Family Cognitive-Behavioral Prevention of Depression

抑郁症的家庭认知行为预防

• 批准号: 6911582
• 负责人: REX FOREHAND
• 金额: $ 30.68万
• 依托单位: UNIVERSITY OF VERMONT & ST AGRIC COLLEGE
• 依托单位国家: 美国
• 财政年份: 2004
• 资助国家: 美国
• 起止时间: 2004-07-01 至 2009-04-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6911582
• 关键词: adolescence (12-20); behavioral /social science research tag; child behavior disorders; child mental disorders; clinical depression; clinical research; clinical trials; cognitive behavior therapy; coping; depression; family therapy; group therapy; human subject; human therapy evaluation; longitudinal human study; major depression; mental disorder diagnosis; mental disorder prevention; middle childhood (6-11); mood disorders; parent offspring interaction; parents; patient oriented research; psychological stressor; psychopathology; psychosocial separation

DESCRIPTION (provided by applicant): Children of depressed parents are at significantly increased risk for depression and other forms of psychopathology. Three psychosocial mechanisms are associated with increased risk for psychopathology in these children---stressful parent-child interactions, the ways that children respond to and cope with these stressful interactions, and children's negative cognitions. Specifically, parenting behavior that is characterized by intrusiveness and withdrawal and children's negative attributional style are associated with increased problems in children. In contrast, children's use of secondary control coping (cognitive restructuring, acceptance, distraction) is related to lower problems. Based on these findings, we have established the feasibility and acceptability of a preventive intervention for depressed parents and their families. This study will examine in a randomized clinical trial the efficacy of a family-based cognitive behavioral intervention to prevent the adverse effects of parental depression on offspring. Depressed parents, their spouses, and their children (ages 9 to 16-years-old) will be randomly assigned to a multifamily cognitive behavioral group intervention or to a self-study control condition. The 12 session (8 acute and 4 follow-up) family cognitive behavioral intervention will include coping skills training for children and parenting skills training for depressed parents and their spouses. Families in the control condition will receive only written educational materials about depression and its effects on families. Measures administered at pre-, post- and 6-, 12-, 18-, and 24-month follow-ups will include assessment of mood disorders and other psychiatric disorders, internalizing and externalizing problems in children. Possible mediators of the effects of the intervention will also be evaluated, including parental depressive symptoms and episodes of depression, parental intrusiveness and withdrawal, and children's coping and stress responses. Our goal is to determine the efficacy of this intervention that is unique in its focus on helping children of depressed parents to cope with stressful interactions with their parents, and to improve the parenting skills of depressed parents.

描述（由申请人提供）：抑郁父母的孩子患抑郁症和其他形式的精神病理学的风险显着增加。三种心理社会机制与这些儿童的精神病理学风险增加有关-紧张的亲子互动，儿童对这些紧张互动的反应和科普方式，以及儿童的负面认知。具体来说，父母的行为，其特点是侵入性和撤回和儿童的消极归因风格与儿童的问题增加。与此相反，儿童使用的次要控制应对（认知重建，接受，分心）与较低的问题。基于这些发现，我们已经建立了可行性和可接受的预防干预抑郁症的父母和他们的家庭。 本研究将在一项随机临床试验中检查以家庭为基础的认知行为干预对预防父母抑郁对后代的不良影响的有效性。抑郁的父母，他们的配偶和他们的孩子（9至16岁）将被随机分配到多家庭认知行为小组干预或自学对照条件。12次（8次急性和4次随访）家庭认知行为干预将包括儿童应对技能培训和抑郁父母及其配偶的育儿技能培训。在控制条件下的家庭将只收到有关抑郁症及其对家庭影响的书面教育材料。在治疗前、治疗后和治疗后6个月、12个月、18个月和24个月的随访中采取的措施将包括评估儿童的情绪障碍和其他精神障碍、内化和外化问题。干预效果的可能介质也将进行评估，包括父母的抑郁症状和抑郁发作，父母的侵扰和退缩，以及儿童的应对和压力反应。我们的目标是确定这种干预的有效性，这种干预的独特之处在于它专注于帮助抑郁父母的孩子科普与父母的压力互动，并提高抑郁父母的育儿技巧。