r “W LIBRARY Michigan State University \M I PLACE IN RETURN BOX to remove this checkout from your record. TO AVOID FINES return on or before date due. ll DATE DUE DATE DUE DATE DUE . ll asusvgrgflnm l I ‘ MSU Is An Affirmative Action/Equal Opportunity Institution ammo-9.. PARENTAL DEPRESSION AND SEX DIFFERENCES IN PARENT [SON INTERACTIONS By Rosanne du Bois Brouwer A THESIS Submitted to Michigan State University in partial fulfillment of the requirements for the degree of MASTER OF ARTS Department of Psychology 1991 ABSTRACT PARENTAL DEPRESSION AND SEX DIFFERENCES IN PARENT/SON INTERACTIONS By Rosanne du Bois Brouwcr Examined the effects of parental depression on parents’ verbalizations to their pre- school age sons in a structured playroom setting. Subjects were part of a larger longitudinal study of families with alcoholic fathers. The Dyadic Parent/Child Interaction Coding System, the Beck Depression Inventory, and the Hamilton Depression Scale were used to examine the effects of depression on parents’ verbalintions during the play sessions. More depressed mothers were predicted to display fewer positive verbalizations than less depressed mothers, whereas fathers’ depression was predicted to be unrelated to their play behavior. Contrary to hypotheses, both mothers pad fathers gave more commands as their depression scores increased. Higher depression as measured by both the Hamilton and Beck instruments resulted in fewer questions being asked. Sex of parent affected questions only when measured by Beck, with more depressed fathers asking significantly fewer questions than more depressed mothers. ACKNOWLEDGEMENTS I am indebted to my advisor, Dr. Hiram E. Fitzgerald, who supported my efforts during the preparation of this work. I also wish to thank the other members of my committee, Dr. Robert A. Zucker and Dr. Elaine Donelson for their encouragement. I wish to thank Matthew DeYoung, whose cheerful and patient help with the data analysis was most appreciated. I also wish to acknowledge the efforts of Dr. Robert B. Noll in incorporating the Dyadic Parent/Child Interaction Coding System into the Michigan State University Family Study. Finally, I wish to acknowledge several individuals who spent many hours mastering the coding system and coding the family playroom sessions, namely, Hope Pierson, Cheryl Burda, and Francis Canfield. This work was supported in part by grants to R.A. Zucker, R.B. N011, and HE. Fitzgerald from the National Institute on Alcohol Abuse and Alcoholism (AA 07065), and from the Michigan Department of Mental Health, Prevention Services Unit. TABLE OF CONTENTS Page INTRODUCTION ............................................ 1 Depressed Mothers’ Behavior Towards Their Children ............... 3 Father-Child Interactions and Depression ........................ 7 Sex Differences In Parent Child Relationships ..................... 9 Depression and Alcohol .................................... 11 Other Variables Related to Parenting ........................... 13 The Current Study ........................................ 14 Summary .............................................. 15 HYPOTHESES .............................................. 16 METHOD .................................................. 18 Subjects ............................................... 18 Data Collection Procedures .................................. 19 . Dyadic Parent-Child Interaction Coding System (Eyberg) ........ 19 Depression Measures ...................................... 22 Lifetime Alcohol Problems Scores (LAPS) ....................... 23 RESULTS .................................................. 25 Beck Score Results ....................................... 28 Hamilton Score Results .................................... 29 AN COVA with additional variables ............................ 30 Regression Analyses ...................................... 31 Alcohol Problems Status and Eyberg Categories ................... 32 DISCUSSION ............................................... 34 SUMMARY ................................................. 41 REFERENCES .............................................. 80 iv LIST OF TABLES Table 1. Description of behavior categories (Eyberg instrument) .............. 21 Table 2. Sociodemographic information for the sample ................... 27 Table 3. Means and Standard Deviations for the sample ................... 27 AN COVA tables ..... APPENDIXES ........................................................................................................... 42 Table 1A. AN COVA with Sex and Hamilton Depression Only ................... 4 2 Table 2A. AN COVA with Sex and Hamilton Depression Only ................... 4 3 Table 3A. AN COVA with Sex and Hamilton Depression Only ................... 44 Table 4A. AN COVA with Sex and Hamilton Depression Only ................... 4 5 Table 5A. AN COVA with Sex and Hamilton Depression Only ................... 46 Table 6A. AN COVA with Sex and Hamilton Depression Only ................... 4 7 Table 7A. AN COVA with Sex and Hamilton Depression Only ................... 4 8 Table 8A. AN COVA with Sex and Hamilton Depression Only ................... 4 9 Table 9A. AN COVA with All Variables Entered. ........................................ 50 Table 10A. AN COVA with All Variables Entered. ........................................ 51 Table 11A. AN COVA with All Variables Entered. ........................................ 52 Table 12A. AN COVA with All Variables Entered. ........................................ 53 Figures ............................................................................................................................... 54 Figure 1A. Relationship Between Beck Depression and Percent Commands by Sex ............................................................................................ 54 Figure 2A. Relationship Between Beck Depression and Percent Questions by Sex ................................................................................................. 55 Figure 3A. Relationship Between Hamilton Depression and Percent Commands by Sex - - - - -- - ----.56 Figure 4A. Relationship Between Hamilton Depression and Percent Questions by Sex ........................................................................... 57 Stepwise Multiple Regression with All Variables Entered. ............................................. 58 Table 13A. Procedure for Dependent Variable PRAI_PCI‘ ............................ 5 8 Table 14A. Procedure for Dependent Variable COMM_PCI‘ ........................ .59 Table 15A. Procedure for Dependent Variable CRIT_PCI‘ ............................ 61 Table 16A. Procedure for Dependent Variable QUES_PCT ........................... 62 LAPS upper and lower quartile test results ..................................................................... 64 Table 17A. Variable: LAPS .............................................................................. 64 Table 18A. Variable: PRAI_PC1‘ ..................................................................... 64 Table 19A. Variable: COMM_PCT .................................................................. 6 5 Table 20A. Variable: CRIT_PCI‘ ..................................................................... 65 Table 21A. Variable: QUES_PCT .................................................................... 66 Table 22A. Variable: PRAI_PCI‘ ..................................................................... 66 Table 23A. Variable: COMM_PCT .................................................................. 6 7 Table 24A. Variable: CRIT_PCI‘ ..................................................................... 67 Table 25A. Variable: QUES_PCT .................................................................... 68 Table 26A. Variable: LAPS .............................................................................. 69 Table 27A. Variable: PRAI_PCT ..................................................................... 69 Table 28A. Variable: COMM_PCT .................................................................. 7 0 Table 29A. Variable: CRIT_PCI‘ ..................................................................... 70 Table 30A. Variable: QUES_PCI‘ .................................................................... 71 Table 31A. Variable: PRAI_PCI‘ - -- -- ........ - - ....;71 Table 32A. Variable: COMM_PCT .................................................................. 7 2 Table 33A. Variable: CRIT_PCI‘-- - -- -- - .......... -72 Table 34A. Variable: QUES_PCT .................................................................... 73 Depression score distribution plots ................................................................................... 74 Table 35A. Hamilton Depression Score Distribution ...................................... 274 Table 36A. Normal Probability Plot for Hamilton Depression Scores ........... 74 Table 37A. Beck Depression Scores Distribution ............................................ 7 5 Table 38A. Normal Probability Plot Beck Depression Inventory Score ......... 7 6 Informed consent form ...................................................................................................... 77 Data recording sheet.-- "3.....79 vii INTRODUCTION The purpose of this study was to examine the effects of parental depression on the interactions between parents and their pre-school age sons in a structured playroom setting. Of particular interest were the possible differences between depressed mothers and depressed fathers in this setting. Since the sample consisted of families with alcoholic fathers, the relationship between alcohol use and depression was also of interest. Depression is a relatively common psychiatric disorder, with women two to three-times more likely to experience depression than men (Weissman & Klerman, 1977; Hopkins, Marcus, & Campbell, 1984). Women who live in financially strained circumstances and who have responsibility for young children are more likely than Other women to become depressed (Brown, Bhrolchain, & Harris, 1975; Pearlin & Johnson, 1977; Radloff, 1975; Goldman & Ravid, 1980). Patterson (1981) cites evidence from a survey in My (April 14, 1976) in which 23% of housewives interviewed reported tension, headaches, and depression. Patterson believes this is often attributable to the high rates of aversive events that mothers are exposed to, and that these events are most often associated with children. Fawl (1963) reported data showing that in non-problem, middle-class 2 homes, an average of 3.4 disturbances per hour occurred between mothers and preschool children. Furthermore, the median number of these disturbances from two- and three-year-olds was more than twice that from four- and five-year-olds. Patterson (1981) points out that during this time of frequent stress, mothering of young children requires a high response rate, and mothers rarely receive a comparable rate of positive reinforcement for their responsivity. Since it is reasonable to assume that mothers in non-distressed families have better support systems for the rearing of young children than do mothers in distressed families, the symptoms of maternal stress and depression should be higher in distressed families than in non-distressed families. Collette (1983) reported that, in a sample of young mothers, levels of depression increased in relation to the amount of stress, and decreased when the mother was involved in a supportive social network. There is evidence that children of depressed mothers are at risk for emotional illness (Beardslee, Bemporad, Keller, & Klerman, 1983; Weissman, Paykel, & Klerman, 197 2; Rutter, 1966; see also review by Downey & Coyne, 1990), behavior problems (Dumas, Gibson, & Albin, 1989; Cox, Puckering, Pound, & Mills, 1987; Forehand, Lautenschlager, Faust, & Graziano, 1986; Williams & Carmichael, 1985), and cognitive deficits (Gruenebaum, Cohler, Kaufi‘man, & Gallant, 1978). In a sample of urban working class mothers, children of depressed mothers were found to have more emotional and behavioral problems than children of non-depressed control mothers. Children of depressed mothers had eating difficulties, problems in relationships with peers or parents, and poor attention combined with overactivity 3 when compared with children of non-depressed mothers (Cox et al., 1987). Maternal depression has also been linked to the development of childhood depression (McKnew & Cytryn, 1973; Orvaschel, Weissman, &,Kidd, 1980). Dumas, Gibson, and Albin (1989) suggest that the relationship between maternal depression and childhood depression is robust because it has been demonstrated in studies where maternal depression levels were mild to moderate (e.g., Forehand & Brody, 1985) as well as in studies where mothers had major affective disorders (e.g., Weissman & Paykel, 1974). De 8 M ’BhviorTowardsTheirChil n It is important to clarify at the outset that definitions of depression differ in studies related to maternal depression and child behavior. Most studies focus on clinic referred children with behavior problems and discuss maternal self-report depression symptoms as they relate to the mothers’ descriptions of their child’s behavior. Many of these studies do not separate clinically diagnosed depression from depressive symptoms or depressed mood. In fact, some studies seem to use the terms interchangeably (Fergusson, Horwood, Gretton, & Shannon, 1985). Other work uses only clinically diagnosed mothers, notably Weisman and Paykel (1974) and Longfellow, et. al (1982). Very few of the subjects in the current study reach levels of clinical depression, either with Beck self-report data or Hamilton clinician rated depression. It may be important to distinguish between clinically diagnosed depression, depression symptoms, depressive mood, and transient stress-related depression or "bad mood" 4 Because subjects in the current study are not at clinical levels of depression, results in this study should be viewed as reflecting the behavior of parents as their depression level increases, and not as reflective of the behavior of a clinically depressed population. Some studies show depressed mothers to be less effective parents. Weissman et al. (1972) found that depressed mothers were unable to be normally involved in their children’s lives, unable to be positive models for their children, withdrew physically and emotionally from their children, and complained about being intolerant of their children’s noise. Others have found depressed mothers to be inconsistent in their use of discipline (Susman, Trickett, Ianotti, Hollenbeck, & Zahn-Waxler, 1985; Zelkowitz, 1982). Maternal depression has been associated with verbal and physical punitiveness and less nurturance. Depressed mothers were much more likely to use hostile and dominating styles, both in initiating behavior to their children, and when responding to children’s requests (Longfellow, Zelkowitz, & Saunders, 1982) . They typically yelled and threatened. Depressed mothers were much less likely to use styles that conveyed warmth, affection, or positive affect. Attentiveness, responsiveness, and warmth were more likely in families with non-depressed mothers (Longfellow, et al., 1982; Weissman & Paykel, 1974; Rutter, 1966). Longfellow et al. (1982), whose observational study used a sample of low-income mothers, found that the severity of mothers’ depression was related to a style of parenting that consisted of more warnings and prohibitions to children, greater use of hostile and dominating control techniques, and less compliance with their children’s requests. Effects of depression 5 on maternal behavior were present regardless of other important background characteristics of the family (Longfellow et al., 1982). Depressed mothers are less likely than normal mothers to meet their pro-school age child’s demands for attention and communication. Longfellow et al. (1982) found that depressed mothers were unresponsive to their child’s dependency needs; and their child’s bids for attention, help, and food tended to be ignored or unfilled. Depressed mothers were also less likely to initiate nurturant interactions, and more likely to initiate interactions that encouraged prosocial behavior, i. e., by issuing warnings, reminders, and commands (Longfellow, et al., 1982). Self report measures corroborate observational data regarding the behavior of depressed women and their children. Depressed women report less tolerance for dependency seeking behaviors in their children (Longfellow, et al., 1982). Zelkowitz (1982) found that mothers with high depression levels tended to demand immediate compliance from their children. Depressed women also reported "considerable" resentment towards their children, whereas non-depressed women did not (Weissman, et al., 1972). Weissman & Paykel (1974) also found that depressed mothers report that they experience friction, impaired communication, lack of affection, and resentment toward their children. Some depressed mothers tend to get overinvolved in their children’s lives. Weissman (1974) found that depressed mothers were overinvolved in their children’s lives and acted in overprotective ways. According to Weissman (1974), "some depressed women engaged in a frenzied pursuit of activities with their children. 6 However, though this involvement was interpreted by less intimate associates as ‘togetherness,’ closer observation showed that such over involvement actually diluted emotional closeness and appeared to compensate for a sense of guilt and deeper disinterest" (p. 113). For example, depressed mothers may be involved with PTA, car pools, field trips, act as lunch room mothers, etc., but individual contacts with their children are cold and distant. Moreover, excessive involvement with children’s activities was sometimes associated with verbal and physical abuse of the children (Weissman, 1974). When mothers were asked about changes in their child’s behavior when the mothers themselves were depressed, only 12% reported there was no change. The most common pattern observed by Cox et al. (1987) and shown by more than half the children, was one in which the child approached the mother, clung to her, and comforted her. Cox reports it was a ”very moving sight" to watch two-year-olds comforting their distressed mothers (p.921). There is some conflicting evidence in the literatme regarding the effects of maternal depression behavior on children. Rogers and Forehand (1983) found no relationship between maternal depression and maternal behavior towards children. Forehand and Brody (1985) found maternal depression to be related to maternal perceptions of child maladjustment but not to maternal behaviors. Forehand, Lautenschlager, Faust, & Graziano (1986), indicated that there were significant paths from maternal depression to maternal perceptions of child maladjustment, to increased commands, and to increased child non-compliance. But when Dumas et al., (1989) 7 controlled for maternal perception, the opposite was found. High levels of maternal depression were associated with high levels of compliance. These confusing and conflicting results reflect possible methodological problems. Webster-Stratton & Hammond (1988) report that studies of depressed mothers have been hampered by such problems as small sample sizes, lack of appropriate control groups, and reliance on data from lower-class, clinic referred mothers. F r- il In tions d ssion Much less has been written about father-child interactions. Until quite recently, the study of infant and preschool development has focused almost entirely on the mother, whether in psychoanalytic theory, attachment theory, or social learning theory. Only in the last 20 years have psychologists begun to study father-child interactions seriously and systematically. The fact that many families now have two working parents has not increased the actual amount of time fathers spend in caregiving (Nyquist, Slivken, Spence, & Helrnreich, 1985). Indeed, mothers spend more time in caregiving functions compared to fathers, even when the mothers also hold full time jobs outside the home (Kotelchuck, 1976; Nyquist, et al., 1985). However, the issue of fathers as nurturers has become the focus for some researchers. Regardless of amount of time spent, there is evidence suggesting that fathers have a different way of interacting with their children than mothers. At as early as 4 months of age, fathers have been observed to play more games than mothers during 8 interactions with infants, as well as show higher levels of affect (Y ogman, 1982). Yogman describes the difference this way: "...interaction with fathers can be characterized as heightened and playful whereas the interactions with mothers appeared more smoothly modulated and contained" (p.250). Lamb (1981) suggests that the mother’s biological connection to the child leads to her role as primary caregiver, thereby freeing fathers to focus on play and connection to the outside world. Yogman (1982) writes that historically the general psychological function of fathers has been "the fostering of autonomy and the enhancement of individuation" (p. 223). Whether this notion is based in biology or not is an open question (Clarke—Stewart, 1980), but it seems apparent that role expectations play a large part in the different quality of parenting by mothers and fathers (Clarke-Stewart, 1980; Yogman, 1982). Bright and Stockdale (1984) found that fathers controlled and directed their children during a play session more than mothers, and mothers were more quiet than fathers during play with their children. Bright and Stockdale suggest this may be because fathers, and indeed society in general, have the expectation that it is the father’s role in child-rearing to teach instrumental skills. In their study, children also controlled and directed their fathers more than they did their mothers, supporting the idea that father-child interactions are more instrumental in nanne. However, the research regarding father-child relationships and involvement is limited because most of the work has been conducted in "traditional" nonemployed-mother families. With the current figures in the United States at more than 50% of mothers of preschoolers 9 working outside the home (Hayghe, 1990), this pattern is not representative of a significant number of contemporary American families. More research is needed on the changes that may or may not be taking place as roles change. Sex Diffgenggs In Pgent Qild Relag'gnships There is some support in the literature for a sex difference in roles for mothers and fathers regarding the nature of the relationship with their children. Clarke- Stewart (1978, 1980) reported that in interactions with 30-month-old children, fathers were more likely to reward children drning play and were rated higher than mothers in their ability to engage the child in play and in the fathers’ own enjoyment and involvement in the activity. Easterbrooks and Goldberg (1984) obtained similar results. They found that whether fathers take responsibility for caregiving is less strongly related to variations in child development than is the amount of time they spend with the child, supporting the idea that the central role of the father may be playmate rather than caregiver. Kotelchuck (197 6) has presented evidence from parental interviews that father-child interaction is more likely to involve play than is mother-child interaction, whereas mother-child interaction is more likely to involve caregiving. Lamb (1976) has presented observational data showing fathers were more likely to hold infants during play, while mothers held them for caregiving. Patterson (1981) reported that fathers have a high rate of play in both distressed and non-distressed families, suggesting that fathers are less likely to change their behavior with their children based on personal stresses. Rather, Patterson argues 10 that mothers are culturally assigned the role of crisis manager in distressed families, and fathers, who engaged in considerably more normative behavior (such as reading the newspaper), might be more appropriately labeled as a "guest". Patterson (197 6) has reported elsewhere that fathers of clinically referred problem children had MMPI scores indistinguishable from fathers in non-distressed families. Fathers seem to be able to escape more effectively from the stresses of family life through work and other activities that allow them to remove themselves, either physically or psychologically and emotionally. Since the sample in the current study consists of all alcoholic fathers, it is important to note that this role difference exists in distressed families as well as non-distressed families. - There has been virtually no research in which depressed fathers were actually observed interacting with their children. One study by Webster-Stratton (1988) examined mothers’ and fathers’ perceptions of child deviance using observational data. She also used a measure of parenting stress (Abidin, 1983) which includes depression as one of the eight subscales. Mothers and fathers in her study also completed the Beck Depression Inventory. For mothers, both Beck depression score and level of parenting stress were correlated with negative behaviors toward the child. For fathers, these measures were not correlated with behavior towards the child. These data support the hypotheses of the current study. They suggest that mothers’ distress level and depression are related to the way they interact with their children but for fathers, these personal adjustment measures do not affect parenting behavior. l 1 It may be that depressed and distressed mothers have lower tolerance for child misbehavior. It may also be true that fathers use other avenues to cope with depression and stress. Downey & Coyne (1990), in their review of the research on children of depressed parents, did not find any study in which depressed fathers were observed with their children. The bias present in parent-child research toward the mother as much more important in child development than the father has left a large gap in the literature. One advantage of the current study is the use of direct observation to measure father and mother behavior separately in play interactions with their child. WM Depression is a frequent correlate of alcoholism (West & Prinz, 1987). In an investigation of comorbidity of mental disorders with alcohol abuse, (Regier, Farmer, Rae, Locke, Keith, Judd and Goodwin; 1990) affective disorders were found in 13.4% of the subjects with an alcohol disorder, compared with 7.5% among subjects without an alcohol disorder. Research concerning the relationship of alcohol and depression that has addressed its effects has mostly focused on child outcomes (see review by West & Prinz, 1987) rather than actual specific behaviors of mothers and fathers who are alcoholic or depressed or both. The current study sought to identify whether or not depression and alcohol problems affect the way mothers and fathers play with their children. 12 Recent discussion in the literature has focused on whether fathers’ alcoholism . directly affects child outcomes, or whether the effect on children is mediated by the wives of the alcoholics (Fitzgerald, Sullivan, Ham, Zucker, Bruckel, Schneider, & Noll, under review). Fitzgerald et al., using data from the same data set as the current study, found that maternal variables, including both depression level and mothers’ alcohol problems as measured by the Lifetime Alcohol Problems Scale (LAPS) (Zucker, 1991), predicted the fathers’ perceptions of their childrens’ problems. In the current study, the subjects are all families with an alcoholic father. However, because alcohol problem levels are elevated for both mothers and fathers when compared to control subjects in this sample (Fitzgerald, et. al, under review), and because depression reports are similar between mothers and fathers in the subjects of this study, one possible reason for differences in behavior in the playroom is gender. It is of course possible that alcoholism and depression affect fathers and mothers differently as regards their parenting behavior. However, since fathers’ alcoholism may affect children indirectly through the mothers, and since the fathers’ role is that of playmate, it is the prediction of the current study that alcohol problems status (LAPS) in fathers will not affect their verbalizations to their children. It is further predicted that depression in mothers will affect their interactions with their children, while fathers’ behavior in a play situation will not A be affected by their depression level. Support for this notion also comes from Jacob and Leonard (1986) who found that children of both alcoholic and depressed fathers had more behavior problems than the children of normal fathers, but they found no differences between 13 the alcoholic and depressed father groups. Although Jacob and Leonard’s study reported on child outcomes in alcoholic and depressed father groups and the current study reflects only on the parents’ verbalizations toward the child, it is reasonable to suggest that an inability to distinguish between children of alcoholic and depressed fathers may reflect similar parenting in both alcoholic and depressed fathers. Once again it should be noted, however, that the subjects in the Jacob and Leonard study (1986) reached diagnostic criteria for depression. Nevertheless, it seems reasonable that these two variables are less likely to influence a father’s behavior in a play situation than a mother’s behavior. r ' 1 Rela P n ' It is possible that other variables besides depression and alcohol problems may be contributing to the way parents behave with their children in the playroom. These include education level of the parents, and following from that, the occupation and income level of the parents. The families in this study tend to be lower income families and most are high school graduates only. It is possible that this socio- economic status may be reflected in the playroom behaviors of the parents. The number of children in a given family and its differential demands on parents may also influence the way parents behave when they are given the opportunity to play undistracted with one child. Because the MSU Family Study has this information available, these variables were included in the analyses on an exploratory basis. 14 Th nt S The current study focuses on the question of sex differences in parents’ behaviors toward their sons in a play situation, particularly as such behaviors relate to levels of parental depression. To measure parents’ verbalizations in the playroom, the MSU Family Study uses the Dyadic Parent/Child Interaction Coding System (DPICS) (Eyberg & Robinson, 1983) to code different types of speech. The DPICS was deveIOped to allow the clinician to observe parent-child interactions in a playroom setting. The instrument was designed to identify problem families and to understand their dynamics. Robinson & Eyberg (1981), found few and relatively small differences between mothers and fathers in their interactions with young children. The current study hypothesizes that these differences may be larger for depressed vs. non- depressed parents. Use of DPICS has revealed some sex difl'erences in family interaction patterns. For example, in one study mothers consistently gave more total praise than fathers, whereas fathers tended to be more directive, and to give more indirect commands (Robinson & Eyberg, 1981). Another study has demonstrated differences in maternal verbal behavior between neglect and non-neglect families (Aragona & Eyberg, 1981). In a group of 27 mother-child dyads, significant findings were reported for direct commands, verbal praise, verbal acknowledgement, and critical statements, with negligent mothers consistently lower than controls (Aragona & Eyberg, 1981). ' 15 Summag In summary, the literature suggests the following conclusions with respect to the effects of parental depression on how parents behave with their children during play. 1. Mothers with higher levels of depression are likely to display fewer positive behaviors toward young children than less depressed mothers. 2. Fathers, depressed or not, tend to view time with young children as playtime, and do not change their behavior with children in relation to their own distress level. 3. The effects of an alcoholic father on a child may be mediated through the child’s mother in her role as caregiver, particularly in younger children. HYPOTHESES Since depressed mothers have been reported to resent their children, and to express anger and resentment over their isolation in the child rearing role, it is hypothesized that: 1) mothers with higher levels of depression will give less praise to their children than non-depressed mothers, 2) mothers with higher levels of depression will give less praise than will depressed or non-depressed fathers, 3) depressed mothers will use more commands and 4) more critical statements than will fathers, 5) depressed mothers will use fewer questions on the Eyberg index than will non- depressed mothers. Fathers, on the other band, who have not been reporwd to resent their children or view them as restrictive of their lifestyle, will display more playful and positive behaviors with their children in the playroom setting. If research suggesting that fathers view time with their children as pleasurable, and the father’s role as that of playmate is correct, then fathers will show more positive behavior toward their children in a play situation than will depressed mothers. 5) Fathers will give more praise, 6) use fewer commands, 7) make fewer critical statements, and 8) ask more questions than will depressed mothers. 16 17 Finally, fathers’ LAPS scores will not predict their behavior in the playroom because fathers tend not to change their behavior with their children based on their own personal stresses. Mothers’ LAPS scores, similar to their depression scores, will predict behavior towards their children, with higher LAPS scores predicting less praise, fewer questions, and more critical statements and commands. METHOD Mutts Subjects are 81 families participating in the Michigan State University Family Study (Zucker, Noll, & Fitzgerald, 1986), a longitudinal study examining the factors that may influence child development and health in the offspring of alcoholic and non- alcoholic parents. The current study uses data from the alcoholic sample only. Subjects are recruited from local district courts using criteria of 1) men who are arrested for drunk driving with a blood alcohol concentration (BAC) of at least .15 (or .12 if it is a second offense), 2) at the time of contact are in intact families, and 3) have biological sons between 3.0 and 6.0 years of age. All candidates are asked by their probation officers to give their permission to be contacted by project personnel. Families who give such permission are visited by the project coordinator and are recruited into the project. The project coordinator visits each family, explains the study, and secures informed consent for participation (see pages '77 and 78). All families in the study are paid for their participation. 18 l9 Dag lelectign Procedures 'P nt-ChilIn actinCodin sm ber Video taped interactions of each parent separately with the child are coded using the Dyadic Parent Child Interaction Coding System (Eyberg & Robinson, 1983). Parents and the target child come to the video laboratory at Michigan State University. Based on a coin flip, one parent is escorted to the playroom with the child while the other parent is in another room completing questionnaires as part of the larger data collection protocol. The playroom contains several toys, such as crayons and paper, Play Doh, trucks, and Lincoln Logs. The playroom has a one-way viewing window through which video tapes are made of the playroom interactions. After the parent and child are seated in the playroom, a graduate assistant gives the following instructions: There are three 10-minute time periods. We will knock on the window to alert you to the time changes. The first ten minutes it is your child’s turn to choose what to play with, and you (parent) should play along with him. The second ten minutes it is your (parent’s) turn to choose the activity, and your child should play along with you. The third ten minutes is clean-up time, and I’d like you to ask your child to clean up. If you finish before the third ten minutes is up, just say, "We’re done," and I will come and get you. When this thirty minute protocol is finished, the same procedure is repeated with the other parent. Both parent and child know they are being video taped. 20 The Eyberg coding system (DPICS) was designed to: a) provide an observational measure of parent and child behavior as an adjunct to full psychological evaluation of childhood disorders or parenting skills; b) serve as a pre-treatrnent assessment of behavior occurring in dyadic family interaction; c) provide a measure of ongoing progress during therapy that focuses on changing general parent-child interaction patterns; and d) serve as a behavioral observation measure of treatment outcome (Robinson & Eyberg, 1984, p. 122). Observational coding is done live and continuously by graduate students behind the one-way window, and results in a record of the total frequency of each behavior during each ten-minute period. The Data Recording Sheet (page 79) is used by observers to record all data. Verbalizations are coded by making a tally mark in the appropriate space on the recording sheet each time the particular verbal behavior occurs (Robinson & Eyberg 1984). Each verbal behavior is operationally defined in a detailed coding manual (Eyberg & Robinson, 1983). For each category, the manual provides a general definition and a series of examples. It also lists specific guidelines to aid in discrimination between categories. Finally, the manual lists decision rules to use when there is uncertainty between categories. A brief description of the parental behaviors is presented in Table 1. Direct and Indirect commands were combined for purposes of this study because both reflect an instrumental approach by the parent and there were insufficient numbers to analyze them separately. 21 A number of studies have documented the reliability of the coding categories (Aragona & Eyberg, 1981; Robinson & Eyberg, 1981). Robinson & Eyberg (1981) reported interrater reliability based on Pearson correlations of frequency of each behavior recorded by two observers during 244 five-minute observations. The mean reliability coefficient for parent behaviors was .91 (range = .76-1.0). Table l. mscfiptjon Qf Behavig Categgg'gs Parental Behavior Description Direct Command Indirect Command Descriptive Reflective Dex/Reflective Question Acknowledgement Praise Critical statement A direct, clearly stated order or direction in declarative form (e.g., Put the block on the tower.) An indirect suggestion or question-command which attempts to lead the child’s verbal or physical activity (e.g., Will you put the block on the tower?) Statements, both declarative and question form, which describe and follow the ongoing activity but contain no evaluative comment (e.g. You put the block on the tower.) Statements, both declarative and question form, which exactly reflect a .verbalization by the child. Any question asked of the child, may be made a question by an inflection or a tag (e.g., huh?). Verbalizations which contain no manifest content (e.g., Okay or oh.) A statement indicating approval (e.g., Good, that’s a good place to put the block. A statement indicating disapproval (e.g., That’s not a good place to put the block.) Adapted from Aragona, J. & Eyberg, S. (1981) 22 Subjects consisted of 42 families: a conduct problem group of 20, and a normative control group of 22, with correlations for each group in this range. In the Aragona & Eyberg study (1981), reliability coefficients, obtained for eight available families, were computed using Pearson product-moment correlations between observers for each behavioral category. For all categories, these coefficients ranged from .65 to 1.00, with only Parent-Directed Interaction--Acknowledgement falling below .85 (Aragona & Eyberg, p. 598). For the current study, inter-rater reliabilities were calculated for each category individually, based on 42 separate coding periods, using data from three coders. Pearson correlations for these individual categories ranged fiom .78 to .97. The correlations for the specific categories used in this study were: Commands: Direct=.80, Indirect=.78; Praise: labeled Praise (n = only 6) .48, Unlabeled Praise: .80; Critical statements: .68; and Questions: .97. W Self reported depression was measured by the Short Form of the Beck Depression Inventory (Beck & Beck, 197 2). This inventory requires respondents to complete 13 statements by picking the answer that best reflects how they feel on that day. Undergraduates administer the Beck self report measure to each parent at an earlier data collection session held in the family’s home. A review of the psychometric properties of the Beck (Beck, Steer, & Garbin, 1988) scanned internal consistency of the long form of the Beck in at least 25 studies. 23 In psychiatric populations, the mean coefficient alpha was .86, with a range of .76 to .95. In nonpsychiatric samples, the mean coefficient alpha was .81, with a range of .73 to .92. Beck et al. (1988) claim comparable internal consistency for the short form. Validity examinations of the Beck Depression Inventory have shown impressive results in content, concurrent, discriminant, and construct validity (see review by Beck, et. a1, 1988). The Hamilton Rating Scale for Depression (HRSD) (Hamilton, 1960), was used for rating levels of clinical depression. A clinical graduate student rates the level of clinical depression based on information from an extensive diagnostic interview conducted in the subject’s home. Subjects are given a current Hamilton depression score and a "worst ever" score. The I-IRSD covers behavioral, affective, somatic, and psychological elements of depression. The analyses in this study used current levels of depression because they were more closely related in time to the status of the subject at the time of the playroom session. Interrater reliabilities for the HRSD range from .80 to .90 (Hamilton, 1969). Lif 'm Al h l lem As part of the larger longitudinal study at Michigan State University, subjects are given a measure of lifetime problems related to alcohol. The Lifetime Alcohol Problems Score (LAPS) (Zucker, 1991) was designed to provide a way of "scaling differences in extent of alcohol related difficulty over a lifetime." The measure is based on three aspects of functioning. First is the mac! of alcohol problems, based 24 on how early in the life course alcohol problems begin. Second is the m of different alcohol related problems. This factor is based on a count of a large number of different types of alcohol related problems an individual may have experienced at any time during his or her life. Third is a component which measures the invgiveness of alcohol problems over the lifetime. This aspect is based on both the rate of problem display per unit of time, and the duration of the problem (Zucker, 1991). Each subscale is standardized. The LAPS score is calculated by adding the three subscores together. Scores for this measure are standardized separately for males and females within the MSU Family Study sample. W The Michigan State University Family Study uses the Revised Duncan (1981) based on the work of Stevens & Featherrnan (1981), to assess socieconomic status of the families. This occupation based measure of SES was selected after an extensive review of the strengths and weaknesses of several possible SES indicators (Mueller & Parcel, 1981). RESULTS The major issue in this study was whether or not current depressive experience differentially affects the way mothers and fathers speak to their young sons in a structured playroom setting. Mothers spend more time with their children overall than fathers, and are more often depressed than fathers. Mothers also tend to relate their depression to the demands of children, something fathers are less likely to do. Therefore, it seemed likely that mothers who were more depressed would be likely to give less praise to their children while playing with them and to ask fewer questions, a measure of engaging the child in the play. Fathers, on the other hand, less frequently have the opportunity to play with their children and feel less burdened by the demands of children. Fathers are likely to view the playroom session as a "luxury" while mothers are likely to view it as ordinary and even demanding. While commands may be seen as an instrumental interaction style usually thought of as the domain of fathers, commands can also be viewed as behavior that views the child negatively. Commands tend to lessen engagement in the interaction, with the child merely carrying out the wishes of the parent and not being a participant in the play. Based on this view, depressed mothers would be more likely to issue commands to their children than fathers, depressed or not. Since fathers experience 25 26 play time with children as unusual and perhaps even indulgent, fathers would be more likely to use more engaging styles of interaction than commands. Following this same logic, depressed mothers would be more likely to be critical of their children than non- depressed mothers, or fathers, depressed or not. Analysis of Covariance (AN COVA) was used to analyze the effects of sex and depression on each of four dependent variables from the Eyberg codes: Praise, Commands, Critical Statements, and Questions. The four dependent variables were calculated as a percent of the total number of verbalizations spoken by the parent. A separate AN COVA was conducted for each of the dependent variables. Because depression scores did not have a distribution that allowed a split into high and low depression groups (see plots page 74), depression was treated as a control variable and allowed to covary with the dependent variable. Separate ANCOVA analyses were conducted for each of the depression measures. Table 2 summarizes the demographic characteristics of the sample for the current study. Table 3 shows the means and standard deviations for mothers and fathers separately for each of the variables. 27 T l 2. ' m hi ' ' f Sam le Family Variable Mean Range Family Income $18,000 $4,000-S30,000 Child Variable Mean Range Child Age 4.43 3.0 - 6.85 Parent Variables Mothers Fathers Mean Range Mean Range Age (years) 28.96 21-40 30.57 22-48 Education (years) 12.54 9-17 12.22 7-18 Mean SD Mean SD LAPS 10.02 1.97 10.50 1.98 Income 6.15 2.26 6.08 2.26 Education 12.54 1.72 12.21 1.87 Occupation 602.90 355.90 241.20 141.60 Number of Children 2.19 .70 2.19 .70 Table 3. Means and standard deviations for mothers and fathers for each variable. VARIABLE Mothers Fathers Mean SD Mean SD Percent Praise 4.00 4.30 2.00 2.20 Percent Command 35.00 13.10 37.00 15.00 Percent Critical 4.00 3.80 4.00 3.30 Percent Question 57.00 14.70 56.00 15.90 Hamilton Score 7.07 6.77 6.39 6.77 Beck Score 4.07 3.71 3.35 3.55 28 B k R l Contrary to the hypotheses, ANCOVA analyses using Praise as the dependent variable revealed no significant effects [F (1,163) = .56, NS]. ANCOVA analyses using Critical Statements as the dependent variable also revealed no significant effects [F (1,163) = 1.17, NS]. Mothers and fathers did use commands differently during the play interactions with their sons. With Commands as the dependent variable, AN COVA analyses revealed significant effects for both sex and depression level [F (1,163) = 9.8, p <.0001]. Both sex (t = 2.19, p< .03) and Beck score (t = 3.97, p< .0001) affected the number of commands given by the parents. For both mothers and fathers, the higher the Beck score, the more commands were given, with mothers also giving significantly more commands than fathers when depression was taken into account. AN COVA analyses using Questions as the dependent variable also revealed significant effects for both depression and sex [F(1,163) = 9.02, p< .0002]. The higher the depression score (t = -3.86, p< .0002), the fewer questions were asked by both mothers and fathers. Relative to the depression scores, fathers with higher depression scores asked significantly fewer questions than mothers with higher depression scores (t = -1.97, p< .05). 29 Hamilton ng Results When Hamilton depression scores were used in ANCOVA analyses, results were similar to Beck score results for Praise, i.e., Praise was not significant [F(1,163) =.47, NS]. ANCOVA analyses using Critical Statements as the dependent variable were also not significant when Hamilton scores were entered into the analyses [F(1,163) = 2.0, NS). AN COVA analyses using Commands as the dependent variable were significant [F(1,163) = 3.58, p> .03). However, they differed from Beck results in that sex of the parent (t = 2.045, p< .04) affected commands but Hamilton score (t.= 1.869, NS) did not. Mothers did give significantly more commands than fathers, but depression did not significantly affect the number of commands given by either sex when measmed by Hamilton scores. Finally, AN COVA analyses using Questions as the dependent variable revealed significant effects [F(1,162) = 3.60, p> .03]. Hamilton Depression scores affected the number of questions asked (t = -2.059, p< .04), but sex had no effect (t = -1.864, NS) on the number of questions asked. The higher the Hamilton score, the fewer questions were asked, regardless of sex of parent. These results support the notion that depression does influence the way that mothers speak to their children during play. However, fathers’ speech to their children was also influenced by depression. This may reflect the instrumental nature of fathers’ interactions with children, which may be too strong to be offset by depression. 30 AN VA with ' 'onal variabl In an attempt to explain what other variables might be accounting for variance on the four dependent variables, (praise, commands, critical statements, and questions), an AN COVA was run using several other variables. Lifetime Alcohol Problems Scores (LAPS, Zucker, 1991), family income, parents’ education level, family socioeconomic status (based on the Revised Duncan Socioeconomic Index, (Stevens & Featlrerman, 1981), and the number of other children in the household were entered into the ANCOVA analyses. Results from these analyses were consistent with the above ANCOVA results. With Commands as the dependent variable, AN COVA analyses that included the additional variables mentioned above, were significant [F(1,162) = 3.73, p< .001]. However, the Beck Depression score accounted for the entire 14% of the variance explained by these analyses (t = 2.376, p< .02). None of the other above mentioned variables accounted for any significant portion of the variance in the number of commands given. The AN COVA analyses with Questions as the dependent variable, including the additional variables, was also significant [F(1,162) = 3.55, p< .001], accounting for 14% of the variance. Similar to the Commands, Beck Depression Score accounted for the entire 14% (t = -2.38, p< .02). The AN COVA analyses for Critical statements and Praise with all additional variables entered were not significant. [Praisez F(l,162) = .813, NS; Critical 31 statements: F(l,162) = 1.487, NS]. Again, this is consistent with the more specific analyses above. R ssion An s s Stepwise multiple regression analyses were also conducted using all the above variables (LAPS score, family income, parents’ education level, family occupational status, and the number of other children in the household). This procedure was used with the default significance level of .15 in order to identify whether any of the other variables might be related to parental verbalizations in the playroom setting if conditions were more stringent or sample sizes larger. Any of the variables that met the . 15 level might be worthy of fm'ther investigation related to the Eyberg categories. When Praise was entered as the dependent variable, only Family Income met the . 15 significance level criteria for entry into the model. However, family income did not significantly affect the amount of praise given [F(1,162) = 2.96, NS]. In the stepwise multiple regression using Commands as the dependent variable, three other variables entered the model at the .15 significance level. Beck depression score, parents’ education level, and family income were included in the analysis. Beck Depression score accounted for the most variance (8%), [F(1,162) = 13.93, p< .0003], again consistent with the AN COVA results above. Education level of the parents accounted for a significant additional amount of variance (3%), [F(1,162) = 6.19, p< .01] after Beck was accounted for. Income entered into the model at the .15 level, but 32 did not account for any significant additional amount of variance after Beck and Education level were taken into account [F(1,162) = 2.83, NS]. Stepwise multiple regression using Critical Statements as the dependent variable also allowed Family Income into the model at a significant level [F(1,162) = 4.63, p< .03], accounting for 2% of the variance. No other variables met the .15 level for inclusion in the model for Critical statements. When Questions was used as the dependent variable in stepwise multiple regression, the three variables of Beck score, family income, and parents’ education level again met the .15 significance level for entry. Beck Depression score accounted for the most variance (8%), [F(1,162) = 13.29, p< .0004], followed by parents’ education level with an additional 10% ([F(1,162) = 5.73, p< .01]. Family income did not account for any additional significant amount of variance [F(1,162) = 2.49, NS]. The regression analyses suggest that depression as measured by Beck is a significant predictor of behavior in the playroom, based on the Eyberg coded verbalizations. Parents’ education level also affecwd the Eyberg categories, and may warrant further investigation as a predictor of parents’ behavior towards their children in the play situation. With these analyses, none of the other variables (LAPS, occupation, or number of children in family) accounted for additional variance. Almhgl Problems Stags ES! Eyberg Qtegm’es Finally, since the entire sample consisted of families with at least the father being alcoholic, and since the mothers in the sample also tend to have higher alcohol 33 problems than control mothers, simple effects tests were done for each of the dependent variables between the upper and lower quartiles of the sample. This was done separately for mothers and fathers. These analyses were an attempt to distinguish any differences between higher and lower levels of alcohol problems within an all alcoholic sample. For mothers, t-tests revealed a significant difference in LAPS scores between the upper and lower quartiles [n = 42; upper quartile mean = 12.79, SD = 1.17; lower quartile mean = 8.09, SD = .156; [t = 18.61, (1,41) p< .0001]. However, analysis of covariance revealed no significant differences on any of the four dependent variables of Praise, Critical statements, Commands, or Questions between the women in the upper vs. the lower quartiles. For males also, there was a significant difference between the upper and lower quartile on LAPS score [n = 40; upper quartile mean = 13.15, SD = 1.17; lower quartile mean = 8.186, SD = .80, t = 15.72 (1,39) p< .0001]. Quartile did not affect any of the dependent variables, but Beck score was significantly related to Commands (t = 2.95, p< .005) and to Questions (t = -2.87, p< .007). Consistent with the AN COVA results reported above, higher depression scores on the Beck predicted more commands and fewer questions for fathers. DISCUSSION Some of the specific hypotheses of this study were supported, others were not. Based on Beck Depression Inventory scores, both more depressed mothers and more depressed fathers gave more commands than less depressed mothers and fathers. This is inconsistent with the hypothesis that depression would affect mothers’ commanding behavior but not fathers’. However, the behavior of the mothers in this sample is consistent with previous evidence that maternal depression was associated with verbal punitiveness, particularly yelling and threatening (Susman et.al, 1985) because mothers overall gave significantly more commands than fathers. Similarly, Longfellow et. a1 (1982) found severity of mothers’ depression was related to greater use of hostile and controlling techniques, such as warnings and commands. The Longfellow et. al (1982) study used a similar SES sample to the current study and also used observational data, lending further support to the current findings. Questions, viewed as a measure of engagement with the child, were expected to be higher for fathers, but unrelated to depression in fathers. Contrary to this hypothesis, both mothers and fathers asked significantly fewer questions as depression scores increased. There was a slight sex difference in number of questions asked when measmed by Beck only, with fathers actually asking fewer questions than mothers as depression scores increased. The prediction that fathers would be less likely to "take out" their depression on their children was based on literature which views the father’s role as that of 34 35 playmate (Lamb, 1981; Yogman, 1982). Additionally, Patterson (1981) reported observational data showing fathers have higher rates of play than mothers in both distressed and non-distressed families. The current results suggest that in a sample of alcoholic fathers, depression levels can affect the way fathers interact with their children. Higher levels of depression in fathers, as well as mothers, was associated with giving more commands to the child. Lower levels of depression in mothers were expected to be related to higher rates of questions, and the findings support this. The coding categories used in this study include two types of commands: indirect and direct, and these may reflect different styles of interacting with the child. According to the Eyberg Coding Manual, direct commands very clearly tell a child what to do and always do so in a positive manner, i.e., they always tell a child what to do, not what M to do. Indirect commands imply an expectation of the child but do not use imperatives. For example, "Why don’t we play with the blocks?" Indirect commands can be difficult to distinguish from questions, and the manual decision rule reads: "uncertain between indirect command and question, code question." Numbers of indirect vs. direct commands were not sufficient to divide them in the analyses. If direct and indirect commands could be analyzed separately, it is possible that depressed fathers would use more indirect commands and depressed mothers would use more direct commands, indicating a more engaging style for fathers. Results of the current study were similar for bath Beck and Hamilton measures of depression in regard to number of questions asked during the play sessions; the higher the depression score, the fewer questions were asked. It was predicted that sex 36 would also affect the number of questions asked, based on questions as a measure of attempts to engage the child, and sex did affect Questions when measured by Beck only but not at the significance level of the effect of the depression. It may be that in lower socioeconomic level families, parents have an overall lower level of interaction with their children, particularly as measured by attempts to engage them. Indeed, in the current study, parents often seemed to engage in parallel play during the play session rather than associative or cooperative play as one might expect in parental play with preschool age children. The possibility that parents in families characterized by alcoholism and depression may use immature interactional styles during play activities with their preschool age children can be tested in future studies by comparing high risk parents’ play style with that of comparison. Such comparison could be especially important in revealing differences in the conduct or style of instrumental activities between alcoholic and non-alcoholic fathers and their sons. The results found in the questions category may reflect limitations of the Eyberg measure. Following from the points made above, the questions category can easily become a catch-all for many types of parental verbalizations. The coding manual indicates that questions may be distinguished by inflection only, or when a tag is added to a descriptive/reflective statement. This mode of 3 speech is very common when speaking with young children. For example, "That’s a blue one, right " is coded as a question, as is "I like it, don’t you?" The questions category tends to accumulate the highest number of responses in any given protocol because of this catch-all nature. 37 It seems reasonable, therefore, to be cautious in interpreting the significant results in this category. Since questions are usually coded more frequently than anything else in a given protocol, and since the number of questions spoken decreased as the depression scores increased (on both Hamilton and Beck), it may be that decreases in frequency of questions is an indirect effect of a decrease in the overall level of engagement with the child. Other research using the same data set (Davies, Zucker, N 011, & Fitzgerald, 1991) as the current study (though not necessarily the same subjects) has shown levels of paternal depression to be negatively correlated with positive affective parenting. While this suggests that depressed fathers do not use positive parenting behaviors, the current study goes one step farther and suggests that depression actually increases negative parenting behavior for both mothers and fathers. 'Ihe Davies, et. a1 study used factor analyzed self-report questionnaire data, the Child-Rearing Practices Report (Block, 1980), to measure positive affect parenting. The current study used direct observation of fathers’ behavior with similar results. More research is needed to clarify the relationship between depression in fathers and interactions with their children. Coyne & Downey (1990), in an recent review of the literature concerning children of depressed parents, were unable to find a single published study in which investigators observed depressed fathers interacting with their children. The hypotheses regarding praise and critical statements were not supported. It is quite likely that the Praise and Critical Statements analyses were not significant because of the low rate of occurence of such statements. Eyberg criteria for coding 38 these categories are rigid, and were difficult to apply in the interactions with the young children. In the case of Critical statements, the Eyberg Coding Manual is perplexing. Critical statements may be spoken in "sweet tones" but with a critical content. Consider this interchange: Child: "I want to build a big, big house." Parent: "You can’t because there aren’t enough blocks." Eyberg (Personal communication, June, 1989) codes this parent comment as a critical statement. She argues that it "corrects" the child by pointing out "in nice tones" what was wrong with the child’s idea. The parent response in this example could certainly as easily be coded as a purely descriptive statement which has no negative reflection on the child at all. Since the final coding note warns "if in doubt, DO NOT code critical," it is likely that coders will err on the side of rendering controversial calls to less severe categories. Praise statements are coded as Labeled or Unlabeled Praise, depending on the specificity. These two categories were combined for purposes of analysis in this study because of their very low frequency of occurrence. According to the coding manual, praise must reflect clear verbal approval, not just enthusiasm, and in the case of Labeled Praise, it must be specific enough to let the child know exactly what he or she would have to do to elicit the praise again. Praise statements may be in the form of questions, such as "That picture turned out terrific, didn’t it?" However, as noted above, tags on statements are extremely frequent when parents are talking to young 39 children, making the distinction between praise and questions difficult. Again, the manual warns that "when in doubt, DO NOT code Praise." Some Praise statements undoubtedly end up in the questions category. Another problem with the Praise coding is that it may distort the "truth" of a given situation. For example, if a parent says, "I like it when you sit still", Eyberg codes praise (Personal communication, June, 1989). However, parental approval may not always be equal to good. To follow the letter of the coding rules, if a parent said, "I like it when you color pictures on the wallpaper" it would also be coded as Labeled Praise. These instrument drawbacks may explain the lack of significant results in the Praise and Critical Statements categories. It is important to note that results were exactly the same in these two categories, for both of the depression indices, as well as for sex. Absolutely no relationships were found, even though previous research would support the prediction that fathers would be more likely to praise their children than mothers, and that perhaps depression in mothers would affect that behavior more than depression in fathers. The converse would be true for critical statements if we think of praise and critical statements as opposite ends of a continuum. It is interesting that the women who are wives of alcoholics also report higher levels of alcohol problems in relation to control group wives. Since in most cases these women have not personally experienced as many alcohol related problems as the men, e.g., arrests for drunk driving, physical aggression that led to fights, and do not score nearly as high on measures of antisocial behavior (e. g., Fitzgerald, et. a1, under 40 review), it is possible that wives experience these problems as their own indirectly through their husbands. The relationship between these alcohol problems and depression and the way these are related to the way parents not only perceive their childrens’ behavior but also how they actually speak to and interact with them is fertile ground for further research using this data set. Other coding measures should be used with the observational data, particularly instruments that are sensitive to affective interactions between parents and their children. Furthermore, another variable that was not examined in this study but that may very well impact both depression and the types of interactions measured in this study is antisociality. Finally, if indeed it is supported with further research that parents actually speak to their children differently when they are alcoholic or depressed or both, it suggests interventions that may be effective in reducing the effects of depression on child outcomes. SUMMARY This study lends support to the position that depression level affects the way that parents speak to their children in a playtime situation. Sex differences were found in two categories, supporting the notion that depression in mothers is likely to affect children more than depression in fathers because depressed mothers use more negative verbalizations overall than depressed fathers, assuming that this is balanced by the amount of time spent with mothers vs. fathers as of course it was in this study. According to this study, no evidence was found for fathers to use more positive verbalizations, such as praise, as was predicted by previous research. 41 42 Table 1A. ANCOVA WITH SEX AND HAMILTON DEPRESSION ONLY DEP VARIABLE: PRAI_PCT ANALYSIS OF VARIANCE SUM OF MEAN SOURCE DF SQUARES SQUARE F VALUE PROB>F MODEL 2 0.0014054% 0.000702703 0.474 0.6235 ERROR 162 0.24031199 0.001483407 C TOTAL 164 0.24171740 ROOT MSE 0.03851503 R-SQUARE 0.“)58 DEP MEAN 0.03088919 ADJ R-SQ 01sz CV. 124.6877 PARAMETER ESTIMATES NOTE: PARTIAL AND SEMI-PARTIAL CORRELATIONS ARE SQUARED PARAMETER STANDARD T FOR H0: VARIABLE DF ESTIMATE ERROR PARAMETER=0 PROB > rn INTERCEP 1 0.03251540 0.(X)4231750 7.684 01an SEX_DUM 1 -0.(X)2512718 0.(X)3(X)7017 -0.836 0.4046 HAMCURR l -0.(XX)251470 0010449684 -0.559 0.5768 SUM OF RESIDUALS 9.52276E-15 SUM OF SQUARED RESIDUALS 0.240312 PREDICI'ED RESID SS (PRESS) 024721183 43 Table 2A. ANCOVA WITH SEX AND HAMILTON DEPRESSION ONLY DEP VARIABLE: COMM_PCT ANALYSIS OF VARIANCE SUM OF MEAN SOURCE DF SQUARES SQUARE F VALUE PROB>F MODEL 2 0.14483190 0.07241595 3.575 0.0302 ERROR 162 3.28 147991 0.02025605 C TOTAL 164 3.42631181 ROOT MSE 0.1423237 R-SQUARE 0.0423 DEP MEAN 0.3557933 ADJ R-SQ 0.0304 C.V. 40.m181 PARAMETER ESTIMATES NOTE: PARTIAL AND SEMI-PARTIAL CORRELATTONS ARE SQUARED PARAMETER STANDARD T FOR H0: VARIABLE DF ESTIMATE ERROR PARAMETER=0 PROB > I'll INTERCEP 1 0.335560% 0.01563749 21.459 0.1!!” SEX_DUM l 0.02271983 0.01 l 11 176 2.045 0.0425 HAMCURR l 0.1!)3105383 0.(X)1661706 1.869 0.0635 SUM OF RESIDUALS 2.12164E-l3 SUM OF SQUARED RESIDUALS 3.28148 PREDICIED RESID SS (PRESS) 3.425593 44 Table 3A. ANCOVA WITH SEX AND HAMILTON DEPRESSION ONLY DEP VARIABLE: CRIT_PCT ANALYSIS OF VARIANCE SUM OF MEAN SOURCE DF SQUARES SQUARE F VALUE PROB>F MODEL 2 0.005113040 0.“)2556520 1.994 0.1395 ERROR 162 0.20772555 0.(X)1282256 C TOTAL 164 0.21283859 ROOT MSE 0.0358086] R-SQUARE 0.0240 DEP MEAN 0.03751692 ADJ R-SQ 0.0120 C.V. 95.44656 PARAMETER ESTIMATES NOTE: PARTIAL AND SEMI-PARTIAL CORRELATIONS ARE SQUARED PARAMETER STANDARD T FOR H0: VARIABLE DF ESTIMATE ERROR PARAMETER=0 PROB > I'll INTERCEP l 0.03221608 01113934388 8.188 0.0001 SEX_DUM 1 0.001927890 0.(X)2795716 0.690 0.4914 HAMCURR 1 0.(XX)802573 0.m0418(185 1.920 0.0567 SUM OF RESIDUALS 1.36809E-14 SUM OF SQUARED RESIDUALS 0.w77256 PREDICIED RESID SS (PRESS) 0.2152816 45 Table 4A. ANCOVA WITH SEX AND HAMILTON DEPRESSION ONLY DEP VARIABLE: QUES_PCI' ANALYSIS OF VARIANCE SUM OF MEAN SOURCE DF SQUARES SQUARE F VALUE PROB>F MODEL 2 0.16630698 0.08315349 3.594 0.0297 ERROR 162 3.74813246 0.02313662 C TOTAL 164 3.91443944 ROOT MSE 0.1521073 R-SQUARE 0.0425 DEP MEAN 0.5758006 ADJ R-SQ 0.0307 C.V. 26.41665 PARAMETER ESTIMATES NOTE: PARTIAL AND SEMI-PARTIAL CORRELATIONS ARE SQUARED PARAMETER STANDARD T FOR H0: VARIABLE DF ESTIMATE ERROR PARAMETER=0 PROB > I'll INTERCEP 1 0.59970828 0.01671243 35.884 01an SEX_DUM 1 0.02213500 0.01187560 -1.864 0.0641 HAMCURR l 0.003656486 01111775934 -2.059 0.0411 SUM OF RESIDUALS 2.34576E-13 SUM OF SQUARED RESIDUALS 3.748132 PREDICTED RESID SS (PRESS) 3.914897 46 Table 5A. ANCOVA WITH SEX AND BECK DEPRESSION ONLY DEP VARIABLE: PRAI_PCT ANALYSIS OF VARIANCE SUM OF MEAN SOURCE DF SQUARES SQUARE F VALUE PROB>F MODEL 2 0.001661526 0.(X)0830763 0.561 0.5720 ERROR 162 024005587 0.(X)l481826 C TOTAL 164 0.24171740 ROOT MSE 0.0384945 R-SQUARE 0.(X)69 DEP MEAN 0.03088919 ADJ R-SQ -0.(X)54 C.V. 124.6213 PARAMETER ESTIMATES NOTE: PARTIAL AND SEMI-PARTIAL CORRELATIONS ARE SQUARED PARAMETER STANDARD T FOR H0: VARIABLE DF ESTIMATE ERROR PARAMETER=0 PROB > I'll INTERCEP 1 0.03294406 0.1!)4247960 7.755 0.00m SEX_DUM 1 «0.002498015 0.003001354 -0.832 0.4065 BECK 1 -0.0(X)577581 0.(XX)828592 -0.697 0.4868 SUM OF RESIDUALS 9.59389E-15 SUM OF SQUARED RESIDUALS 0.2400559 PREDICIED RESID SS (PRESS) 0.248505 47 Table 6A. ANCOVA WITH SEX AND BECK DEPRESSION ONLY DEP VARIABLE: COMM_PCT ANALYSIS OF VARIANCE SUM OF MEAN SOURCE DF SQUARES SQUARE F VALUE PROB>F MODEL 2 0.37089150 0.18544575 9.832 0.0(I)I ERROR 162 3.05542031 0.01886062 C TOTAL 164 3.42631181 ROOT MSE 0.137334 R-SQUARE 0.1082 DEP MEAN 0.3557933 ADJ R-SQ 0.0972 C.V. 38.59937 PARAMETER ESTIMATES NOTE: PARTIAL AND SEMI-PARTIAL CORRELATIONS ARE SQUARED PARAMETER STANDARD T FOR H0: VARIABLE DF ESTIMATE ERROR PARAMETER=0 PROB > [11 INTERCEP 1 0.31357632 0.01515513 20.691 0.0(XJ1 SEX_DUM 1 0.02340422 0.01070771 2.186 0.0303 BECK l 0.01172668 01112956105 3.967 0.0(XJ1 SUM OF RESIDUALS 2.11706E-13 SUM OF SQUARED RESIDUALS 3.05542 PREDICI'ED RESID SS (PRESS) 3.174559 48 Table 7A. ANCOVA WITH SEX AND BECK DEPRESSION ONLY DEP VARIABLE: CRIT_PCI' ANALYSIS OF VARIANCE SUM OF MEAN SOURCE DF SQUARES SQUARE F VALUE PROB>F MODEL 2 0.003018406 01111509203 1.165 ERROR 162 0.20982019 0.1!)1295186 C TOTAL 164 0.21283859 ROOT MSE 0.0359887 R-SQUARE 0.0142 DEP MEAN 0.03751692 ADJ R-SQ 0.11120 C.V. 95.92658 PARAMETER ESTIMATES NOTE: PARTIAL AND SEMI-PARTIAL CORRELATIONS ARE SQUARED PARAMETER STANDARD TFOR H0: VARIABLE DF ESTIMATE ERROR PARAMETER=0 PROB > lTl INTERCEP 1 0.03353410 01113971439 8.444 MIDI SEX_DUM l 0.(X)1741596 0.“)2805981 0.621 0.5357 BECK 1 0.001103983 0.(XX)774655 1.425 0.1560 SUM OF RESIDUALS 1.35014E-14 SUM OF SQUARED RESIDUALS 0.w98202 PREDICIED RESID SS (PRESS) 0.2193368 49 Table 8A. ANCOVA WITH SEX AND BECK DEPRESSION ONLY DEP VARIABLE: QUES_PCI' ANALYSIS OF VARIANCE SUM OF MEAN SOURCE DF SQUARES SQUARE F VALUE PROB>F MODEL 2 0.39227439 0.19613719 9.021 0.0002 ERROR 162 3.52216506 0.02174176 C TOTAL 164 3.91443944 ROOT MSE 0.1474509 R-SQUARE 0.1002 DEP MEAN 0.5758006 ADJ R-SQ 0.0891 C.V. 25.60797 PARAMETER ESTIMATES NOTE: PARTIAL AND SEMI-PARTTAL CORRELATIONS ARE SQUARED PARAMETER STANDARD T FOR H0: VARIABLE DF ESTIMATE ERROR PARAMETER=0 PROB > m INTERCEP 1 0.61994552 0.01627156 38.100 0.0001 SEX_DUM 1 0.02264780 0.01 149651 -1 .970 0.0505 BECK 1 0.01225308 0.(X)3173871 -3.861 0.11112 SUM OF RESIDUALS 2.33660E-13 SUM OF SQUARED RESIDUALS 3.522165 PREDICI'ED RESID SS (PRESS) 3.654302 50 Table 9A. ANCOVA WITH ALL VARIABLES ENTERED DEP VARIABLE: PRAI_PCI' ANALYSIS OF VARIANCE SUM OF MEAN SOURCE DF SQUARES SQUARE F VALUE PROB>F MODES 7 0.008503187 0.(X)1214741 0.813 0.5792 ERROR 156 0.23309930 0.(X)1494226 C TOTAL 163 0.24160249 ROOT MSE 0.03865522 R-SQUARE 0.0352 DEP MEAN 0.03095435 ADJ R—SQ -0.(X)81 C.V. 124.8782 PARAMETER STANDARD T FOR H0: VARIABLE DF ESTIMATE ERROR PARAMETER=O PROB > ITI INTERCEP 1 0.01665602 0.03231094 0.515 0.659 LAPS 1 0.0m240064 01111662743 0.144 0.8854 INCOME 1 0.(X)2222709 0.(X11540917 1.442 0.1512 EDUCA 1 0.000127022 0.1!)1859738 0.068 0.9456 OCCUP 1 0.000014591 .w000970892 1.503 0.1349 KIDS 1 -0.003488426 0.004399110 -0.793 0.4290 HAMCURR 1 —0.0(X)150425 0.(XJ0471542 -0.319 0.7501 BECK 1 ~0.(XX)247382 0.(XX)912908 0.271 0.7868 SUM OF RESIDUALS 9.42562E-15 SUM OF SQUARED RESIDUALS 0.2330993 PREDICIED RESID SS (PRESS) 0.254302 51 Table 10A. ANCOVA WITH ALL VARIABLES ENTERED DEP VARIABLE: COMM_PCT ANALYSIS OF VARIANCE SUM OF MEAN SOURCE DF SQUARES SQUARE F VALUE PROB>F MODEL 7 0.4803162] 015861660 3.730 0.0010 ERROR 156 2.86991768 0.01839691 C TOTAL 163 3.35023389 ROOT MSE 0.1356352 R-SQUARE 0.1434 DEP MEAN 0.35747 ADJ R-SQ 0.1049 C.V. 37.9431 PARAMETER STANDARD T FOR H0: VARIABLE DF ESTIMATE ERROR PARAMETER=0 PROB > ITI INTERCEP 1 0.43713626 0.11337411 3.856 0.(XX)2 LAPS 1 0.005872849 0.“)5834307 1.(X)7 0.3157 INCOME 1 -0.007521131 01115406839 -1.391 0.1662 EDUCA 1 -0.01125986 0.(X)6525533 -1.726 0.0864 OCCUP 1 0.(XX)041077 0.(X)0034(E7 1.206 0.2297 KIDS 1 0.002151413 0.01543580 -0.139 0.8893 HAMCURR l 0.0(D833133 01111654569 0.504 0.6153 BECK 1 0.007611537 0.1XJ3203252 2.376 0.0187 SUM OF RESIDUALS 2.02241E-13 SUM OF SQUARED RESIDUALS 2.869918 PREDICTED RESID SS (PRESS) 3.179577 52 Table 11A. ANCOVA WITH ALL VARIABLES ENTERED DEP VARIABLE: CRIT_PCT ANALYSIS OF VARIANCE SUM OF MEAN SOURCE DF SQUARES SQUARE F VALUE PROB>F MODEL 7 0.01322644 0.“)1889491 1.487 0.1746 ERROR 156 0.19819605 0.“)1270488 C TOTAL 163 0.21142249 ROOT MSE 0.0356439 R-SQUARE 0.0626 DEP MEAN 0.03774568 ADJ R-SQ 0.0205 C.V. 94.43173 PARAMETER STANDARD T FOR H0: VARIABLE DF ESTIMATE ERROR PARAMETER=0 PROB > ITI INTERCEP 1 0.08860604 0.02979385 2.974 0.0034 LAPS 1 -0.(X)2283175 0.(I)153321 1 -1.489 0.1385 INCOME l -0.001898576 0.(X)l420876 -1.336 0.1834 EDUCA 1 -0.(X)l 186805 01111714860 0.692 0.4899 OCCUP 1 -.0(X)0087769 111000895257 -0.980 0.3284 KIDS 1 0002249725 0.(X)4056410 -0.555 0.581!) HAMCURR l 0.(XX)669626 01110434808 1.540 0.1756 BECK 1 0.(XX)851551 01110841790 1.012 0.3133 SUM OF RESIDUALS 3.1!)046E-14 SUM OF SQUARED RESIDUALS 0.1981961 PREDICTED RESID SS (PRESS) 0.2222447 53 PROB > ITI Table 12A. ANCOVA WITH ALL VARIABLES ENTERED DEP VARIABLE: QUES_PCI‘ ANALYSIS OF VARIANCE SUM OF MEAN SOURCE DF SQUARES SQUARE F VALUE PROB>F MODEL 7 0.52406033 0.07486576 3.555 ERROR 156 3.28529092 0.02105956 C TOTAL 163 3.80935125 ROOT MSE 0.1451191 R-SQUARE 0.1376 DEP MEAN 0.57383 ADJ R-SQ 0.0989 C.V. 25.28957 PARAMETER STANDARD T FOR H0: VARIABLE DF ESTIMATE ERROR PARAMETER=0 INTERCEP l 0.45760168 0.12130148 3.772 0.01112 LAPS l 0.003829739 0.“)6242254 -0.614 0.5404 INCOME 1 0.007 196999 0.(X)5784897 1.244 0.2153 EDUCA 1 0.01231964 0.(X)6981813 1.765 0.0796 OCCUP 1 -0.0(X)046892 0.“)0036449 -1.287 0.21112 KIDS 1 0.007889564 0.01651510 0.478 0.6335 HAMCURR 1 0001352334 0.1!)1770260 -0.764 0.4461 BECK 1 -0.008215706 0.003427231 -2.397 0.0177 SUM OF RESIDUALS 2.60653E-13 SUM OF SQUARED RESIDUALS 3.285291 PREDICI'ED RESID SS (PRESS) 3.646666 5O 45 4O 35 80 25 20 15 10 Figure 1A. 54 Percent Commands I l I l l J l l 1 l l J l 2 8 4 5 6 7 8 9 10 11 Beck Depression —— Females -4— Males Relationship between Beck Depression and Percent Commands by Sex 12 13 Percent Questions 55 80 70" l 60 5O BOr 20” l 10 l l l l l J L l 5 e 7 8 9 10 11 12 Beck Depression -*- Females ‘4’ Maies Figure 2A. Relationship Betweeen Beck Depression and Percent Questions by Sex 18 56 Percent Commands 80 60r 80- I 10 O l 1 l l l l l l 1 l l l l 1 l l 1 1 12 8 4 5 6 7 8 91011121814151617181920 Hamilton DepreSSlon -‘- Females —*- Males Figure 3A. Relationship Between Hamilton Depression and Percent Commands by Sex 57 Percent Questions 80 70 r 60 L a- l 50 1 40 P 30 — 20 b 10” l l l l 1 l 1 l l 1 l l l 1 l L 1 l 1284567891011121814151617181920 Hamilton Depression O —'-- Females —4— Males Figure 4A. Relationship Between Hamilton Depression and Percent Questions by Sex 58 Table 13A. STEPWISE MULTIPLE REGRESSION WITH ALL VARIABLES ENTERED STEPWISE REGRESSION PROCEDURE FOR DEPENDENT VARIABLE PRAI_PCI' NOTE: SLENTRY AND SLSTAY HAVE BEEN SET TO .15 FOR THE STEPWISE TECHNIQUE. STEP 1 VARIABLE INCOME ENTERED R SQUARE = 0.01793227 C(P) = -1.20878575 DF SUM OF MEAN SQUARE F PROB>F SQUARES REGRESSION 1 0.111433248 0111433248 2.96 0.0874 ERROR 162 0.23727001 0.ml46463 TOTAL 163 0.24160249 B VALUE STD ERROR TYPE 11 SS F PROB>F INTERCEPT 0.01682358 INCOME 0.(X)229223 0.(X)133277 0.m433248 2.96 0.0874 NO OTHER VARIABLES MET THE 0.1500 SIGNIFICANCE LEVEL FOR ENTRY SUMMARY OF STEPWISE REGRESSION PROCEDURE FOR DEPENDENT VARIABLE PRAI_PCT VARIABLE NUMBER PARTIAL MODEL STEP ENTERED REMOVED IN R"2 R“2 C(P) 1 INCOME 1 0.0179 0.0179 -1.20879 VARIABLE STEP ENTERED REMOVED F PROB>F 1 INCOME 2.9581 ' 0.0874 59 Table 14A. STEPWISE MULTIPLE REGRESSION WITH ALL VARIABLES ENTERED STEPWISE REGRESSION PROCEDURE FOR DEPENDENT VARIABLE COMM_PCT NOTE: SLENTRY AND SLSTAY HAVE BEEN SET TO .15 FOR TI-E STEPWISE TECHNIQUE. STEP 1 VARIABLE BECK ENTERED R SQUARE = 0.07918045 C(P) = 7.68909337 DF SUM OF MEAN SQUARE F PROB>F SQUARES REGRESSION 1 0.26527303 0.26527303 13.93 0.0(XJ3 ERROR 162 3.08496086 0.01904297 TOTAL 163 3.35023389 B VALUE STD ERROR TYPE 11 SS F PROB>F INTERCEPT 0.31696715 BECK 0.01108926 0.00297114 026527303 13.93 0.(X)03 BOUNDS ON CONDITION NUMBER: 1, 1 STEP 2 VARIABLE EDUCA ENTERED R SQUARE =- 0.11328179 C(P) = 3.47894920 DF SUM OF MEAN SQUARE F PROB>F SQUARES REGRESSION 2 0.37952048 0.18976024 10.28 0.11101 ERROR 161 2.97071341 0.01845164 TOTAL 163 3.35023389 B VALUE STD ERROR TYPE II SS F PROB>F INTERCEPI' 0.50458475 EDUCA -0.01492767 010599910 0.11424745 6.19 0.0139 BECK 0.01031 1 10 0.“)294 132 0.22675703 12.29 0.0M6 BOUNDS ON CONDITION NUMBER: 1.011433, 4.045734 STEP 3 VARIABLE INCOME ENTERED R SQUARE = 0.12869616 C(P) = 2.67186012 DF SUM OF SQUARES MEAN SQUARE F PROB>F REGRESSION 3 0.43116224 0.14372075 7.88 01an ERROR 160 2.91907165 0.01824420 TOTAL 163 3.35023389 B VALUE INTERCEPT 0.51746955 INCOME -0.(X)887369 EDUCA -0.01 1 12153 BECK 0.“)886156 60 STD ERROR TYPE 11 SS F PROB>F 0111527432 0.05164176 2.83 0.0944 0111637985 0.055441 11 3.04 0.0832 01113049“) 0.15410967 8.45 0.0042 NO OTIER VARIABLES MET TIE 0.1500 SIGNIFICANCE LEVEL FOR ENTRY SUMMARY OF STEPWISE REGRESSION PROCEDURE FOR DEPENDENT VARIABLE COMM_PCT VARIABLE NUMBER PARTTAL MODEL STEP ENTERED REMOVED IN R"2 R“2 C(P) 1 BECK 1 0.0792 0.0792 7.68909 2 EDUCA 2 0.0341 0.1133 3.47895 3 INCOME 3 0.0154 0.1287 2.67186 VARIABLE STEP ENTERED REMOVED F PROB>F 1 BECK 13.9302 0.01113 2 EDUCA 6.1917 0.0139 3 INCOME 2.8306 0.0944 61 Table 15A. STEPWISE MULT'IPLE REGRESSION WITH ALL VARIABLES ENTERED STEPWISE REGRESSION PROCEDURE FOR DEPENDENT VARIABLE CRIT_PCI‘ NOTE: SLENTRY AND SLSTAY HAVE BEEN SET TO .15 FOR TIE STEPWISE TECHNIQUE. STEP 1 VARIABLE INCOME ENTERED R SQUARE = 0.02780965 C(P) = 1.78270135 DF SUM OF MEAN SQUARE F PROB>F SQUARES REGRESSION 1 0.(X)587959 0.“)587959 4.63 0.0328 ERROR 162 0.20554290 0.(X)126878 TOTAL 163 0.21 142249 B VALUE STD ERROR TYPE 11 SS F PROB>F INTERCEPT 0.05420724 INCOME 0111267032 0.1]1124046 0.(X)587959 4.63 0.0328 NO OTHER VARIABLES MET TIE 0.1500 SIGNIFTCANCE LEVEL FOR ENTRY SUMMARY OF STEPWISE REGRESSION PROCEDURE FOR DEPENDENT VARIABLE CRIT_PCI' VARIABLE NUMBER PARTTAL MODEL STEP ENTERED REMOVED IN R"2 R"2 C(P) l INCOME 1 0.0278 0.0278 1.78270 VARIABLE STEP ENTERED REMOVED F PROB>F 1 INCOME 4.6340 0.0328 62 Table 16A. STEPWISE MULTIPLE REGRESSION WITH ALL VARIABLES ENTERED STEPWISE REGRESSION PROCEDURE FOR DEPENDENT VARIABLE QUES_PCT NOTE: SLENTRY AND SLSTAY HAVE BEEN SET TO .15 FOR TIE STEPWISE TECHNIQUE. STEP 1 VARIABLE BECK ENTERED R SQUARE = 0.07579291 C(P) = 7.17490383 DF SUM OF MEAN SQUARE F PROB>F SQUARES REGRESSION 1 0.28872180 0.28872180 13.29 0.01114 ERROR 162 3.52062945 0.02173228 TOTAL 163 3.80935125 B VALUE STD ERROR TYPE 11 SS F PROB>F INTERCEPT 0.61608503 BECK -0.01 1569“) 0.00317401 0.28872180 13.29 0.0004 STEP 2 VARIABLE EDUCA ENTERED R SQUARE = 0.10754361 C(P) = 3.43168773 DF SUM OF MEAN SQUARE F PROB>F SQUARES REGRESSION 2 0.40967139 0.m483569 9.70 0.01111 ERROR 161 3.39967986 0.0211 1602 TOTAL 163 3.80935125 B VALUE STD ERROR TYPE 11 SS F PROB>F INTERCEPT 0.42304273 EDUCA 0.01535928 0.(X)641763 0.12094959 5.73 0.0178 BECK -0.01076834 0.(X)314652 0.24731377 1 1.71 011108 STEP 3 VARIABLE INCOME ENTERED R SQUARE = 0.12121527 C(P) = 2.95869470 DF SUM OF MEAN SQUARE F PROB>F SQUARES REGRESSION 3 0.46175153 0.15391718 7.36 0.0(XJ2 ERROR 160 3.34759972 0.02092250 TOTAL 163 3.80935125 63 B VALUE STD ERROR TYPE 11 SS F PROB>F INTERCEPT 0.41010335 INCOME 0.(X)891 128 0.(X)564821 0.05208014 2.49 0.1 166 EDUCA 0.01153702 0.(X)683211 0.05966098 2.85 0.0932 BECK -0.(X)931266 0.1!)326514 0.17019903 8.13 0.0049N NO OTIER VARIABLES MET TIE 0.1500 SIGNIFICANCE LEVEL FOR ENTRY SUMMARY OF STEPWISE REGRESSION PROCEDURE FOR DEPENDENT VARIABLE QUES_PCT VARIABLE NUMBER PARTTAL MODEL STEP ENTERED REMOVED IN R"2 R“2 C(P) 1 BECK 1 0.0758 0.0758 7.17490 2 EDUCA 2 0.0318 0.1075 3.43169 3 INCOME 3 0.0137 0.1212 2.95869 VARIABLE STEP ENTERED REMOVED F PROB>F 1 BECK 13.2854 011304 2 EDUCA 5.7279 0.0178 3 INCOME 2.4892 0.1 166 Table 17A. MALE ONLY T-TEST: T-TEST PROCEDURE VARIABLE: LAPS QUART N MEAN STD DEV STD ERROR 1 20 13.15410000 1.16558708 0.26063320 -1 20 8.18615000 0.79965461 0.17880821 VARIANCES T DF PROB > ITI UNEQUAL 15.7177 33.6 0.0001 EQUAL 15.7177 38.0 0.0001 FOR H0: VARIANCES ARE EQUAL, F: 2.12 WITH 19 AND 19 DF PROB > F’= 0.1090 Table 18A. HAMILTON RESULTS MALE ONLY r-rssr DEP VARIABLE: PRALPCT _ ANALYSIS OF VARIANCE SUM OF MEAN SOURCE OF SQUARES SQUARE F VALUE PROB>F MODEL 2 0000794709 0000397355 1.202 0.3118 ERROR 38 0.01256368 0.000330623 C TOTAL 40 0.01335839 ROOT MSE 0.01818305 R-SQUARE 0.0595 DEP MEAN 0.01443597 ADJ R-SQ 0.0100 C.V. 125.9566 PARAMETER ESTTMATES PARAMETER STANDARD T FOR H0: VARIABLE DF ESTIMATE ERROR PARAMETER=0 PROB > ITI INTERCEP 1 0.01550356 0.(X)3839328 4.038 0.0003 QUART 1 0.004684408 01133045663 1.538 0.1323 HAMCURR 1 -0.0(X)145304 01110389600 -0.373 0.7113 65 Table 19A. MALE ONLY T-TEST DEP VARIABLE: COMM_PCT ANALYSIS OF VARIANCE SUM OF MEAN SOURCE DF SQUARES SQUARE F VALUE PROB>F MODEL 2 0.05348160 0.02674080 0.871 0.4268 ERROR 38 1.16679105 0.03070503 C TOTAL 40 1.22027265 ROOT MSE 0.1752285 R-SQUARE 0.0438 DEP MEAN 0.3881033 ADJ R—SQ 41.11165 C.V. 45.14996 PARAMETER ESTIMATES PARAMETER STANDARD T FOR H0: VARIABIE DF ESTIMATE ERROR PARAMETER=0 PROB > ITI INTERCEP 1 0.39316354 0.03699928 10.626 0.01111 QUART 1 0.03761390 0.02935080 1.282 0.2078 HAMCURR l -0.0(X)631436 01113754543 -0.168 0.8673 Table 20A. MALE ONLY T-TEST DEP VARIABIE: CRIT_PCI' ANALYSIS OF VARIANCE SUM OF MEAN SOURCE DF SQUARES SQUARE F VALUE PROB>F MODEL 2 0.004963235 0102481618 2.146 0.1309 ERROR 38 0.04393794 0.(I)1 156262 C TOTAL 40 0.04890118 ROOT MSE 0.03400385 R-SQUARE 0.1015 DEP MEAN 0.04676715 ADJ R-SQ 0.0542 C.V. 72.71382 PARAMETER ESTIMATES PARAMETER STANDARD T FOR H0: VARIABLE DF ESTIMATE ERROR PARAMETER=0 PROB > 1T1 INTERCEP l 0.04275927 01117 179870 5.955 0.(XX)1 QUART 1 -0.01179892 01115695650 -2.072 0.0451 HAMCURR 1 0.0(XJ5670M 01110728585 0.778 0.4413 Table 21A. MALE ONLY T-TEST DEP VARIABLE: QUES_PCT ANALYSIS OF VARIANCE SUM OF MEAN SOURCE DF SQUARES SQUARE F VALUE PROB>F MODEL 2 0.03674775 0.01837388 0.558 0.5769 ERROR 38 1.25083468 0.03291670 C TOTAL 40 128758243 ROOT MSE 0.1814296 R-SQUARE 0.0285 DEP MEAN 0.5506936 ADJ R-SQ -0.0226 C.V. 32.94565 PARAMETER ESTIMATES PARAMETER STANDARD T FOR H0: VARIABLE DF ESTIMATE ERROR PARAMETER=0 PROB > ITI INTERCEP 1 0.54857363 0.03830864 14.320 0.0001 QUART 1 0.03049939 0.03038949 -1.(X)4 0.3219 HAMCURR 1 0.0(13209734 0.(X)3887411 0.054 0.9573 Table 22A. BECK DEPRESSION RESULTS MALE ONLY T-IEST DEP VARIABIE: PRAI_PCT ANALYSIS OF VARIANCE SUM OF MEAN SOURCE DF SQUARES SQUARE F VALUE PROB>F MODEL 2 0.0m755634 01110377817 1.139 0.3308 ERROR 38 0.01260276 0.1110331652 C TOTAL 40 0.01335839 ROOT MSE 0.0182113 R-SQUARE 0.0566 DEP MEAN 0.01443597 ADJ R-SQ 0.11169 C.V. 126.1523 PARAMETER ESTIMATES PARAMETER STANDARD T FOR H0: VARIABLE DF ESTIMATE ERROR PARAMETER=0 PROB > ITI INTERCEP 1 0.01492450 0.“)3895935 3.831 0.01115 QUART 1 0.1X14447663 0.“)3087150 1.441 0.1579 BECK 1 -0.0(X)113740 0.(I)0787806 -0.144 0.8860 67 Table 23A. MALE ONLY T-TEST DEP VARIABIE: COMM_PCT ANALYSIS OF VARIANCE SUM OF MEAN SOURCE DF SQUARES SQUARE F VALUE PROB>F MODEL 2 0.27072073 0.13536037 5.417 0.0085 ERROR 38 0.94955192 0.02498821 C TOTAL 40 122027265 ROOT MSE 0.1580766 R-SQUARE 0.2219 DEP MEAN 0.3881033 ADJ R-SQ 0.1809 C.V. 40.73055 PARAMETER ESTIMATES PARAMETER STANDARD T FOR H0: VARIABLE DF ESTIMATE ERROR PARAMETER=0 PROB > ITI INTERCEP 1 0.32072032 0.03381725 9.484 0.0(Xll QUART 1 0.005095824 002679689 0.190 0.8502 BECK 1 0.02020290 01116838265 2.954 0.0054 Table 24A. MALE ONLY T-IEST DEP VARIABLE: CRIT_PCI' ANALYSIS OF VARIANCE SUM OF MEAN SOURCE DF SQUARES SQUARE F VALUE PROB>F MODEL 2 0.004336759 0.1112168379 1.849 0.1713 ERROR 38 0.04456442 0.1111 172748 C TOTAL 40 0.04890118 ROOT MSE 0.03424541 R-SQUARE 0.0887 DEP MEAN 0.04676715 ADJ R-SQ 0.0407 C.V. 73.22534 PARAMETER ESTIMATES PARAMETER STANDARD T FOR H0: VARIABLE DF ESTIMATE ERROR PARAMETER=0 PROB > ITI INTERCEP 1 0.04526280 01117326102 6.178 0.0(XJI QUART 1 -0.01076523 0.m5805225 -1.854 0.0715 BECK 1 0.0111371629 0.(X)1481429 0.251 0.8033 68 Table 25A. MALE ONLY T-TEST DEP VARIABLE: QUES_PCT ANALYSIS OF VARIANCE SUM OF MEAN SOURCE DF SQUARES SQUARE F VALUE PROB>F MODEL 2 0.26036335 0.13018167 4.816 0.0137 ERROR 38 1.027219% 0.027032% C TOTAL 40 128758243 ROOT MSE 0.1644144 R-SQUARE 0.2022 DEP MEAN 0.5506936 ADJ R-SQ 0.1602 C.V. 29.85587 PARAMETER ESTIMATES PARAMETER STANDARD T FOR H0: VARIABIE DF ESTIMATE ERROR PARAMETER-=0 PROB > ITI INTERCEP 1 0.61909237 0.035173% 17.601 0.0%1 QUART 1 0.001221746 0.02787125 0.044 0.9653 BECK l 0W9 00171 12432 -2.877 0.0%6 69 Table 26A. FEMALE ONLY T—TEST T-TEST PROCEDURE VARIABLE: LAPS QUART N MEAN STD DEV STD ERROR 1 20 12.78855000 1.17357360 0.262419% -1 22 8.09122727 0.15663301 0.03339427 VARIANCES T DF PROB > ITI UNEQUAL 17.7569 19.6 0.0001 EQUAL 18.6149 40.0 0.1XXJI FOR H0: VARIANCES ARE EQUAL, F: 56.14 WITH 19 AND 21 DF PROB > F’= 0.0001 Table 27A. FEMALE ONLY T—TEST HAMILTON DEPRESSION RESULTS DEP VARIABLE: PRAI_PCT ANALYSIS OF VARIANCE SUM OF MEAN SOURCE DF SQUARES SQUARE F VALUE PROB>F MODEL 2 0.004576533 00122882167 1.731 0.1901 ERROR 40 0.05287041 0.%1321760 C TOTAL 42 0.05744694 ROOT MSE 0.036356% R-SQUARE 0.0797 DEP MEAN 0.03907227 ADJ R-SQ 0.0336 C.V. 93.04814 PARAMETER ESTIMATES PARAMETER STANDARD T FOR H0: VARIABLE DF ESTIMATE ERROR PARAMETER=0 INTERCEP 1 0.0481 1 110 0.%8428407 5.7% QUART 1 0.%7771042 0015578158 1.393 HAMCURR 1 -0.(XX)992817 0.(XX)736503 -1.348 PROB) ITI 0.(XX)1 0.1713 0.1852 70 Table 28A. FEMALE ONLY T-TEST DEP VARIABIE: COMM.PCI‘ ANALYSIS OF VARIANCE SUM OF MEAN SOURCE DF SQUARES SQUARE F VALUE PROB>F MODEL 2 0.01222367 0.(X)61 1 1837 0.386 0.6825 ERROR 40 0.63385713 0.01584643 C TOTAL 42 0.646%%0 ROOT MSE 0.1258826 R-SQUARE 0.0189 DEP MEAN 0.3534683 ADJ R-SQ ~0.0301 C.V. 35.61354 PARAMETER ESTIMATES PARAMETER STANDARD T FOR H0: VARIABLE DF ESTIMATE ERROR PARAMETER-110 PROB > ITI INTERCEP 1 0.3509934] 012918333 12.027 0.0%] QUART l 0.01632533 0.01931435 0.845 0.4030 HAMCURR 1 0.0%422274 01112550140 0.166 0.8693 Table 29A. FEMALE ONLY T—TEST DEP VARIABLE: CRIT_PCI' ANALYSIS OF VARIANCE SUM OF MEAN SOURCE DF SQUARES SQUARE F VALUE PROB>F MODEL 2 0.%5265151 01112632576 1.330 0.2759 ERROR 40 0.07917358 01111979340 C TOTAL 42 0.%443873 ROOT MSE 0.0444897? R-SQUARE 01524 DEP MEAN 0.03562748 ADJ R-SQ 0.0155 C.V. 124.8749 PARAMETER ESTIMATES PARAMETER STANDARD T FOR H0: VARIABLE DF ESTIMATE ERROR PARAMETER=0 PROB > IT] INTERCEP 1 0.02609383 0.010314% 2.530 0.0154 QUART 1 0.1X50303m 0.%6826131 0.883 0.3823 HAMCURR 1 0%] 163147 0.%0901278 1.291 0.2043 71 Table 30A. FEMALE ONLY T-TEST DEP VARIABLE: QUES_PCT ANALYSIS OF VARIANCE SUM OF MEAN SOURCE DF SQUARES SQUARE F VALUE PROB>F MODEL 2 0.04068770 0.02034385 0.973 0.3869 ERROR 4o 0.83676267 0.02091907 c TOTAL 42 0.87745037 ) ROOT MSE 0.1446343 R—SQUARE 0.0464 DEP MEAN 0.5718319 ADJ R-SQ 0.0013 C.V. 25.29314 PARAMETER ESTIMATES PARAMETER STANDARD T FOR H0: VARIABLE DF ESTIMATE ERROR PARAMETER=0 PROB > rn INTERCEP 1 0.57480165 003353052 17.143 0.0001 QUART 1 0.03012667 0.02219145 -1.358 0.1822 HAMCURR 1 0.000592604 0002930013 0202 0.8407 Table 31A. FEMALE ONLY T-TEST BECK DEPRESSION RESULTS DEP VARIABLE: PRAI_PCT ANALYSIS OF VARIANCE SUM OF MEAN SOURCE DF SQUARES SQUARE F VALUE PROB>F MODEL 2 0.%3781 148 0.%1890574 1.409 0.2562 ERROR 40 0.05366579 0.%134]645 C TOTAL 42 0.05744694 ROOT MSE 0.03662847 R-SQUARE 0.%58 DEP MEAN 0.03907227 ADJ R-SQ 0.0191 C.V. 93.74544 PARAMETER ESTIMATES PARAMETER STANDARD T FOR H0: VARIABLE DF ESTIMATE ERROR PARAMETER=0 PROB > IT] INTERCEP 1 004792842 0.%9471324 5.060 01an QUART 1 0.1XJ9483899 0.%5998775 1.581 0.1218 BECK I -0.%15872% 0.%1450518 -1.094 0.2804 72 Table 32A. FEMALE ONLY T-TEST DEP VARIABLE: COMM_PCT ANALYSIS OF VARIANCE SUM OF MEAN SOURCE DF SQUARES SQUARE F VALUE PROB>F MODEL 2 0017931093 0018965464 0.571 0.5695 ERROR 40 0.62814987 0.01570375 C TOTAL 42 0.64608080 ROOT MSE 0.1253146 R-SQUARE 0.0278 DEP MEAN 0.3534683 ADJ R-SQ -0.0209 C.V. 35.45285 PARAMETER ESTTMATES PARAMETER STANDARD T FOR HO: VARIABLE DF ESTIMATE ERROR PARAMETER=0 PROB > ITI INTERCEP 1 0.33828241 0.03240362 10.440 0.0001 QUART 1 0.01199379 0.02052322 0.584 0.5622 BECK 1 0.003103492 0101962563 0.625 0.5353 Table 33A. FEMALE ONLY T-TEST DEP VARIABLE: CRIT_PCI‘ ANALYSIS OF VARIANCE SUM OF MEAN SOURCE DF SQUARES SQUARE F VALUE PROB>F MODEL 2 0.009227354 0034613677 2.454 0.0988 ERROR 40 0.07521138 0.1!)1880284 C TOTAL 42 0.08443873 ROOT MSE 0.04336225 R-SQUARE 0.1093 DEP MEAN 0.03562748 ADJ R-SQ 01547 C.V. 121.7101 PARAMETER ESTTMATES PARAMETER STANDARD T FOR H0: VARIABLE DF ESTIMATE ERROR PARAMETER=0 PROB > ITI INTERCEP 1 0.01833245 0.01121253 1.635 0.1099 QUART 1 0.001776648 0.1!)7101590 0.250 0.8037 BECK 1 0.003373%? 0.%1717181 1.965 0.0564 73 Table 34A. FEMALE ONLY T-TEST DEP VARIABLE: QUES_PCT ANALYSIS OF VARIANCE SUM OF MEAN SOURCE DF SQUARES SQUARE F VALUE PROB>F MODEL 2 0.05508122 0.02754061 1.340 0.2735 ERROR 40 0.82236916 0.02055923 C TOTAL 42 0.87745037 ROOT MSE 0.1433849 R-SQUARE 0.1528 DEP MEAN 0.5718319 ADJ R-SQ 0.0159 C.V. 25.07466 PARAMETER ESTIMATES PARAMETER STANDARD T FOR H0: VARIABLE DF ESTIMATE ERROR PARAMETER=0 PROB > ['11 INTERCEP 1 0.59545672 0.03707621 16.150 0.0(X11 QUART 1 0.02325434 0.02348266 -0.990 0.3280 BECK 1 0004890220 01115678162 -0.861 0.3942 74 Table 35A. HAMILTON DEPRESSION SCORE DISTRIBUTION HISTOGRAM # 4754-" 1 32.54! 1 :1“: 6 17.5+"'"""" 7 .8100“... 16 .tttttttttttttttttttttt 43 .A AAAAAA—LAJ .4 AAAAAAAA A4..- 444444444444.- .. .A 4.- .- .A.‘ 4.; T‘v—TT-v—T'r-v-v-Tvvvw—TvV—TTTTTTTw-TT—r—rv-v-vvvvTvaTva-V- 87 _1_ EL .1. .1. _L .L .1. _L U " MAY REPRESENT UP TO 2 COUNTS Table 36A. NORMAL PROBABILITY PLOT FOR HAMILTON DEPRESSION SCORES 475+ * I I 32.5-1- " l I ' .‘OOOW 175+ *“++++ I Httttttt l +tttttlttl zatttlttlfiltIlltlltiltlttfifi + L + 4 + + + + + + + U I -2 -1 0 +1 +2 75 Table 37A. BECK DEPRESSION SCORES DISTRIBUTION STEMLEAF # 190 18 17 160 1 15 14 130 12000 11001!) 10000 90000 8000w0000 7000000 6000m000 500000000011100000 4W 300000000000000000000 ZOOOWOOOOMOOOOO IOOOMOOOOOOOOOOWOOOO OOOOIDOOOOCXXWWOOOOWOOOONO T I V U V T 0—0 N **8—5858m6~65w3u_ _L U «r 76 Table 38A. NORMAL PROBABILITY PLOT BECK DEPRESSION INVENTORY SCORE 19.5+ * I I I t I | I I I it! H l ** «14+ I ** H- I "HI- I titH I "+ I “'4- ' 00!. I +1.. I tilt I til. I ##tt 0.5+tttlttltfittttltlit + + + + + + + + + + + -2 -l 0 +1 +2 77 hlchigan §tate University Familz Study East Lansing. Michigan 48824-1117 RESEARCH PARTICIPATION INFORHED CONSENT FORM we freely consent to take part In a scientific study of child development and Family functioning being conducted by Ors. Robert A. Zucker, Robert B. Noll and Hiram E. Fitzgerald (From the Departments of Psychology 8 Pediatrics and Human Development). The study has been explained to us and we understand the explanation that has been given and what our participation and what the participation of our chiid(ren) will involve. He understand that we will be asked to Fill out questionnaires. and take part In interviews. and that our childiren) will do the same. He have been informed that participation in the project involves taking part in 9 sessions with a time commitment of approximately II hours for each adult and approximately 7 hours for our child. We understand that we are Free to discontinue our participation in the study at any time without penalty: we also are aware that our involvement or lack of involvement In the study. or in different subparts ofir. will not affect our obtaining treatment that Is offered by your staff in any other capacity. we understand that the results of the study will be treated in strict confidence and that we and our childiren) will remain anonymous. within these restrictions. results of the study will be made avaiiaOIe to us periodically throughoOt the cOurse OF the project and For a minimum or 3 years after the project has concluded. Also w‘thin the restrictions noted above. we understand that general results of the research will appear in professional journals and will be presented at scientific meetings. we understand that our participation in the study does not guarantee any beneficial results to us or to members of our family. Signed: Hother Father Child (when appropriate) Date witness Family sutiJect number 78 We underetand that our participation in the atudy dpee not :ua::ntee any beneficial reaulta to ua or to membere of our amy. Signed: E Mother Father 7 F Child (when appropriate) Date K Witneaa Family eubject number 9/89 79 DATA RECORDING SHEET Respondent Number: Test: 71.0 72.0 hother Father CDI Pgrgn; fighgvigrs T3.0 Acknowledge Tbtlfi Irrelevant verbalizatlon Critical Statement Physical Negative Physical Positive Unlabeled Praise Labeled Praise Desc/Refl Question Reflective Statement Descriptive Statement Indirect Command followed by: No Opportunity Compliance Noncompliance ICC... Given By: Date: Clean-up Time il h viors Yoga; 1 Changes Activity Cry Ignored ROSDONOCG t0 Yell Ignored Responded to Rhine Ignored RCSDOflde t0 Smart Talk Ignored Responded to Destructive Ignored ...... OOOOOOOOOOQOOOOOOOOO... RISDOfldOd t0 Physical Negative Ignored Responded to Direct Cmnd followed by: No Opportunity Compliance Noncompliance Other Other Ignored ReSOOMed to REFERENCES Aragona, J. A., and Eyberg, S., (1981). Neglected Children: Mother’s Report of Child Behavior Problems and observed verbal behavior. th_d Development, 52, 596-602. Beardslee, W., Bemporad, 1., Keller, M., and Klerman, G. (1983) Children Of Parents with Major Affective Disorder: A Review. Thg American Jomal of Psychiag. 140: 825-832. Beck, A.T. (1971). Cognition, Affect, and Psychopathology. Agghives if mega; Psychiag, 24: 295-500. Beck, A.T., & Beck, R.W. (1972). Screening depressed patients in family practice: A rapid technique. Postmuate Mediging, 52, 81-85. Beck, A.T., Steer, R.A., & Garbin, MG. (1988). Psychometric properties of the Beck Depression Inventory: Twenty-five years of evaluation. QM Psychology Review, 8, 77-100. Bright, M., & Stockdale, D. (1984) Mothers’, fathers’, and preschool Children’s interactive behaviors in a play setting. M if Mi; Mg, 144, 219-232. 80 81 Brown, 6., Bhrolchain, M., & Harris, T. (1975). Social class and psychiatric disturbance among women in an urban population. May, 9 (2), 225- 254. Clarke-Stewart, A. (1973). Interactions between mothers and their young children: characteristics and consequences. Monomhs of the Smigg for Rgggh in Child Development, 38(6-7, Serial No. 153). Clarke-Stewart, A. (1978). And daddy makes three: the father’s impact on mother and young child. M W 49, 466-478. Clarke-Stewart, A. (1980). The father’s contribution to children’s cognitive and social development in early childhood. In Frank A. Pedersen, (Ed), Ih_e Pager-Infant Relatignship. New York: Praeger. Colletta, N. D. (1983). At risk for depression: A study of young mothers. 1h; 19%;; 9f fined; Psychology, 142, 301-310. Cox, A. D., Puckering, C., Pound, A., & Mills, M. (1987). The impact of maternal depression in young children. M if gm Psychglggy Qfld Psychiat_ry, 28(6), 917-928. Davies, W. H., Zucker, R. A., Noll, R. B., & Fitzgerald, H. E. (1991). Early socialization practices in alcoholic families: The relationship of child-rearing patterns to demographics and parental psychopathology. Michigan State University, E. Lansing, MI. Downey, G., & Coyne, J.C. (1990). Children of depressed parents: An integrative review. Psyghglog'ggl Bulletin, 108(1), 50-76. 82 Dumas, J. E., Gibson, J. A., & Albin, J. B. (1989) Behavioral correlates of maternal depressive symptomatology in conduct-disorder children. MIMI 9_f ansulting g4 mam-114193 57(4), 516-521. Easterbrooks, M. A. & Goldberg, W. A. (1984). Toddler development in the family: Impact of father involvement and parent characteristics. Child Wt. 55, 740-752. Eyberg, S. (1978). Assessment of child behavior problems: The validation of a new inventory. Mfimmlfim S 78, 113-116. Eyberg, S., and Matarazzo, R. G. (1980). Training parents as therapists: A comparison between individual parent-child interaction and parent group didactic training. M 9_f_‘ M gsthnggy, 36, 492-499. Eyberg, S., and Robinson, E. A., (1983). Dyadic Parent Child Interaction Coding System: A Manual. W W 13, 24. (Ms. No. 2582). Fawl, C. L. (1963). Disturbances experienced by children in their natural habitat. In R. Barker (Ed), m M 21’ Behavior. New York: Appleton- Century-Crofts. Fergusson, D. M., Horwood, L. 1., Gretton, M. E., & Shannon, F. T. (1985). Family life events, maternal depression, and teacher descriptions of child behavior. Magic; 75(1), 30-35. 83 Fitzgerald, H. E., Sullivan, L. A., Ham, H. P., Zucker, R. A., Bruckel. S., Schneider, A. M., & Noll, R. B. (under review). Predictors Of behavioral problems in three-year-old sons Of alcoholics: Early evidence for the onset of risk. Michigan State University, East Lansing, MI. Forehand. R., & Brody, G. (1985) The association between parental personal] marital adjustment and parent-child interactions in a clinic sample. thaviogg Resea_rgh 1134 My, 23, 211-212. Forehand, R., Lautenschlager, G. J., Faust, J., & Graziano, W. G. (1986) Parent perceptions and parent-child interactions in clinic-referred children: A preliminary investigation of the effects of maternal depressive moods. mmmm 24. 73-75- Goldman, N., & Ravid, R. (1980). Community surveys: Sex differences in mental illness. In M. Guttentag, S. Salasin, and D. Belle (Eds). mm m if m. New York: Academic Press. Grunebaum, H., Cohler, B., Kauffman, C., & Gallant, D. (1978). Children of Depressed and Schizophrenic Mothers. Q1114 Psyc_hia_tgy .a_nd_ Human Development, Vol.8 (4), 219-228. Hamilton, M. (1960). A rating scale for depression. 19mg; 61m W and Emblem. 23. 56-62- Hamilton, M. (1969). Standardized assessment and recording of depressive symptoms. mmmm 72. 201-205. 84 Hayghe, H.V. (1990). Family members in the work force. Monthly Lam m 113, 14-19. Hopkins, 1., Marcus, M., & Campbell, S. (1984). Postpartum depression: a critical review. Psychologicg Mega, 95(3), 498-515. Jacob, T. & Leonard, K. (1986). Psychosocial functioning in children of alcoholic fathers, depressed fathers, and control fathers. M if m m ;A_l@h_o_l, 47(5), 373-380. Kotelchuck, M. (1976) The infant’s relationship to the father: experimental evidence. In M.E. Lamb (Ed), m 13:11; 91’ the _Fa_thg E Qh_il_d Development. New York: Wiley. Lamb, M. E. (1976). The role of the father: An overview. In M.E. Lamb (Ed), fl; mammamm New York: Wiley- Longfellow, C., Zelkowitz, P., & Saunders, E. (1982) The Quality of Mother Child Relationships. In Lam Q m D. Belle, (Ed), Beverly Hills: Sage Publications. McKnew, D. H., & Cytryn, L. (1973) Historical background in children with affective disorders. American M o_f Psychiag, 130, 178-180. Mueller, C. W. & Parcel, T. L. (1981). Measures of socioeconomic status: Alternatives and recommendations. cm W 52, 13-30. Nolen-Hoeksema, S. (1987). Sex differences in unipolar depression: Evidence and theory. mm agnggn, 101 (2), 259-282. 85 Nyquist, L., Slivken, K, Spence, 1., & Helrnreich, R. (1985). Household responsibilities in middle class couples: The contribution of demographic and personality variables. _S_e; gm 12(1/2), 15-34. Orvaschel, H., Weissman, M., & Kidd, K. (1980) Children and depression: the children of depressed parents; the childhood of depressed patients; depression in children. m of Affective mm, 2, 1-16. Patterson, G. (1976). The aggressive child: Victim and architect of a coercive system. In E. J. Mash, L. A. Harnerlynck, & L. 0. Handy (Eds.), Behavior mgifigtign g1, My; Vol. 1. 113m mm. New York: Brunner/Mazell, 1976. Patterson, G. (1981). Mothers: the unacknowledged victims. mm of the mmMamm 136. (45). 5- Pearlin, L., & Johnson, J. (1977). Marital status, life strains, and depression. WWW 42, 704-715. Radloff, L. (1975). Sex differences in depression: The effects of occupation and marital status. mm A M 91' my, 1, 249-266. Regier, D. A., Farmer, M. E., Rae, D. S., Locke, B. 2., Keith, S. J., Judd, L. L., & Goodwin, F. K. (1990). Comorbidity of mental disorders with alcohol and other drug abuse. Mgfmmmm 264 (19), 2511-2518. Robinson, E., and Eyberg, S. (1981). The Dyadic Parent-Child Interaction Coding System: Standardization and Validation. M if (insulting and (meal mm 52. 245-250. 86 Robinson, E. A., and Eyberg, S. M. (1984). Behavioral Assessment in pediatric settings: Theory, method and application. In P. R. Magrab (Ed). W Ed. mm Asgessmeng: M m M 9m. New York: Plenum. Rogers, T. R., & Forehand, R. (1983) The role of parental depression in interactions between mothers and their clinic-referred children. Comm Therapy and Rese_agh, 17, 315-324. Rutter, M. (1966) calm 1f Sick Megs. An Enm’ nmentg and Psychiag'g M. Institute of Psychiatry, Maudsley Monograph 16. London: Oxford University Press. Stevens, G., & Feathennan, D. L. (1981). A revised socioeconomic index of occupational status. m M 3m 10, 364-395. Susman, E. J., Trickett, P. K., Iannotti, R. J., Hollenbeck, B. E., & Zahn- Waxler, C. (1985). Childrearing Patterns in Depressed, Abusive, and Normal Mothers. Amman Jamal S! W 55 (2). 237-251. Webster-Stratton, C., & Hammond, M. (1988) Maternal depression and its relationship to life stress, perceptions of child behaviors, and child conduct problems. Lourn__al_ of Abnormal CM Psychology, 16(3), 299-315. Webster-Stratton, C. (1988). Mothers’ and fathers’ perceptions of child deviance: Roles of parent and child behaviors and parent adjustment 19m 2f mm m Slim amen. 56(6), 909-115. 87 Weissman, M. M. (1980). The treatment of depressed women: The efficacy of psychotherapy. In C. L. Heckerman (Ed), _'l_h_o mm , (p.307-324. New York: Human Sciences Press. Weissman, M. M. & Klerman, G. (1977). Sex differences and the epidemiology of depression. Archives of General Psychiatry, 34, 98. Weissman, M. M., and Paykel, E. S. (1974). mwm. Chicago: University of Chicago Press. Weissman, M. M., Paykel, E. S., & Klerman, G. (1972). The Depressed Woman as a Mother. M Mom, 7, 98-108. West, M. 0., & Prinz, R. J. (1987). Parental alcoholism and childhood psychopathology. Psychology“ al Mm 102, 204-218. Williams, H., & Carmichael, A. (1985). Depression in mothers in a multi-ethnic urban industrial municipality in Melbourne. Aetiological factors and effects on infants and preschool children. logo; of thd Won mo Wm 26, (2), 277- 288. Yogman, M. W., (1982). Development of the father-infant relationship. In H. Fitzgerald. B. Lester, & M. W. Yogman, (Eds.). 111m mm for Behavigfl Poor'atr'ios, Vol. 1. New York: Plenum. Zelkowitz, P. (1982). Parenting philosophies and practices. In D. Bell, (Ed) Li_ve_s_ in m: Moo m m (pp. 154-162). Beverly Hills: Sage Publications. Zucker, R.A., Noll, R., & Fitzgerald, HE. (1986). Grant proposal: Risk and coping in children of alcoholics. Michigan State University, East Lansing, MI. 88 Zucker, R. A. (1991). Scaling the developmental momentum of alcoholic process via the Lifetime Alcohol Problems Score. Alcohol god Alcoholism, suppl. 1, 505-510. Pergamon Press: Great Britain. "7'1? llllllllllllllll“