Family Intervention to Prevent Depression and Substance Use Among Adolescents of Depressed Parents.

Family Intervention to Prevent Depression and Substance Use Among Adolescents of Depressed Parents.
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DOI:
10.1007/s10826-011-9549-x
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发表时间:
2012-12-01
影响因子:
2.1
通讯作者:
Casey-Goldstein, Mary
Casey-Goldstein, Mary
中科院分区:
心理学3区
文献类型:
--
作者:
Mason, W. Alex;Haggerty, Kevin P.;Fleming, Andrew P.;Casey-Goldstein, Mary

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父母抑郁会使后代面临多重并发问题的高风险。本研究的目的是开发并初步评估希望工程,一个家庭干预措施,以预防青少年儿童(M = 13.9岁)的抑郁和物质使用。该项目是通过混合两种经验支持的干预措施而创建的:一种是针对抑郁症的,另一种是针对药物使用的。30个家庭被随机分配到希望工程组(n = 16)或等候名单对照组(n = 14)。通过电话访谈分别对父母和青少年进行了前测、后测(n = 29)和5个月的随访(n = 28)。问题涉及家庭抑郁经历、家庭互动、家庭管理、应对、青少年物质使用信念和拒绝技巧、青少年抑郁和青少年物质使用。希望工程是在目标家庭的小样本中充分发展、手工化和实施的。这个项目的参与度相对较高。初步结局分析采用2 (Group) ×3 (Time)协方差分析。结果提供了一些证据,表明与对照组相比,干预组在家庭抑郁经历、家庭管理和应对指标上有显著改善,并且与对照组相比,干预组的酒精量从测试前到测试后有统计学意义上的显著减少。讨论了该研究计划的下一步工作。
Parental depression places offspring at elevated risk for multiple, co-occurring problems. The purpose of this study was to develop and preliminarily evaluate Project Hope, a family intervention for the prevention of both depression and substance use among adolescent-aged children (M = 13.9 years) of depressed parents. The program was created by blending two empirically supported interventions: one for depression and another for substance use. Thirty families were randomly assigned to either Project Hope (n = 16) or a wait-list control condition (n = 14). Pretests, posttests (n = 29), and 5-month follow-ups (n = 28) were conducted separately with parents and youth via phone interviews. Questions asked about the family depression experience, family interactions, family management, coping, adolescent substance use beliefs and refusal skills, adolescent depression, and adolescent substance use. Project Hope was fully developed, manualized, and implemented with a small sample of targeted families. Engagement in the program was relatively high. Preliminary outcome analyses were conducted using 2 (Group) ×3 (Time) analyses of covariance. Results provided some evidence for significant improvements among intervention compared to control participants in indicators of the family depression experience, family management, and coping, and a statistically significant decrease from pretest to posttest in alcohol quantity for intervention compared to control youth. Next steps for this program of research are discussed.
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