Targeting Family Risk Factors in the Context of Treating Youth Depression: A Survey of Psychologists

Parra, Gilbert R.; Buckholdt, Kelly E.; Olsen, James P.; Jobe‐Shields, Lisa; Davis, Genevieve L.; Gamble, Heather L.

doi:10.1177/1066480711419801

Cited by 7 publications

(3 citation statements)

References 36 publications

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“…They believe that it is necessary to involve the family in treatment because family influences “are among the strongest and most consistent risk factors” for youth depression (2011, p. 382). Additionally, family factors such as parental psychopathology, marital conflict, and negative parent–child relationships negatively affect youth treatments, causing poor attendance, early termination, and insufficient adherence to treatment recommendations (Parra et al, 2011).…”

Section: Depression Treatments For Youthmentioning

confidence: 99%

“…Depressed Youth Parra et al (2011) presented several reasons for including family components in treatments for youth depression. They believe that it is necessary to involve the family in treatment because family influences "are among the strongest and most consistent risk factors" for youth depression (2011, p. 382).…”

Section: Parent Involvement In Treatments Formentioning

confidence: 99%

See 1 more Smart Citation

Child and adolescent depression in the family.

Stark¹,

Banneyer²,

Wang³

et al. 2012

Couple and Family Psychology: Research and Practice

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There are numerous individual, familial, and environmental factors that impact the onset of depressive disorders in youth. This article presents an overview of these factors and describes our own research evaluating a possible model of how disturbances in family functioning could lead to the development of depression in youth. Given that families are often implicated in the development and maintenance of depressive disorders in youth, it has been argued that maximally effective treatments for youth should include families. Thus, a review of empirically evaluated treatments that involve parental/familial participation for youth with depression is presented. These treatments vary widely in number of meetings, format, and content. Finally, it is proposed that the greatest benefit to including a parent or family component is improving the maintenance of treatment effects. To support this hypothesis, data from one of our own investigations is presented.

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Section: Depression Treatments For Youthmentioning

confidence: 99%

Section: Parent Involvement In Treatments Formentioning

confidence: 99%

Child and adolescent depression in the family.

Stark¹,

Banneyer²,

Wang³

et al. 2012

Couple and Family Psychology: Research and Practice

View full text Add to dashboard Cite

show abstract

“…One reason for high re-hospitalization rates is that patients and their caregivers often experience barriers to post-acute treatment, including long wait times for an appointment, and lack of information about appropriate treatment. Consequently, only 41% to 60% of youth and families referred for treatment pursue therapy (Parra et al, 2011). Additionally, 40% to 80% of youth who need mental health services do not receive them (Collins et al, 2004;Merikangas et al, 2011).…”

Section: Introductionmentioning

confidence: 99%

Youth and parent report of sleep-based interventions and utilization of technology resources in the treatment of pediatric mood disorders

Leffler

Zelic

Kruser

et al. 2021

Clin Child Psychol Psychiatry

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Objectives: Mood disorders in youth are associated with social and academic impairment, and difficulties within the family system. Engagement in sleep hygiene, and family- and technology-based treatment models can address these impairments. The current study evaluates changes in functioning for youth who participated in a family-based partial hospitalization program (PHP) for mood disorders. Child and parent views of the importance and application of sleep hygiene and utilization of technology-based interventions were also evaluated. Methods: 474 youth diagnosed with a primary mood disorder and their caregivers participated in a family-based PHP that addressed the role of sleep hygiene, technology use for symptom management, and components of evidence-based treatments in ameliorating mood disorders. Participants were evaluated 1-, 3-, and 6-month following treatment. Results: Participants demonstrated improved functioning in social, home, and school domains. The majority of participants and parents found the sleep hygiene content and application important or very important as a component of treatment. Parents were significantly more likely than youth to be interested in using technology to access after care resources. Conclusions: Findings revealed significantly less impairment in functioning at follow-up. Parents and youth reported interest in sleep hygiene strategies as part of a comprehensive treatment for mood disorders as well as the use of technology-based resources to assist with treatment. Limitations include sample demographics and follow-up sample size.

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A Randomized Controlled Trial of the Impact of a Family-Based Adolescent Depression Intervention on both Youth and Parent Mental Health Outcomes

Poole

Knight

Toumbourou

et al. 2017

J Abnorm Child Psychol

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This paper presents findings from a multi-centre, double-blind, randomized controlled trial that tested the hypothesis that parent and youth mental health improvements would be superior in a family-based intervention for adolescent depression (BEST MOOD) compared to a treatment-as-usual supportive parenting program (PAST). Eligible participants were families with a young person aged between 12 and 18 years who met diagnostic criteria for a depressive disorder (major, minor or dysthymic). Participating families (N = 64; 73.4% of youth were female) were recruited in Victoria, Australia and allocated to treatment condition using a block randomization procedure (parallel design) with two levels of blinding. This paper reports on the trial's secondary outcomes on youth and parent mental health. General linear mixed models were used to examine the longitudinal effect of treatment group on outcome. Data were analyzed according to intention-to-treat; 31 families were analyzed in BEST MOOD, and 33 families in PAST. Parents in the BEST MOOD group experienced significantly greater reductions in stress and depressive symptoms than parents in the PAST group at 3-month follow-up. A greater reduction in parental anxiety was observed in the BEST MOOD group (d = 0.35) compared with PAST (d = 0.02), although the between-group difference was not significant. Both groups of youth showed similar levels of improvement in depressive symptoms at post-treatment (d = 0.83 and 0.80 respectively), which were largely sustained at a 3-month follow-up. The family-based BEST MOOD intervention appeared superior to treatment-as-usual (PAST) in demonstrating greater reductions in parental stress and depression. Both interventions produced large reductions in youth depressive symptoms.

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Targeting Family Risk Factors in the Context of Treating Youth Depression: A Survey of Psychologists

Cited by 7 publications

References 36 publications

Child and adolescent depression in the family.

Child and adolescent depression in the family.

Youth and parent report of sleep-based interventions and utilization of technology resources in the treatment of pediatric mood disorders

A Randomized Controlled Trial of the Impact of a Family-Based Adolescent Depression Intervention on both Youth and Parent Mental Health Outcomes

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