This review examines the effects of family-based psychoeducation programs to the prevention depression for children of depressed parents and investigates participant, intervention, provider, and research designs. Family-based psychoeducation programs described by articles in several national and international databases were reviewed. Five studies were identified using this approach and are included in this review. The adolescents who participated in Family-Based Psychoeducation programs reported a significant decrease in symptoms of depression, internalizing and externalizing symptoms and increase in secondary control coping. Moreover, it was noted that there was an increase in positive parental skills and a moderate effect for episodes of depression of the parents who participated in the programs. Studies evaluating effects of family-based psychoeducation programs have indicated positive results to the prevention depression for children of depressed parents.
Aydemir Ç, Vedin Temiz H, Göka E (2002) Major depresyon ve özkıyımda kognitif ve emosyonel faktörler. Turk Psikiyatri Derg, 13: 33-39.
Beardslee WR, Knitzer, J (2004) Mental health services: a family systems approach. In Investing in Children, Youth, Families and Communities: Strengths-based Research and Policy (Eds I Maton, CJ Schellenback, BJ Leadbeater, AL Solarz). Washington, DC: American Psychological Association.
Beardslee WR, Gladstone T RG, Wright EJ, Cooper AB (2003) A family-based approach to the prevention of depresive symptoms in children at risk: evidence of parental and child change. Pediatrics, 112:119-131.
Beardslee WR, Hoke L, Wheelock I, Rothberg PC, Van de Velde P, Swatling S (1992) Initial findings on preventive intervention for families with parental affective disorders. Am J Psychiatry, 149:1335–1340.
Beardslee WR, Salt P, Porterfield K, Rothberg PC, Van de Velde P, Swatling S et al. (1993) Comparison of preventive interventions for families with parental affective disorder. J Am Acad Child Adolesc Psychiatry, 32:254–263.
Beardslee WR, Wright EJ, Gladstone TRG, Forbes P (2007) Long-term effects from a randomized trial of two public health preventive interventions for parental depression. J Family Psychol, 21:703–713.
Broadhead WE, Blazer DG, George LK, Tse CK (1990) Depression, disability days, and days lost from work in a prospective epidemiologic survey. JAMA, 264:2524-2528.
Burke L (2003) The impact of maternal depression on familial relationships. Int Rev Psychiatry, 15:243–255.
Centre for Reviews and Dissemination (2009) Systematic Reviews: CRD Guidance for Undertaking Reviews in Health Care. York,UK, University of York.
Clarke GN, Hornbrook MC, Lynch F, Polen M, Gale J, Beardslee W et al.(2001) A randomized trial of a group cognitive intervention for preventing depression in adolescent offspring of depressed parents. Arch Gen Psychiatry, 58:1127-1134.
Cohen J (1988) Statistical Power Analysis for The Behavioral Sciences, 2nd ed. Hillsdale, NJ, Lawrence Earlbaum Associates.
Compas BE, Champion JE, Forehand R, Cole DA, Reeslund KL, Fear J et al. (2010) Coping and parenting: Mediators of 12-month outcomes of a family group cognitive-behavioral preventive intervention with families of depressed parents. J Consult Clin Psychol. 78(5):623-34
Compas BE, Forehand R, Keller G, Champion JE, Rakow A, Reeslund KL et al.(2009) Randomized controlled trial of a family cognitive-behavioral preventive intervention for children of depressed parents. J Consult Clin Psychol, 77:1007-1020.
Compas BE, Forehand R, Thigpen JC, Keller G, Hardcastle EJ, Cole DA et al. (2011) Family group cognitive-behavioral preventive intervention for families of depressed parents: 18 and 24 month outcomes. J Consult Clin Psychol, 79:488-499.
Dopheide JA (2006) Recognizing and treating depression in children and adolescents. Am J Health Syst Pharm, 63:233-243.
Elgar F J, Mills RSL, McGrath PJ, Waschbusch DA, Brownridge DA (2007) Maternal and paternal depressive symptoms and child maladjustment: The mediating role of parental behavior. J Abnorm Child Psychol, 35:943–955.
Ensminger ME, Hanson SG, Riley AW, Juon HS (2003) Maternal psychological distress: Adult sons’ and daughters’ mental health and educational attainment. J Am Acad Child Adolesc Psychiatry, 42:1108–1115.
Eskin M, Ertekin K, Dereboy C, Demirkan F (2007) Risk factors for and protective factors against adolescent suicidal behavior in Turkey. Crisis, 28:131–139.
Eskin M, Ertekin K, Harlak H, Dereboy Ç (2008) Lise öğrencisi ergenlerde depresyonun yaygınlığı ve ilişkili olduğu etmenler. Turk Psikiyatri Derg, 19:382-389.
Fear JM, Champion JE, Reeslund KL, Forehand R, Colletti C, Roberts L et al. (2009) Parental depression and interparental conflict: Children and adolescents’ self-blame and coping responses. J Fam Psychol, 23:762–766.
Hammen C, Brennan PA (2001) Depressed adolescents of depressed and nondepressed mothers: tests of an interpersonal impairment hypothesis. J Consult Clin Psychol, 69:284–294.
Jaser SS, Fear JM, Reeslund KL, Champion JE, Reising MM, Compas BE (2008) Maternal sadness and adolescents’ responses to stress in offspring of mothers with and without a history of depression. J Clin Child Adolesc Psychol, 37:736–746.
Jaser SS, Langrock AM, Keller G, Merchant MJ, Benson M, Reeslund K et al. (2005) Coping with the stress of parental depression II: adolescent and parent reports of coping and adjustment. J Clin Child Adolesc Psychol, 34:193–205.
Johnson J, Weissman MM, Klerman GL (1992) Service utilization and social morbidity associated with depressive symptoms in the community. JAMA, 267:1478-1483.
Klein DN, Lewinsohn PM, Rohde P, Seeley JR, Olino TM (2005) Psychopathology in the adolescent and young adult offspring of a community sample of mothers and fathers with major depression. Psychological Medicine, (35):353–365.
Klein DN, Torpey DC, Bufferd SJ, Dyson MW (2008) Depressive disorders. In Child and Adolescent Psychopathology (Eds TP Beauchaine, SP Hinshaw):477-509. Hoboken, NJ, Wiley.
Langrock AM (2002) Coping with the stress of parental depression: parents’ report of children's coping, emotional, and behavioral problems. J Clin Child Adolesc Psychol, 31:312-324.
Lieb R, Isensee B, Hofler M, Pfister H, Wittchen HU (2002) Parental major depression and the risk of depression and other mental disorders in offspring: A prospective longitudinal community study. Arch Gen Psychiatry, 59:365-374.
Moher D, Liberati A, Tetzlaff J, Altman DG, PRISMA Group (2009) Preferred reporting items for systematic reviews and meta- analyses: the PRISMA statement. Ann Intern Med, 151:264-269.
McKee L, Colletti CJM, Rakow A, Jones DJ, Forehand R (2008) Parenting and child externalizing behaviors: are the associations specific or diffuse? Aggress Violent Behav, 13:201–215.
Prisco V, Del Vecchio V, Luciano M, Giacco D, Sampogna G, Del Gaudio L et al. (2012) Efficacy of psychoeducational family intervention for depression. Eur Psychiatry, 27 (Suppl 1):p-523.
Rice F, Harold G, Thapar A (2002) The genetic aetiology of childhood depression: a review. J Child Psychol Psychiatry, 43:65–79.
Rogosch FA, Cicchetti D, Toth SL (2004) Expressed emotion in multiple subsystems of the families of toddlers with depressed mothers. Dev Psychopathol, 16:689-709.
Sanford M, Boyle M, Mccleary L, Miller J, Steele M, Duku E et al. (2006) A pilot study of adjunctive family psychoeducation in adolescent major depression: feasibility and treatment effect. J Am Acad Child Adolesc Psychiatry, 45:386-395.
Sanford M, Byrne C, Williams S, Atley S, Miller J, Allin H (2003) A pilot study of a parent-education group for families affected by depression. Can J Psychiatry, 48:78–86.
Solantaus T, Alasuutari M, Toikka S, Malmelin J, Sipila M (2004) Caring for the children of the mentally ill experience of the Beardslee family and the let’s talk about children (parent) interventions: a randomized controlled study. 16. World Congress of the International Association for Children and Adolescent Pschiatry and Allied Professions. 22-26 August 2004, Berlin.
Sourander A, Helstela L, Haavisto A, Bergroth L (2001) Suicidal thoughts and attempts among adolescents: a longitudinal 8-year follow-up study. J Affect Disord, 63:59–66.
Thapar A, Collishaw S, Pine DS, Thapar AK (2012) Depression in adolescence. Lancet, 379:1056-1067.
Tully EC, Iacono WG, McGue M (2008) An adoption study of parental depression as an environmental liability for adolescent depression and childhood disruptive disorders. Am J Psychiatry, 165:1148–1154.
Ünal S, Özcan ME (2000) Depresyonda hazırlayıcı, ortaya çıkarıcı ve koruyucu etkenler. Anadolu Psikiyatri Dergisi, 1:41-48.
Weissman MM, Warner V, Wickramaratne P, Moreau D, Olfson M (1997) Offspring of depressed parents: 10 years later. Arch Gen Psychiatry, 54:932–940.
Weissman MM, Wickramaratne P, Nomura Y, Warner V, Pilowsky D, Verdeli H (2006) Offspring of depressed parents: 20 years later. Am J Psychiatry, 163:1001-1008.
Wilkinson PO, Harris C, Kelvin R, Dubicka B Goodyer IM (2013) Associations between adolescent depression and parental mental health, before and after treatment of adolescent depression. Eur Child Adolesc Psychiatry, 22:3–11.
Wolchik SA, West SG, Sandler IN, Tein JY, Coatsworth D, Lengua L et al. (2000) An experimental evaluation of theory-based mother and mother– child programs for children of divorce. J Consult Clin Psychol, 68:843–856.
Ebeveyninde Depresyon Olan Ergenlerde Depresyonu Önlemede Aile Odaklı Psikoeğitim Uygulamaları: Sistematik Derleme
Bu sistematik inceleme ebeveyninde depresyon olan ergenlerde depresyonu önlemeye yönelik uygulanan aile odaklı psikoeğitim programları ve etkilerini belirlemek amacıyla yapılmıştır. Aile odaklı psikoeğitim programlarını belirlemek için ulusal ve uluslararası veritabanları taranmış, tarama sonucunda araştırma kapsamına 5 çalışma alınmıştır. Aile odaklı psikoeğitim programlarının çocuklarda içselleştirme ve dışsallaştırma davranışları ile depresif belirtilerinde anlamlı azalma, baş etme becerilerinde artma, ebeveynlerin olumlu ebeveynlik becerilerinde artma ve depresif epizodlarında sınırlı etki sağladığı görülmektedir. Değerlendirmeye alınan tüm çalışmalarda depresif ebeveynlerin ergenlik dönemindeki çocuklarında depresyonu önlemeye yönelik aile odaklı psikoeğitim programlarının olumlu sonuçları olduğu görülmektedir.
Aydemir Ç, Vedin Temiz H, Göka E (2002) Major depresyon ve özkıyımda kognitif ve emosyonel faktörler. Turk Psikiyatri Derg, 13: 33-39.
Beardslee WR, Knitzer, J (2004) Mental health services: a family systems approach. In Investing in Children, Youth, Families and Communities: Strengths-based Research and Policy (Eds I Maton, CJ Schellenback, BJ Leadbeater, AL Solarz). Washington, DC: American Psychological Association.
Beardslee WR, Gladstone T RG, Wright EJ, Cooper AB (2003) A family-based approach to the prevention of depresive symptoms in children at risk: evidence of parental and child change. Pediatrics, 112:119-131.
Beardslee WR, Hoke L, Wheelock I, Rothberg PC, Van de Velde P, Swatling S (1992) Initial findings on preventive intervention for families with parental affective disorders. Am J Psychiatry, 149:1335–1340.
Beardslee WR, Salt P, Porterfield K, Rothberg PC, Van de Velde P, Swatling S et al. (1993) Comparison of preventive interventions for families with parental affective disorder. J Am Acad Child Adolesc Psychiatry, 32:254–263.
Beardslee WR, Wright EJ, Gladstone TRG, Forbes P (2007) Long-term effects from a randomized trial of two public health preventive interventions for parental depression. J Family Psychol, 21:703–713.
Broadhead WE, Blazer DG, George LK, Tse CK (1990) Depression, disability days, and days lost from work in a prospective epidemiologic survey. JAMA, 264:2524-2528.
Burke L (2003) The impact of maternal depression on familial relationships. Int Rev Psychiatry, 15:243–255.
Centre for Reviews and Dissemination (2009) Systematic Reviews: CRD Guidance for Undertaking Reviews in Health Care. York,UK, University of York.
Clarke GN, Hornbrook MC, Lynch F, Polen M, Gale J, Beardslee W et al.(2001) A randomized trial of a group cognitive intervention for preventing depression in adolescent offspring of depressed parents. Arch Gen Psychiatry, 58:1127-1134.
Cohen J (1988) Statistical Power Analysis for The Behavioral Sciences, 2nd ed. Hillsdale, NJ, Lawrence Earlbaum Associates.
Compas BE, Champion JE, Forehand R, Cole DA, Reeslund KL, Fear J et al. (2010) Coping and parenting: Mediators of 12-month outcomes of a family group cognitive-behavioral preventive intervention with families of depressed parents. J Consult Clin Psychol. 78(5):623-34
Compas BE, Forehand R, Keller G, Champion JE, Rakow A, Reeslund KL et al.(2009) Randomized controlled trial of a family cognitive-behavioral preventive intervention for children of depressed parents. J Consult Clin Psychol, 77:1007-1020.
Compas BE, Forehand R, Thigpen JC, Keller G, Hardcastle EJ, Cole DA et al. (2011) Family group cognitive-behavioral preventive intervention for families of depressed parents: 18 and 24 month outcomes. J Consult Clin Psychol, 79:488-499.
Dopheide JA (2006) Recognizing and treating depression in children and adolescents. Am J Health Syst Pharm, 63:233-243.
Elgar F J, Mills RSL, McGrath PJ, Waschbusch DA, Brownridge DA (2007) Maternal and paternal depressive symptoms and child maladjustment: The mediating role of parental behavior. J Abnorm Child Psychol, 35:943–955.
Ensminger ME, Hanson SG, Riley AW, Juon HS (2003) Maternal psychological distress: Adult sons’ and daughters’ mental health and educational attainment. J Am Acad Child Adolesc Psychiatry, 42:1108–1115.
Eskin M, Ertekin K, Dereboy C, Demirkan F (2007) Risk factors for and protective factors against adolescent suicidal behavior in Turkey. Crisis, 28:131–139.
Eskin M, Ertekin K, Harlak H, Dereboy Ç (2008) Lise öğrencisi ergenlerde depresyonun yaygınlığı ve ilişkili olduğu etmenler. Turk Psikiyatri Derg, 19:382-389.
Fear JM, Champion JE, Reeslund KL, Forehand R, Colletti C, Roberts L et al. (2009) Parental depression and interparental conflict: Children and adolescents’ self-blame and coping responses. J Fam Psychol, 23:762–766.
Hammen C, Brennan PA (2001) Depressed adolescents of depressed and nondepressed mothers: tests of an interpersonal impairment hypothesis. J Consult Clin Psychol, 69:284–294.
Jaser SS, Fear JM, Reeslund KL, Champion JE, Reising MM, Compas BE (2008) Maternal sadness and adolescents’ responses to stress in offspring of mothers with and without a history of depression. J Clin Child Adolesc Psychol, 37:736–746.
Jaser SS, Langrock AM, Keller G, Merchant MJ, Benson M, Reeslund K et al. (2005) Coping with the stress of parental depression II: adolescent and parent reports of coping and adjustment. J Clin Child Adolesc Psychol, 34:193–205.
Johnson J, Weissman MM, Klerman GL (1992) Service utilization and social morbidity associated with depressive symptoms in the community. JAMA, 267:1478-1483.
Klein DN, Lewinsohn PM, Rohde P, Seeley JR, Olino TM (2005) Psychopathology in the adolescent and young adult offspring of a community sample of mothers and fathers with major depression. Psychological Medicine, (35):353–365.
Klein DN, Torpey DC, Bufferd SJ, Dyson MW (2008) Depressive disorders. In Child and Adolescent Psychopathology (Eds TP Beauchaine, SP Hinshaw):477-509. Hoboken, NJ, Wiley.
Langrock AM (2002) Coping with the stress of parental depression: parents’ report of children's coping, emotional, and behavioral problems. J Clin Child Adolesc Psychol, 31:312-324.
Lieb R, Isensee B, Hofler M, Pfister H, Wittchen HU (2002) Parental major depression and the risk of depression and other mental disorders in offspring: A prospective longitudinal community study. Arch Gen Psychiatry, 59:365-374.
Moher D, Liberati A, Tetzlaff J, Altman DG, PRISMA Group (2009) Preferred reporting items for systematic reviews and meta- analyses: the PRISMA statement. Ann Intern Med, 151:264-269.
McKee L, Colletti CJM, Rakow A, Jones DJ, Forehand R (2008) Parenting and child externalizing behaviors: are the associations specific or diffuse? Aggress Violent Behav, 13:201–215.
Prisco V, Del Vecchio V, Luciano M, Giacco D, Sampogna G, Del Gaudio L et al. (2012) Efficacy of psychoeducational family intervention for depression. Eur Psychiatry, 27 (Suppl 1):p-523.
Rice F, Harold G, Thapar A (2002) The genetic aetiology of childhood depression: a review. J Child Psychol Psychiatry, 43:65–79.
Rogosch FA, Cicchetti D, Toth SL (2004) Expressed emotion in multiple subsystems of the families of toddlers with depressed mothers. Dev Psychopathol, 16:689-709.
Sanford M, Boyle M, Mccleary L, Miller J, Steele M, Duku E et al. (2006) A pilot study of adjunctive family psychoeducation in adolescent major depression: feasibility and treatment effect. J Am Acad Child Adolesc Psychiatry, 45:386-395.
Sanford M, Byrne C, Williams S, Atley S, Miller J, Allin H (2003) A pilot study of a parent-education group for families affected by depression. Can J Psychiatry, 48:78–86.
Solantaus T, Alasuutari M, Toikka S, Malmelin J, Sipila M (2004) Caring for the children of the mentally ill experience of the Beardslee family and the let’s talk about children (parent) interventions: a randomized controlled study. 16. World Congress of the International Association for Children and Adolescent Pschiatry and Allied Professions. 22-26 August 2004, Berlin.
Sourander A, Helstela L, Haavisto A, Bergroth L (2001) Suicidal thoughts and attempts among adolescents: a longitudinal 8-year follow-up study. J Affect Disord, 63:59–66.
Thapar A, Collishaw S, Pine DS, Thapar AK (2012) Depression in adolescence. Lancet, 379:1056-1067.
Tully EC, Iacono WG, McGue M (2008) An adoption study of parental depression as an environmental liability for adolescent depression and childhood disruptive disorders. Am J Psychiatry, 165:1148–1154.
Ünal S, Özcan ME (2000) Depresyonda hazırlayıcı, ortaya çıkarıcı ve koruyucu etkenler. Anadolu Psikiyatri Dergisi, 1:41-48.
Weissman MM, Warner V, Wickramaratne P, Moreau D, Olfson M (1997) Offspring of depressed parents: 10 years later. Arch Gen Psychiatry, 54:932–940.
Weissman MM, Wickramaratne P, Nomura Y, Warner V, Pilowsky D, Verdeli H (2006) Offspring of depressed parents: 20 years later. Am J Psychiatry, 163:1001-1008.
Wilkinson PO, Harris C, Kelvin R, Dubicka B Goodyer IM (2013) Associations between adolescent depression and parental mental health, before and after treatment of adolescent depression. Eur Child Adolesc Psychiatry, 22:3–11.
Wolchik SA, West SG, Sandler IN, Tein JY, Coatsworth D, Lengua L et al. (2000) An experimental evaluation of theory-based mother and mother– child programs for children of divorce. J Consult Clin Psychol, 68:843–856.