Coping and parenting: Mediators of 12-month outcomes of a family group cognitive-behavioral preventive intervention with families of depressed parents.
Coping and parenting: Mediators of 12-month outcomes of a family group cognitive-behavioral preventive intervention with families of depressed parents.
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DOI：
10.1037/a0020459
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发表时间：
2010-10
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.;Champion, Jennifer E.;Forehand, Rex;Cole, David A.;Reeslund, Kristen L.;Fear, Jessica;Hardcastle, Emily J.;Keller, Gary;Rakow, Aaron;Garai, Emily;Merchant, Mary Jane;Roberts, Lorinda
在一项随机临床试验中，111个父母有重度抑郁症病史的家庭（86%为母亲，86%为白人），青少年（平均年龄11岁，42%为女性）的应对和父母养育技能的变化作为家庭群体认知行为预防干预对青少年内化和外化症状影响的中介。在6个月时评估假设介质的变化，并在12个月的随访中测量青少年症状的变化。与书面信息比较条件相比，在青少年使用二级控制应对技能和直接观察父母积极育儿技能的父母-青少年报告的复合测量值的变化中，发现家庭干预与书面信息比较条件有显著差异。青少年的二级控制、应对和积极父母教养的改变介导了干预对抑郁、内化和外化症状的影响，约占干预对结果影响的一半。此外，从基线到6个月的随访，发现儿童内化症状与父母教养之间存在相互关系。对抑郁症父母的后代的精神病理的预防意义是突出的。
In a randomized clinical trial with 111 families of parents with a history of major depressive disorder (86% mothers; 86% Caucasian), changes in adolescents’ (mean age 11 years; 42% female) coping and parents’ parenting skills were examined as mediators of the effects of a family group cognitive behavioral preventive intervention on adolescents’ internalizing and externalizing symptoms. Changes in hypothesized mediators were assessed at 6-months and changes in adolescents’ symptoms were measured at 12-month follow-up. Significant differences favoring the family intervention as compared with a written information comparison condition were found for changes in composite measures of parent-adolescent reports of adolescents’ use of secondary control coping skills and direct observations of parents’ positive parenting skills. Changes in adolescents’ secondary control coping and positive parenting mediated the effects of the intervention on depressive, internalizing and externalizing symptoms accounting for approximately half of the effect of the intervention on the outcomes. Further, reciprocal relations between children’s internalizing symptoms and parenting were found from baseline to 6-month follow-up. Implications for the prevention of psychopathology in offspring of depressed parents are highlighted.
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DOI：
10.1080/15374410802359742
发表时间：
2008-10
影响因子：
4.2
作者：
Jaser, Sarah S.;Fear, Jessica M.;Reeslund, Kristen L.;Champion, Jennifer E.;Reising, Michelle M.;Compas, Bruce E.
通讯作者：
Compas, Bruce E.
影响因子：
3.4
作者：
Beck, AT;Steer, RA;Ranieri, WF
通讯作者：
Ranieri, WF
影响因子：
5.9
作者：
Compas, Bruce E.;Forehand, Rex;Cole, David A.
通讯作者：
Cole, David A.
影响因子：
4.2
作者：
Kraemer, Helena Chmura;Kiernan, Michaela;Kupfer, David J.
通讯作者：
Kupfer, David J.
影响因子：
3.6
作者：
Alderfer, Melissa A.;Fiese, Barbara H.;Patterson, Joaen
通讯作者：
Patterson, Joaen