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Gepubliceerd in:

01-03-2015 | Original Paper

Predictors of Reduction in Symptoms of Depression for Children and Adolescents in Foster Care

Auteurs: Alison M. Stoner, Scott C. Leon, Anne K. Fuller

Gepubliceerd in: Journal of Child and Family Studies | Uitgave 3/2015

Abstract

Children and adolescents in the foster care system have less favorable mental health outcomes than those in the general population. Within this system, depression is one of the most commonly diagnosed disorders, with prevalence rates up to three times that of same-aged peers, and is associated with long-term negative outcomes such as greater substance use, suicidality, and psychiatric hospitalization. The elevated rate of depression in children and adolescents in foster care and increased risk of adverse outcomes over time highlight the importance of identifying factors that promote reduction of symptoms of depression in this population. Using Optimal Data Analysis, this study examines the moderating effect of ecological systems variables, as measured by the Child and Adolescent Needs and Strengths-Mental Health, on decreases in depressive symptomatology in a sample of 228 foster care youth between the ages of 4 and 20. Results revealed positive change in adjustment to trauma (i.e., symptoms of Post-Traumatic Stress Disorder) as the optimal predictor of reduction of symptoms of depression. Positive change in family functioning, total youth strengths, positive change in sexualized behavior, and positive change in school functioning emerged as additional predictors of reduction of depression. These results indicate that clinically significant decreases over time in symptoms of depression are associated with concurrent improvement in variables across the social ecologies of children and adolescents, including the individual youth, family, and school systems. Implications for service providers working with this population are discussed.

vorige artikel The Spillover Effect of Parenting on Marital Satisfaction Among Chinese Mothers

volgende artikel Intergenerational Transmission of Antisocial Behavior and Age at Primiparity

Abramson, L. Y., Seligman, M. E., & Teasdale, J. D. (1978). Learned helplessness in humans: Critique and reformulation. Journal of Abnormal Psychology, 87, 49–74.CrossRefPubMed

American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders (Vol. 4). DC: Washington.

Anctil, T. M., McCubbin, L. D., O’Brien, K., & Pecora, P. (2007). An evaluation of recovery factors for foster care alumni with physical or psychiatric impairments: Predictors of psychological outcomes. Children and Youth Services Review, 29, 1021–1034.CrossRef

Anderson, R. L., Lyons, J. S., Giles, D. M., Price, J. A., & Estes, G. (2002). Examining the reliability of the child and adolescent needs and strengths-mental health (CANS-MH) scale from two perspectives: A comparison of clinical and research ratings. Journal of Child and Family Studies, 12, 279–289.CrossRef

Antonuccio, D. O. (1998). The coping with depression course: A behavioral treatment for depression. The Clinical Psychologist, 51, 3–5.

Association for the Treatment of Sexual Abusers. (2006). Report of the task force on children with sexual behavior problems. Retrieved from http://www.atsa.com/pubRpt.html.

Bagley, C., & Mallick, K. (2000). Prediction of sexual, emotional, and physical maltreatment and mental health outcomes in a longitudinal cohort of 290 adolescent women. Child Maltreatment, 5, 218–226.CrossRefPubMed

Benedict, M. I., Zuravin, S., Somerfield, M., & Brandt, D. (1996). The reported health and functioning of children maltreated while in family foster care. Child Abuse and Neglect, 20, 561–571.CrossRefPubMed

Bennett, D. S., Wolan Sullivan, M., & Lewis, M. (2005). Young children’s adjustment as a function of maltreatment, shame, and anger. Child Maltreatment, 10, 311–323.CrossRefPubMedCentralPubMed

Birmaher, B., Arbelaez, C., & Brent, D. (2002). Course and outcome of child and adolescent major depressive disorder. Child and Adolescent Psychiatric Clinics of North America, 11, 619–637.CrossRefPubMed

Bond, L., Carlin, J. B., Thomas, L., Rubin, K., & Patton, G. (2001). Does bullying cause emotional problems? A prospective study of young teenagers. British Medical Journal, 323, 480–484.CrossRefPubMedCentralPubMed

Boney-McCoy, S., & Finkelhor, D. (1996). Is youth victimization related to trauma symptoms and depression after controlling for prior symptoms and family relationships? A longitudinal, prospective study. Journal of Consulting and Clinical Psychology, 64, 1406–1416.CrossRefPubMed

Burchard, J. D., Burchard, S. N., Sewell, R., & Van DenBerg, J. (1993). One kid at a time: Evaluative case studies and descriptions of the Alaska Youth Initiative Demonstration Project. Juneau, AK: State of Alaska, Division of Mental Health and Mental Retardation.

Burchard, J. D., Bruns, E. J., & Burchard, S. N. (2002). The wraparound approach. In B. J. Burns & K. Hoagwood (Eds.), Community treatment for youth (pp. 69–90). New York: Oxford University Press.CrossRef

Burns, B. J., Phillips, S., Wagner, H., Barth, R., Kolko, D., Campbell, Y., et al. (2004). Mental health need and access to mental health services by youths involved with child welfare: A national survey. Journal of the American Academy of Child and Adolescent Psychiatry, 43, 960–970.CrossRefPubMed

Carlson, E. B., Dalenberg, C., Armstrong, J., Daniels, J. W., Loewenstein, R., & Roth, D. (2001). Multivariate prediction of posttraumatic symptoms in psychiatric inpatients. Journal of Traumatic Stress, 14, 549–567.CrossRefPubMed

Cicchetti, D., & Toth, S. L. (1998). The development of depression in children and adolescents. American Psychologist, 53, 221–241.CrossRefPubMed

Cohen, J. A., Mannarino, A. P., & Deblinger, E. (2006). Treating trauma and traumatic grief in children and adolescents. New York: The Guilford Press.

Coleman, H. (2009). Sexual development and behavior in children: Information for parents and caregivers. Retrieved from http://www.nctsn.org/products/sexual-development-and-behavior-children-information-parents-and-caregivers-2009.

Costello, E. J., Angold, A., Burns, B. J., Stangl, D. K., Tweed, D. L., Erkanli, A., et al. (1996). The Great Smokey Mountains Study of Youth: Goals, design, methods, and the prevalence of DSM-III-R disorders. Archives of General Psychiatry, 53, 1129–1136.CrossRefPubMed

dos Reis, S., Magno Zito, J., Safer, D. J., & Soeken, K. L. (2001). Mental health services for youths in foster care and disabled youths. American Journal of Public Health, 91, 1094–1099.CrossRef

Finkelhor, D. (1987). The trauma of sexual abuse: Two models. Journal of Interpersonal Violence, 2, 348–366.CrossRef

Finkelhor, D., & Browne, A. (1985). The traumatic impact of child sexual abuse: A conceptualization. American Journal of Orthopsychiatry, 55, 530–541.CrossRefPubMed

Garland, A. F., Landsverk, J. L., Hough, R. L., & Ellis-MacLeod, E. (1996). Type of maltreatment as a predictor of mental health service use for children in foster care. Child Abuse and Neglect, 20, 675–688.CrossRefPubMed

Garland, A. F., Hough, R. L., McCabe, K. M., Yeh, M., Wood, P. A., & Aarons, G. A. (2001). Prevalence of psychiatric disorders in youths across five sectors of care. Journal of the American Academy of Child and Adolescent Psychiatry, 40, 409–418.CrossRefPubMed

Hammen, C., & Rudolph, K. D. (2003). Childhood mood disorders. In E. J. Mash & R. A. Barkley (Eds.), Child psychopathology (2nd ed., pp. 233–278). New York: The Guilford Press.

Johnson, R. M., Kotch, J. B., Catellier, D. J., Winsor, J. R., Dufort, V., Hunter, W., et al. (2002). Adverse behavioral and emotional outcomes from child abuse and witnessed violence. Child Maltreatment, 7, 179–186.CrossRefPubMed

Kendall-Tackett, K. A., Williams, L. M., & Finkelhor, D. (1993). Impact of sexual abuse on children: A review and synthesis of recent empirical studies. Psychological Bulletin, 113, 164–180.CrossRefPubMed

Kennard, B., Silva, S., Vitiello, B., Curry, J., Kratochvil, C., Simons, A., March, J. (2006). Remission and residual symptoms after short-term treatment in the Treatment of Adolescents with Depression Study (TADS). Journal of the American Academy of Child and Adolescent Psychiatry, 45, 1404–1411.

Landsverk, J., & Garland, A. F. (1999). Foster care and pathways to mental health services. In P. A. Curis, G. Dale, & J. C. Kendall (Eds.), The foster care crisis: Translating research into policy and practice (pp. 193–210). Lincoln, NE: University of Nebraska Press.

Lewinsohn, P. M., Youngren, M. A., & Grosscup, S. J. (1979). Reinforcement and depression. In R. A. Dupre (Ed.), The psychobiology of depressive disorders: Implications for the effects of stress (pp. 291–316). New York: Academic Press.

Lewinsohn, P. M., Rohde, P., & Seeley, J. R. (1998). Major depressive disorder in older adolescents: Prevalence, risk factors and clinical implications. Clinical Psychology Review, 18, 765–794.CrossRefPubMed

Lewis, C. C., Simons, A. D., Nguyen, L. J., Murakami, J. L., Reid, M. W., Silva, S. G., et al. (2010). Impact of childhood trauma on treatment outcome in the Treatment for Adolescents with Depression Study (TADS). Journal of the American Academy of Child and Adolescent Psychiatry, 49, 132–140.PubMed

Lyons, J. S. (1999). The child and adolescent needs and strengths for children with mental health challenges. Winnetka, IL: Buddin Praed Foundation.

Lyons, J. S. (2004). Redressing the emperor: Improving our children’s public mental health system. Westport, CT: Praeger Publishing.

Lyons, J. S. (2009). Communimetrics: A communication theory of measurement in human service settings. New York: Springer.CrossRef

Lyons, J. S., Weiner, D. A., & Lyons, M. B. (2004). Measurement as communication in outcomes management: The child and adolescent needs and strengths (CANS). In M. E. Maruish (Ed.), The use of psychological testing for treatment planning and outcomes assessment (3rd ed., Vol. 2, pp. 461–476). New York, NY: Routledge.

McClelland, G. M., & Schneider, A. (2009). Annual report of performance of SOC program (Report to IDCFS). IL: Chicago.

McMillen, J. C., Zima, B. T., Scott, L. D., Auslander, W. F., Munson, M. R., Ollie, M. T., et al. (2005). Prevalence of psychiatric disorders among older youths in the foster care system. Journal of the American Academy of Child and Adolescent Psychiatry, 44, 88–95.CrossRefPubMed

Miller, S. A., Leon, S. C., & Lyons, J. S. (2007). The Child and Adolescent Needs and Strengths Scale: Factor analytic investigations. Chicago, IL: Poster presented at the meeting of the Midwestern Psychological Association.

Munson, M. R., & McMillen, C. (2010). Trajectories of depression symptoms among older youths exiting foster care. Social Work Research, 34, 235–249.CrossRefPubMedCentralPubMed

Nelson, E. C., Heath, A. C., Madden, P. A. F., Cooper, M. L., Pinwiddie, S. H., Bucholz, K. K., et al. (2002). Association between self-reported childhood sexual abuse and adverse psychosocial outcomes. Archives of General Psychiatry, 59, 139–145.CrossRefPubMed

Newton, R. R., Litrownik, A. J., & Landsverk, J. A. (2000). Children and youth in foster care: disentangling the relationship between problem behaviors and number of placements. Child Abuse and Neglect, 24, 1363–1374.CrossRefPubMed

Obeid, N., & Lyons, J. S. (2011). Pre-measurement triangulation. Considerations for program evaluation in human services. Canadian Journal of Program Evaluation, 25, 59–82.

Oswald, S. H., Heil, K., & Goldbeck, L. (2010). History of maltreatment and mental health problems in foster children: A review of the literature. Journal of Pediatric Psychology, 35, 462–472.CrossRefPubMed

Pecora, P. J., Kessler, R. C., O’Brien, K., Roller White, C., Williams, J., Hiripi, E., et al. (2006). Educational and employment outcomes of adults formerly placed in foster care: Results from the Northwest Foster Care Alumni Study. Children and Youth Services Review, 28, 1459–1481.CrossRef

Pecora, P. J., Roller White, C., Jackson, L. J., & Wiggins, T. (2009). Mental health of current and former recipients of foster care: A review of recent studies in the USA. Child & Family Social Work, 14, 132–146.CrossRef

Pilowsky, D. (1995). Psychopathology among children placed in family foster care. Psychiatric Services, 46, 906–910.CrossRefPubMed

Reinherz, H. Z., Paradis, A. D., Giaconia, R. M., Stashwick, C. K., & Fitzmaurice, G. (2003). Childhood and adolescent predictors of major depression in the transition to adulthood. American Journal of Psychiatry, 160, 2141–2147.CrossRefPubMed

Roberts, J. (1993). Abused children and foster care: The need for specialist resources. Child Abuse Review, 2, 3–14.CrossRef

Salazar, A. M., Keller, T. E., & Courtney, M. E. (2011). Understanding social support’s role in the relationship between maltreatment and depression in youth with foster care experience. Child Maltreatment, 16, 102–113.CrossRefPubMedCentralPubMed

Shaffer, D., Fisher, P., Dulcan, M. K., Davies, M., Piacentini, J., Schwab-Stoner, M. E., et al. (1996). The NIMH Diagnostic Interview Schedule for Children Version 2.3 (DISC-2.3): Description, acceptability, prevalence rates, and performance in the MECA study. Journal of the American Academy of Child and Adolescent Psychiatry, 35, 865–877.CrossRefPubMed

Sieracki, J. H., Leon, S. C., Miller, S. A., & Lyons, J. S. (2008). Individual and provider effects on mental health outcomes in child welfare: A three level growth cure approach. Children and Youth Services Review, 30, 800–808.CrossRef

Skarbo, T., Rosenvinge, J. H., & Holte, A. (2004). Adolescent life events and adult mental health 5–9 years after referral for acute psychiatric outpatient treatment. Clinical Psychology and Psychotherapy, 11, 401–413.CrossRef

Soltysik, R. C., & Yarnold, P. R. (1993). ODA 1.0 optimal data analysis for DOS. Chicago, IL: Optimal Data Analysis, Inc.

State of Illinois Department of Child and Family Services (2009). Procedures 301: Placement and visitation services. Retrieved from http://www.state.il.us/dcfs/docs/ocfp/procedure/Procedures_301.pdf.

Stevens, S. B., Brice, C. S., Ale, C. M., & Morris, T. L. (2011). Examining depression, anxiety, and foster care placement as predictors of substance use and sexual activity in adolescents. Journal of Social Service Research, 37, 539–554.CrossRef

Stroul, B., & Friedman, R. (1986). A system of care for children and youth with severe emotional disturbances (Rev. Ed). Washington, DC: Georgetown University Child Development Center, National Technical Assistance Center for Children’s Mental Health.

Stroul, B., & Friedman, R. (1996). The system of care concept and philosophy. In B. A. Stroul, R. M. Friedman, & B. A. Stroul (Eds.), Systems of care for children’s mental health series: Children’s mental health: Creating systems of care in a changing society (pp. 1–22). Baltimore, MD: Paul H. Brooks Publishing Co.

Stuewig, J., & McCloskey, L. A. (2005). The relation of child maltreatment to shame and guilt among adolescents: Psychological routes to depression and delinquency. Child Maltreatment, 10, 324–336.CrossRefPubMed

VanDenBerg, J. E., & Grealish, M. E. (1998). The wraparound process training manual. Pittsburgh, PA: The Community Partnership Group.

Vinnerljung, B., Hijern, A., & Lindblad, F. (2006). Suicide attempts and severe psychiatric morbidity among former child welfare clients—A national cohort study. Journal of Child Psychology and Psychiatry, 47, 723–733.CrossRefPubMed

White, C. R., Havalchak, A., Jackson, L. J., O’Brien, K., Pecora, P. J. (2007) Mental health, ethnicity, sexuality, and spirituality among youth in foster care: Findings from the Casey Field Office Mental Health Study. Casey Family Programs, Seattle, WA. Retrieved from http://www.casey.org/Resources/Publications/pdf/MentalHealthEthnicitySexuality_FR.pdf.

Yarnold, P. R., & Soltysik, R. C. (2004). Optimal data analysis: A guidebook with software for Windows. Washington, DC: American Psychological Association Books.

Yarnold, P. R., & Soltysik, R. C. (2005). Optimal data analysis with software for DOS and Windows. Washington, DC: American Psychological Association Books.

Yarnold, P. R., Soltysik, R. C., & Bennett, C. L. (1997). Predicting in-hospital mortality of patients with AIDS-related Pneumocystis carinii pneumonia: An example of hierarchically optimal classification tree analysis. Statistics in Medicine, 16, 1451–1463.CrossRefPubMed

Zima, B. T., Bussing, R., Yang, X., & Berlin, T. R. (2000). Help-seeking steps and service use for children in foster care. Journal of Behavioral Health Services and Research, 2(3), 271–285.CrossRef

Titel: Predictors of Reduction in Symptoms of Depression for Children and Adolescents in Foster Care
Auteurs: Alison M. Stoner
Scott C. Leon
Anne K. Fuller
Publicatiedatum: 01-03-2015
Uitgeverij: Springer US
Gepubliceerd in: Journal of Child and Family Studies / Uitgave 3/2015
Print ISSN: 1062-1024
Elektronisch ISSN: 1573-2843
DOI: https://doi.org/10.1007/s10826-013-9889-9

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