The efficacy of toddler-parent psychotherapy for fostering cognitive development in offspring of depressed mothers
The efficacy of toddler-parent psychotherapy for fostering cognitive development in offspring of depressed mothers
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DOI：
10.1023/a:1005118713814
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发表时间：
2000-04-01
影响因子：
3.6
通讯作者：
Toth, SL
中科院分区：
文献类型：
--
作者：
Cicchetti, D;Rogosch, FA;Toth, SL
评估了幼儿-父母心理疗法(TPP)作为一种预防性干预措施在抑郁母亲的后代中促进认知发展的有效性。患有严重抑郁障碍的母亲和她们蹒跚学步的孩子被随机分配到TPP组(n=43)或非干预组(n=54)，并与没有目前或过去没有精神障碍的妇女的对照组(n=61)进行比较。在基线(20个月大)时，两组在贝利智力发展指数上没有差异。在干预后(3岁)，抑郁非干预组智商相对下降，而抑郁干预组和正常对照组继续保持相当，WPPSI-R总分和言语智商较高。在母亲随后出现抑郁发作的不干预儿童中，发现了最糟糕的结果。这一结果证实了抑郁母亲的子女面临的发展风险，并支持了预防性干预在保障高危青少年成功认知发展方面的有效性。
The efficacy of Toddler-Parent Psychotherapy (TPP) as a preventive intervention for fostering cognitive development in the offspring of depressed mothers was evaluated. Mothers with major depressive disorder and their toddlers were randomly assigned to TPP (n = 43) or to a nonintervention group (n = 54) and compared to a control group (n = 61) of women with no current or past mental disorder. At baseline (age 20 months), the groups did not differ on the Bayley Mental Development Index. At post-intervention follow-up (age 3 years), a relative decline in IQ was found in the depressed nonintervention group, whereas the depressed intervention and the normal control groups continued to be equivalent, with higher WPPSI-R Full Scale and Verbal IQs. The worst outcome was found among nonintervention children whose mothers had subsequent depressive episodes. The results confirm the developmental risks faced by offspring of depressed mothers and support the efficacy of the preventive intervention in safeguarding successful cognitive development in at-risk youngsters.