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Mediators of a randomized controlled trial of a preventive intervention for youth of parents with depressive disorders.
Journal of Consulting and Clinical Psychology ( IF 4.5 ) Pub Date : 2025-01-01 , DOI: 10.1037/ccp0000928
Abagail E Ciriegio,Abigail E Pine,David A Cole,Laura G McKee,Rex Forehand,Bruce E Compas

OBJECTIVE The present study assessed two theory-driven mediators of the effects of a family group cognitive-behavioral (FGCB) preventive intervention for youth of parents with a history of major depressive disorder (MDD) or dysthymia on long-term youth psychopathology symptoms and diagnoses. METHOD Sample included 180 parents (Mage = 41.9, 89% female, 82% White, non-Hispanic) and one of their children/adolescents ages 9-15 years (Mage = 11.4, 49% female, 74% White, non-Hispanic). Changes in the hypothesized mediators, observations of positive parenting (Iowa Family Interaction Rating Scales) and youth secondary control coping (SCC) skills (Responses to Stress Questionnaire), were assessed at 6 months. Changes in youth psychopathology symptoms were assessed on the Child Behavior Checklist and Youth Self-Report at 18- and 24-month follow-ups and MDD diagnoses with the Kiddie Schedule for Affective Disorders and Schizophrenia at 12 and 24 months. RESULTS Changes in youth SCC skills (e.g., acceptance, reappraisal) after the intervention mediated the effects of the FGCB program on changes in youth internalizing and externalizing symptoms at 18- and 24-month follow-ups. Effects for changes in positive parenting behaviors as a mediator were more limited. SCC skills were further shown to mediate the effects of the FGCB intervention on MDD diagnoses from 12 to 24 months. CONCLUSIONS This study provides clear and strong evidence that changes in youth SCC skills mediated the long-term effects of preventive intervention for families of depressed parents. (PsycInfo Database Record (c) 2025 APA, all rights reserved).

中文翻译:


一项针对父母患有抑郁症的青少年的预防性干预的随机对照试验的调解人。



目的 本研究评估了家庭群体认知行为 (FGCB) 预防干预对父母有重度抑郁症 (MDD) 或心境恶劣病史的青少年对长期青年精神病理学症状和诊断的影响的两个理论驱动的介质。方法 样本包括 180 名父母(Mage = 41.9,89% 女性,82% 白人,非西班牙裔)和他们的一名 9-15 岁儿童/青少年(Mage = 11.4,49% 女性,74% 白人,非西班牙裔)。在 6 个月时评估假设中介、积极育儿观察 (爱荷华州家庭互动评定量表) 和青年次要控制应对 (SCC) 技能 (对压力问卷的反应) 的变化。在 18 个月和 24 个月的随访中,在儿童行为检查表和青少年自我报告中评估青少年精神病理学症状的变化,并在 12 个月和 24 个月时使用情感障碍和精神分裂症的儿童时间表评估 MDD 诊断。结果 干预后青少年 SCC 技能的变化 (例如,接受、重新评估) 介导了 FGCB 计划对 18 个月和 24 个月随访中青少年内化和外化症状变化的影响。作为中介,对积极养育行为变化的影响更加有限。SCC 技能进一步显示可介导 FGCB 干预对 12 至 24 个月 MDD 诊断的影响。结论 本研究提供了明确而有力的证据,表明青少年 SCC 技能的变化介导了预防性干预对抑郁父母家庭的长期影响。(PsycInfo 数据库记录 (c) 2025 APA,保留所有权利)。
更新日期:2025-01-01
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