Parental Depressive Symptoms as a Predictor of Outcome in the Treatment of Child Depression.
Parental Depressive Symptoms as a Predictor of Outcome in the Treatment of Child Depression.
复制标题
DOI：
10.1007/s10802-017-0323-4
复制
发表时间：
2018-05
影响因子：
3.6
通讯作者：
Weisz JR
中科院分区：
文献类型：
--
作者：
Eckshtain D;Marchette LK;Schleider J;Weisz JR
儿童抑郁症是一种损害健康的疾病，心理治疗对其影响不大。父母抑郁是儿童抑郁发展的危险因素，也可能与儿童抑郁的治疗结果负相关。为了探索这种可能性，我们分析了一项研究的数据，在这项研究中，儿童在父母的抑郁症状在基线水平被评估后接受抑郁治疗。在一项随机对照试验中，在接受抑郁症治疗的儿童中，我们确定了31名儿童和父母报告了治疗前和治疗后的儿童症状数据，以及治疗前父母报告的父母抑郁症状。儿童年龄在8-13岁之间，其中77%是男孩，52%是高加索人，13%是非裔美国人，6%是拉丁裔，29%是多种族。分析的重点是变化轨迹(每周测量)的差异，以及父母有抑郁症状(n=12)和没有抑郁症状(n=19)的儿童治疗后症状在基线上的差异。生长曲线分析显示，通过儿童报告(p=.03)和家长报告(p=.03)措施，两组儿童的变化轨迹明显不同：父母抑郁程度较轻的孩子的症状急剧下降，但父母抑郁程度较重的孩子表现出平坦的轨迹，症状随着时间的推移几乎没有变化。父母抑郁程度较轻的儿童与抑郁程度较重的父母相比，ANCOVA显示治疗后儿童症状较低(儿童报告中的p=0.05，父母报告中的p=0.01)。父母的抑郁症状预示着儿童的症状轨迹和较差的儿童治疗反应，可能需要在治疗中解决。
Child depression is an impairing condition for which psychotherapies have shown modest effects. Parental depression is a risk factor for development of child depression and might also be negatively associated with child depression treatment outcomes. To explore this possibility, we analyzed data from a study in which children were treated for depression after parental depressive symptoms had been assessed at baseline. Among children treated for depression in a randomized controlled trial, we identified 31 who had child- and parent-report pre- and post-treatment data on child symptoms and parent-report of pre-treatment parental depressive symptoms. Children were aged 8-13, 77% boys, and 52% Caucasian, 13% African-American, 6% Latino, and 29% multi-racial. Analyses focused on differences in trajectories of change (across weekly measurements), and post-treatment symptoms among children whose parents did (n=12) versus did not (n=19) have elevated depressive symptoms at baseline. Growth curve analyses showed markedly different trajectories of change for the two groups, by both child-report (p = .03) and parent-report (p = .03) measures: children of parents with less severe depression showed steep symptom declines, but children of parents with more severe depression showed flat trajectories with little change in symptoms over time. ANCOVAs showed lower post-treatment child symptoms for children of parents with less severe depression versus parents with more severe depression (p = 0.05 by child report, p = 0.01 by parent report). Parental depressive symptoms predict child symptom trajectories and poorer child treatment response, and may need to be addressed in treatment.
登录
查看更多内容
影响因子：
25.8
作者：
Beardslee, William R.;Brent, David A.;Weersing, V. Robin;Clarke, Gregory N.;Porta, Giovanna;Hollon, Steven D.;Gladstone, Tracy R. G.;Gallop, Robert;Lynch, Frances L.;Iyengar, Satish;DeBar, Lynn;Garber, Judy
通讯作者：
Garber, Judy
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：
6.9
作者：
Grills, AE;Ollendick, TH
通讯作者：
Ollendick, TH
影响因子：
5.9
作者：
Chorpita, Bruce F.;Reise, Steven;Becker, Kimberly D.
通讯作者：
Becker, Kimberly D.
影响因子：
0.5
作者：
Eckshtain D;Gaynor ST
通讯作者：
Gaynor ST