Department of Psychology and Human Development, Vanderbilt University, Nashville, TN 37203, USA.
J Consult Clin Psychol. 2009 Dec;77(6):1007-20. doi: 10.1037/a0016930.
A family cognitive-behavioral preventive intervention for parents with a history of depression and their 9-15-year-old children was compared with a self-study written information condition in a randomized clinical trial (n = 111 families). Outcomes were assessed at postintervention (2 months), after completion of 4 monthly booster sessions (6 months), and at 12-month follow-up. Children were assessed by child reports on depressive symptoms, internalizing problems, and externalizing problems; by parent reports on internalizing and externalizing problems; and by child and parent reports on a standardized diagnostic interview. Parent depressive symptoms and parent episodes of major depression also were assessed. Evidence emerged for significant differences favoring the family group intervention on both child and parent outcomes; strongest effects for child outcomes were found at the 12-month assessment with medium effect sizes on most measures. Implications for the prevention of adverse outcomes in children of depressed parents are highlighted.
一项针对有抑郁病史的父母及其 9-15 岁子女的家庭认知行为预防干预措施，与随机临床试验中的自学书面信息条件进行了比较（n=111 个家庭）。在干预后（2 个月）、完成 4 个月的强化课程后（6 个月）和 12 个月随访时评估结果。通过儿童对抑郁症状、内化问题和外化问题的报告，通过父母对内化和外化问题的报告，以及通过儿童和父母对标准化诊断访谈的报告，评估儿童和父母的情况。还评估了父母的抑郁症状和父母的重度抑郁发作情况。有证据表明，家庭团体干预在儿童和父母的结果上都有显著的优势；在 12 个月的评估中，对儿童结果的影响最大，大多数措施的中等效果。突出了预防抑郁父母子女不良后果的意义。
