People with elevated depressive symptoms who do not have major depression have shown considerable limitation and distress in social, work, and physical functioning [Hays et al., 1995]. Hays et al. reported that subclinical levels of depressive symptoms were associated with lowered wellbeing, impaired role function, impaired social function, and poor general health. In their longitudinal study of 1,790 persons, they found that people with depressive symptoms but without current major depression had lower levels of functioning than individuals with chronic illnesses including diabetes and heart failure. Furthermore, elevated depressive symptoms have been associated with disrupted parenting interactions between mothers and their children [Downey and Coyne, 1990]. In direct observation studies comparing mothers with and without high levels of depressive symptoms, mothers in the former group interacted less with their children with disabilities, were less contingent in responding to them, were more irritable, had more negative affect, and were more likely to use explosive discipline than mothers without elevated depressive symptoms [Downey and Coyne, 1990].