Abstract:
Introduction: Maternal depression has been shown to be associated with neurodevelopmental, emotional and
behavioural disorders in offspring. We aimed to describe the proportion of psychological problems among
children of mothers with depression in Sri Lanka and to describe the association with the characteristics of the
mothers' illness.
Methods: A cross-sectional descriptive study was conducted on 100 children and adolescents between 4-16 years
whose mother has a diagnosis of depression and currently in remission. Specifically designed instruments were
used to extract socio-demographic details and data on mother's illness. Strengths and Difficulties Questionnaire
(SDQ) was used to detect psychological problems in children.
Results: 14 % of the children scored abnormally high in hyperactivity, 13 % in conduct problems, 12 % in
emotional problems, 9 % in peer problems. Hyperactivity, internalizing problems, and total difficulties were
significantly higher in where mothers' had a history of a moderate depressive episode and recurrent depressive
disorder. Children whose mothers had no attempts of self-harm scored significantly higher in both emotional
problems and internalizing problems. Children whose mothers have comorbid illness scored significantly higher
in hyperactivity, conduct problems, emotional problems, externalizing problems, internalizing problems and
total difficulties.
Conclusions: Screening for psychological problems in children and developing a holistic management plan which
include steps to ensure the well-being of the children is important in managing mothers with depression
