This volume in the Advances in Psychotherapy series provides the reader with an up-to-date, evidence-based introduction to the assessment and treatment of childhood depression, including major depressive disorder, persistent depressive disorder, disruptive mood dysregulation, and adjustment disorders. After exploring the latest knowledge on the diagnosis, course, theories, and contributing factors of childhood depression, the author presents a step-by-step description of family-focused treatment for childhood depression (FFT-CD), which integrates CBT and family therapy goals.
Treatments for depression that work well for adolescents and adults cannot simply be extended to children as their cognitive capabilities are not as fully developed nor stable. FFT-CD focuses on positive and supportive parent-child interactions that support the development of a positive self, helping parents provide the child with additional positive feedback on their developmentally appropriate achievements, and enhancing child and family coping. Downloadable resources include numerous FFT-CD handouts for children and parents. This text should be particularly useful to child or school psychologists, marriage and family therapists, child psychiatrists and anyone working with depressed youth and their families.
1 History
1.1 Diagnostic Criteria and Description
1.1.1 Major Depressive Disorder
1.1.2 Persistent Depressive Disorder
1.1.3 Disruptive Mood Dysregulation Disorder
1.1.4 Adjustment Disorders
1.2 Epidemiology
1.3 Course and Prognosis
1.4 Differential Diagnosis
1.5 Comorbidities
1.6 Issues Gaining Increased Attention
2 Theories and Contributing Factors
2.1. Biological Contributors
2.1.1 Neural Factors
2.1.2 Endocrine-Related and HPA Axis
2.1.3 Genetic Factors and Parental Depression
2.2 Child and Developmental Risk Factors
2.2.1 Developmental Risk
2.2.2 Temperament/Personality
2.2.3 Cognitive Contributors
2.2.4 Earlier Mental Health Problems
2.3 Environmental and Psychosocial Risk Factors
2.3.1 Stress Context
2.3.2 Family Functioning
2.3.3 Peer Stress
2.4 Models/Theories
2.4.1 Vulnerability-Stress Models
2.4.2 Cognitive-Behavioral Models
2.4.3 Interpersonal and Stress-Generation Models
2.5 An Integrative Model to Guide Treatment
3 Evaluation
3.1 Reporters
3.2 Special Considerations in Evaluation
3.3 Diagnostic Tools
3.3.1 Depression Screening
3.3.2 Diagnostic Interviews
3.3.3 Depression Symptom Rating Scales
3.3.4 Observational and Technological
Approaches
3.3.5 Tools for Evaluating Suicidal Thoughts and Behaviors
4 Treatment: A Family-Based Approach
4.1 Evidence Base for Child and Adolescent
Depression Treatment
4.1.1 Psychosocial Interventions
4.1.2 Medication Interventions
4.2 Family-Focused Treatment for Childhood Depression (FFT-CD)
4.2.1 Structure of the Therapy
4.2.2 Important Treatment Strategies
4.2.3 Setting the Stage with Individual Sessions
4.2.4 Family Sessions
4.3 Challenges in Implementing FFT-CD
4.4 Efficacy of FFT-CD
5 Case Vignettes
6 Further Reading
7 References
8 Appendix: Tools and Resources
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