Dempsey Jack, McQuillin Samuel, Butler Ashley M, Axelrad Marni E
Section of Psychology, Baylor College of Medicine, Psychology Service, Texas Children's Hospital, 8080 N Stadium Drive Ste. 180, Houston, TX, USA.
Department of Psychology, University of South Carolina, Columbia, SC, USA.
J Clin Psychol Med Settings. 2016 Sep;23(3):240-6. doi: 10.1007/s10880-016-9461-z.
This study examines the impact of maternal depression on reductions in children's behavior problems severity following implementation of the Brief Behavioral Intervention-a brief, manualized parent management training treatment. The parents of 87 children aged 2-6 years of age received parent management training at a metropolitan hospital. Parents of participants completed measures of externalizing behavior and maternal depression. The association between pre-post treatment change in externalizing behavior and maternal depression was examined using an autoregressive cross-lagged model. Results showed that self-reported maternal depressive symptoms at pre-treatment negatively influenced the overall magnitude of reduction of reported externalizing behaviors in children following treatment. Results indicate that aspects of family functioning not specifically targeted by parent management training, such as maternal depression, significantly affect treatment outcomes. Clinicians providing parent management training may benefit from assessing for maternal depression and modifying treatment as indicated.
本研究考察了母亲抑郁对实施简短行为干预（一种简短的、手册化的家长管理培训治疗）后儿童行为问题严重程度降低的影响。87名2至6岁儿童的家长在一家大都市医院接受了家长管理培训。参与者的家长完成了外化行为和母亲抑郁的测量。使用自回归交叉滞后模型检验了治疗前后外化行为变化与母亲抑郁之间的关联。结果显示，治疗前自我报告的母亲抑郁症状对治疗后儿童报告的外化行为减少的总体幅度产生了负面影响。结果表明，家长管理培训未专门针对的家庭功能方面，如母亲抑郁，会显著影响治疗结果。提供家长管理培训的临床医生可能会受益于评估母亲抑郁情况并根据需要调整治疗。
