title: Depressive symptoms in mothers of pre-school children--effects of deprivation, social support, stress and neighbourhood social capital.
abstract: BACKGROUND
  Depressive symptoms in mothers of young children can have serious consequences for the health of the child. In particular, children whose mothers are experiencing depressive symptoms are at significantly greater risk of poisoning and accidental injury. A mother's risk of developing depressive symptoms has been shown to be related to socio-economic disadvantage, high levels of stress and a perceived lack of social support. Residents who perceive their neighbourhoods to be of low social capital are more likely to report poor mental health. The aim of this study was to investigate the relationship between maternal depressive symptoms, deprivation, social support, stress and neighbourhood social capital in a group of mothers living in deprived areas of Nottingham, United Kingdom (UK).
  
  
  METHODS
  A postal questionnaire at entry to a randomised controlled trial (RCT) assessed socio-demographic characteristics and a second questionnaire, 21 months later, assessed depressive symptoms, perceived lack of social support, self-reported stress and individual-level assessment of neighbourhood social capital.
  
  
  METHODS
  A total of 846 mothers of young children living in deprived areas in Nottingham, UK, enrolled in the control group of an RCT.
  
  
  RESULTS
  One-third of mothers reported high levels of depressive symptoms. Neighbourhood-level deprivation and receiving means-tested benefits were independently associated with maternal depressive symptoms. A lack of social support and high levels of self-reported stress were also strongly associated with depressive symptoms. Individual-level assessment of neighbourhood social capital was not associated with depressive symptoms amongst mothers after adjusting for self-reported stress.
  
  
  CONCLUSIONS
  Neighbourhood- and individual-level variables of deprivation and psychological distress are more important than mother's assessment of the social capital of the neighbourhood in which she lives in determining the risk of depressive symptoms. Interventions aimed at supporting mothers of young children may be more effective at reducing the risks of depressive symptoms and consequent risks to the child's health than interventions aimed at improving a neighbourhood's social capital.
authors.affiliation: Division of Primary Care, 13th Floor, Tower Building, University of Nottingham, Nottingham NG7 2RD, UK. Caroline.Mulvaney@nottingham.ac.uk
authors.forename: Caroline
authors.initials: C
authors.lastname: Mulvaney
authors.forename: Denise
authors.initials: D
authors.lastname: Kendrick
mesh_terms: D000328:Adult; D002675:Child, Preschool; D003863:Depression / Q000175:diagnosis / Q000453:epidemiology* / Q000523:psychology*; D005260:Female; D006801:Humans; D009035:Mothers / Q000523:psychology*; D011610:Psychosocial Deprivation; D012111:Residence Characteristics; D012931:Social Environment; D012944:Social Support; D013315:Stress, Psychological / Q000523:psychology*; D011795:Surveys and Questionnaires; D014505:Urban Population
references.citation: Health Place. 1998 Jun;4(2):141-50
references.pmid: 10671018
references.citation: Lancet. 2002 Feb 2;359(9304):378-85
references.pmid: 11844507
references.citation: J Nerv Ment Dis. 1998 Jan;186(1):3-11
references.pmid: 9457141
references.citation: Am J Orthopsychiatry. 2000 Oct;70(4):510-22
references.pmid: 11086529
references.citation: J Epidemiol Community Health. 2002 Sep;56(9):671-81
references.pmid: 12177083
references.citation: Br J Gen Pract. 2002 Mar;52(476):223-33
references.pmid: 12030667
references.citation: Am J Public Health. 1999 Aug;89(8):1187-93
references.pmid: 10432904
references.citation: Soc Sci Med. 1999 Feb;48(3):321-30
references.pmid: 10077280
references.citation: J Epidemiol Community Health. 2003 May;57(5):320-3
references.pmid: 12700212
references.citation: Pediatrics. 2000 May;105(5):1090-5
references.pmid: 10790467
references.citation: Pediatrics. 1998 Dec;102(6):1394-400
references.pmid: 9832575
references.citation: J Epidemiol Community Health. 2002 Jul;56(7):492-6
references.pmid: 12080155
references.citation: Pediatrics. 2000 Nov;106(5):E68
references.pmid: 11061805
references.citation: J Adv Nurs. 2001 Jun;34(5):611-20
references.pmid: 11380729
references.citation: Am J Dis Child. 1985 May;139(5):456-9
references.pmid: 3984968
references.citation: J Adolesc Health. 1995 Aug;17(2):113-9
references.pmid: 7495822
references.citation: Br J Psychiatry. 2002 Oct;181:280-3
references.pmid: 12356653
references.citation: Birth. 1999 Sep;26(3):157-63
references.pmid: 10655815
references.citation: Am J Public Health. 1985 May;75(5):518-22
references.pmid: 3985241
references.citation: Soc Psychiatry Psychiatr Epidemiol. 1999 Feb;34(2):61-72
references.pmid: 10189811
references.citation: Child Dev. 2003 Jul-Aug;74(4):1158-75
references.pmid: 12938711
references.citation: J Psychosom Obstet Gynaecol. 1996 Jun;17(2):93-102
references.pmid: 8819020
references.citation: Br Med J (Clin Res Ed). 1986 May 3;292(6529):1165-7
references.pmid: 3085767
references.citation: J Epidemiol Community Health. 1998 Jan;52(1):8-14
references.pmid: 9604035
references.citation: J Community Health Nurs. 1998;15(3):179-90
references.pmid: 9747024
references.citation: J Adv Nurs. 1997 Nov;26(5):921-9
references.pmid: 9372396
references.citation: J Child Psychol Psychiatry. 1992 Mar;33(3):543-61
references.pmid: 1577898
references.citation: J Epidemiol Community Health. 2003 Sep;57(9):663-7
references.pmid: 12933769
references.citation: Soc Sci Med. 1999 Jul;49(1):121-31
references.pmid: 10414845
references.citation: Women Health. 2001;32(1-2):1-23
references.pmid: 11459364
references.citation: Health Educ Behav. 2002 Oct;29(5):596-607
references.pmid: 12238703
references.citation: J Fam Pract. 1994 May;38(5):465-72
references.pmid: 8176344
references.citation: Nurs Res. 1991 Jul-Aug;40(4):214-20
references.pmid: 1857646
references.citation: BMJ. 2001 Jul 28;323(7306):208-9
references.pmid: 11473913
references.citation: Public Health Nurs. 1994 Apr;11(2):90-7
references.pmid: 8029186
references.citation: Aust Paediatr J. 1981 Jun;17(2):104-9
references.pmid: 7305768
references.citation: Med J Aust. 1994 Oct 17;161(8):473-7
references.pmid: 7935119
references.citation: Psychol Med. 1997 Jan;27(1):21-33
references.pmid: 9122302
references.citation: Soc Sci Med. 1997 Nov;45(9):1325-36
references.pmid: 9351152