Family Group Cognitive-Behavioral Preventive Intervention for Families of Depressed Parents: 18-and 24-Month Outcomes
Family Group Cognitive-Behavioral Preventive Intervention for Families of Depressed Parents: 18-and 24-Month Outcomes
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DOI：
10.1037/a0024254
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发表时间：
2011-08-01
影响因子：
5.9
通讯作者：
Roberts, Lorinda
中科院分区：
文献类型：
--
作者：
Compas, Bruce E.;Forehand, Rex;Roberts, Lorinda
目的：在一项随机对照试验的长期随访中（Compas et al., 2009），研究在18个月和24个月的随访中，家庭群体认知行为（FGCB）预防干预对来自有重度抑郁症（MDD）病史的家庭（N = 111）的儿童和父母的心理健康结果的影响。方法：有重度抑郁症病史的父母及其9- 15岁的孩子被随机分配到fgfb干预组或书面信息比较组。儿童的内化、外化、焦虑/抑郁和抑郁症状；重度抑郁症发作和其他精神病诊断；父母的抑郁症状和重度抑郁症发作在随机分组后的18和24个月进行评估。结果：FGCB患儿在18个月时焦虑/抑郁和内化症状的自我报告显著降低，在18和24个月时外化症状的自我报告显著降低。在24个月的随访中，FGCB干预组儿童的重度抑郁症发生率显著降低（优势比= 2.91）。父母在18个月和24个月的抑郁症状中发现了边际效应，但对重度抑郁症发作没有影响。结论：支持对父母有重度抑郁症病史的儿童进行FGCB预防干预，可显著减少儿童在2年内的重度抑郁症发作。FGCB干预在内化和外化症状方面也有显著效果，18个月的效果比24个月的效果更强。
Objective: In a long-term follow-up of a randomized controlled trial (Compas et al., 2009) to examine the effects at 18- and 24-month follow-ups of a family group cognitive-behavioral (FGCB) preventive intervention for mental health outcomes for children and parents from families (N = 111) of parents with a history of major depressive disorder (MDD). Method: Parents with a history of MDD and their 9- to 15-year-old children were randomly assigned to a FGCB intervention or a written information comparison condition. Children's internalizing, externalizing, anxiety/depression, and depressive symptoms; episodes of MDD and other psychiatric diagnoses; and parents' depressive symptoms and episodes of MDD were assessed at 18 and 24 months after randomization. Results: Children in the FGCB condition were significantly lower in self-reports of anxiety/depression and internalizing symptoms at 18 months and were significantly lower in self-reports of externalizing symptoms at 18 and 24 months. Rates of MDD were significantly lower for children in the FGCB intervention over the 24-month follow-up (odds ratio = 2.91). Marginal effects were found for parents' symptoms of depression at 18 and 24 months but not for episodes of MDD. Conclusions: Support was found for a FGCB preventive intervention for children of parents with a history of MDD significantly reducing children's episodes of MDD over a period of 2 years. Significant effects for the FGCB intervention were also found on internalizing and externalizing symptoms, with stronger effects at 18- than at 24-month follow-up.