Prevention of familial transmission of depression: EFFEKT-E, a selective program for emotionally burdened families

被引：9
作者：
Bühler A. [1 ]
Kötter C. [1 ]
Jaursch S. [2 ]
Lösel F. [2 ,3 ]
机构：
[1] Institut für Therapieforschung, München, Präventionsforschung, 80804 München
[2] Universität Erlangen-Nürnberg, 91054 Erlangen
[3] Institute of Criminology, University of Cambridge, Cambridge CB3 9DT, Sidgwick Avenue
来源：
Journal of Public Health | 2011年 / 19卷 / 4期
关键词：
Behavioral problems; Children; Depressed Mothers; Depression; Family-oriented; Selective prevention;
D O I：
10.1007/s10389-011-0423-5
中图分类号：
学科分类号：
摘要：
Aim Parental depression is a strong risk factor for depression in children and is associated with offspring's behavioral problems. Therefore, prevention measures should aim to reduce the transmission of risk to children of depressed mothers. In this paper, description and evaluation results are reported for EFFEKT-E (Entwicklungsförderung in Familien: Eltern- und Kinder-Training in emotional belasteten Familien), a prevention program to be used in the setting of mother-child rehabilitation clinics. EFFEKT-E is a familyoriented program including parent training and social skills training for pre-school children. Subjects and methods The evaluation study contained 375 mothers and their children. The program was evaluated in a quasi-experimental pre-post-follow-up design using instruments on parenting behavior and children's emotional and behavioral problems. Results Evaluation showed satisfying out reach and implementation of the program. Compared to a treatment-asusual condition, EFFEKT-E children exhibited less emotional disruption and hyperactivity. Mother's sense of parental competence was promoted, problematic parenting behavior decreased. Conclusion EFFEKT-E is an evidence-based selective program which has the potential to prevent intergenerational transmission of depression. © Springer-Verlag 2011.
引用
收藏
页码：321 / 327
页数：6
相关论文
共 36 条
  • [1] Abidin R.R., Parenting stress index, Psychological Assessment Resources, (1995)
  • [2] Beardslee W.R., Salt P., Versage E.M., Gladstone T.R.G., Wright E.J., Rothberg P.C., Sustained change in parents receiving preventive interventions for families with depression, American Journal of Psychiatry, 154, 4, pp. 510-515, (1997)
  • [3] Beardslee W., Gladstone T.R.G., Wright E.J., Cooper A.B., A family-based approach to the prevention of depressive symptoms in children at risk: Evidence of parental and child change, Pediatrics, 112, pp. 119-131, (2003)
  • [4] Beeber L.S., Cooper C., Van Nov B.E., Schwartz T.A., Blanchard H.C., Canuso R., Robb K., Laudenbacher C., Emory S.L., Flying under the radar: Engagement and retention of depressed lowincome mothers in a mental health intervention, Adv Nurs Sci, 30, pp. 221-234, (2007)
  • [5] Beelmann A., Wirksamkeit eines sozialen problemlosetrainings bei entwicklungsverzogerten vorschulkindern, Zeitschrift fur Padagogische Psychologie, 17, 1, pp. 27-41, (2003)
  • [6] Beelmann A., Jaursch S., Losel F., IKPL: Ich Kann Probleme Lösen für Kinder von Emotional Belasteten Familien, (2007)
  • [7] Beelmann A., Losel F., Jaursch S., Buhler A., Kotter C., Elterntraining Zur Förderung der Erziehungskompetenz für Emotional Belastete Familien, (2007)
  • [8] Buhler A., Kotter C., Prävention der Familialen Transmission der Depression Bei Kindern Depressiver Mütter, (2010)
  • [9] Clarke G.N., Hornbrook M., Lynch F., Polen M., Gale J., Beardslee W., O'Connor E., Seeley J., A randomized trial of a group cognitive intervention for preventing depression in adolescent offspring of depressed parents, Archives of General Psychiatry, 58, 12, pp. 1127-1134, (2001)
  • [10] Compas B.E., Forehand R., Keller G., Champion J.E., Rakow A., Reeslund K.L., McKee L., Fear J.M., Colletti C.J., Hardcastle E., Merchant M.J., Roberts L., Potts J., Garai E., Coffelt N., Roland E., Sterba S.K., Cole D.A., Randomized controlled trial of a family cognitive-behavioral preventive intervention for children of depressed parents, J Consult Clin Psychol, 77, pp. 1007-20, (2009)
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