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Maternal Depressive Symptoms and Participation in Early Intervention Services for Young Children

Many young children with developmental delay who are eligible for early intervention (EI) services fail to receive them. We assessed the relationship between depressive symptoms in mothers, a potentially modifiable risk, and receipt of EI services by their eligible children. We conducted multivariab...

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Published in:Maternal and child health journal 2012-02, Vol.16 (2), p.336-345
Main Authors: Feinberg, Emily, Donahue, Sara, Bliss, Robin, Silverstein, Michael
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description Many young children with developmental delay who are eligible for early intervention (EI) services fail to receive them. We assessed the relationship between depressive symptoms in mothers, a potentially modifiable risk, and receipt of EI services by their eligible children. We conducted multivariable analyses of a nationally representative sample of children eligible for EI services at 24 months using data from the Early Childhood Longitudinal Study-Birth Cohort. Maternal depressive symptoms were assessed at 9 and 24 months. Birthweight
doi_str_mv 10.1007/s10995-010-0715-3
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We assessed the relationship between depressive symptoms in mothers, a potentially modifiable risk, and receipt of EI services by their eligible children. We conducted multivariable analyses of a nationally representative sample of children eligible for EI services at 24 months using data from the Early Childhood Longitudinal Study-Birth Cohort. Maternal depressive symptoms were assessed at 9 and 24 months. Birthweight &lt;1,000 g, genetic and medical conditions associated with developmental delay, or low scores on measures of developmental performance defined EI eligibility. Service receipt was ascertained from parental self-report. Models were adjusted for sociodemographic and child risk. Among the 650 children who were eligible to receive EI services as infants, 33.2% of children whose mothers were depressed received services compared to 27.0% whose mothers were not depressed (aOR 1.8; 95% CI 0.8, 4.0). Among the 650 children who became eligible to receive services as toddlers, 13.0% of children whose mothers were depressed received services compared to 2.6% whose mothers were not depressed (aOR 4.6, 95% CI 1.5, 14.6). Among children receiving EI services, prevalence of depressive symptoms was 23.0% for mothers whose children became eligible as infants and 57.5% for mothers whose children became eligible as toddlers. Depressive symptoms in mothers of children eligible to receive EI services did not appear to limit participation. 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subjects Analysis
Bone surgery
Child
Child development
Child, Preschool
Children & youth
Childrens health
Cross-Sectional Studies
Depression - epidemiology
Depression - psychology
Depression, Mental
Depression, Postpartum
Developmental Disabilities - epidemiology
Developmental Disabilities - therapy
Disabled children
Early intervention
Early Intervention, Educational - statistics & numerical data
Eligibility Determination - methods
Female
Gynecology
Health sciences
Hispanic people
Humans
Infant
Infants
Interviews as Topic
Longitudinal studies
Male
Maternal and Child Health
Medicine
Medicine & Public Health
Mental depression
Mothers - psychology
Multivariate Analysis
Pediatrics
Population Economics
Population Surveillance
Prevalence
Public Health
Risk
Socioeconomic Factors
Sociology
Toddlers
title Maternal Depressive Symptoms and Participation in Early Intervention Services for Young Children
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