Joder Angela, Geissler Svenja, Dengl Petra, Schulte-Körne Gerd, Platt Belinda
Department of Child and Adolescent Psychiatry, Psychosomatics and Psychotherapy, LMU University Hospital, Munich, Germany.
BMC Psychol. 2025 Mar 19;13(1):275. doi: 10.1186/s40359-024-02266-8.
Children of parents with depression have an increased risk of mental illness themselves and there is an urgent need to implement effective prevention programmes for this population. "Growing Up Healthy and Happy" ("GuG-Auf-Online") is an online family- and group-based cognitive-behavioural preventive programme with a strong evidence base. The aim of the current study was to understand what factors might hamper parents with depression from participating in the programme.
An online cross-sectional survey was conducted in Germany with 274 parents who fulfilled the inclusion criteria for the programme (parental history of depression and a child aged eight to 17 years with no mental illness). The survey included several a priori-defined barriers (e.g. online format, feelings of shame) which parents rated in terms of (a) whether the barrier was relevant to them and if so, (b) how much it held them back from participating. Open-ended questions identified additional barriers. In addition to qualitative content analysis according to Mayring (2008), Pearson correlations were calculated to determine whether the current severity of parents' symptoms were associated with their responses.
The following aspects emerged as relevant barriers: (a) shame regarding one's depression, (b) overburden and (c) avoidance (not wanting to be reminded of depression). There was no evidence that the online setting was a significant barrier. Most of the correlations between the current severity of parent's symptoms and their responses were statistically significant (p < .0037).
The main barriers to participation in prevention related to individual characteristics/ emotional experiences rather than structural issues. Addressing these barriers in the advertisement of future programmes could improve uptake.
父母患有抑郁症的孩子自身患精神疾病的风险增加，因此迫切需要为这一人群实施有效的预防计划。“健康快乐成长”（“GuG-Auf-Online”）是一项基于家庭和团体的在线认知行为预防计划，有强有力的证据支持。本研究的目的是了解哪些因素可能阻碍患有抑郁症的父母参与该计划。
在德国对274名符合该计划纳入标准的父母进行了在线横断面调查（父母有抑郁症病史，孩子年龄在8至17岁且无精神疾病）。调查包括几个预先定义的障碍（如在线形式、羞耻感），父母要对这些障碍进行评价：（a）该障碍是否与他们相关，如果是，（b）它在多大程度上阻碍了他们参与。开放式问题确定了其他障碍。除了根据迈林（2008年）进行定性内容分析外，还计算了皮尔逊相关性，以确定父母当前症状的严重程度是否与他们的回答相关。
以下方面被认为是相关障碍：（a）对自己抑郁症的羞耻感，（b）负担过重，（c）回避（不想被提醒患抑郁症）。没有证据表明在线环境是一个重大障碍。父母当前症状严重程度与他们的回答之间的大多数相关性具有统计学意义（p < 0.0037）。
参与预防的主要障碍与个人特征/情感经历而非结构问题有关。在未来计划的宣传中解决这些障碍可能会提高参与率。
