针对患有抑郁症父母的子女的家庭团体认知行为预防性干预措施的效果及调节因素
Efficacy and moderators of a family group cognitive-behavioral preventive intervention for children of parents with depression.
作者信息
Compas Bruce E, Forehand Rex, Thigpen Jennifer, Hardcastle Emily, Garai Emily, McKee Laura, Keller Gary, Dunbar Jennifer P, Watson Kelly H, Rakow Aaron, Bettis Alexandra, Reising Michelle, Cole David, Sterba Sonya
机构信息
Department of Psychology and Human Development, Vanderbilt University.
Department of Psychology, University of Vermont.
出版信息
J Consult Clin Psychol. 2015 Jun;83(3):541-53. doi: 10.1037/a0039053.
OBJECTIVE
Building on an earlier study (Compas, Forehand, Thigpen, et al., 2011), tests of main effects and potential moderators of a family group cognitive-behavioral (FGCB) preventive intervention for children of parents with a history of depression are reported.
METHOD
Assessed a sample of 180 families (242 children ages 9-15 years) in a randomized controlled trial assessed at 2, 6, 12, 18 and 24 months after baseline.
RESULTS
Significant effects favoring the FGCB intervention over a written information comparison condition were found on measures of children's symptoms of depression, mixed anxiety/depression, internalizing problems, and externalizing problems, with multiple effects maintained at 18 and 24 months, and on incidence of child episodes of major depressive disorder over the 24 months. Effects were stronger for child self-reports than for parent reports. Minimal evidence was found for child age, child gender, parental education, parental depressive symptoms, or presence of a current parental depressive episode at baseline as moderators of the FGCB intervention.
CONCLUSIONS
The findings provide support for sustained and robust effects of this preventive intervention.
目的
基于早期一项研究（康帕斯、福尔汉德、西格彭等人，2011年），报告针对有抑郁症病史父母的子女开展的家庭团体认知行为（FGCB）预防性干预的主效应及潜在调节因素的测试。
方法
在一项随机对照试验中，对180个家庭（242名9至15岁儿童）的样本进行评估，在基线后的2、6、12、18和24个月进行测评。
结果
在儿童抑郁症状、混合性焦虑/抑郁、内化问题和外化问题的测量指标上，发现FGCB干预相对于书面信息对照条件有显著效果，在18个月和24个月时多种效果得以维持，且在24个月期间儿童重度抑郁发作的发生率方面也有效果。儿童自我报告的效果比父母报告的更强。在基线时，几乎没有证据表明儿童年龄、儿童性别、父母教育程度、父母抑郁症状或父母当前是否有抑郁发作可作为FGCB干预的调节因素。
结论
研究结果为这种预防性干预的持续且强大的效果提供了支持。
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