Effects on Children of Treating Their Mothers' Depression: Results of a 12-Month Follow-Up

Coiro, Mary Jo; Riley, Anne W.; Broitman, Marina; Miranda, Jeanne

doi:10.1176/appi.ps.201100126

Cited by 37 publications

(30 citation statements)

References 31 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Eighty-seven percent (74/85) of mothers assigned to IPT-MOMS and 82% (68/83) in BSP received a “minimally therapeutic dose of treatment” (defined as attending ≥6 psychotherapy sessions 12 ). Mean CSQ satisfaction scores were significantly higher for patients receiving IPT-MOMS: 28.6±3.3 for IPT-MOMS, 26.5±4.8 for BSP (t=2.8, df=101, p =.006).…”

Section: Resultsmentioning

confidence: 99%

“…11 Another small trial absent from the meta-analysis examined cognitive-behavioral therapy (CBT) for affected mothers of children age 4-11 but yielded few conclusions, as only seven mothers assigned to CBT (less than a third) received a “minimally therapeutic dose” of treatment, defined as ≥6 sessions. 12 No study has compared active psychotherapies for maternal depression to evaluate their differential effects on mothers and their school-age children.…”

Section: Introductionmentioning

confidence: 99%

“…This method oversamples relatively healthy families. Indeed, in prior trials, offspring had non-clinical mean symptom scores 12 or included samples where fewer than half of mothers had children who met criteria for psychiatric disorders at baseline. 8, 13 Thus, only a subset of families in prior studies carried very high risk for poor outcomes, defined as having members from at least two generations who concurrently met syndromal psychiatric disorder criteria.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Brief Psychotherapy for Maternal Depression: Impact on Mothers and Children

Swartz

Cyranowski

Cheng

et al. 2016

Journal of the American Academy of Child & Adolescent Psych

View full text Add to dashboard Cite

Objective Two-generation studies demonstrate that treating maternal depression benefits school-age children. Although mothers prefer psychotherapy to medication, little is known about how psychotherapy for maternal depression affects offspring, especially in very high-risk families wherein both mothers and children concurrently meet syndromal criteria for psychiatric disorders. This trial evaluated effects of two brief psychotherapies for maternal depression on very high-risk families. Method Mothers with major depressive disorder were randomly assigned to nine sessions of either brief interpersonal psychotherapy for mothers (IPT-MOMS; n=85) or brief supportive psychotherapy (BSP; n=83). Independent assessors evaluated mothers and their children, ages 7-18, diagnosed with at least one internalizing disorder, every three months over one year. Results Symptoms and functioning of mothers and children improved significantly over time, with no between-group differences. However, children of mothers assigned to BSP had more outpatient mental health visits and were more likely to receive antidepressant medication. Mothers reported greater satisfaction with IPT-MOMS than BSP. Improvement in mothers’ depressive symptoms was associated with improvement in child functioning in time-lagged fashion, with children improving 3-6 months after mothers improved. Antidepressant medication use and number of mental health visits received by children did not affect outcomes. Conclusion IPT-MOMS and BSP demonstrated comparable beneficial effects on maternal depression. Children's functioning improved following maternal improvement, independent of youth's treatment. Children of mothers randomized to IPT-MOMS, compared to BSP, achieved comparable outcomes despite less follow-up treatment. Observation of lagged association between maternal improvement and change in child functioning should influence treatment planning for families.

show abstract

Section: Resultsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Brief Psychotherapy for Maternal Depression: Impact on Mothers and Children

Swartz

Cyranowski

Cheng

et al. 2016

Journal of the American Academy of Child & Adolescent Psych

View full text Add to dashboard Cite

show abstract

“…We hypothesize that managing maternal depression prior to or during the multi-component intervention may improve the mother's participation in the treatment process, and consequently may positively affect the treatment outcome (Acri et al 2014). Although there are efficacious treatments for major depression in adults, few studies have examined the extent to which improving or remitting maternal depression may beneficially impact children's outcomes (Coiro et al 2012). …”

Section: Discussionmentioning

confidence: 99%

Maternal Depression and Parenting Practices Predict Treatment Outcome in Italian Children with Disruptive Behavior Disorder

et al. 2014

View full text Add to dashboard Cite

Childhood aggression has been conceptualized as a risk marker on the developmental trajectories leading to a variety of negative adolescent outcomes such as delinquency, substance use and poor school adjustment. The contextual social-cognitive model emphasizes parenting processes in the development and escalation of aggressive behavioral problems. Many multi-component treatment models have been found to be efficacious in reducing children's aggressive behaviors. However a major goal in clinical research is to discover predictors of negative treatment outcome. It has been hypothesized that the change in inconsistent or harsh maternal discipline, and the level of maternal depression, may affect the efficacy of a multi-component treatment on child aggressive behavior. The aim of the study is to test this hypothesis in 62 Italian children (mean age 9.6) with disruptive behavior disorders, treated with Coping Power Program. We used the residualized change in a two-wave model to measure the change in aggressive behavior, as an outcome variable; and the change in parenting practices and the level of maternal depression at the beginning of the treatment were the independent variables. Our results show that a decrease in inconsistent discipline, but not in harsh discipline, was associated with a better treatment outcome in children. Furthermore, a higher level of maternal depression predicted a worse treatment outcome in children. According to our findings, change in parenting skill is a key mechanism for promoting a positive treatment outcome. The implications of these findings for the implementation of strategies aimed at preventing aggressive behavior and promoting better treatment outcome after multi-component intervention are discussed.

show abstract

“…Two other randomized controlled clinical trials testing the effects of maternal treatment on children included much younger children (ages 2-4 and 4-11), and found that there were no statistically significant treatment effects on children. 13,14 We independently assessed children of depressed mothers participating in a randomized, double-blind clinical trial testing the effects of escitalopram, bupropion, or the combination for 12 weeks. 15 We hypothesized that mothers on combination treatment would have an earlier onset and higher rate of remission than either monotherapy and that the results would be reflected in their children.…”

Section: Introductionmentioning

confidence: 99%

Treatment of Maternal Depression in a Medication Clinical Trial and Its Effect on Children

Weissman¹,

Wickramaratne²,

Pilowsky³

et al. 2016

FOC

View full text Add to dashboard Cite

Objective-Observational studies show that when a depressed mother's symptoms remit, her children's symptoms decrease. Without random assignment of mother's treatment, we cannot conclude that the child's improvement is due to the mother's treatment. The objective is to determine the differential effects of a depressed mother's treatment on her child.Methods-Randomized double-blind 12-week clinical trial of escitalopram, bupropion, or the combination in depressed mothers (N=76), and independent assessment of their children (N=135) ages 7-17 years. We hypothesized that mothers on combination treatment would have significantly earlier onset and higher rate of remission than on either monotherapy. The mothers' outcome would be reflected in their children.Results-There were no significant treatment differences in mothers' depressive symptoms or remission. However, children's depressive symptoms and functioning improved significantly if their mothers received escitalopram (vs. bupropion and combination). Only in the escitalopram group was significant improvement of mother's depression associated with improvement in the child's symptoms. Exploratory analyses suggested that this may be due to changes in parental functioning: Mothers on escitalopram (vs. bupropion and combination) reported significantly greater improvement in their ability to listen and talk to their children, who as a group reported that their mothers were more caring over the 12 weeks. Mother's baseline negative affectivity Author Manuscript appeared to moderate the effect of mother's treatment on children, although the effect was not statistically significant. Children of mothers with low negative affectivity improved on all treatments. Children of mothers with high negative affectivity improved significantly only if the mother was on escitalopram (vs. bupropion and combination).Conclusions-The effects of the depressed mother's improvement on her children may depend on her type of treatment. Depressed mothers with high anxious distress and irritability may require medications that reduce these symptoms in order to show the effect of her remission on her children.

show abstract

Effects on Children of Treating Their Mothers' Depression: Results of a 12-Month Follow-Up

Cited by 37 publications

References 31 publications

Brief Psychotherapy for Maternal Depression: Impact on Mothers and Children

Brief Psychotherapy for Maternal Depression: Impact on Mothers and Children

Maternal Depression and Parenting Practices Predict Treatment Outcome in Italian Children with Disruptive Behavior Disorder

Treatment of Maternal Depression in a Medication Clinical Trial and Its Effect on Children

Contact Info

Product

Resources

About