Department of Child Psychiatry, School of Medicine, National and Kapodistrian University of Athens, "Aghia Sophia" Children's Hospital, Athens, Greece.
MIELI Mental Health Finland, Helsinki, Finland; Finnish Institute for Health and Welfare, Helsinki, Finland.
J Affect Disord. 2021 Jan 1;278:114-121. doi: 10.1016/j.jad.2020.09.070. Epub 2020 Sep 15.
The transgenerational transmission of affective disorders calls for integrating promotion of child development in the services offered to families with parental depression. The main objective of the present research was to examine the effectiveness and differences in the impact of two relevant interventions in Greece.
Thirty families of depressed patients were randomly assigned to the six-to-eight session Family Talk Intervention group and 32 families were included in the lower intensity parent-only two-to-three session Let's Talk about the Children group. Depressed parents and the eldest of their children were assessed prior to the interventions and 4, 10, and 18 months following baseline assessment.
In both groups there were significant improvements in parent's depression, anxiety, perceived social support, parenting and family functioning, as well as improvements in child's depression, anxiety, and child emotional/behavioral problems. Child's prosocial behavior, perceived social support, and health-related quality of life were significantly improved in both groups. All positive effects were evident four months following baseline assessment and could be still documented at 1.5-year follow-up. Mixed linear models showed that family functioning and parenting to a lesser extent were associated with the greatest changes in children's psychosocial outcomes in both interventions..
The lack of data regarding parents that refused to receive the interventions may limit generalizability of results. A further limitation is the lack of a no-intervention control group.
The study offers a preliminary evidence base for integrating preventive interventions for child mental health in routine clinical practice with adult depressed patients.
情感障碍的代际传递要求将促进儿童发展纳入为有抑郁父母的家庭提供的服务中。本研究的主要目的是检验两种相关干预措施在希腊的有效性和影响差异。
将 30 个抑郁患者家庭随机分配到 6-8 节的家庭谈话干预组，32 个家庭被纳入仅 2-3 节的让我们谈谈孩子的家长组。在干预前和基线评估后的 4、10 和 18 个月，评估抑郁的父母和他们的最大孩子。
两组的父母抑郁、焦虑、感知社会支持、育儿和家庭功能均有显著改善，儿童的抑郁、焦虑和儿童情绪/行为问题也有改善。儿童的亲社会行为、感知社会支持和健康相关生活质量在两组均有显著改善。所有积极的影响在基线评估后的四个月就很明显，并在 1.5 年随访时仍可记录。混合线性模型显示，家庭功能和育儿在一定程度上与干预后儿童心理社会结局的最大变化相关。
拒绝接受干预的父母的数据缺失可能限制了结果的普遍性。另一个限制是缺乏无干预对照组。
该研究为将儿童心理健康的预防干预措施纳入常规临床实践中的成年抑郁患者提供了初步的证据基础。
