| A child's well-being
depends in part upon the mental health of his or
her parents. If a parent's mental health is
compromised, he or she may be less able to
nurture, love, care for, and pay attention to the
child. Several studies indicate that single
mothers on welfare with young children are at
considerable risk of exhibiting symptoms of
depression. Parents with such symptoms provide
less emotional support and tend to employ harsh
disciplinary practices. Further, children of
depressed parents exhibit more behavioral
problems, frequently display deficits in social
and academic competence, and are in poorer
physical health than children of nondepressed
parents. It is not certain how changes in
welfare programs will affect the mental health of
parents. Mental health may worsen if parents have
difficulty obtaining or keeping a job or if they
have difficulty complying with more demanding
welfare program rules. On the other hand, mental
health may improve if a parent's job enhances
family income or the parent's social contacts.
The effects may not become apparent until after
parents have taken on new employment or reached
welfare time limits.
Parents were asked to rate their feelings of
anxiety and depression, loss of behavioral or
emotional control, and psychological well-being
during the past month. A score of 67 or less out
of 100 points was considered indicative of poor
mental health.
Nationally, 17 percent of children lived with
a parent whose survey responses suggested poor
mental health. Of children in families with low
incomes (below 200 percent of the poverty level),
25 percent lived with a parent who had symptoms
of poor mental health, compared to only 10
percent of children in families with higher
incomes, a statistically significant difference.
Children of parents without a spouse were
significantly more likely than other children to
be living with a parent in poor mental health-28
percent versus 13 percent.
In the 13 states surveyed, 13 percent to 24
percent of all children lived with a parent who
exhibited symptoms of poor mental health. Three
states had higher percentages than the national
average: Alabama, Florida, and Mississippi. Five
states had percentages below the national
average: Colorado, Michigan, Minnesota,
Washington, and Wisconsin.
Of children in low-income families, 20 percent
to 34 percent lived with a parent whose responses
suggested poor mental health. The percentage of
low-income children living with a parent in poor
mental health was higher than the national
average in Massachusetts, Mississippi, and New
Jersey. The percentage was below the national
average in Colorado and Washington.
In low-income families where the parent did
not have a spouse, 24 percent to 40 percent of
children lived with a parent who had symptoms of
poor mental health. The percentage was above the
national average in Mississippi and New Jersey.
In Washington, it was below average.
The five-item mental health scale (MHI-5) was
constructed for the Medical Outcomes Study (MOS)
using questions from the 38-item Mental Health
Inventory (MHI). Ware, J.E., and D.C. Sherbourne.
1992. The MOS 36-Item Short-Form Health Survey
(SF-36). Medical Care 30:473-81.
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