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Chapter 16 - Working with Parents with Depression in Family Intervention

from Part IV - Family Intervention for Children at Risk Due to Family Dysfunction or Past Adversity

Published online by Cambridge University Press:  18 February 2021

Jennifer L. Allen
Affiliation:
University of Bath
David J. Hawes
Affiliation:
University of Sydney
Cecilia A. Essau
Affiliation:
Roehampton University, London
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Summary

Parental depression is associated with maladaptive cognitive, academic, socio-emotional and psychological outcomes in offspring. Children with a depressed parent are three to four times more likely to be diagnosed with depression than children with non-depressed parents, making parental depression a significant risk factor in the onset of childhood depression. Preventive interventions aim to reduce the likelihood that depressive symptoms will onset by decreasing risk factors and increasing protective factors. In family-based preventive interventions for children who are at risk for depression due to parental depressive symptoms, clinicians aim to build resilience in children by addressing risk and protective factors. Such intervention programs have been shown to effectively reduce depressive symptoms in children. This chapter summarizes the effects of parental depression on children, risk and protective factors associated with resilience and the family-based preventive interventions used to mitigate the effects of parental depression on children and presents an example case study highlighting one of these preventive interventions. Finally, the chapter reviews essential clinical competencies for productive work in family-based depression preventive interventions.

Type
Chapter
Information
Family-Based Intervention for Child and Adolescent Mental Health
A Core Competencies Approach
, pp. 207 - 224
Publisher: Cambridge University Press
Print publication year: 2021

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References

Substance Abuse and Mental Health Services Administration (SAMHSA). Key Substance Use and Mental Health Indicators in The United States: Results from the 2017 National Survey on Drug Use and Health. Rockville, MD: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, 2018.Google Scholar
Institute of Medicine (IOM). Depression in Parents, Parenting, and Children: Opportunities to Improve Identification, Treatment, and Prevention. Washington, DC: National Research Council (US) and Institute of Medicine (US), 2009.Google Scholar
Beardslee, WR, Versage, EM, Gladstone, TR. Children of affectively ill parents: A review of the past 10 years. Journal of the American Academy of Child and Adolescent Psychiatry 1998; 37(11):1134–41.Google ScholarPubMed
Weissman, MM, Wickramaratne, P, Nomura, Y, et al. Offspring of depressed parents: 20 years later. American Journal of Psychiatry 2006; 163(6):1001–8.Google Scholar
Murray, L, Arteche, A, Fearon, P, et al. Maternal postnatal depression and the development of depression in offspring up to 16 years of age. Journal of the American Academy of Child and Adolescent Psychiatry 2011; 50(5):460–70.Google ScholarPubMed
Hammen, C, Burge, D, Burney, E, Adrian, C. Longitudinal study of diagnoses in children of women with unipolar and bipolar affective disorder. Archives of General Psychiatry 1990; 47(12):1112–17.CrossRefGoogle ScholarPubMed
Cummings, EM, Keller, PS, Davies, PT. Towards a family process model of maternal and paternal depressive symptoms: exploring multiple relations with child and family functioning. Journal of Child Psychology and Psychiatry 2005; 46(5):479–89.Google Scholar
Smith, M. Parental mental health: disruptions to parenting and outcomes for children. Child and Family Social Work 2004; 9(1):311.Google Scholar
Luoma, I, Tamminen, T, Kaukonen, P, et al. Longitudinal study of maternal depressive symptoms and child well-being. Journal of the American Academy of Child and Adolescent Psychiatry 2001; 40(12):1367–74.Google ScholarPubMed
Beardslee, WR, Solantaus, TS, Morgan, BS, et al. Preventive interventions for children of parents with depression: International perspectives. Medical Journal of Australia 2013; 199(Suppl 3):S23–5.Google Scholar
Gladstone, TR, Beardslee, WR. Treatment, intervention, and prevention with children of depressed parents: A developmental perspective. In: Goodman, SH, Gotlib, H (eds.), Children of Depressed Parents: Mechanisms of Risk and Implications for Treatment. Washington, DC: American Psychological Association, 2002, pp. 277305.Google Scholar
Goodman, SH, Gotlib, IH. Transmission of risk to children of depressed parents: Integration and conclusions. Psychological Review 1999; 106(3):458–90.Google Scholar
Garber, J, Ciesla, JA, McCauley, E, et al. Remission of depression in parents: Links to healthy functioning in their children. Child Development 2011; 82(1):226–43.Google Scholar
Foster, CE, Webster, MC, Weissman, MM, et al. Remission of maternal depression: Relations to family functioning and youth internalizing and externalizing symptoms. Journal of Clinical Child and Adolescent Psychology 2008; 37(4):714–24.CrossRefGoogle ScholarPubMed
Hay, DF, Pawlby, S, Sharp, D, et al. Intellectual problems shown by 11-year-old children whose mothers had postnatal depression. Journal of Child Psychology and Psychiatry 2001; 42(7):871–89.Google Scholar
Letourneau, NL, Tramonte, L, Willms, JD. Maternal depression, family functioning and children’s longitudinal development. Journal of Pediatric Nursing 2013; 28(3):223–34.Google Scholar
Leinonen, JA, Solantaus, TS, Punamaki, RL. Parental mental health and children’s adjustment: The quality of marital interaction and parenting as mediating factors. Journal of Child Psychology and Psychiatry 2003; 44(2):227–41.CrossRefGoogle ScholarPubMed
Shen, H, Magnusson, C, Rai, D, et al. Associations of parental depression with child school performance at age 16 years in Sweden. JAMA Psychiatry 2016; 73(3):239–46.CrossRefGoogle ScholarPubMed
Murray, L, Sinclair, D, Cooper, P, et al. The socioemotional development of 5-year-old children of postnatally depressed mothers. Journal of Child Psychology and Psychiatry 1999; 40(8):1259–71.Google Scholar
Hay, DF, Pawlby, S, Waters, CS, et al. Mothers’ antenatal depression and their children’s antisocial outcomes. Child Development 2010; 81(1):149–65.Google Scholar
Maughan, A, Cicchetti, D, Toth, SL, Rogosch, FA. Early-occurring maternal depression and maternal negativity in predicting young children’s emotion regulation and socioemotional difficulties. Journal of Abnormal Child Psychology 2007; 35(5):685703.CrossRefGoogle ScholarPubMed
Ramchandani, P, Stein, A, Evans, J, O’Connor, TG, Team, AS. Paternal depression in the postnatal period and child development: A prospective population study. Lancet 2005; 365(9478):2201–5.Google Scholar
Murray, L, Halligan, SL, Adams, G, et al. Socioemotional development in adolescents at risk for depression: The role of maternal depression and attachment style. Developmental Psychopathology 2006; 18(2):489516.Google Scholar
Kahn, RS, Brandt, D, Whitaker, RC. Combined effect of mothers’ and fathers’ mental health symptoms on children’s behavioral and emotional well-being. Archives of Pediatrics and Adolescent Medicine 2004; 158(8):721–9.Google Scholar
Foley, DL, Pickles, A, Simonoff, E, et al. Parental concordance and comorbidity for psychiatric disorder and associate risks for current psychiatric symptoms and disorders in a community sample of juvenile twins. Journal of Child Psychology and Psychiatry 2001; 42(3):381–94.Google Scholar
Lieb, R, Isensee, B, Hofler, M, et al. Parental major depression and the risk of depression and other mental disorders in offspring: A prospective longitudinal community study. Archives of General Psychiatry 2002; 59(4):365–74.CrossRefGoogle ScholarPubMed
Hoffman, C, Crnic, KA, Baker, JK. Maternal depression and parenting: Implications for children’s emergent emotion regulation and behavioral functioning. Parenting: Science and Practice 2006; 6(4):271–95.CrossRefGoogle Scholar
Meadows, SO, McLanahan, SS, Brooks-Gunn, J. Parental depression and anxiety and early childhood behavior problems across family types. Journal of Marriage and Family 2007; 69(5):1162–77.Google Scholar
Middleton, M, Scott, SL, Renk, K. Parental depression, parenting behaviours, and behaviour problems in young children. Infant and Child Development: An International Journal of Research and Practice 2009; 18(4):323–6.Google Scholar
Beardslee, WR, Gladstone, TR, Wright, EJ, Cooper, AB. A family-based approach to the prevention of depressive symptoms in children at risk: Evidence of parental and child change. Pediatrics 2003; 112(2):e119–31.CrossRefGoogle Scholar
Valdez, CR, Mills, CL, Barrueco, S, et al. A pilot study of a family-focused intervention for children and families affected by maternal depression. Journal of Family Therapy 2011; 33(1):319.Google Scholar
Nicholson, J, Albert, K, Gershenson, B, et al. Family options for parents with mental illnesses: A developmental, mixed methods pilot study. Psychiatric Rehabilitation Journal 2009; 33(2):106–14.Google Scholar
Jackson, D, Mannix, J. Giving voice to the burden of blame: A feminist study of mothers’ experiences of mother blaming. International Journal of Nursing Practice 2004; 10(4):150–8.CrossRefGoogle Scholar
Lewis, G, Neary, M, Polek, E, et al. The association between paternal and adolescent depressive symptoms: Evidence from two population-based cohorts. Lancet Psychiatry 2017; 4(12):920–6.Google Scholar
Lovejoy, MC, Graczyk, PA, O’Hare, E, Neuman, G. Maternal depression and parenting behavior: A meta-analytic review. Clinical Psychology Review 2000; 20(5):561–92.Google Scholar
Barker, ED, Copeland, W, Maughan, B, et al. Relative impact of maternal depression and associated risk factors on offspring psychopathology. British Journal of Psychiatry 2012; 200(2):124–9.Google Scholar
Gross, HE, Shaw, DS, Moilanen, KL. Reciprocal associations between boys’ externalizing problems and mothers’ depressive symptoms. Journal of Abnormal Child Psychology 2008; 36(5):693709.CrossRefGoogle ScholarPubMed
Hammen, C, Brennan, PA. Severity, chronicity, and timing of maternal depression and risk for adolescent offspring diagnoses in a community sample. Archives of General Psychiatry 2003; 60(3):253–8.Google Scholar
Foster, CE, Webster, MC, Weissman, MM, et al. Course and severity of maternal depression: Associations with family functioning and child adjustment. Journal of Youth and Adolescence 2008; 37(8):906–16.Google Scholar
Bagner, DM, Pettit, JW, Lewinsohn, PM, Seeley, JR. Effect of maternal depression on child behavior: A sensitive period? Journal of the American Academy of Child and Adolescent Psychiatry 2010; 49(7):699707.Google Scholar
Van de Velde, S, Bracke, P, Levecque, K. Gender differences in depression in 23 European countries: Cross-national variation in the gender gap in depression. Social Science and Medicine 2010; 71(2):305–13.Google Scholar
Wade, TJ, Cairney, J, Pevalin, DJ. Emergence of gender differences in depression during adolescence: National panel results from three countries. Journal of the American Academy of Child and Adolescent Psychiatry 2002; 41(2):190–8.Google ScholarPubMed
Mason, WA, Chmelka, MB, Trudeau, L, Spoth, RL. Gender moderation of the intergenerational transmission and stability of depressive symptoms from early adolescence to early adulthood. Journal of Youth and Adolescence 2017; 46(1):248–60.CrossRefGoogle ScholarPubMed
Jessee, AD, Mangelsdorf, SC, Shigeto, A, Wong, MS. Temperament as a moderator of the effects of parental depressive symptoms on child behavior problems. Social Development 2012; 21(6):610–27.Google Scholar
Slagt, M, Dubas, JS, Dekovic, M, van Aken, MA. Differences in sensitivity to parenting depending on child temperament: A meta-analysis. Psychology Bulletin 2016; 142(10):1068–110.Google Scholar
Spence, SH, Najman, JM, Bor, W, et al. Maternal anxiety and depression, poverty and marital relationship factors during early childhood as predictors of anxiety and depressive symptoms in adolescence. Journal of Child Psychology and Psychiatry 2002; 43(4):457–69.Google Scholar
Kiernan, KE, Huerta, MC. Economic deprivation, maternal depression, parenting and children’s cognitive and emotional development in early childhood. British Journal of Sociology 2008; 59(4):783806.Google Scholar
Dumont, A, Provost, M. Resilience in adolescents: Protective role of social support, coping strategies, self-esteem, and social activities on experience of stress and depression. Journal of Youth and Adolescence 1999; 28(3):343–63.Google Scholar
Surkan, PJ, Peterson, KE, Hughes, MD, Gottlieb, BR. The role of social networks and support in postpartum women’s depression: A multiethnic urban sample. Maternal and Child Health Journal 2006; 10(4):375–83.Google Scholar
Herwig, JE, Wirtz, M, Bengel, J. Depression, partnership, social support, and parenting: interaction of maternal factors with behavioral problems of the child. Journal of Affective Disorders 2004; 80(2–3):199208.Google Scholar
McCarty, CA, McMahon, RJ, Conduct Problems Prevention Research Group. Mediators of the relation between maternal depressive symptoms and child internalizing and disruptive behavior disorders. Journal of Family Psychology 2003; 17(4):545–56.CrossRefGoogle ScholarPubMed
Chen, HJ, Kovacs, PJ. Working with families in which a parent has depression: A resilience perspective. Families in Society: The Journal of Contemporary Social Services 2013; 94(2):114–20.Google Scholar
Chapman, DP, Whitfield, CL, Felitti, VJ, et al. Adverse childhood experiences and the risk of depressive disorders in adulthood. Journal of Affective Disorders 2004; 82(2):217–25.CrossRefGoogle ScholarPubMed
Evans, GW, Li, D, Whipple, SS. Cumulative risk and child development. Psychology Bulletin 2013; 139(6):1342–96.Google Scholar
Beardslee, WR, Gladstone, TR, O’Connor, EE. Transmission and prevention of mood disorders among children of affectively ill parents: A review. Journal of the American Academy of Child and Adolescent Psychiatry 2011; 50(11):1098–109.Google ScholarPubMed
Erskine, HE, Moffitt, TE, Copeland, WE, et al. A heavy burden on young minds: The global burden of mental and substance use disorders in children and youth. Psychological Medicine 2015; 45(7):1551–63.Google Scholar
Bodden, DHM, Stikkelbroek, Y, Dirksen, CD. Societal burden of adolescent depression: An overview and cost-of-illness study. Journal of Affective Disorders 2018; 241:256–62.CrossRefGoogle ScholarPubMed
Dieleman, JL, Baral, R, Birger, M, et al. US spending on personal health care and public health, 1996–2013. Journal of the American Medical Association 2016; 316(24):2627–46.Google Scholar
Lynch, FL, Hornbrook, M, Clarke, GN, et al. Cost-effectiveness of an intervention to prevent depression in at-risk teens. Archives of General Psychiatry 2005; 62(11):1241–8.Google Scholar
Lynch, FL, Dickerson, JF, Clarke, GN, et al. Cost-effectiveness of preventing depression among at-risk youths: Postintervention and 2-year follow-up. Psychiatric Services 2019; 70(1):279–86.Google Scholar
Compas, BE, Forehand, R, Thigpen, JC, et al. Family group cognitive-behavioral preventive intervention for families of depressed parents: 18- and 24-month outcomes. Journal of Consulting and Clinical Psychology 2011; 79(4):488–99.Google Scholar
Merry, SN, Hetrick, SE, Cox, GR, et al. Psychological and educational interventions for preventing depression in children and adolescents. Cochrane Database of Systematic Reviews 2011:(12):CD003380.Google ScholarPubMed
Horowitz, JL, Garber, J. The prevention of depressive symptoms in children and adolescents: A meta-analytic review. Journal of Consulting and Clinical Psychology 2006; 74(3):401–15.Google Scholar
Clarke, GN, Hornbrook, M, Lynch, F, et al. A randomized trial of a group cognitive intervention for preventing depression in adolescent offspring of depressed parents. Archives of General Psychiatry 2001; 58(12):1127–34.Google Scholar
Garber, J, Clarke, GN, Weersing, VR, et al. Prevention of depression in at-risk adolescents: A randomized controlled trial. Journal of the American Medical Association 2009; 301(21):2215–24.Google Scholar
Cuijpers, P, Munoz, RF, Clarke, GN, Lewinsohn, PM. Psychoeducational treatment and prevention of depression: The ‘Coping with Depression’ course thirty years later. Clinical Psychology Review 2009; 29(5):449–58.Google Scholar
Drost, LM, Cuijpers, P, Schippers, GM. Developing an interactive website for adolescents with a mentally ill family member. Clinical Child Psychology and Psychiatry 2011; 16(3):351–64.Google Scholar
Focht, L, Beardslee, WR. ‘Speech after Long Silence’: The use of narrative therapy in a preventive intervention for children of parents with affective disorder. Family Process 1996; 35(4):407–22.Google Scholar
Beardslee, WR, Gladstone, TRG, Wright, EJ, Forbes, P. Long-term effects from a randomized trial of two public health preventive interventions for parental depression. Journal of Family Psychology 2007; 21(4):703–13.Google Scholar
Solantaus, T, Toikka, S, Alasuutari, M, et al. Safety, feasibility and family experiences of preventive interventions for children and families with parental depression. International Journal of Mental Health Promotion 2009; 11(4):1524.Google Scholar
Solantaus, TS, Toikka, S. The effective family programme: Preventative services for the children of mentally ill parents in Finland. International Journal of Mental Health Promotion 2006; 8(3):3744.Google Scholar
Reupert, AE, Maybery, DJ. A ‘snapshot’ of Australian programs to support children and adolescents whose parents have a mental illness. Psychiatric Rehabilitation Journal 2009; 33(2):125–32.Google Scholar
Marston, N, Maybery, D, Reupert, A. Empowering families where a parent has a mental illness: A preliminary evaluation of the ‘Family Focus’ DVD. Advances in Mental Health 2014; 12(2):136–46.Google Scholar
Compas, BE, Forehand, R, Keller, G, et al. Randomized controlled trial of a family cognitive-behavioral preventive intervention for children of depressed parents. Journal of Consulting and Clinical Psychology 2009; 77(6):1007–20.Google Scholar
Valdez, CR, Padilla, B, Moore, SM, Magana, S. Feasibility, acceptability, and preliminary outcomes of the Fortalezas Familiares intervention for Latino families facing maternal depression. Family Process 2013; 52(3):394410.Google Scholar
Bühler, A, Kötter, C, Jaursch, S, Lösel, F. Prevention of familial transmission of depression: EFFEKT-E, a selective program for emotionally burdened families. Journal of Public Health 2011; 19:321–7.Google Scholar
van Doesum, KT, Riksen-Walraven, JM, Hosman, CM, Hoefnagels, C. A randomized controlled trial of a home-visiting intervention aimed at preventing relationship problems in depressed mothers and their infants. Child Development 2008; 79(3):547–61.Google Scholar
Sburlati, ES, Schniering, CA, Lyneham, HJ, Rapee, RM. A model of therapist competencies for the empirically supported cognitive behavioral treatment of child and adolescent anxiety and depressive disorders. Clinical Child and Family Psychology Review 2011; 14(1):89109.CrossRefGoogle Scholar
Beardslee, WR. Master clinician review: Parental depression and family health and wellness: What clinicians can do and reflections on opportunities for the future. Journal of American Academy of Child and Adolescent Psychiatry (in press).Google Scholar
Gladstone, TRG, Diehl, A, Thomann, LO, Beardslee, WR. The association between parental depression and child psychosocial intervention outcomes: Directions for future research. Harvard Review of Psychiatry; 58(8):759–67.Google Scholar

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