{"id":3280,"date":"2017-03-21T13:11:01","date_gmt":"2017-03-21T13:11:01","guid":{"rendered":"https:\/\/childandfamilyblog.com\/?p=3280"},"modified":"2025-01-05T05:52:23","modified_gmt":"2025-01-05T05:52:23","slug":"treatment-depression-parenting-training","status":"publish","type":"post","link":"https:\/\/childandfamilyblog.com\/treatment-depression-parenting-training\/","title":{"rendered":"Combined depression treatment and parenting training for mothers brings better outcomes for children"},"content":{"rendered":"<p>Two researchers, <a href=\"https:\/\/scholar.google.com\/citations?user=eYI_5MQAAAAJ&amp;hl=en\" target=\"_blank\" rel=\"noopener\">Professor Sherryl Goodman<\/a> and <a href=\"https:\/\/www.vanderbilt.edu\/psychological_sciences\/bio\/judy-garner\" target=\"_blank\" rel=\"noopener\">Professor Judy Garber<\/a>, argue that addressing a mother\u2019s depression and her parenting skills at the same time can head off behavior problems in young children.<\/p>\n<p>Children with depressed mothers have poorer outcomes, and poorer parenting is one reason for this. For example, depressed mothers may provide less-appropriate care, harsh parenting, or disengaged parenting.<\/p>\n<p>Two well-established parenting programs have adaptations for depressed mothers. One\u2014Home Visiting\u2014focuses on infants, and the other\u2014the Triple P program\u2014on toddlers or preschool-age children.<\/p>\n<p>Home Visiting can be combined with In-Home CBT (cognitive behavioral therapy)\u2014a series of 15 weekly 60-minute sessions in the home, and a booster session a month later. In-Home CBT is highly effective in reducing mothers\u2019 depression. However, evaluations have shown that adding In-Home CBT to the Home Visiting Program alone doesn\u2019t improve children\u2019s behavior. Still, as mothers\u2019 depression improved, their parenting improved.<\/p>\n<p>A program called Enhanced Triple P did improve children\u2019s behaviour, compared with the standard Triple P. The enhanced version includes a cognitive behavioral element (for example, dealing with negative thoughts)\u2014also as a series of 15 weekly 60-minute sessions\u2014and engages with family members.<\/p>\n<p>These programs focus on the preschool period, when maternal depression tends to be worse and mothers are spending a lot of time with their children. Children are developing rapidly at this time and are particularly vulnerable to maternal depression, which shows up in later cognitive and social outcomes.<\/p>\n<p>Goodman and Garber argue that there are other ways to improve the effectiveness of these interventions:<\/p>\n<ul>\n<li><u>Before the intervention<\/u><\/li>\n<\/ul>\n<p style=\"padding-left: 30px;\">Embed screening for poor mental health in routine care.<\/p>\n<p style=\"padding-left: 30px;\">Provide a good system of referrals to other services according to the needs of the mother.<\/p>\n<p style=\"padding-left: 30px;\">Address other sources of stress at the same time\u2014for example, inadequate housing or intimate partner violence.<\/p>\n<p style=\"padding-left: 30px;\">Ensure that support is affordable, physically accessible, and available at flexible hours.<\/p>\n<ul>\n<li><u>During<\/u><\/li>\n<\/ul>\n<p style=\"padding-left: 30px;\">Offer routine mental health check-ups.<\/p>\n<ul>\n<li><u>After<\/u><\/li>\n<\/ul>\n<p style=\"padding-left: 30px;\">Conduct periodic follow-ups.<\/p>\n<p style=\"padding-left: 30px;\">Provide peer support groups, workbooks and online resources, and screening by health services if\/when the mother uses them.<\/p>\n<div class=\"retrofit-references\">\n<h4>References<\/h4>\n<p style=\"padding-left: 1.8em;\"><em> Goodman SH &amp; Garber J (2017), <a href=\"http:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/cdev.12732\/full\" target=\"_blank\" rel=\"noopener\">Evidence-based interventions for depressed mothers and their young children<\/a>, Child Development<\/em><\/p>\n<p><\/p>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>Addressing a mother\u2019s depression and her parenting skills at the same time can head off behavior problems in young children.<\/p>\n","protected":false},"author":16,"featured_media":3282,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"om_disable_all_campaigns":false,"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"_uf_show_specific_survey":0,"_uf_disable_surveys":false,"footnotes":""},"categories":[435,438],"tags":[384,36,306,267],"acf":[],"_links":{"self":[{"href":"https:\/\/childandfamilyblog.com\/wp-json\/wp\/v2\/posts\/3280"}],"collection":[{"href":"https:\/\/childandfamilyblog.com\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/childandfamilyblog.com\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/childandfamilyblog.com\/wp-json\/wp\/v2\/users\/16"}],"replies":[{"embeddable":true,"href":"https:\/\/childandfamilyblog.com\/wp-json\/wp\/v2\/comments?post=3280"}],"version-history":[{"count":7,"href":"https:\/\/childandfamilyblog.com\/wp-json\/wp\/v2\/posts\/3280\/revisions"}],"predecessor-version":[{"id":21400,"href":"https:\/\/childandfamilyblog.com\/wp-json\/wp\/v2\/posts\/3280\/revisions\/21400"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/childandfamilyblog.com\/wp-json\/wp\/v2\/media\/3282"}],"wp:attachment":[{"href":"https:\/\/childandfamilyblog.com\/wp-json\/wp\/v2\/media?parent=3280"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/childandfamilyblog.com\/wp-json\/wp\/v2\/categories?post=3280"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/childandfamilyblog.com\/wp-json\/wp\/v2\/tags?post=3280"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}