Advertisement

Parents' Mood and the Content of Pediatric Care for Young Children

      Objective.—To assess the relationship between parents' mood and the provision of anticipatory guidance by pediatric health care providers.
      Data Source.—Data analyzed were from the National Survey of Early Childhood Health, a cross-sectional nationally representative survey concerning young children 4–35 months of age (n = 2068).
      Key Variables.—Parents were asked whether the children's health care providers had discussed 10–12 age-appropriate health promotion topics and 5 psychosocial issues during the past 12 months. Parents also identified missed opportunities for guidance (ie, topics not discussed for which discussion would have been helpful) and reported whether providers should discuss psychosocial issues. Parents' mood was assessed using factor scores derived from the Mental Health Inventory.
      Analyses.—Log–linear regression analyses determined if parents' mood was a significant predictor of the number of topics and issues discussed, the number of missed opportunities, and the reported number of issues that providers should discuss.
      Results.—Parents who were more often in a positive mood discussed more health promotion topics (B = .06, P < .001) and psychosocial issues (B = .10, P < .01) with their child's health care providers. Parents who were more often in a negative mood identified more missed opportunities (B = .08, P = .02) and more issues that providers should discuss (B = .04, P < .001).
      Conclusions.—Increased attention to parents' mood and emotional well-being may help pediatricians identify parents who desire additional anticipatory guidance and ensure that opportunities for the provision of guidance are not inadvertently missed.

      KEY WORDS

      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to Academic Pediatrics
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      REFERENCES

        • American Academy of Pediatrics, Committee on Psychosocial Aspects of Child and Family Health.
        The New Morbidity revisited: a renewed commitment to the psychosocial aspects of pediatric care.
        Pediatrics. 2001; 108: 1227-1230
        • American Academy of Pediatrics, Task Force on the Family.
        Family pediatrics.
        Pediatrics. 2003; 111: 1541-1571
        • Hickson GB
        • Altemeier WA
        • O'Connor S
        Concerns of mothers seeking care in private pediatric offices: opportunities for expanding services.
        Pediatrics. 1983; 72: 619-624
        • McCune YD
        • Richardson MM
        • Powell JA
        Psychosocial health issues in pediatric practices: parents' knowledge and concerns.
        Pediatrics. 1984; 74: 183-190
        • Sharp L
        • Pantell RH
        • Murphy LO
        • Lewis CC
        Psychosocial problems during child health supervision visits: eliciting, then what?.
        Pediatrics. 1992; 89: 619-623
        • Schuster MA
        • Duan N
        • Regalado M
        • Klein DJ
        Anticipatory guidance: what information do parents receive? What information do they want?.
        Arch Pediatr Adolesc Med. 2000; 154: 1191-1198
        • Trope Y
        • Ferguson M
        • Raghunathan R
        Mood as a resource in processing self-relevant information.
        in: Forgas JP Handbook of Affect and Social Cognition. Lawrence Erlbaum Associates, Mahwah, NJ2001: 256-274
        • Schwartz N
        • Clore GL
        Mood, misattribution, and judgments of well-being: informative and directive functions of affective states.
        J Pers Soc Psychol. 1983; 45: 512-523
        • Schwarz N
        • Bless H
        • Bohner G
        Mood and persuasion: affective states influence processing of persuasive communications.
        in: Zanna MP Advances in Experimental Social Psychology, Vol 24. Academic Press, New York, NY1991: 161-199
        • Forgas JP
        Mood and judgment: the affect infusion model.
        J Pers Soc Psychol. 1995; 117: 39-66
        • Cheng TL
        • DeWitt TG
        • Savageau JA
        • O'Connor KG
        Determinants of counseling in primary care pediatric practice.
        Arch Pediatr Adolesc Med. 1999; 153: 629-635
        • Pantell RH
        • Stewart TJ
        • Dias JK
        • et al.
        Physician communication with children and parents.
        Pediatrics. 1982; 70: 396-402
        • Blumberg SJ
        • Olson L
        • Osborn L
        • et al.
        Design and operation of the National Survey of Early Childhood Health, 2000.
        Vital Health Stat 1. 2002; 40: 1-97
        • Bethell C
        • Peck C
        • Schor E
        Assessing health system provision of well-child care: the promoting healthy development survey.
        Pediatrics. 2001; 107: 1084-1094
        • Stewart AL
        • Ware Jr., JE
        • Sherbourne CD
        • Wells KB
        Psychological distress/well-being and cognitive functioning measures.
        in: Stewart AL Ware Jr., JE Measuring Functioning and Well-Being: The Medical Outcomes Study Approach. Duke University Press, Durham, NC1992: 102-142
        • Stewart AL
        • Hays RD
        • Ware Jr., JE
        The MOS short-form General Health Survey: reliability and validity in a patient population.
        Med Care. 1988; 26: 724-735
        • Berwick DM
        • Murphy JM
        • Goldman PA
        • et al.
        Performance of a five-item mental health screening test.
        Med Care. 1991; 29: 169-176
        • Rumpf HJ
        • Meyer C
        • Hapke U
        • John U
        Screening for mental health: validity of the MHI-5 using DSM-IV Axis I psychiatric disorders as gold standard.
        Psychiatry Res. 2001; 105: 243-253
        • Halfon N
        • Olson L
        • Inkelas M
        • et al.
        Summary statistics from the National Survey of Early Childhood Health, 2000.
        Vital Health Stat 15. 2002; 3: 1-27
        • McLennan JD
        • Kotelchuck M
        Parental prevention practices for young children in the context of maternal depression.
        Pediatrics. 2000; 105: 1090-1095
      1. Kuo A, Franke TM, Regalado M, Halfon N. Parent report of reading to young children Pediatrics. In press

      2. Sareen H, Regalado M, Halfon N. Anticipatory guidance on routines among families with young children: a national study Presented at the Annual Meeting of the Pediatric Academic Societies; May 3–6, 2003; Seattle, Wash

      3. Stevens GD, Inkelas M, Kuo AA, et al. Child injury prevention: disparities in physician guidance and parent practice Presented at the Annual Meeting of the Pediatric Academic Societies; May 3–6, 2003; Seattle, Wash

        • Wells KB
        • Stewart A
        • Hays RD
        • et al.
        The functioning and well-being of depressed patients: results from the Medical Outcomes Study.
        JAMA. 1989; 262: 914-919
        • Hall JA
        • Roter DL
        • Milburn MA
        • Daltroy LH
        Patients' health as a predictor of physician and patient behavior in medical visits: a synthesis of four studies.
        Med Care. 1996; 34: 1205-1218
        • Street RL
        Information-giving in medical consultations: the influence of patients' communicative styles and personal characteristics.
        Soc Sci Med. 1991; 32: 541-548
      4. Collins KS, Bethell C, Peck C, Abrams M. Maternal depression and quality of pediatric preventive and developmental health services Presented at the Academy for Health Services Research and Health Policy 19th Annual Research Meeting; June 23–25, 2002; Washington, DC

        • Pless CE
        • Pless B
        How well they remember: the accuracy of parent reports.
        Arch Pediatr Adolesc Med. 1995; 149: 553-558
      5. Olson LM, Inkelas M, Halfon N et al. An overview of the content of health supervision for young children: reports from parents and pediatricians Pediatrics. In press

        • Bower GH
        Mood and memory.
        Am Psychol. 1981; 36: 129-148
        • Headey B
        • Wearing A
        Personality, life events, and subjective well-being: toward a dynamic equilibrium model.
        J Pers Soc Psychol. 1989; 57: 731-739
        • Green M
        Diagnosis, management, and implications of maternal depression for children and pediatricians.
        Curr Opin Pediatr. 1994; 6: 525-529
        • Heneghan AM
        • Silver EJ
        • Bauman LJ
        • Stein REK
        Do pediatricians recognize mothers with depressive symptoms?.
        Pediatrics. 2000; 106: 1367-1372
        • Heneghan AM
        • Silver EJ
        • Bauman LJ
        • et al.
        Depressive symptoms in inner-city mothers of young children: who is at risk?.
        Pediatrics. 1998; 102: 1394-1400
        • Kemper KJ
        • Babonis TR
        Screening for maternal depression in pediatric clinics.
        Am J Dis Child. 1992; 146: 876-878
        • Kemper KJ
        • Kelleher KJ
        Rationale for family psychosocial screening.
        Ambulatory Child Health. 1996; 1: 311-324
        • Olson AL
        • Kemper KJ
        • Kelleher KJ
        • et al.
        Primary care pediatricians' roles and perceived responsibilities in the identification and management of maternal depression.
        Pediatrics. 2002; 110: 1169-1176
        • Orr ST
        • James SA
        • Burns BJ
        • Thompson B
        Chronic stressors and maternal depression: implications for prevention.
        Am J Public Health. 1989; 79: 1295-1296
        • Zuckerman BS
        • Beardslee WR
        Maternal depression: a concern for pediatricians.
        Pediatrics. 1987; 79: 110-117
        • Beck CT
        The effects of postpartum depression on child development: a meta-analysis.
        Arch Psychiatr Nurs. 1998; 12: 12-20
        • Weissman MM
        • John K
        • Merikangas KR
        Depressed parents and their children: general health, social, and psychiatric problems.
        Am J Dis Child. 1986; 140: 801-805
        • Pignone MP
        • Gaynes BN
        • Rushton JL
        • et al.
        Screening for depression in adults: a summary of the evidence for the U.S. Preventive Services Task Force.
        Ann Internal Med. 2002; 136: 765-776
        • Whooley MA
        • Avins AL
        • Miranda J
        • Browner WS
        Case-finding instruments for depression. Two questions are as good as many.
        J Gen Intern Med. 1997; 12: 439-445

      Uncited references

        • Cummings E
        • Davies P
        Maternal depression and child development.
        J Child Psychol Psychiatry. 1994; 35: 73-112
        • Mandl KD
        • Tronick EZ
        • Brennan TA
        • et al.
        Infant health care use and maternal depression.
        Arch Pediatr Adolesc Med. 1999; 153: 808-813