Brief psychotherapy for maternal depression: impact on mothers and children
Open accessAbstract
Objective Two-generation studies demonstrate that treating maternal depression benefits school-age children. Although mothers prefer psychotherapy to medication, little is known about how psychotherapy for maternal depression affects offspring, especially in very high-risk families in which both mothers and children concurrently meet syndromal criteria for psychiatric disorders. This trial evaluated the effects of 2 brief psychotherapies for maternal depression on very high-risk families.Method Mothers with major depressive disorder were randomly assigned to 9 sessions of either brief interpersonal psychotherapy for mothers (IPT-MOMS; n = 85) or brief supportive psychotherapy (BSP; n = 83). Independent assessors evaluated mothers and their children, ages 7 to 18 years, diagnosed with at least 1 internalizing disorder, every 3 months over the course of 1 year.Results Symptoms and functioning of mothers and children improved significantly over time, with no between-group differences. However, children of mothers assigned to BSP had more outpatient mental health visits and were more likely to receive antidepressant medication. Mothers reported greater satisfaction with IPT-MOMS than BSP. Improvement in mothers' depressive symptoms was associated with improvement in child functioning in time-lagged fashion, with children improving 3 to 6 months after mothers improved. Antidepressant medication use and number of mental health visits received by children did not affect outcomes.Conclusion IPT-MOMS and BSP demonstrated comparable beneficial effects on maternal depression. Children's functioning improved following maternal improvement, independent of youths' treatment. Children of mothers randomized to IPT-MOMS, compared with BSP, achieved comparable outcomes despite less follow-up treatment. Observation of lagged association between maternal improvement and change in child functioning should influence treatment planning for families. Clinical trial registration information-Psychotherapy for Depressed Mothers of Psychiatrically Ill Children; http://clinicaltrials.gov/; NCT00919594.
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Even more dramatic reductions in suicide were associated with changes in the Henry Ford Health System in the U.S.
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- Authors
- Swartz, H. A., Cyranowski, J. M., Cheng, Y., Zuckoff, A., Brent, D. A., Markowitz, J. C., Martin, S., Amole, M. C., Ritchey, F., & Frank, E.
- Affiliations
- University of Pittsburgh (US)
- Chatham University (US)
- New York State Psychiatric Institute (US)
- Corresponding author
- Swartz, Holly A.
- Venue
- Journal of the American Academy of Child & Adolescent Psychiatry
- Publisher
- Elsevier BV
- Published
- 2016-06
- Volume
- 55
- Issue
- 6
- Pages
- 495-503.e2
- ISSN
- 0890-8567 (ISSN-L)
- PMC
- PMC4886238
- OpenAlex
- W2332358091
- Cited by
- 46
- References
- 43
- Citations by year
- 2026: 2 · 2025: 2 · 2024: 4 · 2023: 4 · 2022: 7 · 2021: 3 · 2020: 5 · 2019: 6 · 2018: 5 · 2017: 7 · 2016: 1
- FWCI
- 6.28
- Type
- journal article
- Language
- en
- Open access
- green
- europepmc.org
- Locations
- Journal of the American Academy of Child & Adolescent Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institute of Mental Health (R01MH083647)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Maternal Mental Health During Pregnancy and Postpartum
- Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
- Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
- Keywords
- maternal depression, brief psychotherapy, interpersonal psychotherapy, supportive therapy, maternal depression treatment, child functioning, antidepressant use
- MeSH terms
- Adolescent, Adult, Child, Depressive Disorder, Major, Major Depressive Disorder, Female, Humans, Male, Psychotherapy, Brief, Child of Impaired Parents, Outcome Assessment, Health Care
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