Abstract
Recent studies have shown that the association between maternal depression and child outcome can be moderated by children's experience of childcare (e.g., daycare) during early childhood (0–5 years). We also know that maternal depression in the child's early years has long-term associations with child development. However, the moderating role of childcare quality on long-term associations between maternal depression and child outcome has not been thoroughly investigated. This article examined longitudinal associations between probable maternal depression (PMD) during early childhood (0–5 years) and childcare quality on children’s emotional and behavioral development at the age of 7–8 years (N = 207). Childcare quality was evaluated through observations within the settings. PMD during early childhood was assessed using complementary information from interviews conducted with the mother and current maternal symptoms were assessed using the Center for Epidemiologic Studies Depression Scale. Internalizing and externalizing behaviors were reported by the mother, father and the child at age 7–8 years. Results indicate that when mothers reported clinically relevant depression in early childhood, 7-8-year-old children demonstrate fewer behavioral problems if they attended a higher quality childcare setting. The moderating role of childcare quality remained after considering current maternal depression symptoms. Therefore, it is important to ensure high-quality childcare during early childhood to optimize child development.
This is a preview of subscription content, log in to check access.

References
- 1.
Goodman S, Rouse M, Connell A, Broth M, Hall C, Heyward D (2011) Maternal depression and child psychopathology: a meta-analytic review. Clin Child Fam Psychol Rev 14:1–27
- 2.
Luoma I, Tamminen T, Kaukonen P, Laippala P, Puura K, Salmelin R, Almqvist F (2001) Longitudinal study of maternal depressive symptoms and child well-being. J Am Acad Child Adolesc Psychiatry 40:1367–1374
- 3.
Weissman MM, Wickramaratne P, Nomura Y, Warner V, Pilowsky D, Verdeli H (2006) Offspring of depressed parents: 20 years later. Am J Psychiatry 163:1001–1008
- 4.
Dannemiller JL (1999) Chronicity of maternal depressive symptoms, maternal sensivitiy, and child functioning at 36 months. Dev Psychol 35:1297–1310
- 5.
Grace SL, Evindar A, Stewart DE (2003) The effect of postpartum depression on child cognitive development and behavior: a review and critical analysis of the literature. Arch Women’s Ment Health 6:263–274
- 6.
Weissman MM, Wickramaratne P, Gameroff MJ, Warner V, Pilowsky D, Kohad RG, Verdeli H, Skipper J, Talati A (2016) Offspring of depressed parents: 30 years later. Am J Psychiatry 173:1024–1032
- 7.
Letourneau NL, Tramonte L, Willms JD (2013) Maternal depression, family functioning and children's longitudinal development. J Pediatr Nurs Nurs Care Child Fam 28:223–234
- 8.
Halligan SL, Murray L, Martins C, Cooper PJ (2007) Maternal depression and psychiatric outcomes in adolescent offspring: a 13-year longitudinal study. J Affect Disord 97:145–154
- 9.
Psychogiou L, Russell G, Owens M (2019) Parents’ postnatal depressive symptoms and their children's academic attainment at 16 years: pathways of risk transmission. Br J Psychol. https://doi.org/10.1111/bjop.12378
- 10.
Côté SM, Ahun MN, Herba CM, Brendgen M, Geoffroy M-C, Orri M, Liu X, Vitaro F, Melchior M, Boivin M, Tremblay RE (2018) Why is maternal depression related to adolescent internalizing problems? A 15-year population-based study. J Am Acad Child Adolesc Psychiatry 57:916–924
- 11.
Raposa E, Hammen C, Brennan P, Najman J (2014) The long-term effects of maternal depression: early childhood physical health as a pathway to offspring depression. J Adolesc Health 54:88–93
- 12.
Pearson RM, Evans J, Kounali D, Lewis G, Heron J, Ramchandani PG, O'Connor TG, Stein A (2013) Maternal depression during pregnancy and the postnatal period: risks and possible mechanisms for offspring depression at age 18 years. JAMA Psychiatry 70:1312–1319
- 13.
Vandell DL (2004) Early child care: the known and the unknown. Merrill Palmer Q 50:387–414
- 14.
Laurin I, Guay D, Fournier M, Bigras N, Solis A (2016) La fréquentation d’un service éducatif préscolaire: un facteur de protection pour le développement des enfants de familles à faible revenu? Can J Public Health (Revue Canadienne De Santé Publique) 106:4825
- 15.
Côté SM, Boivin M, Nagin DS, Japel C, Xu Q, Zoccolillo M, Junger M, Tremblay RE (2007) The role of maternal education and nonmaternal care services in the prevention of children's physical aggression problems. Arch Gen Psychiatry 64:1305–1312
- 16.
Geoffroy M-C, Côté SM, Giguère C-É, Dionne G, Zelazo PD, Tremblay RE, Boivin M, Séguin JR (2010) Closing the gap in academic readiness and achievement: the role of early childcare. J Child Psychol Psychiatry 51:1359–1367
- 17.
Burchinal M, Vandergrift N, Pianta R, Mashburn A (2010) Threshold analysis of association between child care quality and child outcomes for low-income children in pre-Kindergarten programs. Early Child Res Q 25:166–176
- 18.
Votruba-Drzal E, Coley RL, Maldonado-Carreño C, Li-Grining CP, Chase-Lansdale PL (2010) Child care and the development of behavior problems among economically disadvantaged children in middle childhood. Child Dev 81:1460–1474
- 19.
Adamson P (2008) The child care transition: a league table of early childhood education and care in economically advanced countries. UNICEF, New-York
- 20.
Melhuish EC (2001) The quest for quality in early day care and preschool experience continues. Int J Behav Dev 25:1–6
- 21.
Phillipsen LC, Burchinal MR, Howes C, Cryer D (1997) The prediction of process quality from structural features of child care. Early Child Res Q 12:281–303
- 22.
Harms T, Clifford RM, Cryer D (1998) Early childhood environment rating scale. Teachers College Press, New York
- 23.
Clifford RM, Barbarin O, Chang F, Early D, Bryant D, Howes C, Burchinal M, Pianta R (2005) What is pre-Kindergarten? Characteristics of public pre-Kindergarten programs. Appl Dev Sci 9:126–143
- 24.
Howes C, Burchinal M, Pianta R, Bryant D, Early D, Clifford R, Barbarin O (2008) Ready to learn? Children's pre-academic achievement in pre-Kindergarten programs. Early Child Res Q 23:27–50
- 25.
Pianta R, Howes C, Burchinal M, Bryant D, Clifford R, Early D, Barbarin O (2005) Features of pre-Kindergarten programs, classrooms, and teachers: do they predict observed classroom quality and child–teacher interactions? Appl Dev Sci 9:144–159
- 26.
Côté SM, Mongeau C, Japel C, Xu Q, Seguin JR, Tremblay RE (2013) Child care quality and cognitive development: trajectories leading to better preacademic skills. Child Dev 84:752–766
- 27.
Mashburn AJ, Pianta RC, Hamre BK, Downer JT, Barbarin OA, Bryant D, Burchinal M, Early DM, Howes C (2008) Measures of classroom quality in prekindergarten and children’s development of academic, language, and social skills. Child Dev 79:732–749
- 28.
Peisner-Feinberg ES, Burchinal MR, Clifford RM, Culkin ML, Howes C, Kagan SL, Yazejian N (2001) The relation of preschool child-care quality to children's cognitive and social developmental trajectories through second grade. Child Dev 72:1534–1553
- 29.
NICHD (2005) Early child care and children's development in the primary grades: follow-up results from the NICHD study of early child care. Am Educ Res J 42:537–570
- 30.
Vandell DL, Belsky J, Burchinal M, Steinberg L, Vandergrift N, NECCR Network (2010) Do effects of early child care extend to age 15 years? Results from the NICHD study of early child care and youth development. Child Dev 81:737–756
- 31.
Belsky J, Pluess M (2012) Differential susceptibility to long-term effects of quality of child care on externalizing behavior in adolescence? Int J Behav Dev 36:2–10
- 32.
Campbell FA, Pungello EP, Miller-Johnson S, Burchinal M, Ramey CT (2001) The development of cognitive and academic abilities: growth curves from an early childhood educational experiment. Dev Psychol 37:231–242
- 33.
Herba CM, Glover V, Ramchandani PG, Rondon MB (2016) Maternal depression and mental health in early childhood: an examination of underlying mechanisms in low-income and middle-income countries. Lancet Psychiatry 3:983–992
- 34.
Lee L-C, Halpern CT, Hertz-Picciotto I, Martin SL, Suchindran CM (2006) Child care and social support modify the association between maternal depressive symptoms and early childhood behaviour problems: a US national study. J Epidemiol Community Health 1979 60:305–310
- 35.
Giles LC, Davies MJ, Whitrow MJ, Warin MJ, Moore V (2011) Maternal depressive symptoms and child care during toddlerhood relate to child behavior at age 5 years. Pediatrics 128:e78–e84
- 36.
Herba CM, Tremblay RE, Boivin M, Liu X, Mongeau C, Seguin JR, Cote SM (2013) Maternal depressive symptoms and children's emotional problems: can early child care help children of depressed mothers? JAMA Psychiatry 70:830–838
- 37.
Charrois J, Cote SM, Japel C, Seguin JR, Paquin S, Tremblay RE, Herba CM (2017) Child-care quality moderates the association between maternal depression and children's behavioural outcome. J Child Psychol Psychiatry 58:1210–1218
- 38.
Goelman H, Zdaniuk B, Boyce WT, Armstrong JM, Essex MJ (2014) Maternal mental health, child care quality, and children's behavior. J Appl Dev Psychol 35:347–356
- 39.
Monroe SM, Simons AD (1991) Diathesis-stress theories in the context of life stress research: implications for the depressive disorders. Psychol Bull 110:406–425
- 40.
Kramer MS, Goulet L, Lydon J, Séguin L, McNamara H, Dassa C, Platt RW, Fong Chen M, Gauthier H, Genest J, Kahn S, Libman M, Rozen R, Masse A, Miner L, Asselin G, Benjamin A, Klein J, Koren G (2001) Socio-economic disparities in preterm birth: causal pathways and mechanisms. Paediatr Perinat Epidemiol 15:104–123
- 41.
Kohen D, Dahinten VSP, Khan S, Hertzman C (2008) Child care in Quebec: access to a universal program. Can J Public Health 99:451–455
- 42.
Observatoire des tout-petits. Petite enfance : la qualité des services éducatifs au Québec, Montréal, Québec, Observatoire des tout-petits, 2018
- 43.
Japel C, Tremblay RE, Côté S (2005) Quality counts! Assessing the quality of daycare services based on the Quebec longitudinal study of child development. IRPP Choices 11
- 44.
Robins LN, Helzer JE, Croughan J, Williams JBW, Spitzer RL (1982) NIMH diagnostic interview schedule: version III. Washington University, St. Louis
- 45.
First MB, Spitzer RL, Gibbon M, Williams JB (1997) User's guide for the structured clinical interview for DSM-IV axis I disorders SCID-I: clinician version. American Psychiatric Pub, Arlington
- 46.
Radloff LS (1977) The CES-D Scale: a Self-Report Depression Scale for research in the general population. Appl Psychol Meas 1:385–401
- 47.
Perlman M, Zellman GL, Le V-N (2004) Examining the psychometric properties of the Early Childhood Environment Rating Scale-Revised (ECERS-R). Early Child Res Q 19:398–412
- 48.
Harms T, Cryer D, Clifford RM (2003) Infant/toddler environment rating scale: Book revised edition. Teachers College Press, New-York
- 49.
Harms T, Clifford RM (1989) Family day-care rating scale. Teachers College Press, New-york
- 50.
Nagin D (2005) Group-based modeling of development. Harvard University Press, Cambridge
- 51.
Schwarz G (1978) Estimating the dimension of a model. Ann Stat 6:461–464
- 52.
Behar L, Stringfield S (1974) Behavior rating scale for preschool child. Dev Psychol 10:601–610
- 53.
Tremblay RE, Desmarais-Gervais L, Gagnon C, Charlebois P (1987) The preschool behaviour questionnaire: stability of its factor structure between cultures, sexes, ages and socioeconomic classes. Int J Behav Dev 10:467–484
- 54.
Achenbach TM (1991) Manuel for the child behavior checklist/4-18 and 1991 profile. University of Vermont Department of Psychiatry, Burlington, VT
- 55.
Measelle JR, Ablow JC, Cowan PA, Cowan CP (1998) Assessing young children's views of their academic, social, and emotional lives: an evaluation of the self-perception scales of the Berkeley puppet interview. Child Dev 69:1556–1576
- 56.
Ablow JC, Measelle JR, Kraemer HC, Harrington R, Luby J, Smider N, Dierker L, Clark V, Dubicka B, Heffelfinger AMY, Essex MJ, Kupfer DJ (1999) The MacArthur three-city outcome study: evaluating multi-informant measures of young children's symptomatology. J Am Acad Child Adolesc Psychiatry 38:1580–1590
- 57.
Ringoot AP, Jansen PW, Steenweg-de Graaff J, Measelle JR, van der Ende J, Raat H, Jaddoe VW, Hofman A, Verhulst FC, Tiemeier H (2013) Young children's self-reported emotional, behavioral, and peer problems: the Berkeley puppet interview. Psychol Assess 25:1273–1285
- 58.
Bradley RH, Vandell DL (2007) Child care and the well-being of children. Arch Pediatr Adolesc Med 161:669–676
- 59.
Brownell CA, Burchinal M, Caldwell B (2003) Does quality of child care affect child outcomes at age 4 1/2? Dev Psychol 39:451–469
- 60.
Burchinal MR, Nelson L (2000) Family selection and child care experiences: implications for studies of child outcomes. Early Child Res Q 15:385–411
- 61.
McCartney K, Burchinal M, Clarke-Stewart A, Bub KL, Owen MT, Belsky J (2010) Testing a series of causal propositions relating time in child care to children’s externalizing behavior. Dev Psychol 46:1–17
- 62.
Statistics Canada (2008) Income trends in Canada: 1976–2006. Government of Canada, Canada, Ottawa
- 63.
Johnson JG, Cohen P, Kasen S, Smailes E, Brook JS (2001) Association of maladaptive parental behavior with psychiatric disorder among parents and their offspring. Arch Gen Psychiatry 58:453–460
- 64.
Strayhorn JM, Weidman CS (1988) Parent practices scale. J Am Acad Child Adolesc Psychiatry 27(5):613–618
- 65.
Benjamini Y, Hochberg Y (1995) Controlling the false discovery rate: a practical and powerful approach to multiple testing. J R Stat Soc Ser B (Methodological) 51:289–300
- 66.
Glickman ME, Rao SR, Schultz MR (2014) False discovery rate control is a recommended alternative to Bonferroni-type adjustments in health studies. J Clin Epidemiol 67:850–857
- 67.
Hayes AF (2013) Introduction to mediation, moderation, and conditional process analysis: a regression-based approach. Guilford Press, New York
- 68.
Gjerde LC, Eilertsen EM, Reichborn-Kjennerud T, McAdams TA, Zachrisson HD, Zambrana IM, Røysamb E, Kendler KS, Ystrom E (2017) Maternal perinatal and concurrent depressive symptoms and child behavior problems: a sibling comparison study. J Child Psychol Psychiatry 58:779–786
- 69.
Gialamas A, Mittinty MN, Sawyer MG, Zubrick SR, Lynch J (2015) Social inequalities in childcare quality and their effects on children's development at school entry: findings from the Longitudinal Study of Australian Children. J Epidemiol Community Health 69:841–848
- 70.
De Los Reyes A, Augenstein TM, Wang M, Thomas SA, Drabick DAG, Burgers DE, Rabinowitz J (2015) The validity of the multi-informant approach to assessing child and adolescent mental health. Psychol Bull 141:858–900
- 71.
van der Ende J, Verhulst FC (2005) Informant, gender and age differences in ratings of adolescent problem behaviour. Eur Child Adolesc Psychiatry 14:117–126
- 72.
Gartstein MA, Fagot BI (2003) Parental depression, parenting and family adjustment, and child effortful control: explaining externalizing behaviors for preschool children. J Appl Dev Psychol 24:143–177
Acknowledgements
CH holds a salary award from the Fonds de Recherche du Québec Santé (FRQS). This study was supported by the Canadian Institutes of Health Research (CIHR) (MOP-79420, IHD-107532, and POH-120254). We thank participating families and childcare facilities for their contribution.
Author information
Affiliations
Corresponding author
Ethics declarations
Conflict of interest
None.
Rights and permissions
About this article
Cite this article
Charrois, J., Côté, S.M., Paquin, S. et al. Maternal depression in early childhood and child emotional and behavioral outcomes at school age: examining the roles of preschool childcare quality and current maternal depression symptomatology. Eur Child Adolesc Psychiatry 29, 637–648 (2020). https://doi.org/10.1007/s00787-019-01385-7
Received:
Accepted:
Published:
Issue Date:
Keywords
- Children’s behavioral and emotional development
- Maternal depression
- Longitudinal study
- Childcare
- Childcare quality
- Early childhood