Randomized Controlled Trial of a Family Cognitive-Behavioral Preventive Intervention for Children of Depressed Parents
Randomized Controlled Trial of a Family Cognitive-Behavioral Preventive Intervention for Children of Depressed Parents
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DOI：
10.1037/a0016930
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发表时间：
2009-12-01
影响因子：
5.9
通讯作者：
Cole, David A.
中科院分区：
文献类型：
--
作者：
Compas, Bruce E.;Forehand, Rex;Cole, David A.
在一项随机临床试验（n = 111个家庭）中，对有抑郁症史的父母及其9-15岁子女进行家庭认知行为预防干预，并与自学书面信息条件进行比较。在干预后（2个月）、完成4个月一次的强化治疗（6个月）和12个月随访时评估结果。儿童抑郁症状，内化问题，和外化问题的儿童报告进行了评估，由父母报告的内化和外化问题，并由儿童和父母报告的标准化诊断面试。父母的抑郁症状和父母的抑郁发作也进行了评估。出现的证据显着差异，有利于家庭组干预的儿童和家长的结果，最强的儿童结局的影响，发现在12个月的评估与中等效果大小的大多数措施。抑郁症的父母的孩子的不良后果的预防的影响被强调。
A family cognitive-behavioral preventive intervention for parents with a history of depression and their 9-15-year-old children was compared with a self-study written information condition in a randomized clinical trial (n = 111 families). Outcomes were assessed at postintervention (2 months), after completion of 4 monthly booster sessions (6 months), and at 12-month follow-up. Children were assessed by child reports on depressive symptoms, internalizing problems, and externalizing problems; by parent reports on internalizing and externalizing problems; and by child and parent reports on a standardized diagnostic interview. Parent depressive symptoms and parent episodes of major depression also were assessed. Evidence emerged for significant differences favoring the family group intervention on both child and parent outcomes; strongest effects for child outcomes were found at the 12-month assessment with medium effect sizes on most measures. Implications for the prevention of adverse outcomes in children of depressed parents are highlighted.