Assessment & Research

The relation of maternal sensitivity to children's internalizing and externalizing problems within the context of maternal depressive symptoms.

Garai et al. (2009) · Behavior modification 2009
★ The Verdict

Low maternal sensitivity adds extra internalizing risk only for girls whose moms are already depressed.

✓ Read this if BCBAs working with school-age girls in outpatient or school mental-health settings.
✗ Skip if Clinicians serving only boys or families with no maternal depression concerns.

01Research in Context

01

What this study did

Priscilla et al. (2009) watched 207 moms and their kids . All families were already in mental-health clinics.

Researchers rated how sensitively moms responded to their child during two short tasks. They also asked moms about their own mood and about child behavior problems.

02

What they found

Kids whose moms showed more warmth and quick, calm responses had fewer rule-breaking and aggressive acts.

The twist: only girls with depressed moms suffered extra anxiety or sadness when mom was also low on sensitivity. Boys showed no such jump.

03

How this fits with other research

Kuenzel et al. (2021) tracked families for ten years and saw child behavior problems plus money stress slowly drive moms deeper into depression. Priscilla’s snapshot shows the same link already visible in middle school.

Valentovich et al. (2018) filmed mom-child play moments. Flexible, back-and-forth play cut both internalizing and externalizing problems in kids with autism. Priscilla’s wider sample says sensitivity helps typical kids too.

Adams et al. (2018) looked at moms of kids with rare syndromes and found challenging behavior raised stress but not depression scores. Priscilla flips the lens: once mom is already depressed, her low sensitivity can worsen the child’s mood, especially for girls.

04

Why it matters

When mom reports feeling down, don’t stop at a depression screen. Add a quick check of how she tunes in to her daughter’s cues. A five-minute coaching clip—praising, labeling feelings, gentle redirects—may shield girls from spiraling into anxiety. Share the clip with mom, set a daily practice goal, and recheck child mood in two weeks.

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Film a five-minute play or homework interaction, highlight two sensitive responses mom already does, and ask her to repeat those twice daily.

02At a glance

Intervention
not applicable
Design
other
Sample size
84
Population
mixed clinical
Finding
mixed

03Original abstract

Maternal depression has been linked to deficits in parenting that contribute to youth's development of externalizing and/or internalizing problems. Maternal sensitivity has been implicated within the infant literature as a foundational aspect of parenting contributing to a child's adjustment. This study examines the main and moderating effects of a construct labeled maternal sensitivity, within the context of depressive symptoms, on youth externalizing and internalizing problems in a sample of 65 mothers with a history of depression and their 84 children ages 9-15 years. Sensitivity was related to child externalizing problems. Although two-way interactions were not significant, exploratory moderation analyses indicated a significant three-way interaction among maternal depressive symptoms, maternal sensitivity, and youth gender for internalizing problems: among girls only, high depressive symptoms, low sensitivity, and the combination of these two variables were each associated with high levels of internalizing problems.

Behavior modification, 2009 · doi:10.1177/0145445509342581