[Psychopathology and social functioning among offspring of depressed women].
BACKGROUND
Offspring of depressive parents have two times more risk of developing a depression, other psychiatric diseases or a poor social functioning.


OBJECTIVE
To assess psychopathology and social functioning among offspring of currently depressed mothers.


METHODS
We enrolled 290 depressed mother-child pairs in five primary-care clinics in Santiago. A two-stage screening process to identify female primary-care patients with current major depressive illness with children aged 6-16 years, was used. AH eligible and consenting patients were asked to complete the general health questionnaire (GHQ-12). Those scoring 5 or more were invited to participate in a baseline assessment. The final sample consisted of 290 mother-child pairs. Patients with a current DSM-IV diagnosis of major depression were eligible unless they had current psychotic symptoms, imminent suicide risk, history of mania, or current alcohol abuse. Child psychopathology was assessed with the Child Behavior Checklist (CBCL), a highly reliable and widely used parent-rated checklist to assess competencies and behavioural and emotional problems in children 4 to 18 years of age.


RESULTS
Fifty percent (95% confidence interval (CI): 43.9-55.7) of children had overall CBCL psychopathology scores in clinical range. Internalizing symptoms were more prevalent than externalizing symptoms (62.2% [9596CI: 56.3-67.8] and 35.7% [9596CI: 30.2-41.5].


CONCLUSIONS
A large proportion of children of depressed poor mothers attending primary care clinics in Chile, had psychopathological symptom scores in the clinical range, with a predominance of internalizing symptoms. These results are similar to those previously reported in the United States of America.
Hospital Clínico, Facultad de Medicina, Universidad de Chile, Santiago, Chile. rfritsch@redclinicauchile.cl
Rosemarie M
RM
Fritsch
María Elena S
ME
Montt
Jaime G
JG
Solís
Daniel
D
Pilowsky
María Graciela C
MG
Rojas
D000223:Adaptation, Psychological; D000293:Adolescent; D000328:Adult; D000368:Aged; D002648:Child; D002653:Child Behavior Disorders / Q000175:diagnosis / Q000453:epidemiology / Q000523:psychology*; D016241:Child of Impaired Parents / Q000523:psychology* / Q000706:statistics & numerical data; D002675:Child, Preschool; D002677:Chile / Q000453:epidemiology; D003863:Depression / Q000175:diagnosis / Q000523:psychology*; D004812:Epidemiologic Methods; D005191:Family Characteristics; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009035:Mothers / Q000523:psychology*; D010552:Personality Assessment; D012919:Social Behavior; D011795:Surveys and Questionnaires