Skip to main content
Mijn bibliotheek
Shop
Nieuws Boeken Tijdschriften E-learning Web-tv Video Audio
Tips voor Mijn BSL
UITGEBREID ZOEKEN
Inloggen
Top
Clinical Child and Family Psychology Review
Gepubliceerd in: Clinical Child and Family Psychology Review 4/2015

16-09-2015

Clinical Effectiveness of Family Therapeutic Interventions Embedded in General Pediatric Primary Care Settings for Parental Mental Health: A Systematic Review and Meta-analysis

Auteurs: Fallon Cluxton-Keller, Anne W. Riley, Sassan Noazin, Mfon Valencia Umoren

Gepubliceerd in: Clinical Child and Family Psychology Review | Uitgave 4/2015

Log in om toegang te krijgen
share
DELEN

Deel dit onderdeel of sectie (kopieer de link)

  • Optie A:
    Klik op de rechtermuisknop op de link en selecteer de optie “linkadres kopiëren”
  • Optie B:
    Deel de link per e-mail
    Link delen
publish
Publiceer nu

Abstract

The aim of this systematic review and meta-analysis was to synthesize the available evidence on embedded family therapy interventions in pediatrics and impacts on parental mental health and family functioning outcomes. The Cochrane Collaboration guidelines for systematic reviews and meta-analysis were used for this study. Six electronic databases were searched for randomized controlled trials and cluster randomized trials. The Cochrane Collaboration’s Risk of Bias Tool and GRADE system were used to rate the quality of evidence of the included studies. The primary outcomes included parental distress, parental depressive symptoms, and dysfunctional parent–child interaction. Fixed effects models showed statistically significant reductions in parental distress at 6-month and 12-month post-intervention in favor of the intervention group. Family therapy model, intervention level, delivery modality, and dosage moderated intervention impacts on parental distress. Fixed effects models showed statistically significant reductions in parental depressive symptoms and in dysfunctional parent–child interaction in favor of the intervention group. Family therapy interventions can be successfully embedded in general pediatric primary care, and intended outcomes are achieved in this setting. Recommendations for future research and implications for policy development are discussed.
vorige artikel One Session Treatment for Specific Phobias: An Adaptation for Paediatric Blood–Injection–Injury Phobia in Youth
volgende artikel Underlying Mechanisms of Gene–Environment Interactions in Externalizing Behavior: A Systematic Review and Search for Theoretical Mechanisms
Literatuur
Babinski, D. E., Waxmonsky, J. G., & Pelham, W. E, Jr. (2014). Treating parents with attention-deficit/hyperactivity disorder: The effects of behavioral parent training and acute stimulant medication treatment on parent-child interactions. Journal of Abnormal Child Psychology, 42(7), 1129–1140. doi:10.​1007/​s10802-014-9864-y.CrossRefPubMed
Barlow, J., Coren, E., & Stewart-Brown, S. (2002). Meta-analysis of the effectiveness of parenting programmes in improving maternal psychosocial health. British Journal of General Practice, 52, 223–233.PubMedCentralPubMed
Barlow, J., Smailagic, N., Huband, N., Roloff, V., & Bennett, C. (2014). Group-based parent training programmes for improving parental psychosocial health. Cochrane Database of Systematic Reviews, 5, Art. No.: CD002020.
Barrett, P. M., Dadds, M. R., & Rapee, R. M. (1996). Family treatment of childhood anxiety: A controlled trial. Journal of Consulting and Clinical Psychology, 64, 333–342.CrossRefPubMed
Bateson, G. (1972). Steps to an ecology of mind. San Francisco, CA: Chandler Publishing Company.
Bateson, G., Jackson, D. D., Haley, J., & Weakland, J. (1956). Toward a theory of schizophrenia. Behavioral Science, 1, 251–264.CrossRef
Bauer, N. S., Gilbert, A. L., Carroll, A. E., & Downs, S. M. (2013). Associations of early exposure to intimate partner violence and parental depression with subsequent mental health outcomes. JAMA Pediatrics, 167, 341–347.PubMedCentralCrossRefPubMed
Beardslee, W. R., Versage, E. M., & Gladstone, T. R. G. (1998). Children of affectively ill parents: A review of the past 10 years. Journal of the American Academy of Child and Adolescent Psychiatry, 37, 1134–1141.CrossRefPubMed
Burke, L. (2003). The impact of maternal depression on familial relationships. International Review of Psychiatry, 15, 243–255.CrossRefPubMed
Burwell, S. M. (2014). 2014 annual report on the quality of care for children in medicaid and CHIP. Rockville, MD: Department of Health and Human Services.
Chemtob, C. M., Gudiño, O. G., & Laraque, D. (2013). Maternal posttraumatic stress disorder and depression in pediatric primary care: Association with child maltreatment and frequency of child exposure to traumatic events. JAMA Pediatrics, 167, 1011–1018.CrossRefPubMed
Colorado Health Foundation. (2012). The Colorado blueprint for promoting integrated care sustainability: Summary report. coloradohealth.​org
Coren, E., Barlow, J., & Stewart-Brown, S. (2003). The effectiveness of individual and group-based parenting programmes in improving outcomes for teenage mothers and their children: A systematic review. Journal of Adolescence, 26(1), 79–103.CrossRefPubMed
Costello, E. J., Egger, H., & Angold, A. (2005). Ten year research update review: The epidemiology of child and adolescent psychiatric disorders, part I: Methods and public health burden. Journal of American Academy of Child and Adolescent Psychiatry, 44(10), 972–986.CrossRef
Deeks, J. J., Higgins, J. P. T., & Altman, D. G. (Eds.). (2011). Chapter 9: Analysing data and undertaking meta-analyses. In J. P. T. Higgins & S. Green (Eds.), Cochrane handbook for systematic reviews of interventions. Version 5.1.0 (updated March 2011). The Cochrane Collaboration. www.​cochrane-handbook.​org.
DeGarmo, D. S., Patterson, G. R., & Forgatch, M. S. (2004). How do outcomes in a specified parent training intervention maintain or wane over time? Prevention Science, 5(2), 73–89.CrossRefPubMed
Downey, G., & Coyne, J. C. (1990). Children of depressed parents: An integrative review. Psychological Bulletin, 108, 50–76.CrossRefPubMed
Durlak, J. A., & DuPre, E. P. (2008). Implementation matters: A review of research on the influence of implementation on program outcomes and the factors affecting implementation. American Journal of Community Psychology, 41(3–4), 327–350. doi:10.​1007/​s10464-008-9165-0.CrossRefPubMed
Earls, M. F. (2010). Committee on Psychosocial Aspects of Child and Family Health American Academy of Pediatrics. Incorporating recognition and management of perinatal and postpartum depression into pediatric practice. Pediatrics, 126(5), 1032–1039.CrossRefPubMed
Elliott, D. S., & Mihalic, S. (2004). Issues in disseminating and replicating effective prevention programs. Prevention Science, 5(1), 47–53.CrossRefPubMed
England, M. J., & Sim, L. J. (Eds.). (2009). Depression in parents, parenting, and children: Opportunities to improve identification, treatment, and prevention. Institute of Medicine.
Garber, J., Clarke, G. N., Robin Weersing, V., Beardslee, W. R., Brent, D. A., Gladstone, T. R. G., et al. (2009). Prevention of depression in at-risk adolescents: A randomized controlled trial. JAMA, 301, 2215–2224.PubMedCentralCrossRefPubMed
Gershoff, E., Abner, J., & Raver, C. (2003). Child poverty in the United States: An evidence-based conceptual framework for programs and policies. In R. Lerner, D. Wertlieb, & F. Jacobs (Eds.), Handbook of applied developmental science (pp. 81–136). California: Sage Publications Inc.
Hammen, C., Brennan, P., & Shih, J. (2004). Family discord and stress predictors of depression and other disorders in adolescent children of depressed and nondepressed women. Journal of the American Academy of Child and Adolescent Psychiatry, 43, 994–1002.CrossRefPubMed
Harrison, M. E., McKay, M. M., & Bannon, W. M. (2004). Inner-city child mental health service use: The real question is why youth and families do not use services. Community Mental Health Journal, 40, 119–131.CrossRefPubMed
Hawley, K. M., & Weisz, J. R. (2005). Youth versus parent working alliance in usual clinical care: Distinctive associations with retention, satisfaction, and treatment outcome. Journal of Clinical Child and Adolescent Psychology, 34, 117–128.CrossRefPubMed
Higgins, J. P. T., Altman, D. G., Gøtzsche, P. C., Juni, P., Moher, D., Oxman, A. D., et al. (2011a). The Cochrane Collaboration’s tool for assessing risk of bias in randomised trials. British Medical Journal, 343, d5928.PubMedCentralCrossRefPubMed
Higgins, J. P. T., Altman, D. G., & Sterne, J. A. C. (Eds.). (2011c). Chapter 8: Assessing risk of bias in included studies. In J. P. T. Higgins & S. Green (Eds.), Cochrane handbook for systematic reviews of interventions. Version 5.1.0 (updated March 2011). The Cochrane Collaboration. www.​cochrane-handbook.​org
Higgins, J. P. T., & Deeks, J. J. (Eds.). (2011). Chapter 7: Selecting studies and collecting data. In J. P. T. Higgins & S. Green (Eds.), Cochrane handbook for systematic reviews of interventions. Version 5.1.0 (updated March 2011). The Cochrane Collaboration. www.​cochrane-handbook.​org
Higgins, J. P. T., Deeks, J. J., & Altman, D. G. (Eds.). (2011b). Chapter 16: Special topics in statistics. In J. P. T. Higgins & S. Green (Eds.), Cochrane handbook for systematic reviews of interventions. Version 5.1.0 (updated March 2011). The Cochrane Collaboration 2011. www.​cochrane-handbook.​org
Higgins, J. P. T., & Green, S. (Eds.) (2011). Cochrane handbook for systematic reviews of interventions. Version 5.1.0 [updated March 2011]. The Cochrane Collaboration. www.​cochrane-handbook.​org
Hiscock, H., Bayer, J. K., Price, A., Ukoumunne, O. C., Rogers, S., & Wake, M. (2008). Universal parenting programme to prevent early childhood behavioural problems: Cluster randomised trial. British Medical Journal, 9, 318–321.CrossRef
Horwitz, S. M., Leaf, P. J., Leventhal, J. M., Forsyth, B. W. C., & Speechley, K. N. (1992). Identification and management of psychosocial problems in community-based, primary care pediatric clinics. Pediatrics, 89, 480–485.PubMed
Kelleher, K. J., McInerny, T. K., Gardner, W. P., Childs, G. E., & Wasserman, R. C. (2000). Increasing identification of psychosocial problems: 1979–1996. Pediatrics, 105, 1313–1321.CrossRefPubMed
Kolko, D. J., Campo, J., Kilbourne, A. M., Hart, J., Sakolsky, D., & Wisniewski, S. (2014). Collaborative care outcomes for pediatric behavioral health problems: A cluster randomized trial. Pediatrics, 133(4), 981–992.CrossRef
Kumpfer, K. L., Alvarado, R., Smith, P., & Bellamy, N. (2002). Cultural sensitivity and adaptation in family-based prevention interventions. Prevention Science, 3(3), 241–246.CrossRefPubMed
Lavigne, J. V., Lebailly, S. A., Gouze, K. R., Cicchetti, C., Pochyly, J., Arend, R., et al. (2008a). Treating oppositional defiant disorder in primary care: A comparison of three models. Journal of Pediatric Psychology, 33(5), 449–461.CrossRefPubMed
Lavigne, J. V., Lebailly, S. A., Gouze, K. R., Cicchetti, C., Pochyly, J., Arend, R., et al. (2008b). Predictor and moderator effects in the treatment of oppositional defiant disorder in pediatric primary care. Journal of Pediatric Psychology, 33(5), 462–472.CrossRefPubMed
Malia, J. A. (2007). A reader’s guide to family stress literature. Journal of Loss and Trauma, 12, 223–243.CrossRef
McKay, M. M., McCadam, K., & Gonzales, J. (1996). Addressing barriers to mental health services for inner-city children and their care-takers. Community Mental Health Journal, 32, 353–361.CrossRefPubMed
Moher, D., Liberati, A., Tetzlaff, J., Altman, D. G., & The PRISMA Group. (2009). Preferred reporting items for systematic reviews and meta-analyses: The PRISMA statement. PLoS Medicine, 6(6), e1000097.PubMedCentralCrossRefPubMed
Mowbray, C. T., Holter, M. C., Teague, G. B., & Bybee, D. (2003). Fidelity criteria: Development, measurement, and validation. American Journal of Evaluation, 24, 315–340.CrossRef
National Research Council and Institute of Medicine. (2009). Preventing mental, emotional, and behavioral disorders among young people: Progress and possibilities. Committee on Prevention of Mental Disorders and Substance Abuse Among Children, Youth and Young Adults: Research Advances and Promising Interventions. In M. E. O’Connell, T. Boat, K. E. Warner (Eds.), Board on children, youth, and families, Division of Behavioral and Social Sciences and Education. Washington, DC: The National Academies Press.
Nicholson, J., Biebel, K., Katz-Leavy, J., & Williams, V. (2004). The prevalence of parenthood in adults with mental illness: Implications for state and federal policymakers, programs, and providers. In R. W. Manderscheid & M. J. Henderson (Eds.), Mental Health, United States, 2002 (pp. 120–137). Rockville, MD: Department of Health and Human Services, Substance Abuse and Mental Health Services Administration, Center for Mental Health Services.
Olson, A. L., Dietrich, A. J., Prazar, G., Hurley, J., Tuddenham, A., Hedberg, V., & Naspinsky, D. A. (2005). Two approaches to maternal depression screening during well child visits. Journal of Developmental and Behavioral Pediatrics, 26, 169–176.CrossRefPubMed
Oveisi, S., Ardabili, H. E., Dadds, M. R., Majdzadeh, R., Mohammadkhani, P., Rad, J. A., & Shahrivar, Z. (2010). Primary prevention of parent-child conflict and abuse in Iranian mothers: A randomized-controlled trial. Child Abuse and Neglect, 34(3), 206–213.CrossRefPubMed
Patterson, G. R. (1982). Coercive family process. Eugene, OR: Castalia Publishing Co.
Patterson, J., Barlow, J., Mockford, C., Klimes, I., Pyper, C., & Stewart-Brown, S. (2002). Improving mental health through parenting programmes: Block randomised controlled trial. Archives of Disease in Childhood, 87(6), 472–477.PubMedCentralCrossRefPubMed
Patterson, G. R., & Cobb, J. A. (1971). A dyadic analysis of “aggressive” behaviors. In J. P. Hill (Ed.), Minnesota symposia on child psychology (pp. 72–129). Minneapolis: University of Minnesota Press.
Patterson, G. R., DeGarmo, D., & Forgatch, M. S. (2004). Systematic changes in families following prevention trials. Journal of Abnormal Child Psychology, 32(6), 621–633.CrossRefPubMed
Patterson, G. R., & Dishion, T. J. (1988). Multilevel family process models: Traits, interactions, and relationships. In R. Hinde & J. Stevenson-Hinde (Eds.), Relationships within families: Mutual influences (pp. 283–310). Oxford: Clarendon Press.
Patterson, G. R., & Stouthamer-Loeber, M. (1984). The correlation of family management practices and delinquency. Child Development, 55, 1299–1307.CrossRefPubMed
Pettit, G. S., Bates, J. E., & Dodge, K. A. (1993). Family interaction patterns and children’s conduct problems at home and school: A longitudinal perspective. School Psychology Review, 22, 401–418.
Reid, M. J., Webster-Stratton, C., & Beauchaine, T. P. (2001). Parent training in Head Start: A comparison of program response among African American, Asian American, Caucasian, and Hispanic Mothers. Prevention Science, 2, 209–227.CrossRefPubMed
Reid, M. J., Webster-Stratton, C., & Hammond, M. (2003). Follow-up of children who received the Incredible Years intervention for oppositional-defiant disorder: Maintenance and prediction of 2-year outcome. Behavior Therapy, 34, 471–491.CrossRef
Riley, A. W., Valdez, C. R., Barrueco, S., Mills, C., Beardslee, W., Sandler, I., & Rawal, P. (2008). Development of a family-based program to reduce risk and promote resilience among families affected by maternal depression: Theoretical basis and program description. Clinical Child and Family Psychology Review, 11, 12–29.CrossRefPubMed
Schappin, R., Wijnroks, L., Uniken Venema, M., Wijnberg-Williams, B., Veenstra, R., Koopman-Esseboom, C., et al. (2013). Brief parenting intervention for parents of NICU graduates: A randomized, clinical trial of Primary Care Triple P. BMC Pediatrics, 13, 69–78.PubMedCentralCrossRefPubMed
Schor, E. L. (2003). American Academy of Pediatrics Task Force on the Family. Family pediatrics: Report of the task force on the family. Pediatrics, 111, 1541–1571.PubMed
Sonuga-Barke, E. J., Thompson, M., Daley, D., & Laver-Bradbury, C. (2004). Parent training for attention deficit/hyperactivity disorder: Is it as effective when delivered as routine rather than as specialist care? British Journal of Clinical Psychology, 43(4), 449–457.CrossRefPubMed
Spijkers, W., Jansen, D. E., & Reijneveld, S. A. (2013). Effectiveness of Primary Care Triple P on child psychosocial problems in preventive child healthcare: A randomized controlled trial. BMC Medicine, 11, 240–257.PubMedCentralCrossRefPubMed
Stormshak, E. A., Bierman, K. L., McMahon, R. J., Lengua, L. J., & Conduct Problems Prevention Research Group. (2000). Parenting practices and child disruptive behavior problems in early elementary school. Journal of Clinical Child Psychology, 29, 17–29.PubMedCentralCrossRefPubMed
Thomason, E., Volling, B. L., Flynn, H. A., McDonough, S. C., Marcus, S. M., Lopez, J. F., & Vazquez, D. M. (2014). Parenting stress and depressive symptoms in postpartum mothers: Bidirectional or unidirectional effects? Infant Behavior and Development, 37, 406–415.PubMedCentralCrossRefPubMed
Turner, K. M., & Sanders, M. R. (2006). Help when it’s needed first: A controlled evaluation of brief, preventive behavioral family intervention in a primary care setting. Behavior Therapy, 37(2), 131–142.CrossRefPubMed
von Bertalanffy, L. (1968). General system theory: Foundations, development, applications. New York: George Braziller.
Webster-Stratton, C. (1993). Strategies for helping families with young oppositional defiant or conduct-disordered children: The importance of home and school collaboration. School Psychology Review, 22, 437–457.
Webster-Stratton, C. (1994). Advancing videotape parent training: A comparison study. Journal of Consulting and Clinical Psychology, 62(3), 583–593.CrossRefPubMed
Webster-Stratton, C., & Hammond, M. (1997). Treating children with early-onset conduct problems: A comparison of child and parent training interventions. Journal of Consulting and Clinical Psychology, 65(1), 93–109.CrossRefPubMed
Webster-Stratton, C., Hollinsworth, T., & Kolpacoff, M. (1989). The long-term effectiveness and clinical significance of three cost-effective training programs for families with conduct-problem children. Journal of Consulting and Clinical Psychology, 57, 550–553.CrossRefPubMed
Weiner, N. (1948). Cybernetics: Or control and communication in the animal and the machine. Cambridge, MA: MIT Press.
Metagegevens
Titel
Clinical Effectiveness of Family Therapeutic Interventions Embedded in General Pediatric Primary Care Settings for Parental Mental Health: A Systematic Review and Meta-analysis
Auteurs
Fallon Cluxton-Keller
Anne W. Riley
Sassan Noazin
Mfon Valencia Umoren
Publicatiedatum
16-09-2015
Uitgeverij
Springer US
Gepubliceerd in
Clinical Child and Family Psychology Review / Uitgave 4/2015
Print ISSN: 1096-4037
Elektronisch ISSN: 1573-2827
DOI
https://doi.org/10.1007/s10567-015-0190-x

Andere artikelen Uitgave 4/2015

Clinical Child and Family Psychology Review 4/2015 Naar de uitgave

ReviewPaper

The Impact of Various Parental Mental Disorders on Children’s Diagnoses: A Systematic Review

ReviewPaper

Resilience in the Offspring of Depressed Mothers: Variation Across Risk, Domains, and Time

ReviewPaper

Protective Mechanisms for Depression among Racial/Ethnic Minority Youth: Empirical Findings, Issues, and Recommendations

ReviewPaper

One Session Treatment for Specific Phobias: An Adaptation for Paediatric Blood–Injection–Injury Phobia in Youth

ReviewPaper

Children’s Mental Health and Well-Being After Parental Intimate Partner Homicide: A Systematic Review

ReviewPaper

Underlying Mechanisms of Gene–Environment Interactions in Externalizing Behavior: A Systematic Review and Search for Theoretical Mechanisms