The effects of psychological treatment of maternal depression on children and parental functioning: a meta-analysis

The effects of psychological treatment of maternal depression on children and parental functioning: a meta-analysis
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DOI:
10.1007/s00787-014-0660-6
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发表时间:
2015-02-01
影响因子:
6.4
通讯作者:
Andersson, Gerhard
Andersson, Gerhard
中科院分区:
医学2区
文献类型:
--
作者:
Cuijpers, Pim;Weitz, Erica;Andersson, Gerhard

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母亲的抑郁水平(g = 0.66)。在7项报告儿童心理健康结果的研究中,也发现了显著的效应量(g = 0.40)。8项研究检查母子互动的显着效应量为g = 0.35,5项研究检查养育/婚姻困扰的合并效应量为g = 0.67。我们发现,心理治疗可以降低抑郁母亲的抑郁水平,并发现心理治疗可能对孩子的心理健康和养育/婚姻困扰产生积极影响。然而,在给出明确的答案之前,还需要进行更多高质量的研究。父母抑郁症的成功治疗可能会对孩子的功能和精神病理学产生积极影响。我们进行了一项荟萃分析,以检查心理治疗对抑郁症母亲的影响,他们的孩子和父母的功能。我们使用了一个随机对照试验数据库,检查心理治疗对成人抑郁症的影响,并选择试验比较抑郁症母亲的心理治疗和控制条件,并报告其子女和父母功能的结果。纳入了9项研究。这些研究的质量不是最佳的,结果工具彼此差异很大。这些治疗导致了
levels of depression (g = 0.66) in the mothers. In the seven studies that reported outcomes on the mental health of children, a significant effect size was also found (g = 0.40). The eight studies examining mother-child interactions resulted in a significant effect size of g = 0.35, and the five studies examining parenting/marital distress had a pooled effect size of g = 0.67. We found that psychotherapy leads to decreased levels of depression in depressed mothers and also found indications that psychotherapy may have a positive effect on the mental health of their children and parenting/marital distress. However, more high-quality research is needed before a definite answer can be given. Successful treatment of parental depression may have a positive effect on the functioning and psychopathology of their children. We conducted a meta-analysis to examine the effects of psychotherapy for depressed mothers on their children and parental functioning. We used a database of randomized controlled trials examining the effects of psychotherapy for adult depression and selected trials comparing psychotherapy and control conditions in depressed mothers and reporting outcomes in their children and parental functioning. Nine studies were included. The quality of these studies was not optimal and the outcome instruments differed considerably from each other. The therapies resulted in significantly decreased