RESEARCH UPDATE REVIEW
Children of Affectively Ill Parents: A Review of the Past 10 Years

https://doi.org/10.1097/00004583-199811000-00012Get rights and content

ABSTRACT

Objective

To review the literature investigating the effects of parental affective illness on children over the past decade.

Method

A computerized search of articles published over the past 10 years was completed. Articles were reviewed and relevant studies are presented.

Results

Over the course of the past 10 years a number of longitudinal studies have confirmed that children of affectively ill parents are at a greater risk for psychiatric disorders than children from homes with non-ill parents. Life table estimates indicate that by the age of 20 a child with an affectively ill parent has a 40° chance of experiencing an episode of major depression. Children from homes with affectively ill parents are more likely to exhibit general difficulties in functioning, increased guilt, and interpersonal difficulties as well as problems with attachment. Marital difficulties, parenting problems, and chronicity and severity of parental affective illness have been associated with the increased rates of disorder observed in these children.

Conclusion

The presence of depression in parents should alert clinicians to the fact that their children also may be depressed and therefore in need of services.

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    This series of 10-year updates in child and adolescent psychiatry began in July 1996. Topics are selected in consultation with the AACAP Committee on Recertification, both for the importance of new research and its clinical or developmental significance. The authors have been asked to place an asterisk before the five or six most seminal references.

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