title: Examination of children's responses to two preventive intervention strategies over time.
abstract: OBJECTIVE
  To examine long-term effects of two forms of preventive intervention designed to increase families' understanding of parental affective disorder and to prevent depression in children.
  
  
  METHODS
  Thirty-six families who had a nondepressed child between ages 8 and 15 years and a parent who had experienced affective disorder were enrolled and randomly assigned to either a clinician-facilitated intervention or a lecture discussion group. Each parent and child were assessed prior to randomization, after intervention, and approximately 1 1/2 years after enrollment. Assessments included standard diagnostic interviews, measures of child and family functioning, and interviews about experience of parental affective disorder and intervention effects.
  
  
  RESULTS
  Children in the clinician-facilitated group reported greater understanding of parental affective disorder, as rated by self-report, rater-generated scales, and parent report, and had better adaptive functioning after intervention. Parents in the clinician-facilitated intervention group reported significantly more change.
  
  
  CONCLUSIONS
  Findings from both interventions support the value of a future-oriented resiliency-based approach. The greater effects of the clinician-facilitated intervention support the need for linking cognitive information to families' life experience and involving children directly in order to achieve long-term effects.
authors.affiliation: Judge Baker Children's Center, Boston, MA 02115, USA.
authors.forename: W R
authors.initials: WR
authors.lastname: Beardslee
authors.forename: E J
authors.initials: EJ
authors.lastname: Wright
authors.forename: P
authors.initials: P
authors.lastname: Salt
authors.forename: K
authors.initials: K
authors.lastname: Drezner
authors.forename: T R
authors.initials: TR
authors.lastname: Gladstone
authors.forename: E M
authors.initials: EM
authors.lastname: Versage
authors.forename: P C
authors.initials: PC
authors.lastname: Rothberg
mesh_terms: D000293:Adolescent; D000704:Analysis of Variance; D016009:Chi-Square Distribution; D002648:Child; D016241:Child of Impaired Parents / Q000523:psychology*; D005192:Family Health; D005196:Family Therapy / Q000592:standards*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D016014:Linear Models; D008297:Male; D019964:Mood Disorders / Q000517:prevention & control* / Q000628:therapy*; D010353:Patient Education as Topic / Q000592:standards*; D016896:Treatment Outcome