ABSTRACT
Emotional and behavioral symptoms and disorders are prevalent in children and adolescents. There has been a burgeoning literature supporting evidence-based treatments for these disorders. Increasingly, family-based interventions have been gaining prominence and demonstrating effectiveness for myriad childhood and adolescent disorders. This article presents the current evidence in support of family-based interventions for mood, anxiety, attention-deficit hyperactivity, disruptive behavior, pervasive developmental particularly autism spectrum, and eating disorders. This review details recent data from randomized controlled trials (RCTs) and promising interventions not yet examined using a randomized controlled methodology. It highlights the evidence base supporting various specific family-based interventions, some of which are disorder dependent. A practitioner perspective is then offered with regard to recommendations for future practice and training. The article closes with a summary and directions for future research.
Subject(s)
Anxiety/therapy , Attention Deficit Disorder with Hyperactivity/therapy , Child Development Disorders, Pervasive/therapy , Family Therapy/methods , Feeding and Eating Disorders/therapy , Mood Disorders/therapy , Adolescent , Adolescent Behavior/psychology , Anxiety/epidemiology , Attention Deficit Disorder with Hyperactivity/epidemiology , Child , Child Behavior/psychology , Child Development Disorders, Pervasive/epidemiology , Feeding and Eating Disorders/epidemiology , Humans , Mood Disorders/epidemiology , United States/epidemiologyABSTRACT
Adolescent depression is a major public health concern. Depression and depressive symptoms are more prevalent in adolescent females and are associated with high-risk sexual behavior. Only one third of adolescents receive professional help for their depression, although about 90% visit their primary care providers on average 2-3 times per year. It is imperative that health professionals seek additional methods in the identification and treatment of depressive symptoms. This paper presents findings of the presence of clinically significant depressive symptoms in African American female adolescents receiving routine health care services within an adolescent primary care reproductive health clinic. Results revealed higher rates of depressive symptoms in this subsample of African American adolescent females when compared to the national sample, suggesting that primary care reproductive health clinics are a viable setting for the identification of depressive symptoms among low income, African American female adolescents. Psychosocial interventions and recommendations for the integration of primary care reproductive health, and behavioral health consultation services are presented.
Subject(s)
Black or African American/statistics & numerical data , Depressive Disorder/epidemiology , Reproductive Health Services/statistics & numerical data , Urban Population/statistics & numerical data , Adolescent , Adult , Black or African American/psychology , Age Distribution , Child , Depressive Disorder/diagnosis , Depressive Disorder/psychology , Female , Humans , Poverty/psychology , Poverty/statistics & numerical data , Primary Health Care/statistics & numerical data , Psychiatric Status Rating Scales/statistics & numerical data , Southeastern United States/epidemiology , Surveys and Questionnaires , Young AdultABSTRACT
Coping variables that mediate the relation between intimate partner violence (IPV) and mental health outcomes among African American women were investigated. The study sample included 143 economically disadvantaged African American women ranging in age from 21 to 64 years old who were receiving services at an urban public health system. Sixty-five had experienced IPV within the past year and 78 had never experienced IPV. Results indicated that (a) the IPV status-depressive symptoms link was mediated by multiple ways of coping, spiritual well-being, and social support; (b) the IPV status-anxiety symptoms link was mediated by multiple ways of coping, social support, and ability to access resources; and (c) the IPV status-parenting stress link was mediated by multiple ways of coping, spiritual well-being, and social support. Implications of these findings for clinical practice with abused women are discussed.
