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. Author manuscript; available in PMC: 2010 Sep 2.
Published in final edited form as: Curr Psychiatry Rev. 2009 Nov 1;5(4):226–235. doi: 10.2174/157340009789542123

Table 1. Summary of Intervention Studies for Parental Depression.

Intervention Toddler-Parent Psychotherapy (TPP) Group Cognitive-Behavioral
Therapy (GCBT)
Cognitive-Behavioral
Family Intervention (CBFI)
Parenting Psychoeducation
Group
Article(s) a) Cicchetti et al., 1999 [10]
b) Cicchetti et al., 2000 [12]
c) Toth et al., 2006 [11]
Verduyn et al., 2003 [13] Sanders & McFarland, 2000
[14]
Sanford et al., 2003 [25]
Country U.S. United Kingdom Australia Canada
Intervention
Type
Dyadic psychotherapy Group CBT for parents Multi-component CBT
family intervention
Parenting Psychoeducation
group
Sample Size a) 108 mothers and their toddlers
b) 158 mothers and their toddlers
c) 130 mothers and their toddlers
119 mothers and their children 47 families 44 families
Children Age
Range
a) & c) approximately 20 months at
start of intervention to 3 years at end
of intervention
b) approximately 18 months at start
of intervention to 3 years at end of
intervention
2.5-4 years 3-9 years 6-13 years
Race/SES a) 95% white; 74% in highest two
SES levels on Hollingshead’s four
factor index; 52.8% of mothers were
college graduates or had advanced
degrees
b) 92.4% white; 73.4% in 2 highest
SES levels according to
Hollingshead’s four factor index;
53.8% of mothers were college
graduates or had advanced degrees
c) 92.9% white; 72.7% in 2 highest
SES levels according to
Hollingshead’s four factor index;
54.5% of mothers were college
graduates
15 - 26% were single mothers
across conditions; 67.6 - 83.3%
was educated to 16 years of age
across conditions
Mean sociodemographic
disadvantage was low.
27% upper middle class;
50% middle class; 23%
lower-middle class
Inclusion
Criteria
a), b) & c) Parent: history of MDD at
some point since birth of their child;
at least a high school education;
could not be on public assistance.
Child: None besides age
Parent: score of 15 or greater on
the Beck Depression Inventory;
must live with their child;
English is their first language;
and no other major psychiatric
disorder besides depression.
Child: no major developmental
problems; and behavior
problems 8 or greater on the
Behavior Screening
Questionnaire
Parent: MDD
Child: CD or ODD
Parent: MDD diagnosis by
referring physician;
currently under medical care
for MDD; not currently
manic, psychotic or acutely
suicidal; able to participate
in a group child: none
besides age
Assessments
(Time)
a), b) & c) Pre- and post-intervention Pre- and post-intervention and
6- and 12-month follow-up
Pre- and post-intervention &
6 months post-intervention
Pre- and post-intervention
and 8 weeks post-
intervention
Intervention Preventive Intervention Project (PIP) Cognitive-Behavioral
Group Therapy
(CBGT)
Interpersonal
Psychotherapy for
Depressed Mothers
(IPT-MOMs)
Coping with Depression
(CWD)
Article(s) a) Beardslee et al.,1992 [15]
b) Beardslee et al., 1993 [16]
c) Beardslee et al., 1996 [318
d) Beardslee et al., 1997a [19]
e) Beardslee et al., 1997b [17]
f) Beardslee et al., 1997c [22]
g) Podorefsky et al., 2001 [23]
h) Beardslee et al., 2003 [20]
i) Beardslee et al., 2007 [21]
Ha & Oh, 2006 [24] Swartz et al., 2008 [27] a) Clarke et al., 2001 [29]
b) Clarke et al., 2002 [28]
Country U.S. Korea U.S. U.S.
Intervention
Type
Family based psychoeducation Parent psycho-
education, CBT, &
behavioral parenting
group
Individual
Psychotherapy
Group CBT for adolescents
& group parent
informational sessions
Sample Size a) 7 families
b) 12 families
c) 28 families
d) & e) 37 families
f) 36 families
g) 16 families
h) 93 families
i) 105 families
34 mothers 47 families a) 123 adolescents
b) 472 adolescents
Children Age
Range
a), b), & c) 8-14 years
d), e), f), h), & i) 8-15 years
g) not described
5-12 years 6-18 years 13-18 years
Race/SES a) top 2 SES on Hollingshead-Redlich classification
b) & i) not provided
c) mean of 2.34 Hollingshead social class (range 1-4)
d) & e) predominantly white middle class
f) mostly middle class and Caucasian
g) 100% ethnic minority, low-income
h) top 2 SES on Hollingshead-Redlich classification;
77% with income > $40,000; 93.6% White
Not provided 79% Caucasian; income-
26.5% <$15,000, 47%
between $15,000-50,000
& 26.5% >$50,000
a) 88.5% white; 32.2% of
parents were college
graduates; 89.6% of parents
were employed
b) 90.8% white; 23.3% of
parents were college
graduates; 74.7% of parents
were employed
Inclusion
Criteria
a) Parent: history of affective disorder in recent past,
no schizophrenia or organic brain damage; no current
drug/alcohol addiction, treating professional; no
current life crisis.
Children: not currently seriously disturbed.
b) Parent: MDE or Manic episode within last year; no
schizophrenia or organic brain damage; no current
drug/alcohol addiction; treating professional; no
serious family crisis. Child: not currently seriously
disturbed or in treatment for psychiatric disorder
c) Parent: MDE or Manic episode within last year, no
schizophrenia; no substance abuse; no marital crisis.
Child: not currently ill; never treated for depression
d) Parent: MDE or manic episode within 18 month; no
schizophrenia; no current severe marital crisis or other
crises, current marital or family therapy more than once
a month; no current substance abuse. Children: never
affectively ill; never treated for an affective disorder;
not currently in treatment
e) & f) Parent: MDE or manic episode within 18
months; no schizophrenia; no current severe marital
crisis or other crises; not currently in marital or family
therapy more than once a month; no current substance
abuse. Child: never treated for affective disorder
g) Parent: depression diagnoses. Child: not provided
h) Parent: mood disorder episode within 18 months no
serious current substance abuse or dependence, no
current schizophrenia, no current severe marital or life
crises, not
currently in marital or family therapy more than twice a
month. Child: never diagnosed or treated with mood
disorder
i) Parent: mood disorder episode within 18 months, no
serious current substance abuse or dependence, no
current schizophrenia, no current severe marital or life
crises, not currently in marital or family therapy more
than twice a month. Child: no current or past MDD
Parent: elevated
depressive
symptoms, elevated
parenting stress
Child: in treatment
for psychosocial
adjustment problem
Parent: 18-65 years old;
current MDD; score of
15 or greater on the
Hamilton Rating Scale
for Depression;
biological or adoptive
mother and custodial
parent; must currently be
living with child; not at
serious risk for child
abuse or neglect; no
substance abuse within
the preceding 6 months;
not actively suicidal; no
psychotic disorder; no
borderline or antisocial
personality disorder; not
unstable medical
condition that could
affect assessment of
mood; not currently in
individual therapy.
Child: receiving
treatment for
internalizing or
externalizing disorder
a) Parent: 30-65 year old
HMO plan members with
current or recent (past 12
months) depression; live
close to study center.
Adolescent: high levels of
depressive symptoms; no
current depression diagnosis
b) Parent: 30-65 year old
HMO plan members in
current or recent (past 12
months) with current or
recent (past 12 months)
depression; live close to
study center. Adolescent:
current diagnosis of
depression
Assessments
(Time)
a), b), e) & g) Pre- and post-intervention
c) 6-8 weeks post-intervention, 12-18 months post-
intervention, 2.75 - 3 years post-intervention
d) Pre- and post- intervention and 1.5 years after
enrollment
f) Pre-intervention and 1.5 years after enrollment
h) 1 year and 2.5 years post-intervention
i) 4.5 post intervention
Pre- and post-
intervention;
3months post-
intervention with
intervention group
only
Pre- and post-
intervention and
approximately 3 months
post-intervention
a) & b) Pre- and post-
intervention and follow-ups
at 12 and 24 months post-
intervention

Notes: SES=Socioeconomic status, CBT=Cognitive Behavioral Treatment, MDD=Major Depressive Disorder, CD=Conduct Disorder, ODD=Oppositional Defiant Disorder, MDE= Major Depressive Episode, HMO=Health Maintenance Organization.