In this article, we review empirical research on the role of individuals’ parenting and maltreatment histories as developmental antecedents for symptoms and diagnosable episodes of unipolar and bipolar spectrum disorders. Our review is focused on the following three overarching questions: (1) Do negative parenting and a history of maltreatment contribute risk to symptoms or diagnosable episodes of unipolar and bipolar disorders? (2) Are the associations of negative parenting and maltreatment histories with bipolar disorders similar to those for unipolar depression? and (3) Are the associations between negative parenting and maltreatment histories and unipolar and bipolar symptoms or disorders mediated by cognitive vulnerability to depression? We begin by discussing the methodological requirements for demonstrating a psychosocial risk factor and the methodological issues that plague the parenting and maltreatment literatures. Next, we review the extant studies on the role of parenting histories in unipolar and bipolar disorders. We consider the specificity and possible moderators of the parenting–mood disorder relationship, as well as cognitive vulnerability to depression as a mediator of this relationship. Then, we review studies on the association of maltreatment histories with unipolar and bipolar disorders and the role of cognitive vulnerability to depression as a mediator of this association. We conclude with an assessment of the state of the parenting and maltreatment literatures in unipolar and bipolar disorder with regard to our guiding questions.
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Notes
Studies included in this review were identified through electronic search of the Psych Info database. The reference sections of studies obtained through Psych Info were screened as well for additional relevant studies. Search terms used in Psych Info for our review of parenting and mood disorders included parenting, parenting style, “affectionless control,” rejection, acceptance, psychological control, childhood history, and specific parenting measures (PBI, CRPBI, EMBU) crossed with depression, bipolar disorder, mood disorder, cognitive vulnerability, cognitive style, attribution, attribution style, dysfunctional attitudes, hopelessness, schema, information processing, cognitive bias, attention bias, memory bias, interpretation bias, sociotropy, and autonomy. The search terms used in Psych Info for our review of maltreatment and mood disorders included child maltreatment, child abuse, emotional abuse, physical abuse, sexual abuse, and peer victimization crossed with the same depression, bipolar disorder, and cognitive vulnerability terms as mentioned earlier.
English translation is “my memories of upbringing.”
Some studies did not provide effect size information and did not contain sufficient information to calculate effect sizes.
The three studies that overlap with the Gerlsma et al. (1990) review are indicated in Tables II and III.
In DSM-IV, melancholia is a specifier for a major depressive episode. It requires (A) during the most severe period of the episode that the patient shows either (1) loss of pleasure in all, or almost all, activities, or (2) lack of reactivity to usually pleasurable stimuli; and (B) three or more of the following: (1) distinct quality of depressed mood, (2) depression regularly worse in the morning, (3) early morning awakening, (4) marked psychomotor retardation or agitation, (5) significant anorexia or weight loss, and (6) excessive or inappropriate guilt. Loss of interest or lack of reactivity is typically regarded as the essential feature of melancholia.
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ACKNOWLEDGMENTS
Preparation of this article was supported by National Institute of Mental Health grants MH 52617 to Lauren B. Alloy and 52662 to Lyn Y. Abramson.
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Alloy, L.B., Abramson, L.Y., Smith, J.M. et al. Role of Parenting and Maltreatment Histories in Unipolar and Bipolar Mood Disorders: Mediation by Cognitive Vulnerability to Depression. Clin Child Fam Psychol Rev 9, 23–64 (2006). https://doi.org/10.1007/s10567-006-0002-4
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DOI: https://doi.org/10.1007/s10567-006-0002-4