Children of Depressed Parents: Family Based Prevention

抑郁父母的孩子：基于家庭的预防

• 批准号: 6826924
• 负责人: GUY Sigmond DIAMOND
• 金额: $ 22.41万
• 依托单位: CHILDREN'S HOSP OF PHILADELPHIA
• 依托单位国家: 美国
• 财政年份: 2004
• 资助国家: 美国
• 起止时间: 2004-09-02 至 2007-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6826924
• 关键词: behavioral /social science research tag; child psychology; child rearing; clinical research; cognitive behavior therapy; community mental health services; coping; depression; education evaluation /planning; educational resource design /development; focus groups; handbook; human subject; mental disorder prevention; mental health education; middle childhood (6-11); parent offspring interaction; patient oriented research; therapy compliance; urban poverty area

DESCRIPTION (provided by applicant): Extensive research documents that children of depressed parents are at a significantly higher risk for developing a variety of socio-emotional difficulties than children of non-depressed parents. Surprisingly, little research has been conducted to develop prevention interventions for this population. Furthermore, of the developmental and treatment research that does exist with this at-risk group, low income, urban families are rarely included. This is surprising given that the economic hardship itself is a strong risk factor for both maternal depression and poor child development. This R34 application will address this deficit by sup porting the development, manualization and pilot testing of the Protecting Families Program (PFP), a family-based, multi-component prevention program for low-income, urban, depressed parents and their offspring. The target population is parents in treatment for depression in a community mental health clinic, and their children between the ages of 9-12. PFP will serve as a 10 week adjunctive service to the parents' individual treatment. The program consists of three main components: 1) a community meal at the beginning of each session; 2) a parent skills training group; and 3) a concurrent cognitive behavioral therapy (CBT) group for the focal child. The parenting component will focus on educating parents about depression, its impact on the family and on promoting positive parenting practices. The child CBT component will be based on the Penn Optimism Program, a manualized and well-validated prevention model for youth at risk for depression. We will write a full multi-component intervention manual, develop and validate an adherence measure, and conduct a randomized pilot study to assess feasibility, acceptability, and gather data for estimating effect size. This work will be conducted at, and in close collaboration with, a local community mental health center (INTERAC) in order to assure the intervention meets the needs of community providers and their patients. his grant will serve as a foundation for a larger randomized clinical trial.

描述（由申请人提供）：大量的研究文件表明，抑郁父母的孩子比非抑郁父母的孩子有更高的风险出现各种社会情感障碍。令人惊讶的是，很少有研究针对这一人群开展预防干预措施。此外，在针对这一高危群体的发展和治疗研究中，低收入的城市家庭很少被包括在内。这是令人惊讶的，因为经济困难本身就是母亲抑郁和儿童发育不良的一个强大的风险因素。这项R34申请将通过支持“保护家庭计划”（PFP）的开发、手动化和试点测试来解决这一缺陷。“保护家庭计划”是一项以家庭为基础的多成分预防计划，针对低收入、城市中患有抑郁症的父母及其后代。目标人群是在社区心理健康诊所接受抑郁症治疗的父母，以及他们9-12岁的孩子。PFP将作为父母个人治疗的10周辅助服务。该计划由三个主要部分组成：1)每次会议开始时的社区餐；2)家长技能培训小组；3)针对焦点儿童的并发认知行为治疗（CBT）组。育儿部分将侧重于教育父母了解抑郁症及其对家庭的影响，并促进积极的育儿做法。儿童CBT部分将基于宾夕法尼亚大学乐观计划，这是一个针对有抑郁风险的青少年的手动且经过充分验证的预防模型。我们将编写一份完整的多组分干预手册，制定并验证依从性措施，并进行随机试点研究，以评估可行性、可接受性，并收集数据以估计效应大小。这项工作将在当地社区精神卫生中心（INTERAC）进行，并与之密切合作，以确保干预措施满足社区提供者及其患者的需要。他的资助将作为一个更大的随机临床试验的基础。