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Depression is a widespread condition affecting approximately 7.5 million parents in the U.S. each year and may be putting at least 15 million children at risk for adverse health outcomes. Based on evidentiary studies, major depression in either parent can interfere with parenting quality and increase the risk of children developing mental, behavioral and social problems. Depression in Parents, Parenting, and Children highlights disparities in the prevalence, identification, treatment, and prevention of parental depression among different sociodemographic populations. It also outlines strategies for effective intervention and identifies the need for a more interdisciplinary approach that takes biological, psychological, behavioral, interpersonal, and social contexts into consideration. A major challenge to the effective management of parental depression is developing a treatment and prevention strategy that can be introduced within a two-generation framework, conducive for parents and their children. Thus far, both the federal and state response to the problem has been fragmented, poorly funded, and lacking proper oversight. This study examines options for widespread implementation of best practices as well as strategies that can be effective in diverse service settings for diverse populations of children and their families. The delivery of adequate screening and successful detection and treatment of a depressive illness and prevention of its effects on parenting and the health of children is a formidable challenge to modern health care systems. This study offers seven solid recommendations designed to increase awareness about and remove barriers to care for both the depressed adult and prevention of effects in the child. The report will be of particular interest to federal health officers, mental and behavioral health providers in diverse parts of health care delivery systems, health policy staff, state legislators, and the general public.
This timely, authoritative volume provides an integrative review of current knowledge on child and adolescent depression, covering everything from epidemiology and neurobiology to evidence-based treatment and prevention. From foremost scientist-practitioners, the book is organized within a developmental psychopathology framework that elucidates the factors that put certain children at risk and what can be done to help. Proven intervention models are discussed in step-by-step detail, with coverage of cognitive-behavioral, interpersonal, and pharmacological approaches, among others. Special topics include sex differences in depression, understanding and managing suicidality, and the intergenerational transmission of depression.
Anyone who has ever been close to a seriously depressed child has undoubtedly been affected by the youngster's vulnerability, misery, and pain. Indeed, it is much like caring for a child who is in physical pain. For the child in the depths of depression, no activity is fun, nothing can be enjoyed, and no one can provide enough consolation or comfort. At times, the youngster may cry or whimper. There may be fits of defiance or rage and sometimes withdrawal into a numb, sullen silence. A child in this state tries the patience of parents and siblings. Remedies of every sort are tried, including gifts, punishments, bribes, lectures, pleading, and a host of others. Such efforts occasionally provide temporary relief, but more often they seem to make matters worse. Commonly, there is an emotional wall of anger and frustration between a depressed child and other fumily members that may inevitably lead to further isolation and withdrawal. If too much time passes without their being helped, many depressed children and adolescents come to believe that suicide offers the only real relief for their pain. Currently, there is a Depression Awareness Week that includes free screening at participating health and mental health settings around the United States and is designed to identify depression in adults, suggesting that society's awareness of depression and psychiatric disorders is focused to a large extent on adults.
Although childhood depressive disorders are relatively rare, the experience of depression in children's lives is not. Developmental contextual perspectives denote the importance of considering both depressive disorder and the experience of subclinical depressive symptoms in the child and the family to fully understand the implications of depressive experience for children's developmental well-being. This Element draws on basic emotion development and developmental psychopathology perspectives to address the nature of depressive experience in childhood, both symptoms and disorder, focusing on seminal and recent research that details critical issues regarding its phenomenology, epidemiology, continuity, etiology, consequences, and interventions to ameliorate the developmental challenges inherent in the experience. These issues are addressed within the context of the child's own experience and from the perspective of parent depression as a critical context that influences children's developmental well-being. Conclusions include suggestions for new directions in research on children's lives that focus on more systemic processes.
How do disturbed children see the world? How can we understand their difficulties? Most children have secret worlds but for some these worlds contain secrets that are both permanent and damaging. Originally published in 1992, this moving account of the secret lives of such vulnerable and disturbed children will enable professionals working with these children to find out what is going on in their minds – what they are thinking, what they are feeling, why they behave as they do. The contributors, all experts in their field at the time, show how vulnerable children can be assessed and how they can be helped most effectively.
Depressive disorders, which include major depressive disorder (unipolar depression), dysthymic disorder (chronic, mild depression), and bipolar disorder (manic-depression), can have far reaching effects on the functioning and adjustment of young people. Among both children and adolescents, depressive disorders confer an increased risk for illness and interpersonal and psychosocial difficulties that persist long after the depressive episode is resolved; in adolescents there is also an increased risk for substance abuse and suicidal behavior. Unfortunately, these disorders often go unrecognized by families and physicians alike. Signs of depressive disorders in young people often are viewed as normal mood swings typical of a particular developmental stage. In addition, health care professionals may be reluctant to prematurely "label" a young person with a mental illness diagnosis. Yet early diagnosis and treatment of depressive disorders are critical to healthy emotional, social, and behavioral development.This new book presents the latest research in the field across a wide spectrum of countries.
Recurrence of depressive episodes is not uncommon, even after successful treatment. What makes some people more vulnerable than others to this devastating disorder? Do depressive individuals have characteristic thinking and reasoning styles? By what means can cognitive antecedents to affective disorders be identified at different stages in the lifespan, and how can the risks they represent be mitigated? An important resource for anyone who seeks to understand or treat depression, this volume synthesizes the most current research and theory on cognitive vulnerability. Covering methodological, theoretical, and empirical issues, the authors review cognitive theories of depression; explicate and assess the vulnerability approach to psychopathology; and formulate an integrative view of the key proximal and distal antecedents of depression in adults.
This state-of-the-art work has been highly praised for bridging the divide between adult and developmental psychopathology. The volume illuminates the interplay of biological, cognitive, affective, and social-environmental factors that place individuals at risk for psychological disturbance throughout development. Childhood-onset and adult forms of major disorders are examined in paired chapters by prominent clinical researchers. An integrative third chapter on each disorder then summarizes what is known about continuity and change in vulnerability across the lifespan. Implications for assessment, treatment, and prevention are also considered.