Skip to main content
Top
Gepubliceerd in: Research on Child and Adolescent Psychopathology 3/2019

28-05-2018

Parental Depressive Symptoms as a Predictor of Outcome in the Treatment of Child Internalizing and Externalizing Problems

Auteurs: Dikla Eckshtain, Lauren Krumholz Marchette, Jessica Schleider, Spencer Evans, John R. Weisz

Gepubliceerd in: Research on Child and Adolescent Psychopathology | Uitgave 3/2019

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

Abstract

Child internalizing and externalizing problems have been identified as high priority intervention targets by the World Health Organization. Parental depression is a risk factor for development of these childhood problems and may negatively influence intervention outcomes; however, studies have rarely assessed its influence on these outcomes. The present study assessed whether baseline parental depressive symptoms predicted psychotherapy outcomes among children treated for clinically significant internalizing and externalizing problems. The sample included 142 children (79 with primary internalizing problems, 63 with primary externalizing problems). Children were aged 7–13, 67.6% boys, and race included Caucasian (46.5%), African-American (9.9%), Latino (5.6%), Asian (1.4%), and multi-racial (32.4%). Analyses focused on child- and parent-reported weekly trajectories of change and post-treatment symptoms among children treated for internalizing and externalizing problems whose parents did (N = 28 and 25) and did not (N = 51 and 38) have elevated depressive symptoms. For children with internalizing problems, growth curve analyses showed markedly different trajectories, by child- and parent-report: children with less depressed parents showed significantly steeper symptom declines than did children with more depressed parents, who showed an increase in symptoms. ANCOVAs showed marginally lower post-treatment symptoms for children of less depressed versus more depressed parents (p = 0.064 by child-report). For children with externalizing problems, growth curve analyses showed trajectories in the opposite direction, by child- and parent-report; however, ANCOVAs showed no group differences at post-treatment. These findings suggest that it may be important to consider the impact of parental depressive symptoms when treating child internalizing and externalizing problems.
Literatuur
go back to reference Achenbach, T. M., & Rescorla, L. A. (2001). Manual for the ASEBA school-age forms & profiles: An integrated system of multi-informant assessment. Burlington: University of Vermont, Center for Children, Youth, & Families. Achenbach, T. M., & Rescorla, L. A. (2001). Manual for the ASEBA school-age forms & profiles: An integrated system of multi-informant assessment. Burlington: University of Vermont, Center for Children, Youth, & Families.
go back to reference American Academy of Child and Adolescent Psychiatry. (AACAP). (2007a). Practice parameter for the assessment and treatment of children and adolescents with anxiety disorders. Journal of the American Academy of Child & Adolescent Psychiatry, 46, 267–283.CrossRef American Academy of Child and Adolescent Psychiatry. (AACAP). (2007a). Practice parameter for the assessment and treatment of children and adolescents with anxiety disorders. Journal of the American Academy of Child & Adolescent Psychiatry, 46, 267–283.CrossRef
go back to reference American Academy of Child and Adolescent Psychiatry. (AACAP). (2007b). Practice parameter for the assessment and treatment of children and adolescents with depressive disorders. Journal of the American Academy of Child & Adolescent Psychiatry, 46, 1503–1526.CrossRef American Academy of Child and Adolescent Psychiatry. (AACAP). (2007b). Practice parameter for the assessment and treatment of children and adolescents with depressive disorders. Journal of the American Academy of Child & Adolescent Psychiatry, 46, 1503–1526.CrossRef
go back to reference American Academy of Child and Adolescent Psychiatry. (AACAP). (2007c). Practice parameter for the assessment and treatment of children and adolescents with conduct disorder. Journal of the American Academy of Child & Adolescent Psychiatry, 36, 122–139. American Academy of Child and Adolescent Psychiatry. (AACAP). (2007c). Practice parameter for the assessment and treatment of children and adolescents with conduct disorder. Journal of the American Academy of Child & Adolescent Psychiatry, 36, 122–139.
go back to reference Barkley, R. A. (1997). Defiant children: A clinician’s manual for assessment and parent training (2nd ed.). New York: Guilford Press. Barkley, R. A. (1997). Defiant children: A clinician’s manual for assessment and parent training (2nd ed.). New York: Guilford Press.
go back to reference Brennan, P. A., Hammen, C., Katz, A. R., & Le Brocque, R. M. (2002). Maternal depression, paternal psychopathology, and adolescent diagnostic outcomes. Journal of Consulting and Clinical Psychology, 70, 1075–1085.CrossRefPubMed Brennan, P. A., Hammen, C., Katz, A. R., & Le Brocque, R. M. (2002). Maternal depression, paternal psychopathology, and adolescent diagnostic outcomes. Journal of Consulting and Clinical Psychology, 70, 1075–1085.CrossRefPubMed
go back to reference Brent, D. A., Kolko, D. J., Birmaher, B., Baugher, M., Bridge, J., Roth, C., & Holder, D. (1998). Predictors of treatment efficacy in a clinical trial of three psychosocial treatments for adolescent depression. Journal of the American Academy of Child & Adolescent Psychiatry, 37, 906–914.CrossRef Brent, D. A., Kolko, D. J., Birmaher, B., Baugher, M., Bridge, J., Roth, C., & Holder, D. (1998). Predictors of treatment efficacy in a clinical trial of three psychosocial treatments for adolescent depression. Journal of the American Academy of Child & Adolescent Psychiatry, 37, 906–914.CrossRef
go back to reference Chorpita, B. F., & Weisz, J. (2009). Modular approach to therapy for children with anxiety, depression, trauma, or conduct problems (MATCH-ADTC). Satellite Beach, FL: PracticeWise, LLC. Chorpita, B. F., & Weisz, J. (2009). Modular approach to therapy for children with anxiety, depression, trauma, or conduct problems (MATCH-ADTC). Satellite Beach, FL: PracticeWise, LLC.
go back to reference Chorpita, B. F., Reise, S., Weisz, J. R., Grubbs, K., Becker, K. D., & Krull, J. L. (2010). Evaluation of the brief problem checklist: child and caregiver interviews to measure clinical progress. Journal of Consulting and Clinical Psychology, 78, 526–536. https://doi.org/10.1037/a0019602.CrossRefPubMed Chorpita, B. F., Reise, S., Weisz, J. R., Grubbs, K., Becker, K. D., & Krull, J. L. (2010). Evaluation of the brief problem checklist: child and caregiver interviews to measure clinical progress. Journal of Consulting and Clinical Psychology, 78, 526–536. https://​doi.​org/​10.​1037/​a0019602.CrossRefPubMed
go back to reference Compas, B. E., Forehand, R., Thigpen, J., Hardcastle, E., Garai, E., McKee, L., Keller, G., Dunbar, J. P., Watson, K. H., Rakow, A., Bettis, A., Reising, M., Cole, D., & Sterba, S. (2015). Efficacy and moderators of a family group cognitive–behavioral preventive intervention for children of parents with depression. Journal of Consulting and Clinical Psychology, 83, 541–553. https://doi.org/10.1037/a0039053.CrossRefPubMedPubMedCentral Compas, B. E., Forehand, R., Thigpen, J., Hardcastle, E., Garai, E., McKee, L., Keller, G., Dunbar, J. P., Watson, K. H., Rakow, A., Bettis, A., Reising, M., Cole, D., & Sterba, S. (2015). Efficacy and moderators of a family group cognitive–behavioral preventive intervention for children of parents with depression. Journal of Consulting and Clinical Psychology, 83, 541–553. https://​doi.​org/​10.​1037/​a0039053.CrossRefPubMedPubMedCentral
go back to reference De Los Reyes, A. (2011). Introduction to the special section: more than measurement error: discovering meaning behind informant discrepancies in clinical assessments of children and adolescents. Journal of Clinical Child & Adolescent Psychology, 40, 1–9.CrossRef De Los Reyes, A. (2011). Introduction to the special section: more than measurement error: discovering meaning behind informant discrepancies in clinical assessments of children and adolescents. Journal of Clinical Child & Adolescent Psychology, 40, 1–9.CrossRef
go back to reference Derogatis, L. R. (1993). Brief symptom inventory: Administration, scoring, and procedures manual. Minneapolis: National Computer Systems. Derogatis, L. R. (1993). Brief symptom inventory: Administration, scoring, and procedures manual. Minneapolis: National Computer Systems.
go back to reference Garber, J., Clarke, G. N., Weersing, V. R., Beardslee, W. R., Brent, D. A., Gladstone, T. R. G., DeBar, L. L., Lynch, F. L., D’Angelo, E., Hollon, S. D., Shamseddeen, W., & Iyengar, S. (2009). Prevention of depression in at-risk adolescents: a randomized controlled trial. JAMA: Journal of the American Medical Association, 301, 2215–2224.CrossRefPubMed Garber, J., Clarke, G. N., Weersing, V. R., Beardslee, W. R., Brent, D. A., Gladstone, T. R. G., DeBar, L. L., Lynch, F. L., D’Angelo, E., Hollon, S. D., Shamseddeen, W., & Iyengar, S. (2009). Prevention of depression in at-risk adolescents: a randomized controlled trial. JAMA: Journal of the American Medical Association, 301, 2215–2224.CrossRefPubMed
go back to reference Gunlicks, M. L., & Weissman, M. M. (2008). Change in child psychopathology with improvement in parental depression: a systematic review. Journal of the American Academy of Child & Adolescent Psychiatry, 47, 379–389.CrossRef Gunlicks, M. L., & Weissman, M. M. (2008). Change in child psychopathology with improvement in parental depression: a systematic review. Journal of the American Academy of Child & Adolescent Psychiatry, 47, 379–389.CrossRef
go back to reference Hutchings, J., Appleton, P., Smith, M., Lane, E., & Nash, S. (2002). Evaluation of two treatments for children with severe behaviour problems: child behaviour and maternal mental health outcomes. Behavioural and Cognitive Psychotherapy, 30, 279–295.CrossRef Hutchings, J., Appleton, P., Smith, M., Lane, E., & Nash, S. (2002). Evaluation of two treatments for children with severe behaviour problems: child behaviour and maternal mental health outcomes. Behavioural and Cognitive Psychotherapy, 30, 279–295.CrossRef
go back to reference Hutchings, J., Lane, E., & Kelly, J. (2004). Comparison of two treatments for children with severely disruptive behaviours: a four-year follow-up. Behavioural and Cognitive Psychotherapy, 32, 15–30.CrossRef Hutchings, J., Lane, E., & Kelly, J. (2004). Comparison of two treatments for children with severely disruptive behaviours: a four-year follow-up. Behavioural and Cognitive Psychotherapy, 32, 15–30.CrossRef
go back to reference Institute of Medicine (IOM). (2015). Psychosocial interventions for mental and substance use disorders: A framework for establishing evidence-based standards. Washington: National Academies Press. Institute of Medicine (IOM). (2015). Psychosocial interventions for mental and substance use disorders: A framework for establishing evidence-based standards. Washington: National Academies Press.
go back to reference Kendall, P., Kane, M., Howard, B., & Siqueland, L. (1990). Cognitive-behavioral treatment of anxious children: Treatment manual. Ardmore, PA: Workbook. Kendall, P., Kane, M., Howard, B., & Siqueland, L. (1990). Cognitive-behavioral treatment of anxious children: Treatment manual. Ardmore, PA: Workbook.
go back to reference Lieb, R., Isensee, B., Höfler, M., Pfister, H., & Wittchen, H.-U. (2002). Parental major depression and the risk of depression and other mental disorders in offspring: a prospective-longitudinal community study. Archives of General Psychiatry, 59, 365–374.CrossRefPubMed Lieb, R., Isensee, B., Höfler, M., Pfister, H., & Wittchen, H.-U. (2002). Parental major depression and the risk of depression and other mental disorders in offspring: a prospective-longitudinal community study. Archives of General Psychiatry, 59, 365–374.CrossRefPubMed
go back to reference Raudenbush, S. W., & Bryk, A. S. (2002). Hierarchical linear models: Applications and data analysis methods (Vol. 1): Sage. Raudenbush, S. W., & Bryk, A. S. (2002). Hierarchical linear models: Applications and data analysis methods (Vol. 1): Sage.
go back to reference Raudenbush, S. W., Bryk, A. S., & Congdon, R. (2012). HLM for windows (version 7.01) [Computer software]. Skokie, IL: Scientific Software International. Raudenbush, S. W., Bryk, A. S., & Congdon, R. (2012). HLM for windows (version 7.01) [Computer software]. Skokie, IL: Scientific Software International.
go back to reference Singer, J. D., & Willett, J. B. (2003). Applied longitudinal data analysis: Modeling change and event occurrence. New York: Oxford University Press.CrossRef Singer, J. D., & Willett, J. B. (2003). Applied longitudinal data analysis: Modeling change and event occurrence. New York: Oxford University Press.CrossRef
go back to reference Streiner, D. L. (2002). Breaking up is hard to do: the heartbreak of dichotomizing continuous data. Canadian Journal of Psychiatry, 47, 262–266.CrossRefPubMed Streiner, D. L. (2002). Breaking up is hard to do: the heartbreak of dichotomizing continuous data. Canadian Journal of Psychiatry, 47, 262–266.CrossRefPubMed
go back to reference Weissman, M. M., Wickramaratne, P., Nomura, Y., Warner, V., Pilowsky, D., & Verdeli, H. (2006b). Offspring of depressed parents: 20 years later. The American Journal of Psychiatry, 163, 1001–1008.CrossRefPubMed Weissman, M. M., Wickramaratne, P., Nomura, Y., Warner, V., Pilowsky, D., & Verdeli, H. (2006b). Offspring of depressed parents: 20 years later. The American Journal of Psychiatry, 163, 1001–1008.CrossRefPubMed
go back to reference Weisz, J. R., & Kazdin, A. E. (2017). Evidence-based psychotherapies for children and adolescents, 3rd edn. New York: Guilford Press Weisz, J. R., & Kazdin, A. E. (2017). Evidence-based psychotherapies for children and adolescents, 3rd edn. New York: Guilford Press
go back to reference Weisz, J., Moore, P., Southam-Gerow, M. A., Weersing, V. R., Valeri, S. M., & McCarty, C. A. (2005). Therapist’s manual PASCET: Primary and secondary control enhancement training program (3rd ed.). Los Angeles: University of California. Weisz, J., Moore, P., Southam-Gerow, M. A., Weersing, V. R., Valeri, S. M., & McCarty, C. A. (2005). Therapist’s manual PASCET: Primary and secondary control enhancement training program (3rd ed.). Los Angeles: University of California.
go back to reference Weisz, J. R., Chorpita, B. F., Frye, A., Ng, M. Y., Lau, N., Bearman, S. K., … Hoagwood, K. E. (2011). Youth top problems: using idiographic, consumer-guided assessment to identify treatment needs and to track change during psychotherapy. Journal of Consulting and Clinical Psychology, 79, 369–380. https://doi.org/10.1037/a0023307. Weisz, J. R., Chorpita, B. F., Frye, A., Ng, M. Y., Lau, N., Bearman, S. K., … Hoagwood, K. E. (2011). Youth top problems: using idiographic, consumer-guided assessment to identify treatment needs and to track change during psychotherapy. Journal of Consulting and Clinical Psychology, 79, 369–380. https://​doi.​org/​10.​1037/​a0023307.
go back to reference Weisz, J. R., Chorpita, B. F., Palinkas, L. A., Schoenwald, S. K., Miranda, J., Bearman, S. K., … Gibbons, R. D. (2012). Testing standard and modular designs for psychotherapy treating depression, anxiety, and conduct problems in youth: a randomized effectiveness trial. Archives of General Psychiatry, 69, 274–282. https://doi.org/10.1001/archgenpsychiatry.2011.147. Weisz, J. R., Chorpita, B. F., Palinkas, L. A., Schoenwald, S. K., Miranda, J., Bearman, S. K., … Gibbons, R. D. (2012). Testing standard and modular designs for psychotherapy treating depression, anxiety, and conduct problems in youth: a randomized effectiveness trial. Archives of General Psychiatry, 69, 274–282. https://​doi.​org/​10.​1001/​archgenpsychiatr​y.​2011.​147.
go back to reference Weisz, J. R., Kuppens, S., Ng, M. Y., Eckshtain, D., Ugueto, A. M., Vaughn-Coaxum, R., … Fordwood, S. R. (2017). What five decades of research tells us about the effects of youth psychological therapy: a multilevel meta-analysis and implications for science and practice. American Psychologist, 72, 79–117. https://doi.org/10.1037/a0040360. Weisz, J. R., Kuppens, S., Ng, M. Y., Eckshtain, D., Ugueto, A. M., Vaughn-Coaxum, R., … Fordwood, S. R. (2017). What five decades of research tells us about the effects of youth psychological therapy: a multilevel meta-analysis and implications for science and practice. American Psychologist, 72, 79–117. https://​doi.​org/​10.​1037/​a0040360.
go back to reference Weller, E. B., Weller, R. A., Rooney, M. T., & Fristad, M. A. (1999a). Children's interview for psychiatric Syndomes—Parent version (P-ChIPS). Arlington, VA: American Psychiatric Association. Weller, E. B., Weller, R. A., Rooney, M. T., & Fristad, M. A. (1999a). Children's interview for psychiatric Syndomes—Parent version (P-ChIPS). Arlington, VA: American Psychiatric Association.
go back to reference Weller, E. B., Weller, R. A., Rooney, M. T., & Fristad, M. A. (1999b). ChIPS. Arlington, VA: American Psychiatric Association. Weller, E. B., Weller, R. A., Rooney, M. T., & Fristad, M. A. (1999b). ChIPS. Arlington, VA: American Psychiatric Association.
go back to reference Wergeland, G. J. H., Fjermestad, K. W., Marin, C. E., Bjelland, I., Haugland, B. S. M., Silverman, W. K., … Heiervang, E. R. (2016). Predictors of treatment outcome in an effectiveness trial of cognitive behavioral therapy for children with anxiety disorders. Behaviour Research and Therapy, 76, 1–12. https://doi.org/10.1016/j.brat.2015.11.001. Wergeland, G. J. H., Fjermestad, K. W., Marin, C. E., Bjelland, I., Haugland, B. S. M., Silverman, W. K., … Heiervang, E. R. (2016). Predictors of treatment outcome in an effectiveness trial of cognitive behavioral therapy for children with anxiety disorders. Behaviour Research and Therapy, 76, 1–12. https://​doi.​org/​10.​1016/​j.​brat.​2015.​11.​001.
go back to reference Wickramaratne, P., Gameroff, M. J., Pilowsky, D. J., Hughes, C. W., Garber, J., Malloy, E., King, C., Cerda, G., Sood, A. B., Alpert, J. E., Trivedi, M. H., Fava, M., Rush, A. J., Wisniewski, S., & Weissman, M. M. (2011). Children of depressed mothers 1 year after remission of maternal depression: findings from the STARD-child study. The American Journal of Psychiatry, 168, 593–602. https://doi.org/10.1176/appi.ajp.2010.10010032.CrossRefPubMedPubMedCentral Wickramaratne, P., Gameroff, M. J., Pilowsky, D. J., Hughes, C. W., Garber, J., Malloy, E., King, C., Cerda, G., Sood, A. B., Alpert, J. E., Trivedi, M. H., Fava, M., Rush, A. J., Wisniewski, S., & Weissman, M. M. (2011). Children of depressed mothers 1 year after remission of maternal depression: findings from the STARD-child study. The American Journal of Psychiatry, 168, 593–602. https://​doi.​org/​10.​1176/​appi.​ajp.​2010.​10010032.CrossRefPubMedPubMedCentral
go back to reference World Health Organization. (2003). Caring for children and adolescents with mental disorders: Setting WHO directions. Geneva: World Health Organization. World Health Organization. (2003). Caring for children and adolescents with mental disorders: Setting WHO directions. Geneva: World Health Organization.
Metagegevens
Titel
Parental Depressive Symptoms as a Predictor of Outcome in the Treatment of Child Internalizing and Externalizing Problems
Auteurs
Dikla Eckshtain
Lauren Krumholz Marchette
Jessica Schleider
Spencer Evans
John R. Weisz
Publicatiedatum
28-05-2018
Uitgeverij
Springer US
Gepubliceerd in
Research on Child and Adolescent Psychopathology / Uitgave 3/2019
Print ISSN: 2730-7166
Elektronisch ISSN: 2730-7174
DOI
https://doi.org/10.1007/s10802-018-0446-2

Andere artikelen Uitgave 3/2019

Research on Child and Adolescent Psychopathology 3/2019 Naar de uitgave