Background <p>Recent findings indicate a sharp increase in childhood anxiety/depression, necessitating investigation into factors influencing these rates. We aimed to provide more current nationwide rates of childhood anxiety and depression and their association with caregiver mental and emotional health.</p> Methods <p>This retrospective cross-sectional study analyzes self-reported data from the National Survey of Children’s Health (NSCH) to examine associations between childhood anxiety and depression and their severity levels, and the mental and emotional health of primary caregivers. A series of binary and ordinal logistic regression was carried out to assess such associations.</p> Results <p>54,103 caregiver reported responses were analyzed. 12.0% and 5.8% reported anxiety and depression in their children, respectively. Caregivers who report “very good” mental and emotional health have 1.905 (1.757–2.066; <i>p</i> &lt; 0.001) higher adjusted odds of their children having anxiety compared those whose who answered “excellent.” Logistic regression results showed that caregivers with “excellent” (0.449; 0.312–0.649; <i>p</i> &lt; 0.001) and “very good” (0.547; 0.384–0.778; <i>p</i> &lt; 0.001) mental and emotional health reported lower adjusted odds of anxiety severity in their children compared to those with “poor” mental and emotional health. Additionally, caregivers with “excellent” (0.328; 0.195–0.550; <i>p</i> &lt; 0.001) and “very good” (0.463; 0.287–0.745; <i>p</i> = 0.002) mental and emotional health reported lower adjusted odds of depression severity in their children compared to those with “poor” mental and emotional health.</p> Conclusion <p>Addressing social determinants of health, such as caregiver mental well-being, is essential in reducing the prevalence of mental health issues among children and ensuring the efficacy of evidence-based interventions.</p>

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Mental and Emotional Health of Primary Caregivers as Determinants of Childhood Anxiety and Depression

  • Sahar Kaleem,
  • Ayden Dunn,
  • Nada Eldawy,
  • Jennifer Mendonca,
  • Adrienne Dean,
  • Sebastian Densley,
  • Lea Sacca

摘要

Background

Recent findings indicate a sharp increase in childhood anxiety/depression, necessitating investigation into factors influencing these rates. We aimed to provide more current nationwide rates of childhood anxiety and depression and their association with caregiver mental and emotional health.

Methods

This retrospective cross-sectional study analyzes self-reported data from the National Survey of Children’s Health (NSCH) to examine associations between childhood anxiety and depression and their severity levels, and the mental and emotional health of primary caregivers. A series of binary and ordinal logistic regression was carried out to assess such associations.

Results

54,103 caregiver reported responses were analyzed. 12.0% and 5.8% reported anxiety and depression in their children, respectively. Caregivers who report “very good” mental and emotional health have 1.905 (1.757–2.066; p < 0.001) higher adjusted odds of their children having anxiety compared those whose who answered “excellent.” Logistic regression results showed that caregivers with “excellent” (0.449; 0.312–0.649; p < 0.001) and “very good” (0.547; 0.384–0.778; p < 0.001) mental and emotional health reported lower adjusted odds of anxiety severity in their children compared to those with “poor” mental and emotional health. Additionally, caregivers with “excellent” (0.328; 0.195–0.550; p < 0.001) and “very good” (0.463; 0.287–0.745; p = 0.002) mental and emotional health reported lower adjusted odds of depression severity in their children compared to those with “poor” mental and emotional health.

Conclusion

Addressing social determinants of health, such as caregiver mental well-being, is essential in reducing the prevalence of mental health issues among children and ensuring the efficacy of evidence-based interventions.