Boyd Rhonda C, Diamond Guys S, Bourjolly Joretha N
University of Pennsylvania School of Medicine/Department of Psychiatry, Children's Hospital of Philadelphia, PA 19104, USA.
Fam Process. 2006 Jun;45(2):187-203. doi: 10.1111/j.1545-5300.2006.00090.x.
Extensive research documents that children of depressed mothers are at a significantly higher risk for developing a variety of socioemotional difficulties than children of nondepressed mothers. Yet, little prevention research has been conducted for this population, and low-income, minority, and urban families are rarely included. To address this deficit, we are developing the Protecting Families Program (PFP), a family-based multicomponent depression prevention program for mothers in treatment at urban community mental health agencies and their school-aged children. To inform intervention development and begin relationship building with the agencies, patient and staff focus groups were conducted in the participating agencies. Eighteen mothers with depression participated, and eight major themes were identified: (1) depression symptoms, (2) generational legacy, (3) parenting difficulties, (4) child problems, (5) social support, (6) stressful life events, (7) therapy and other helpful activities, and (8) desired treatment. In the focus groups with 10 mental health providers, the five major themes identified were parenting difficulties, lack of social support, life stress, current mental health practices, and intervention development. The findings support the multicomponent design of PFP, which focuses on increasing knowledge of depression, enhancing social support, and improving parenting skills. The study helped clarify many of the challenges of conducting research in a community mental health system.
大量研究表明，与母亲未患抑郁症的孩子相比，母亲患抑郁症的孩子出现各种社会情感问题的风险要高得多。然而，针对这一群体的预防研究却很少，低收入、少数族裔和城市家庭很少被纳入研究范围。为了弥补这一不足，我们正在开发“保护家庭项目”（PFP），这是一个针对在城市社区心理健康机构接受治疗的母亲及其学龄子女的多成分家庭抑郁症预防项目。为了为干预措施的制定提供信息并开始与这些机构建立联系，我们在参与项目的机构中开展了患者和工作人员焦点小组讨论。18位患有抑郁症的母亲参与其中，确定了8个主要主题：（1）抑郁症状，（2）代际传承，（3）育儿困难，（4）儿童问题，（5）社会支持，（6）生活应激事件，（7）治疗及其他有益活动，以及（8）期望的治疗。在与10名心理健康服务提供者进行的焦点小组讨论中，确定的5个主要主题是育儿困难、缺乏社会支持、生活压力、当前的心理健康实践以及干预措施的制定。这些研究结果支持了“保护家庭项目”的多成分设计，该设计侧重于增加对抑郁症的了解、增强社会支持以及提高育儿技能。这项研究有助于阐明在社区心理健康系统中开展研究面临的许多挑战。
