Development and efficacy of a family-focused treatment for depression in childhood

JOURNAL OF AFFECTIVE DISORDERS

卷:276

Article

Tompson, Martha C.¹  Langer, David A.²  Asarnow, Joan R.³ 

[1] Boston Univ, Dept Psychol & Brain Sci, 900 Commonwealth Ave,2nd Floor, Boston, MA 02215 USA

[2] Suffolk Univ, Dept Psychol, Boston, MA 02114 USA

[3] Univ Calif Los Angeles, Semel Inst Neurosci & Human Behav, Los Angeles, CA 90024 USA

关键词: Depression;    Family-focused therapy;    Stress;    Children;    Mood disorders;    Interpersonal model;    Cognitive behavioral;    Psychoeducation;   

DOI  :  10.1016/j.jad.2020.06.057

来源: Elsevier

【 摘 要 】

Background: Depression in childhood frequently involves significant impairment, comorbidity, stress, and mental health problems within the family. Family-Focused Treatment for Childhood Depression (FFT-CD) is a 15-session developmentally-informed, evidence-based intervention targeting family interactions to enhance resiliency within the family system to improve and manage childhood depression. Methods: We present the conceptual framework underlying FFT-CD, the treatment development process, the intervention strategies, a case illustration, and efficacy data from a recent 2-site randomized clinical trial (N = 134) of 7-14 year old children randomly assigned to FFT-CD or individual supportive psychotherapy (IP) conditions. Results: Compared to children randomized to IP, those randomized to FFT-CD showed higher rates of depression response (>= 50% Children's Depression Rating Scale-Revised reduction) across the course of acute treatment (77.7% vs. 59.9%, t = 1.97, p = .0498). The rate of improvement overall leveled off following treatment with a high rate of recovery from index depressive episodes in both groups (estimated 76% FFT-CD, 77% IP), and there was an attenuation of observed group differences. By final follow-up (9 months post-treatment), one FFT-CD child and six IP children had suffered depressive recurrences, and four IP children attempted suicide. Limitations: Without a no treatment control group it is not possible to disentangle the impact of the interventions from time alone. Conclusions: While seldom evaluated, family interventions may be particularly appropriate for childhood depression. FFT-CD has demonstrated efficacy compared to individual supportive therapy. However, findings underscore the need for an extended/chronic disease model to enhance outcomes and reduce risk over time.

【 授权许可】

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