A Clinic-based Prevention Program for Families of Depressed Mothers

Johns Hopkins Bloomberg School of Public Health

Status and phase: Completed; Phase 1

Conditions: Attention Deficit Disorder With Hyperactivity; Conduct Disorder; Depression

Treatments: Behavioral: Family Functioning Intervention

Study type: Interventional

Funder types: Other; NIH

Identifiers

NCT00149812

R21MH067861 (U.S. NIH Grant/Contract)

Details and patient eligibility

About

This study will assess the effectiveness of the "Keeping Families Strong" program (KFS) in avoiding or delaying the onset of psychiatric disorders among children with depressed mothers.

Full description

Children of depressed mothers are at high risk for developing serious psychiatric disorders. While genetics can account for about 34% of cases of childhood psychiatric disorders, children of depressed parents are at an even greater risk of developing mental disorders. The "Keeping Families Strong" program, or KFS, was built from evidence-based prevention programs. Its goal is to provide educational, cognitive, and behavioral interventions. These interventions are meant to enhance understanding about depression and its effects on families, improve communication within families, enhance social support, increase positive and consistent parenting, and improve child coping. This will likely improve the children's mental health, as well as positively affect the short- and long-term outcomes of parents recovering from a depressive episode. This study will evaluate the effectiveness of the KFS program in avoiding or delaying the onset of psychiatric disorders among children with depressed mothers.

This 10-week, open-label program will involve 12 meetings, lasting 2 hours each. The parents and the children will attend separate meetings each week on the same nights. Children are prone to take on their parents' responsibilities to prevent them from becoming depressed. In order to avoid this, the children's meetings will focus on clarifying role responsibilities. There will be two additional follow-up meetings in the 3 months following completion of the program. All caregivers are encouraged to participate, including depressed fathers.

Enrollment: 26 patients

Sex: All

Ages: 8+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Parent in treatment for depression
• Parent in maintenance phase of treatment

Exclusion criteria

• Active substance abuse
• Substantial cognitive impairment
• Psychosis

Trial design

Primary purpose: Prevention

Allocation: N/A

Interventional model: Single Group Assignment

Masking: None (Open label)

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26 participants in 1 patient group

Intervention

Experimental group

Description:

Intervention: "Keeping Families Strong" Cognitive Behavioral and Communication intervention with mothers recovering from depression and their children, 9 years and older.

Treatment:

Behavioral: Family Functioning Intervention