Early motherhood and disruptive behaviour in the school-age child.
OBJECTIVE
To determine the significance of young maternal age, family adversity and maternal behaviour during mother-toddler interaction in the prediction of child disruptive behaviour at age eight.


METHODS
From an ongoing longitudinal study of infants at risk for later psychopathology (n = 362), 72 young mothers aged between 15 and 24 y (median 22 y) at first birth were compared with 197 primiparous older mothers ranging in age from 25 to 41 y (median 29 y). Family adversity at childbirth was assessed using a modified version of Rutter's Family Adversity Index (FAI) and measures of child disruptive behaviour at age eight were obtained using Achenbach's Teacher Report Form (TRF). An observational procedure was used to assess maternal behaviour during mother-child interaction at the age of 2 y.


RESULTS
Young mothers encountered more adverse family characteristics and were more inadequate, restrictive and more negative during interaction with their toddlers. Their school-aged children showed higher scores on all disruptive behaviour scales of the TRF. Hierarchical regression analyses revealed that family adversity and maternal behaviour during toddler interaction could account for most of the association between early motherhood and child disruptive behaviour.


CONCLUSIONS
The impact of young motherhood on child mental health is not confined to teenage mothers and is mainly attributed to psychosocial and interactional factors.
Trautmann-Villalba
P
P
Department of Child and Adolescent Psychiatry and Psychotherapy, Central Institute of Mental Health, Mannheim, Germany.
Gerhold
M
M
Laucht
M
M
Schmidt
M H
MH
D000293:Adolescent; D000328:Adult; D002648:Child; D002653:Child Behavior Disorders / Q000209:etiology*; D004522:Educational Status; D005190:Family; D005260:Female; D006801:Humans; D008423:Maternal Age; D009034:Mother-Child Relations; D011247:Pregnancy; D011253:Pregnancy in Adolescence; D011584:Psychology; D012044:Regression Analysis