Improved Parent–Child Interactions Predict Reduced Internalizing Symptoms Among the Offspring of Parents with Bipolar Disorder Undergoing a Prevention Program: A Proof-of-Concept Study

Serravalle, Lisa; Iacono, Vanessa; Wilson, Alexa Larouche; Orlando, Mark Anthony; Tsekova, Virginia; Ellenbogen, Mark A.

doi:10.1007/s10802-020-00743-3

Cited by 3 publications

(5 citation statements)

References 57 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In addition, the finding that families with a parent having BD have higher parenting stress than control families is an important addition to the literature; only one study thus far had demonstrated differences on the Parenting Stress Index between depressed and non-depressed mothers (Gelfand et al 1992 ). This finding complements the previously documented dysfunction present in the family environment of parents with BD (Iacono et al 2018 ; Ostiguy et al 2012 ; Serravalle et al 2021 ).…”

Section: Discussionsupporting

confidence: 89%

“…Intervening in middle childhood, prior to the onset of affective disorders in adolescence (Warner et al 1992 ), may be central to effective prevention efforts. Without the urgent need to manage offspring symptoms, such as interventions catered to an older population (Compas et al 2009 ; Garber et al 2009 ), the RUSH program can target well-established family-related risk factors for OBD (Serravalle et al 2021 ). Despite the positive implications of our findings, this study was not without limitations.…”

Section: Discussionmentioning

confidence: 99%

“…If eligible for the study, parents underwent the pre-intervention T1 assessment where they filled out questionnaires assessing parenting stress and child emotional and behavioural adjustment. Parents also underwent the UCLA Life Stress Interview, as well as a structured parent–child interaction task (Serravalle et al 2021 ). The offspring underwent neuropsychological testing and provided saliva samples at home to assess cortisol levels (not reported here).…”

Section: Methodsmentioning

confidence: 99%

“…Previous research indicates BD in parents might influence their offspring’s functioning through parenting practices and by creating a stressful family environment. Specifically, families having a parent with BD, relative to families with parents having no mental disorders, are known to have ineffective parenting practices, poor family cohesion, disorganization, poor marital adjustment, and dysfunctional parent–child interactions (Ferreira et al 2013 ; Ellenbogen and Hodgins 2004 ; Iacono et al 2018 ; Ostiguy et al 2012 ; Serravalle et al 2021 ). Indeed, the OBD, relative to control offspring, report more chronic interpersonal stress, which appears to be the familial instability created by parents with BD (Ostiguy et al 2009 ).…”

Section: Introductionmentioning

confidence: 99%

“…However, it has been suggested that the success of early interventions is dependent on actual changes in children’s environment (Sameroff and Fiese 2000 ). For example, positive changes in parent–child interactions in the OBD following the RUSH program were associated with a greater decline in internalizing problems relative to families where no improvement in parent–child interactions was observed (Serravalle et al 2021 ). Thus, the current study explores whether RUSH-elicited changes in parenting stress, defined as stress stemming from one’s role as a parent, might lead to improved outcomes in the OBD.…”

Section: Introductionmentioning

confidence: 99%

See 4 more Smart Citations

Reduced parenting stress following a prevention program decreases internalizing and externalizing symptoms in the offspring of parents with bipolar disorder

Resendes

Serravalle

Iacono

et al. 2023

Int J Bipolar Disord

Self Cite

View full text Add to dashboard Cite

Background Offspring of parents with bipolar disorder (OBD) are at risk for developing mental disorders, and the literature suggests that parenting stress may represent an important risk factor linking parental psychopathology to offspring psychopathology. We aimed to investigate whether improvements in parenting stress mediated the relationship between participation in a prevention program and offspring internalizing and externalizing symptoms at follow-up. Methods Families having a parent with BD (N = 25) underwent a 12-week prevention program. Assessments were conducted at pre-intervention, post-intervention, and at 3- and 6-month follow-ups. Families of parents with no affective disorders (i.e., control families) served as a comparison sample (N = 28). The Reducing Unwanted Stress in the Home (RUSH) program aimed to teach communication, problem-solving, and organization skills to improve the rearing environment. Measures included the Parenting Stress Index—4th Edition, the Behaviour Assessment Scales for Children—2nd Edition, and the UCLA Life Stress Interview. Results Families having a parent with BD reported more parenting stress at pre-intervention, and more change across time, than control families. Improvements in parenting stress mediated the relationship between participation in the intervention and reduced offspring internalizing and externalizing symptoms. While families having a parent with BD reported more chronic interpersonal stress at pre-intervention, no intervention effects were found. Conclusions The findings demonstrate that a preventative intervention targeting parenting stress in families may serve to prevent the development of mental disorders in at-risk children.

show abstract

Section: Discussionsupporting

confidence: 89%

Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Reduced parenting stress following a prevention program decreases internalizing and externalizing symptoms in the offspring of parents with bipolar disorder

Resendes

Serravalle

Iacono

et al. 2023

Int J Bipolar Disord

Self Cite

View full text Add to dashboard Cite

show abstract

Family dysfunction, stressful life events, and mental health problems across development in the offspring of parents with an affective disorder

Resendes,

Ellenbogen,

Oldehinkel

2024

Child Psychology Psychiatry

View full text Add to dashboard Cite

BackgroundOffspring of parents with affective disorders (OAD) are at risk of developing a wide range of mental disorders. Deficits in the rearing environment and high levels of stress are well‐known risk factors for negative outcomes in OAD. Building on prior research, we aim to examine the longitudinal relationships between family dysfunction, stressful life events, and mental health in OAD and control offspring of parents with no affective disorder. In the present study, we hypothesized that high levels of family dysfunction would be associated with more internalizing and externalizing problems across time in OAD than in controls, and that family dysfunction would mediate the relationship between stressful life events in adolescence and poor mental health in adulthood, particularly in OAD.MethodsAs part of the TRacking Adolescents' Lives Survey (TRAILS), 2230 participants (51% female, Mage = 11.1 years, SD = 0.6, at baseline) and their parents completed measures across six time points, spanning 15 years. Mental health, family dysfunction, and stressful life events were assessed with the Youth and Adult Self‐Report, Family Assessment Device, and an in‐house measure, respectively.ResultsMulti‐group structured equation modeling revealed that family dysfunction was linked to internalizing and externalizing problems in OAD, but not controls, across time. Risk status did not moderate family dysfunction's mediation of the relationship between stressful life events and negative outcomes in adulthood.ConclusionsOAD show high sensitivity to dysfunction in the rearing environment across childhood and adolescence, which supports the use of family based interventions to prevent the development of mental disorders in high‐risk youth.

show abstract

Psychosocial Treatments for Bipolar Disorder in Children and Adolescents

Brickman

Fristad

2022

Annu. Rev. Clin. Psychol.

View full text Add to dashboard Cite

Evidence suggests that adjunctive psychosocial intervention for the treatment of pediatric bipolar spectrum disorders (BPSDs) is effective, feasible, and highly accepted as both an acute and maintenance treatment for youth with BPSD diagnoses as well as a preventive treatment for high-risk youth who are either asymptomatic or exhibit subsyndromal mood symptoms. Here, we provide a comprehensive review of all known evidence-based interventions, including detailed descriptions of treatment targets and core components, results of clinical trials, and updated research on mediators and moderators of treatment efficacy. Treatments are presented systematically according to level of empirical support (i.e., well established, probably efficacious, possibly efficacious, experimental, or questionable); upcoming and ongoing trials are included when possible. In line with a staging approach, preventive interventions are presented separately. Recommendations for best practices based on age, stage, and additional evidence-based child and family factors shown to affect treatment outcomes are provided. Expected final online publication date for the Annual Review of Clinical Psychology, Volume 18 is May 2022. Please see http://www.annualreviews.org/page/journal/pubdates for revised estimates.

show abstract

Improved Parent–Child Interactions Predict Reduced Internalizing Symptoms Among the Offspring of Parents with Bipolar Disorder Undergoing a Prevention Program: A Proof-of-Concept Study

Cited by 3 publications

References 57 publications

Reduced parenting stress following a prevention program decreases internalizing and externalizing symptoms in the offspring of parents with bipolar disorder

Reduced parenting stress following a prevention program decreases internalizing and externalizing symptoms in the offspring of parents with bipolar disorder

Family dysfunction, stressful life events, and mental health problems across development in the offspring of parents with an affective disorder

Psychosocial Treatments for Bipolar Disorder in Children and Adolescents

Contact Info

Product

Resources

About