@article{ref1,
title="Marital and parent-child relationships during treatment for adolescent depression: child-driven and bidirectional effects",
journal="Journal of abnormal child psychology",
year="2019",
author="Howard, Kelsey R. and Reinecke, Mark A. and Lavigne, John V. and Gouze, Karen R. and Jordan, Neil",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="Adolescent depression can be a stressor for parents and families. This study evaluated how treating adolescent depression affects marital and parent-child relationships. We examined whether marital adjustment and parent-child conflict improved over the course of active treatment of depressed adolescents (36-week visit) and long-term follow-up (one year after discontinuation of treatment) in a sample of 322 clinically depressed youth participating in the Treatment for Adolescents with Depression Study (TADS). We also explored the bidirectional influences of adolescent depression and family relationships. <br><br>RESULTS indicated that marital adjustment was stable during active treatment but declined during long-term follow up. A structural equation model (SEM) examining the bidirectional relation between adolescent depression and marital adjustment indicated that higher adolescent depression at the conclusion of maintenance treatment (24-week visit) predicted a deterioration of marital adjustment at the end of active treatment (36-week visit). Parent-child conflict was unchanged during treatment and follow up. SEM analyses examining the bidirectional relationship between youth depression and parent-child conflict revealed that reduced depressive symptoms at the end of the active treatment period predicted improvement in parent-child conflict at subsequent time points. These findings suggest that youth depression and its treatment may influence long-term family functioning.<p /> <p>Language: en</p>",
language="en",
issn="0091-0627",
doi="10.1007/s10802-019-00566-x",
url="http://dx.doi.org/10.1007/s10802-019-00566-x"
}