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Parental psychiatric disorder: effects on children

  • Michael Rutter (a1) and David Quinton (a1)
  • DOI:
  • Published online: 01 July 2009

A 4-year prospective study was undertaken of the families of 137 newly referred English speaking psychiatric patients with children at home aged under 15 years. The group comprised a representative sample of such patients living in one inner London borough. Teacher questionnaires were obtained yearly for all children of school age in the families, and for age-, sex- and classroom-matched controls. Detailed standardized interviews were undertaken yearly with parent-patients and with their spouses. A comparison was also made with a control group of families in the general population with 10-year-old children. Patients' families differed in terms of a higher rate of psychiatric disorder in spouses and a much higher level of family discord. Both parental mental disorder and marital discord tended to persist over the 4-year period, but persistence of both was much more marked when the parent had a personality disorder. The children of psychiatric patients had an increased rate of persistent emotional/behavioural disturbance, which tended to involve disorders of conduct. The psychiatric risk to the children was greatest in the case of personality disorders associated with high levels of exposure to hostile behaviour. Boys showing temperamental risk features were most vulnerable to the ill-effects associated with parental mental disorder.

Corresponding author
1 Address for correspondence: Professor Michael Rutter, Department of Child and Adolescent Psychiatry, Institute of Psychiatry, De Crespigny Park, Denmark Hill, London SE5 8AF.
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A. G. Billings & R. H. Moos (1983). Comparisons of children of depressed and non-depressed parents: a social-environmental perspective. Journal of Abnormal Child Psychology 11, 463486.

J. Birtchnell & J. Kennard (1983 a). Does marital maladjustment lead to mental health? Social Psychiatry 18, 7988.

J. Birtchnell & J. Kennard (1983 b). Marriage and mental illness. British Journal of Psychiatry 142, 193198.

M. Bohman , S. Sigvardsson & R. Cloninger (1981). Maternal inheritance of alcohol abuse: cross-fostering analysis of adopted women. Archives of General Psychiatry 38, 965969.

S. Bothwell & M. M. Weissman (1977). Social impairments four years after an acute depressive episode. American Journal of Orthopsychiatry 47, 231237.

C. Buck & K. Laughton (1959). Family patterns of illness: the effect of psychoneurosis in the parent upon illness in the child. Acta Psychiatrica et Neurologica Scandinavica 34, 165175.

C. R. Cloninger , M. Bohman & S. Sigvardsson (1981). Inheritance of alcohol abuse: cross fostering analysis of adopted men. Archives of General Psychiatry 38, 861868.

B. J. Cohler , H. U. Grunebaum , J. L. Weiss , E. Gamer & D. H. Gallant (1977). Disturbance of attention among schizophrenic depressed and well mothers and their young children. Journal of Child Psychology and Psychiatry 18, 115135.

J. Dunn & C. Kendrick (1982). Siblings: Love, Envy and Understanding. Harvard University Press: Cambridge, Mass.

R. E. Emery (1982). Interparental conflict and the children of discord and divorce. Psychological Bulletin 92, 310330.

R. E. Emery , S. Weintraub & J. M. Neale (1982). Effects of marital discord on the school behavior of children of schizophrenic, affective disorders and normal parents. Journal of Abnormal Child Psychology 10, 215228.

L. Fisher , R. F. Kokes , D. W. Harder & J. E. Jones (1980). Child competence and psychiatric risk. VI. Summary and integration of findings. Journal of Nervous and Mental Disease 168, 353355.

N. Garmezy , A. S. Masten & A. Tellegen (1984). The study of stress and competence in children: a building block for developmental psychopathology. Child Development 55, 97111.

I. I. Gottesman & J. Shields (1976). A critical review of recent adoption, twin, and family studies of schizophrenia: behavioural genetics perspective. Schizophrenia Bulletin 2, 360400.

P. Graham & M. Rutter (1968). The reliability and validity of the psychiatric assessment of the child: II. Interview with the parent. British Journal of Psychiatry 114, 581592.

P. Graham , M. Rutter & S. George (1973). Temperamental characteristics as predictors of behavior disorders in children. American Journal of Orthopsychiatry 43, 328339.

E. H. Hare & G. K. Shaw (1965). A study in family health: II. A comparison of the health of fathers, mothers and children. British Journal of Psychiatry 111, 467471.

P. Hobbs (1982). The relative timing of psychiatric disorder in parents and children. British Journal of Psychiatry 140, 3743.

P. J. Huxley , D. P. Goldberg , G. P. Maguire & V. A. Kincey (1979). The prediction of the course of minor psychiatric disorders. British Journal of Psychiatry 135, 535543.

R. Porter & G. M. Collins (eds.) (1982). Temperamental Differences in Infants and Young Children. Ciba Foundation Symposium 89. Pitman: London.

D. Quinton , M. Rutter & C. Liddle (1984). Institutional rearing, parenting difficulties and marital support. Psychological Medicine 14, 107124.

E. H. Rodnick & M. J. Goldstein (1974). Premorbid adjustment and the recovery of mothering function in acute schizophrenic women. Journal of Abnormal Psychology 83, 623628.

M. Rutter (1967). A children's behaviour questionnaire for completion by teachers: preliminary findings. Journal of Child Psychology and Psychiatry 8, 111.

M. Rutter (1971). Parent-child separation: psychological effects on the children. Journal of Child Psychology and Psychiatry 12, 233260.

M. Rutter (1977 a). Prospective studies to investigate behavioral change. In The Origins and Course of Psychopathology (ed. J. S. Strauss , H. M. Babigian and M. Roff ), pp. 223247. Plenum: New York.

M. Rutter (1981). The city and the child. American Journal of Orthopsychiatry 51, 610625.

M. Rutter (1984 a). Psychopathology and development: links between childhood and adult life. In Child Psychiatry: Modern Approaches (2nd edn) (ed. M. Rutter and L. Hersov ). Blackwell Scientific: Oxford (in the press).

M. Rutter (1984 b). Continuities and discontinuities in socio-emotional development: empirical and conceptual perspectives. In Continuities and Discontinuities in Development (ed. R. Emde and R. Harmon ). Plenum: New York (in the press).

M. Rutter , H. G. Birch , A. Thomas & S. Chess (1964). Temperamental characteristics in infancy and the later development of behavioural disorders. British Journal of Psychiatry 110, 651661.

M. Rutter , A. Cox , C. Tupling , M. Berger & W. Yule (1975 a). Attainment and adjustment in two geographical areas. I. The prevalence of psychiatric disorder. British Journal of Psychiatry 126, 493509.

M. Rutter , B. Yule , D. Quinton , O. Rowlands , W. Yule & M. Berger (1975 b). Attainment and adjustment in two geographical areas. III. Some factors accounting for area differences. British Journal of Psychiatry 126, 520533.

M. Rutter , P. Graham , O. Chadwick & W. Yule (1976). Adolescent turmoil: fact or fiction? Journal of Child Psychology and Psychiatry 17, 3556.

M. Stewart & S. De Blois (1983). Father-son resemblances in aggressive and antisocial behaviour. British Journal of Psychiatry 142, 7884; 143, 310–311.

S. Torgersen (1983). Genetics of neurosis: the effects of sampling variation upon the twin concordance ratio. British Journal of Psychiatry 142, 126132.

P. Tyrer & J. Alexander (1979). Classification of personality disorder. British Journal of Psychiatry 135, 163167.

S. Weintraub , R. J. Prinz & J. M. Neale (1978). Peer evaluations of the competence of children vulnerable to psychopathology. Journal of Abnormal Child Psychology 6, 461474.

M. M. Weissman , E. S. Paykel & G. L. Klerman (1972). The depressed woman as a mother. Social Psychiatry 7, 98108.

M. M. Weissman , B. A. Prusoff , G. D. Gammon , K. R. Merikangas , J. F. Leckman & K. F. Kidd (1984). Psychopathology in the children (ages 6–18) of depressed and normal women. Journal of the American Academy of Child Psychiatry 23, 7884.

J. K. Wing , J. L. T. Birley , J. E. Cooper , P. Graham & A. D. Isaacs (1967). Reliability of a procedure for measuring and classifying ‘Present Psychiatric State’. British Journal of Psychiatry 113, 499515.

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