Rishel Carrie W
Division of Social Work, West Virginia University, P.O. Box 6830, Morgantown, WV 26506, USA.
Depress Res Treat. 2012;2012:313689. doi: 10.1155/2012/313689. Epub 2012 Jan 31.
Maternal depression is one of the most well-documented risk factors for child and adolescent depression, but little work has focused on how to reduce this risk. Although a few interventions have been developed and tested, implementing targeted prevention efforts with depressed mothers and their children is not common practice. The increased risk of depression for children of depressed mothers is so clear, however, professionals can no longer "sit on the sidelines" without initiating specific prevention efforts with this population. To do so requires a paradigm shift-moving from a focus on individual treatment to a prevention approach that engages the entire family as the unit of care. The purpose of this paper is to draw on existing literature to highlight potential "pathways to prevention" for children of depressed mothers. Recommendations for initiating these pathways based on family lifecycle stage, point of contact, and service setting are presented and discussed.
母亲抑郁是儿童和青少年抑郁最有充分文献记载的风险因素之一，但很少有研究聚焦于如何降低这种风险。尽管已经开发并测试了一些干预措施，但针对抑郁母亲及其子女开展有针对性的预防工作并非普遍做法。然而，抑郁母亲的子女患抑郁症的风险增加是如此明显，专业人员不能再“袖手旁观”，而不对这一人群开展具体的预防工作。这样做需要范式转变——从关注个体治疗转向以整个家庭作为护理单位的预防方法。本文的目的是借鉴现有文献，突出抑郁母亲的子女潜在的“预防途径”。并根据家庭生命周期阶段、接触点和服务环境，提出并讨论启动这些途径的建议。
