Depressed Parents' Treatment Needs and Children's Problems in an Urban Family Medicine Practice

Vidair, Hilary B.; Boccia, Angelo S.; Johnson, Jeffrey G.; Verdeli, Helen; Wickramaratne, Priya; Klink, Kathleen; Softness, Anita M.; Dominguez-Rafer, Carmen; Younge, Richard; Weissman, Myrna M.

doi:10.1176/appi.ps.62.3.317

Cited by 6 publications

(6 citation statements)

References 15 publications

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“…However, symptoms measured on the BSI seemed just as related to more children's symptoms, functional impairment, and diagnoses as symptoms measured in diagnostic interviews used by Ferro et al16 and Swartz et al17 This suggests that current parental symptoms may be as detrimental to children's well-being as stable parental diagnoses. Vidair et al30 recently found few significant differences in treatment history, interest in help, and reports of children's problems between parents with major depression and subthreshold depression. These findings seem to indicate the importance of screening parents for even transient psychiatric symptoms in order to address current treatment needs of all family members.…”

Section: Discussionmentioning

confidence: 99%

Screening Parents During Child Evaluations: Exploring Parent and Child Psychopathology in the Same Clinic

Vidair

Reyes

Shen

et al. 2011

Journal of the American Academy of Child & Adolescent Psych

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Objective-Children of depressed and/or anxious parents are at increased risk for developing psychiatric disorders. Little research has focused on screening parents bringing their children for psychiatric evaluation, and few studies have included fathers or Hispanic children. This study aimed to: 1) identify current symptom rates in parents bringing their children for evaluation and 2) determine if parental symptoms were associated with children's symptoms, diagnoses, and functioning.Method-The sample included 801 mothers, 182 fathers, and 848 children (ages 6-18). The majority were Hispanic (55.66%) who attended a child and adolescent psychiatric evaluation service. Parent and child symptoms were assessed via parental reports. Children's diagnoses and functioning were determined by clinicians. Multiple regression analyses were used to determine if severity of parental symptoms was associated with clinical child variables adjusting for child and parent demographic variables.Results-18.80% of mothers and 18.42% of fathers reported elevated internalizing symptoms. Maternal symptoms were significantly associated with problems in children's functioning and children's anxiety, depression and oppositional/conduct diagnoses; but not attention deficithyperactivity disorder. Adjusting for parental and child demographics had a reduction on the effect of maternal symptoms on child depression. Paternal symptoms and functioning were positively associated with children's diagnoses, but smaller and not significant. Both parents' symptoms were significantly associated with children's internalizing and externalizing symptoms. However, these significant effects were not moderated by marital status or child ethnicity. Unit 24, New York, N.Y. 10032, Phone: 212-543-6824, Fax: 212-543-6660, vidairh@childpsych.columbia.edu. Publisher's Disclaimer: This is a PDF file of an unedited manuscript that has been accepted for publication. As a service to our customers we are providing this early version of the manuscript. The manuscript will undergo copyediting, typesetting, and review of the resulting proof before it is published in its final citable form. Please note that during the production process errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain.The content is solely the responsibility of the authors and does not necessarily represent the official views of the NIMH or the National Institutes of Health. Conclusions-This study highlights the importance of screening parents when their children receive a psychiatric evaluation. It supports the development of mental health services that addresses psychiatric needs of the entire family within one clinical setting. Keywords parent screening; child psychiatric evaluationChildren and adolescents whose parents suffer from depression and anxiety are at high risk for developing their own psychiatric symptoms and disorders. Top-down studies assessing offspring of parents with lifetime symptoms as compared to non-symptomatic ...

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Section: Discussionmentioning

confidence: 99%

Screening Parents During Child Evaluations: Exploring Parent and Child Psychopathology in the Same Clinic

Vidair

Reyes

Shen

et al. 2011

Journal of the American Academy of Child & Adolescent Psych

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“…The second phase of the study involves distributing a depression screening assessment among parishioners. 40 The final phase involves conducting IPT in a group at the church. 41,46,47 Since African Americans have higher rates of church attendance and religiosity compared with other racial-ethnic groups, 59,60 church-based programs may reach a large cohort of African Americans who currently do not utilize mental health services.…”

Section: Discussionmentioning

confidence: 99%

“…38,39 Thus, the purpose of this study was to conduct focus groups with ministers from one of the largest black churches in the US to learn their views on depression and the feasibility of implementing church-based programs for MDD. We specifically sought to understand the minister's perspectives on distributing a validated depression screening assessment 40 to parishioners in the church. We also explored the ministers' opinion about conducting an evidence-based treatment for MDD, interpersonal psychotherapy (IPT) delivered in a group, [41][42][43] at the church.…”

Section: Introductionmentioning

confidence: 99%

Ministers’ Perceptions of Church-Based Programs to Provide Depression Care for African Americans

et al. 2013

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African Americans, compared with white Americans, underutilize mental health services for major depressive disorder. Church-based programs are effective in reducing racial disparities in health; however, the literature on church-based programs for depression is limited. The purpose of this study was to explore ministers' perceptions about depression and the feasibility of utilizing the church to implement evidence-based assessments and psychotherapy for depression. From August 2011 to March 2012, data were collected from three focus groups conducted with adult ministers (n021) from a black mega-church in New York City. Using consensual qualitative research to analyze data, eight main domains emerged: definition of depression, identification of depression, causal factors, perceived responsibilities, limitations, assessment, group interpersonal psychotherapy, and stigma. A major finding was that ministers described depression within a context of vast suffering due to socioeconomic inequalities (e.g., financial strain and unstable housing) in many African American communities. Implementing evidence-based assessments and psychotherapy in a church was deemed feasible if principles of community-based participatory research were utilized and safeguards to protect participants' confidentiality were employed. In conclusion, ministers were enthusiastic about the possibility of implementing church-based programs for depression care and emphasized partnering with academic researchers throughout the implementation process. More research is needed to identify effective, multidisciplinary interventions that address social inequalities which contribute to racial disparities in depression treatment.

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“…Interpersonal psychotherapy: evaluation, support, triage derives from our experience following over 3000 primary care or family practise patients (Das et al, ; Vidair et al, ). Our systemic follow‐up studies of depressed patients in primary care clearly demonstrate that depression complicates the course and treatment of chronic medical illness, contributes to increased utilization of expensive emergency room services and results in increased frequency of patient visits.…”

Section: Rationalementioning

confidence: 99%

“…Depression is highly prevalent among primary care patients. A quarter to one third of family practise patients screen positive for elevated mood symptoms (e.g., Coyne, Fechner‐Bates, & Schwenk, ; Vidair et al, ). Furthermore, for patients seeking treatment for depression, the first point of contact is often their primary care clinic (Coyne et al, ), and over half of the patients diagnosed with major depressive disorder are treated in primary care (Rubenstein et al, ; Shapiro et al, ).…”

Section: Rationalementioning

confidence: 99%

Interpersonal Psychotherapy: Evaluation, Support, Triage

Weissman

Verdeli

2012

Clin Psychology and Psychoth

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Depression is highly prevalent and debilitating among medically ill patients. As high as one third of the primary practise patients screen positive for depression symptoms and over half of the patients diagnosed with major depressive disorder are treated in primary care. However, current primary care service arrangements do not efficiently triage patients who screen positive for depression into appropriate treatments that reflect their individual needs and preferences. In this paper, we describe a tool that aims to fill the gap between screening the patients for depression and triaging them to appropriate care. This is a three-session adaptation of interpersonal psychotherapy: ipt; evaluation, support, triage (IPT-EST). We first outline IPT-EST procedures that aim to provide structure and content to primary care practitioners who identify patients with positive depression symptoms, thus assisting the practitioners to explore the patients’ psychosocial triggers of depression, give basic strategies to manage these interpersonal stressors and provide decisions tools about triaging patients with severe/persistent depression into appropriate treatment.

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Depressed Parents' Treatment Needs and Children's Problems in an Urban Family Medicine Practice

Cited by 6 publications

References 15 publications

Screening Parents During Child Evaluations: Exploring Parent and Child Psychopathology in the Same Clinic

Screening Parents During Child Evaluations: Exploring Parent and Child Psychopathology in the Same Clinic

Ministers’ Perceptions of Church-Based Programs to Provide Depression Care for African Americans

Interpersonal Psychotherapy: Evaluation, Support, Triage

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