Randomized controlled trial of a family cognitive-behavioral preventive intervention for children of depressed parents.

Compas, Bruce E.; Forehand, Rex; Keller, Gary; Champion, Jennifer E.; Rakow, Aaron; Reeslund, Kristen L.; McKee, Laura G.; Fear, Jessica M.; Colletti, Christina J. M.; Hardcastle, Emily; Merchant, Mary Jane; Roberts, Lori; Potts, Jennifer; Garai, Emily; Coffelt, Nicole; Roland, Erin; Sterba, Sonya K.; Cole, David A.

doi:10.1037/a0016930

Cited by 165 publications

(262 citation statements)

References 55 publications

(104 reference statements)

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“…However, such findings do not rule out alternative causal mechanisms such as genetic vulnerabilities, neurobiological dysregulation, temperament vulnerabilities, exposure to stressors, and inadequate parenting, many of which might be better addressed with experimental studies (Garber et al 2009). In a few recent examples of such an approach, (1) the effects of a parent training program for high-risk families of 2-year-old children on reducing early behavioral problem trajectories from age 2 to 4 were mediated by reduced depressive symptoms in mothers (Shaw et al 2005); and (2) a group family-based cognitive intervention with families with depressed parents was effective in reducing rates of depression, anxiety, and other internalizing problems and, marginally, externalizing problems, in the children 12 months later, relative to controls (Compas et al 2009). Such intervention studies underscore the potential for improving children's lives by reducing maternal depression.…”

Section: Causal Processesmentioning

confidence: 93%

Maternal Depression and Child Psychopathology: A Meta-Analytic Review

Goodman

Rouse

Connell

et al. 2011

Clin Child Fam Psychol Rev

2,096

148

1,680

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Although the association between maternal depression and adverse child outcomes is well established, the strength of the association, the breadth or specificity of the outcomes, and the role of moderators are not known. This information is essential to inform not only models of risk but also the design of preventive interventions by helping to identify subgroups at greater risk than others and to elucidate potential mechanisms as targets of interventions. A meta-analysis of 193 studies was conducted to examine the strength of the association between mothers' depression and children's behavioral problems or emotional functioning. Maternal depression was significantly related to higher levels of internalizing, externalizing, and general psychopathology and negative affect/behavior and to lower levels of positive affect/behavior, with all associations small in magnitude. These associations were significantly moderated by theoretically and methodologically relevant variables, with patterns of moderation found to vary somewhat with each child outcome. Results are interpreted in terms of implications for theoretical models that move beyond main effects models in order to more accurately identify which children of depressed mothers are more or less at risk for specific outcomes.

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Section: Causal Processesmentioning

confidence: 93%

Maternal Depression and Child Psychopathology: A Meta-Analytic Review

Goodman

Rouse

Connell

et al. 2011

Clin Child Fam Psychol Rev

2,096

148

1,680

View full text Add to dashboard Cite

show abstract

“…running summer camps and liaising with teachers (MTA 1999 95 ), or facilitating the child in the home-school environment (Pfiffner 2007 102 ). In three-quarters (53/71) of the studies, the agents were trained specifically for the intervention, 39,[45][46][47][48][49][50][51][53][54][55][56][57][58][59][62][63][64][65][66][67][68][72][73][74][77][78][79][82][83][84][85][86][87][88][89][90]93,94,99,100,[103][104][105][106][108][109]…”

Section: Description Of the Included Effectiveness Studiesmentioning

confidence: 99%

Developing a model of mental health self-care support for children and young people through an integrated evaluation of available types of provision involving systematic review, meta-analysis and case study

Pryjmachuk

Elvey

Kirk

et al. 2014

Health Services and Delivery Research

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BackgroundThe mental health of children and young people (CYP) is a major UK public health concern. Recent policy reviews have identified that service provision for CYP with mental health needs is not as effective, responsive, accessible or child-centred as it could be. Following on from a previous National Institute for Health Research (NIHR) study into self-care support for CYP with long-term physical health needs, this study explored self-care support’s potential in CYP’s mental health.ObjectivesTo identify and evaluate the types of mental health self-care support used by, and available to, CYP and their parents, and to establish how such support interfaces with statutory and non-statutory service provision.DesignTwo inter-related systematic literature reviews (an effectiveness review with meta-analysis and a perceptions review), together with a service mapping exercise and case study.SettingGlobal (systematic reviews); England and Wales (mapping exercise and case study).Participants (case study)Fifty-two individuals (17 CYP, 16 family members and 19 staff) were interviewed across six sites.Main outcome measures (meta-analysis)A measure of CYP’s mental health symptomatology.Data sources (literature reviews)MEDLINE, Cumulative Index to Nursing and Allied Health Literature (CINAHL), PsycINFO, All Evidence-Based Medicine (EBM) Reviews, Applied Social Sciences Index and Abstracts (ASSIA) and Education Resources Information Center (ERIC).Review methodsTitles and abstracts of papers were screened for relevance then grouped into studies. Two independent reviewers extracted data from studies meeting the inclusion criteria. A descriptive analysis and meta-analysis were conducted for the effectiveness review; descriptive analyses were conducted for the perceptions review. These analyses were integrated to elicit a mixed-methods review.ResultsSixty-five of 71 included studies were meta-analysable. These 65 studies elicited 71 comparisons which, when meta-analysed, suggested that self-care support interventions were effective at 6-month [standardised mean difference (SMD) = −0.20; 95% confidence interval (CI) −0.28 to −0.11] and 12-month (SMD = −0.12; 95% CI −0.17 to −0.06) follow-ups. However, judged against Cochrane criteria, the studies were mostly low quality. Key elements of self-care support identified in the perceptions review were the acquisition of knowledge and skills, peer support and the relationship with the self-care support agent; CYP also had different perceptions from adults about what is important in self-care support. The mapping exercise identified 27 providers of 33 self-care support services. According to the case study data, effective self-care support services are predicated on flexibility; straightforward access; non-judgemental, welcoming organisations and staff; the provision of time and attention; opportunities to learn and practise skills relevant to self-care; and systems of peer support.ConclusionsMental health self-care support interventions for CYP are modestly effective in the short to medium term. Self-care support can be conceptualised as a process which has overlap with ‘recovery’. CYP and their families want choice and flexibility in the provision of such interventions and a continued relationship with services after the nominal therapy period. Those delivering self-care support need to have specific child-centred attributes.Future workFuture work should focus on under-represented conditions (e.g. psychosis, eating disorders, self-harm); the role of technology, leadership and readiness in self-care support; satisfaction in self-care support; the conceptualisation of self-care support in CYP’s mental health; and efficacy and cost-effectiveness.Study registrationPROSPERO number (for the effectiveness review) CRD42012001981.FundingThe NIHR Health Services and Delivery Research programme.

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“…The CES-D has shown to have good psychometric properties (Compas et al 2009), is widely used in pediatric settings, and converges with other depression measures (Fountoulakis et al 2007;Shafer 2006).…”

Section: Center For Epidemiologic Studies Depression Scale (Ces-d)mentioning

confidence: 99%

Psychometric Evaluation of the Rage Outbursts and Anger Rating Scale in an Outpatient Psychiatric Sample

et al. 2015

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The primary objective of this study was to examine the psychometric properties of a measure of anger/rage attacks-the Rage Outburst and Anger Rating Scale (ROARS)-in a sample of youth (n = 81, ages 7-17 years, 72.8 % male) receiving treatment at an outpatient pediatric psychiatric clinic. A trained rater completed the ROARS and Clinical Global Impression-Rage (CGI-Rage). Children completed the Spence Children's Anxiety Scale for Children and Center for Epidemiological Studies Depression Scale. Parents completed the Spence Children's Anxiety Scale for Parents. Internal consistency (a = .89), inter-rater reliability (j = .94) and 1-week testretest reliability (r = .72) were calculated for the ROARS. The ROARS was correlated with CGI-Rage (r = .68, q \ .001), although not with parent-and child-rated anxiety symptoms or with child-rated depressive symptoms. Implications regarding clinical utility of the ROARS and directions for future research are discussed.

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Randomized controlled trial of a family cognitive-behavioral preventive intervention for children of depressed parents.

Cited by 165 publications

References 55 publications

Maternal Depression and Child Psychopathology: A Meta-Analytic Review

Maternal Depression and Child Psychopathology: A Meta-Analytic Review

Developing a model of mental health self-care support for children and young people through an integrated evaluation of available types of provision involving systematic review, meta-analysis and case study

Psychometric Evaluation of the Rage Outbursts and Anger Rating Scale in an Outpatient Psychiatric Sample

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