Changes in Children's Behavior and Costs for Service Use Associated With Parents' Response to Treatment for Dysthymia
| Autor: | Amiram Gafni, Carolyn Byrne, Ellen Jamieson, Michelle Webb, Michael Mills, Jacqueline Roberts, Barbara Bell, Gina Browne |
|---|---|
| Rok vydání: | 2006 |
| Předmět: |
Adult
Male Social Work medicine.medical_specialty Adolescent Child Health Services Child Behavior Disorders Child of Impaired Parents Rating scale Developmental and Educational Psychology medicine Humans Child Child Behavior Checklist Psychiatry Ontario Analysis of Variance Public health Behavior change Social environment Mental health Psychiatry and Mental health Logistic Models El Niño Case-Control Studies Child Preschool Montgomery–Åsberg Depression Rating Scale Female Dysthymic Disorder Health Expenditures Psychology Follow-Up Studies Clinical psychology |
| Zdroj: | Journal of the American Academy of Child & Adolescent Psychiatry. 45:239-246 |
| ISSN: | 0890-8567 |
| DOI: | 10.1097/01.chi.0000190351.13818.d7 |
| Popis: | Objective This study examined differences in children's behavior and expenditures for health and social services used when their parents with dysthymia did or did not respond to antidepressant therapy. Method Children ages 4 to 16 years of consenting parents enrolled in a treatment trial for dysthymia who did and did not respond to treatment were compared at baseline and 24 months. The responder was a parent with at least a 40% reduction in his or her baseline depressive symptoms using the Montgomery Asberg Depression Rating Scale. Children's behavior was measured using the Child Behavior Checklist, and expenditures for health and social services use was measured in Canadian dollars using the Health and Social Service Utilization Questionnaire. Results Children of parents with dysthymia who responded to treatment had significantly greater reductions in emotional symptoms at 2-year follow-up than children of nonresponders, along with an economically important (not statistically significant) reduction in expenditures for health and social services use. Conclusions Reductions in parental symptoms of dysthymia may be associated with reductions in childhood behavioral problems and in expenditures for the child's use of services. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|