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Preventing depression in the offspring of parents with depression: A systematic review and meta-analysis of randomized controlled trials

2017/11/29 by Johanna Loechner, Kornelija Starman, Katharina Galuschka +5 · 2 citations
Medicine · Psychology · Social Sciences · #Child and Adolescent Psychosocial and Emotional Development #Family Support in Illness #Maternal Mental Health During Pregnancy and Postpartum

paper · pdf · doi:10.1016/j.cpr.2017.11.009

openalex publication_date 2017/11/29 · openalex created_date 2025/10/10 · openalex updated_date 2026/08/01

Abstract

One major predictor of depression onset is having a depressed parent. This study provides the first systematic review and meta-analysis of preventive interventions for offspring of depressed parents. We searched six literature databases and included randomized controlled trials which concerned the non-depressed offspring (aged 18 or younger) of a depressed parent, who received a preventive intervention designed to reduce the risk of depression or a comparison condition. Primary and secondary outcome measures were the severity and incidence of childhood depression. 14 publications reporting data from seven trials (n = 935 children) were included and were of relatively high quality. The effect of the interventions (versus any control condition) on depressive and internalising symptoms at post-intervention follow-up (up to four months) was small but significant [g′ = − 0.20, 95% CI (− 0.34; − 0.06), p = 0.005; I2 = 0.00%]. The interventions also had a small but significant effect on depression incidence [Risk Ratio = 0.56; 95% CI(0.41;0.77); d′ = − 0.42]. Intervention effects were not present in the short-term (up to 12 months post-intervention) or long-term (15–72 months post-intervention) follow-ups. Interventions targeting the offspring of depressed parents show promise not only in reducing symptoms of depression but also in preventing the onset of depression, at least immediately after the intervention.

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