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Accepted (AM)Open Access (License Unspecified), Open
Journal article
Parent-teen communication predicts treatment benefit for depressed and suicidal adolescents
Journal of consulting and clinical psychology, v 87(12), pp 1137-1148
Dec 2019
PMID: 31647277
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Although there are currently several efficacious treatments for depressed and suicidal adolescents, less is known about predictors and moderators of adolescents' treatment response. A growing literature has identified family functioning as a prognostic indicator of adolescents' likelihood of benefiting from treatment. The current study tested both observational and perceived measures of family functioning as indicators of adolescents' response to 2 treatment conditions.
The sample consisted of 129 depressed and suicidal adolescents (
= 14.96, 82.9% female, 56% Black/African American) who were randomized to attachment-based family therapy or family-enhanced nondirective supportive therapy (Diamond et al., 2019). Baseline assessments of family functioning included ratings of parent-adolescent communication coded with the Goal-Corrected Partnership in Adolescence Coding System (Lyons-Ruth, Hennighausen, & Holmes, 2005) and adolescent and parent reports of Family Conflict and Cohesion from the Self-Report of Family Functioning (Bloom, 1985).
Adolescents who engaged in more uncooperative communication with their parents during a 10-min conflict discussion showed greater reductions in depressive symptoms in both treatments. Adolescents from traditionally underserved (non-White or lower income) families showed greater reductions in suicidal ideation in both treatments.
Attachment-based family therapy and family-enhanced nondirective supportive therapy were most effective for adolescents from traditionally underserved families and adolescents who engaged in less cooperative communication with their caregivers. Observational ratings of parent-adolescent communication were better prognostic indicators of treatment response than were self-reported indicators of global family functioning. Implications for generalizing these results to other treatments for depressed and suicidal adolescents are discussed. (PsycINFO Database Record (c) 2019 APA, all rights reserved).
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Details
- Title
- Parent-teen communication predicts treatment benefit for depressed and suicidal adolescents
- Creators
- Abigail Zisk - University of DelawareCaroline H Abbott - University of DelawareNadia Bounoua - University of DelawareGuy S Diamond - Drexel UniversityRoger Kobak - University of Delaware
- Publication Details
- Journal of consulting and clinical psychology, v 87(12), pp 1137-1148
- Grant note
- R01 MH091059 / NIMH NIH HHS
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Center for Family Intervention Science
- Web of Science ID
- WOS:000497307100006
- Scopus ID
- 2-s2.0-85074629973
- Other Identifier
- 991019168129504721
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Psychology, Clinical