Depression, characterized by flat affect, lack of energy, preoccupation with the self, rumination, inability to concentrate, and irritability (American Psychiatric Association, 2013), affects up to 17% of mothers (Horwitz, Briggs-Gowan, Storfer-Isser, & Carter, 2007; Kessler, 2003, 2006). It is well established that maternal depression is not only associated with an increased risk of childhood
... [Show full abstract] depression but also with other emotional and behavioral problems, including anxiety disorders, oppositional defiant disorder, conduct disorder, and attention-deficit hyperactivity disorder (Ashman, Dawson, & Panagiotides, 2008; Bagner, Pettit, Lewinsohn, & Seeley, 2010; Cummings & Davies, 1994; Field, 1998; Goodman, 2007; Goodman, Rouse, Connell, Broth, Hall, & Heyward, 2011; Zimmerman et al., 2008). Our understanding of the factors through which maternal depression influences children's outcomes, however, is less well developed. To date, four potential factors for the relation between maternal depression and children's emotional and behavioral development have been identified. These four include (1) parenting and mother-child interactions, (2) environmental stressors, (3) genetics, and (4) dysregulation in neuroendocrine and neurophysiological systems. The first two mechanisms are illustrative of contextual influences, and the latter two are examples of individual-related influences. In the present chapter, we discuss the evidence for each of the hypothesized factors as well as identify areas for future research. We conclude with a discussion of clinical implications this work has for the field.