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The Role of Maternal Depression on Treatment Outcome for Children with Externalizing Behavior Problems.

van Loon LM, Granic I, Engels RC - J Psychopathol Behav Assess (2011)

Bottom Line: Studies have shown that, on average, Parent Management Training combined with cognitive-behavioral therapy decreases children's externalizing behavior, but some children do not improve through treatment.Children with externalizing behavioral problems and their parents were recruited from combined Parent Management Training and Cognitive-Behavioral programs in "real-world" clinical settings.Results showed that treatment was less effective for children of depressed mothers compared to non-depressed mothers and that improvements in maternal depression were associated with improvements in children's externalizing behavior.

View Article: PubMed Central - PubMed

Affiliation: Behavioural Science Institute, Radboud Universiteit Nijmegen, P.O. Box 9104, 6500 HE Nijmegen, The Netherlands.

ABSTRACT
Studies have shown that, on average, Parent Management Training combined with cognitive-behavioral therapy decreases children's externalizing behavior, but some children do not improve through treatment. The current study aimed to examine the role of maternal depression in understanding this variability in treatment outcome. Children with externalizing behavioral problems and their parents were recruited from combined Parent Management Training and Cognitive-Behavioral programs in "real-world" clinical settings. At pre- and post treatment, maternal depression and children's externalizing behavior were assessed. Results showed that treatment was less effective for children of depressed mothers compared to non-depressed mothers and that improvements in maternal depression were associated with improvements in children's externalizing behavior. These findings suggest that treatment programs for children with externalizing problems may be able to improve outcomes if maternal depression is a target of intervention.

No MeSH data available.


Related in: MedlinePlus

Change over time in children’s externalizing behavior (CBCL) according to initial levels of maternal depression (i.e. NDEP refers to non-depressed, DEP refers to depressed)
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Fig1: Change over time in children’s externalizing behavior (CBCL) according to initial levels of maternal depression (i.e. NDEP refers to non-depressed, DEP refers to depressed)

Mentions: To test our first hypothesis that mothers who were depressed at pre-treatment would be less likely to benefit from treatment than children of non-depressed mothers, a repeated measures ANOVA was used to examine changes in externalizing behavior over time, with pre-treatment CBCL externalizing scores as the first factor, post-treatment CBCL externalizing scores as the second factor, and the depression status of the mother as the between-subject factor. Results showed that children of non-depressed mothers improved significantly more in their externalizing behavior (Pre: M = 70.34, SD = 6.42; Post: M = 61.66, SD = 11.87) than children of depressed mothers (Pre: M = 73.88, SD = 6.31; Post: M = 69.49, SD = 8.90, F(1, 99) = 9.24, p < .05). Figure 1 presents the changes from pre- to post-treatment on externalizing scores for children of depressed and non-depressed mothers separately. Although both children of non-depressed and depressed mothers showed a decrease in their externalizing behavior, it is important to note that children of depressed mothers remained above the borderline clinical cutoff (> 67; Achenbach 1991) of externalizing problems (M = 69.49, SE = 1.31) at post-treatment, indicating that these children remained significantly impaired by the end of treatment. In contrast, children of non-depressed mothers fell below the borderline clinical cutoff (M = 61.66, SE = 2.29) by the end of treatment. A t-test revealed that this difference in post-treatment scores on externalizing behavior was significant t(92.67) = − 3.04, p < .01.Fig. 1


The Role of Maternal Depression on Treatment Outcome for Children with Externalizing Behavior Problems.

van Loon LM, Granic I, Engels RC - J Psychopathol Behav Assess (2011)

Change over time in children’s externalizing behavior (CBCL) according to initial levels of maternal depression (i.e. NDEP refers to non-depressed, DEP refers to depressed)
© Copyright Policy
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC3105234&req=5

Fig1: Change over time in children’s externalizing behavior (CBCL) according to initial levels of maternal depression (i.e. NDEP refers to non-depressed, DEP refers to depressed)
Mentions: To test our first hypothesis that mothers who were depressed at pre-treatment would be less likely to benefit from treatment than children of non-depressed mothers, a repeated measures ANOVA was used to examine changes in externalizing behavior over time, with pre-treatment CBCL externalizing scores as the first factor, post-treatment CBCL externalizing scores as the second factor, and the depression status of the mother as the between-subject factor. Results showed that children of non-depressed mothers improved significantly more in their externalizing behavior (Pre: M = 70.34, SD = 6.42; Post: M = 61.66, SD = 11.87) than children of depressed mothers (Pre: M = 73.88, SD = 6.31; Post: M = 69.49, SD = 8.90, F(1, 99) = 9.24, p < .05). Figure 1 presents the changes from pre- to post-treatment on externalizing scores for children of depressed and non-depressed mothers separately. Although both children of non-depressed and depressed mothers showed a decrease in their externalizing behavior, it is important to note that children of depressed mothers remained above the borderline clinical cutoff (> 67; Achenbach 1991) of externalizing problems (M = 69.49, SE = 1.31) at post-treatment, indicating that these children remained significantly impaired by the end of treatment. In contrast, children of non-depressed mothers fell below the borderline clinical cutoff (M = 61.66, SE = 2.29) by the end of treatment. A t-test revealed that this difference in post-treatment scores on externalizing behavior was significant t(92.67) = − 3.04, p < .01.Fig. 1

Bottom Line: Studies have shown that, on average, Parent Management Training combined with cognitive-behavioral therapy decreases children's externalizing behavior, but some children do not improve through treatment.Children with externalizing behavioral problems and their parents were recruited from combined Parent Management Training and Cognitive-Behavioral programs in "real-world" clinical settings.Results showed that treatment was less effective for children of depressed mothers compared to non-depressed mothers and that improvements in maternal depression were associated with improvements in children's externalizing behavior.

View Article: PubMed Central - PubMed

Affiliation: Behavioural Science Institute, Radboud Universiteit Nijmegen, P.O. Box 9104, 6500 HE Nijmegen, The Netherlands.

ABSTRACT
Studies have shown that, on average, Parent Management Training combined with cognitive-behavioral therapy decreases children's externalizing behavior, but some children do not improve through treatment. The current study aimed to examine the role of maternal depression in understanding this variability in treatment outcome. Children with externalizing behavioral problems and their parents were recruited from combined Parent Management Training and Cognitive-Behavioral programs in "real-world" clinical settings. At pre- and post treatment, maternal depression and children's externalizing behavior were assessed. Results showed that treatment was less effective for children of depressed mothers compared to non-depressed mothers and that improvements in maternal depression were associated with improvements in children's externalizing behavior. These findings suggest that treatment programs for children with externalizing problems may be able to improve outcomes if maternal depression is a target of intervention.

No MeSH data available.


Related in: MedlinePlus