Examination of preventive interventions for families with depression: Evidence of change
Examination of preventive interventions for families with depression: Evidence of change
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DOI：
10.1017/s0954579497001090
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发表时间：
1997-12-01
影响因子：
3.3
通讯作者：
Gladstone, TRG
中科院分区：
文献类型：
--
作者：
Beardslee, WR;Versage, EM;Gladstone, TRG
37个家庭的孩子年龄在8岁到15岁之间(平均年龄=12.0岁)，父母中至少有一人最近经历过情感障碍，他们被随机分配到两种心理教育干预措施中的一种。干预措施(临床医生协助或讲座小组讨论)旨在通过减少相关危险因素的影响和鼓励促进复原力的行为和态度来预防儿童抑郁和相关问题。它们在内容上相似，但在儿童的参与程度和家庭的个人生活经历与教育材料相联系的程度上有所不同。评估包括标准的诊断和社会功能工具，以及专门为该项目设计的访谈，以评估行为和态度的变化。每个父母和孩子都由不同的评估员单独评估，他们对其他家庭成员的信息视而不见。两组的家长参与者都报告对干预感到满意。临床医生组参与者报告的总体变化数量明显更多，以及在与孩子沟通疾病方面的变化水平更高，并增加了孩子对自己疾病的理解。值得注意的是，临床医生组中更多的儿童也报告说，由于他们参与了该项目，他们对父母情感性疾病有了更好的理解。
Thirty-seven families who had a child between the ages of 8 and 15 (mean age = 12.0 years) and had at least one parent who had experienced a recent episode of affective disorder were assigned randomly to one of two psychoeducational interventions. The interventions (clinician-facilitated or lecture-group discussion) were designed to prevent childhood depression and related problems through decreasing the impact of related risk factors and encouraging resiliency-promoting behaviors and attitudes. They were similar in content but differed in the level of the children's involvement and the degree to which the families' individual life experiences were linked to the educational material. Assessments included standard diagnostic and social functioning instruments and interviews designed specifically for this project to assess behavior and attitude change. Each parent and child was individually assessed by separate assessors who were blind to information about the other family members. Parent participants in both groups reported being satisfied with the intervention. Clinician group participants reported a significantly larger number of overall changes, as well as higher levels of change regarding communications about the illness with their children and increased understanding by the children of their illness. Significantly more children in the clinician group also reported they gained a better understanding of parental affective illness as a result of their participation in the project.