medscape.com/viewarticle/819416. Last accessed Sep 2015.
[53] Holly Korschun. (2015). At-risk children of mothers with bipolar disorder may benefit from early intervention. Available: http://medicalxpress.com/news/2015-06-at-risk-children-mothers-bipolar-disorder.html. Last accessed Sep 2015.
Cite This Article
  • APA Style

    S. Mohammad Moosavi, Mahshid Ahmadi, Mani B. Monajemi. (2015). Behavioral Problems in Offspring of Bipolar Mothers. European Journal of Preventive Medicine, 3(6), 167-171. https://doi.org/10.11648/j.ejpm.20150306.11

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    ACS Style

    S. Mohammad Moosavi; Mahshid Ahmadi; Mani B. Monajemi. Behavioral Problems in Offspring of Bipolar Mothers. Eur. J. Prev. Med. 2015, 3(6), 167-171. doi: 10.11648/j.ejpm.20150306.11

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    AMA Style

    S. Mohammad Moosavi, Mahshid Ahmadi, Mani B. Monajemi. Behavioral Problems in Offspring of Bipolar Mothers. Eur J Prev Med. 2015;3(6):167-171. doi: 10.11648/j.ejpm.20150306.11

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  • @article{10.11648/j.ejpm.20150306.11,
      author = {S. Mohammad Moosavi and Mahshid Ahmadi and Mani B. Monajemi},
      title = {Behavioral Problems in Offspring of Bipolar Mothers},
      journal = {European Journal of Preventive Medicine},
      volume = {3},
      number = {6},
      pages = {167-171},
      doi = {10.11648/j.ejpm.20150306.11},
      url = {https://doi.org/10.11648/j.ejpm.20150306.11},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ejpm.20150306.11},
      abstract = {Background and purpose: The prevalence of behavioral problems in children with mentally ill parents may be higher compared to children with mentally healthy parents. This study was carried out to assess the behavioral problems in children with bipolar mothers. Material and methods: This case-control study was conducted between 50 children (6-11 years) of mothers with bipolar I disorder as a case group and 50 children of healthy mothers as control group in Sari, Iran, during 2011-13. With psychiatric interview based on DSM-IV-R and Minnesota Multiphasic Personality Inventory (MMPI), bipolar disorder in mothers was confirmed and other prominent psychiatric disorders were ruled out. The psychological health of control mothers was confirmed using psychiatric interview and general health questionnaire (GHQ). The behavioral problems of children in two groups were compared using Achenbach child behavior questionnaire. Data were analyzed using SPSS-19, Chi- Square and Student’s t-test. Results: Somatic complaints, anxiety and depression, social problems, externalization and internalization scores and also behavioral problems total scores were significantly higher in case group compared to control group (P< 0.05). No significant differences between case group and control group were mentioned with respect to isolation, attention problems, thought problems, antisocial behaviors. Conclusion: Psychiatric and behavioral problems in children with bipolar mothers were higher, compared to children of healthy mothers. Child psychological counseling and psychiatric management in along to mothers’ treatment is advisable.},
     year = {2015}
    }
    

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  • TY  - JOUR
    T1  - Behavioral Problems in Offspring of Bipolar Mothers
    AU  - S. Mohammad Moosavi
    AU  - Mahshid Ahmadi
    AU  - Mani B. Monajemi
    Y1  - 2015/09/29
    PY  - 2015
    N1  - https://doi.org/10.11648/j.ejpm.20150306.11
    DO  - 10.11648/j.ejpm.20150306.11
    T2  - European Journal of Preventive Medicine
    JF  - European Journal of Preventive Medicine
    JO  - European Journal of Preventive Medicine
    SP  - 167
    EP  - 171
    PB  - Science Publishing Group
    SN  - 2330-8230
    UR  - https://doi.org/10.11648/j.ejpm.20150306.11
    AB  - Background and purpose: The prevalence of behavioral problems in children with mentally ill parents may be higher compared to children with mentally healthy parents. This study was carried out to assess the behavioral problems in children with bipolar mothers. Material and methods: This case-control study was conducted between 50 children (6-11 years) of mothers with bipolar I disorder as a case group and 50 children of healthy mothers as control group in Sari, Iran, during 2011-13. With psychiatric interview based on DSM-IV-R and Minnesota Multiphasic Personality Inventory (MMPI), bipolar disorder in mothers was confirmed and other prominent psychiatric disorders were ruled out. The psychological health of control mothers was confirmed using psychiatric interview and general health questionnaire (GHQ). The behavioral problems of children in two groups were compared using Achenbach child behavior questionnaire. Data were analyzed using SPSS-19, Chi- Square and Student’s t-test. Results: Somatic complaints, anxiety and depression, social problems, externalization and internalization scores and also behavioral problems total scores were significantly higher in case group compared to control group (P< 0.05). No significant differences between case group and control group were mentioned with respect to isolation, attention problems, thought problems, antisocial behaviors. Conclusion: Psychiatric and behavioral problems in children with bipolar mothers were higher, compared to children of healthy mothers. Child psychological counseling and psychiatric management in along to mothers’ treatment is advisable.
    VL  - 3
    IS  - 6
    ER  - 

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Author Information
  • Department of Psychiatry, Mazandaran University of Medical Sciences, Sari, Iran

  • Department of Communication Medicine, Mazandaran University of Medical Sciences, Sari, Iran

  • Department of Clinical Psychology, University of Tehran, Tehran, Iran

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