Examination of children's responses to two preventive intervention strategies over time

被引:100
作者
Beardslee, WR [1 ]
Wright, EJ [1 ]
Salt, P [1 ]
Drezner, K [1 ]
Gladstone, TRG [1 ]
Versage, EM [1 ]
Rothberg, PC [1 ]
机构
[1] CHILDRENS HOSP,DEPT PSYCHIAT,BOSTON,MA
关键词
preventive intervention; depression; family; adolescence; change;
D O I
10.1097/00004583-199702000-00010
中图分类号
B844 [发展心理学(人类心理学)];
学科分类号
040202 ;
摘要
Objective: To examine long-term effects of two forms of preventive intervention designed to increase families' understanding of parental affective disorder and to prevent depression in children. Method: Thirty-six families who had a nondepressed child between ages 8 and 15 years and a parent who had experienced affective disorder were enrolled and randomly assigned to either a clinician-facilitated intervention or a lecture discussion group. Each parent and child were assessed prior to randomization, after intervention, and approximately 11/2 years after enrollment. Assessments included standard diagnostic interviews, measures of child and family functioning, and interviews about experience of parental affective disorder and intervention effects. Results: Children in the clinician-facilitated group reported greater understanding of parental affective disorder, as rated by self-report, rater-generated scales, and parent report, and had better adaptive functioning after intervention. Parents in the clinician-facilitated intervention group reported significantly more change. Conclusion: Findings from both interventions support the value of a future-oriented resiliency-based approach. The greater effects of the clinician-facilitate intervention support the need for linking cognitive information to families' life experience and involving children directly in order to achieve long-term effects.
引用
收藏
页码:196 / 204
页数:9
相关论文
共 43 条
[1]  
Achenbach TM., 1983, Manual for the Child Behaviour Checklist
[2]  
[Anonymous], HDB DEPRESSION CHILD
[3]  
[Anonymous], 1987, Manual for the Child Behavior Checklist-Youth Self- Report
[4]  
[Anonymous], PREV MENT DIS NAT RE
[5]   THE IMPACT OF PARENTAL AFFECTIVE-DISORDER ON DEPRESSION IN OFFSPRING - A LONGITUDINAL FOLLOW-UP IN A NONREFERRED SAMPLE [J].
BEARDSLEE, WR ;
KELLER, MB ;
LAVORI, PW ;
STALEY, J ;
SACKS, N .
JOURNAL OF THE AMERICAN ACADEMY OF CHILD AND ADOLESCENT PSYCHIATRY, 1993, 32 (04) :723-730
[6]  
BEARDSLEE WR, 1988, AM J PSYCHIAT, V145, P63
[7]   COMPARISON OF PREVENTIVE INTERVENTIONS FOR FAMILIES WITH PARENTAL AFFECTIVE-DISORDER [J].
BEARDSLEE, WR ;
SALT, P ;
PORTERFIELD, K ;
ROTHBERG, PC ;
VANDEVELDE, P ;
SWATLING, S ;
HOKE, L ;
MOILANEN, DL ;
WHEELOCK, I .
JOURNAL OF THE AMERICAN ACADEMY OF CHILD AND ADOLESCENT PSYCHIATRY, 1993, 32 (02) :254-263
[8]   Response of families to two preventive intervention strategies: Long-term differences in behavior and attitude change [J].
Beardslee, WR ;
Wright, E ;
Rothberg, PC ;
Salt, P ;
Versage, E .
JOURNAL OF THE AMERICAN ACADEMY OF CHILD AND ADOLESCENT PSYCHIATRY, 1996, 35 (06) :774-782
[9]  
BEARDSLEE WR, 1993, J DEV BEHAV PEDIATR, V14, P271
[10]  
BEARDSLEE WR, IN PRESS DEV PSYCHOP