Prevention of childhood depression: Recent findings and future prospects
Prevention of childhood depression: Recent findings and future prospects
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DOI：
10.1016/s0006-3223(01)01126-x
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发表时间：
2001-06-15
影响因子：
10.6
通讯作者：
Gladstone, TRG
中科院分区：
文献类型：
--
作者：
Beardslee, WR;Gladstone, TRG
传统上，对儿童情绪障碍的研究集中在临床试验和纵向过程和结果研究，而不是预防。然而，最近，在设计，方法和评估的预防方法和进展，了解哪些因素易患抑郁症的儿童有可能发展的理论驱动，经验合理的方法来预防抑郁症的青少年谁是在高风险，无论是因为症状水平升高或父母的情绪障碍。在这篇综述中，我们概述了最近的实证研究结果抑郁症的危险因素在nonreferred样本的青少年和抑郁症的父母的孩子。此外，我们回顾了三项儿童抑郁症预防干预试验，这些试验产生了有希望的初步结果。我们强调需要了解抑郁症的风险和因素，保护青少年的风险，从屈服于抑郁症，在指导预防计划的发展。我们还认为，考虑预防抑郁症需要解决更广泛的社会逆境影响，导致儿童心理健康状况不佳，甚至超出了父母情绪障碍的影响。最后，我们强调发展交易的角度，强调在整个生命周期的不同点的干预机会的重要性。(C)2001生物精神病学学会。
Traditionally, research on childhood mood disorders has focused on clinical trials and longitudinal course and outcome studies, rather than on prevention. Recently, however, advances in the design, methodology, and evaluation of prevention approaches and progress in understanding what factors predispose children to depression have made possible the development of theoretically driven, empirically justified approaches to the prevention of depression in youngsters who are at high risk, either because of elevated symptom levels or parental mood disorder. In this review we outline recent empirical findings on risk factors for depression in nonreferred samples of youngsters and also in children of depressed parents. Additionally, we review three trials of preventive interventions for childhood depression that yield promising initial findings. We emphasize the need to understand both risks for depression and factors that protect youngsters at risk from succumbing to depression in guiding the development of prevention programs. We also argue that consideration of prevention of depression requires addressing broader social adversity influences that lead to poor mental health outcomes in children, even beyond the effects of parental mood disorder. We conclude with an emphasis on the importance of a developmental-transactional perspective that highlights opportunities for intervention at different points across the lifespan. (C) 2001 Society of Biological Psychiatry.