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Chapter 42. Children of Parents With Psychiatric and Substance Abuse Disorders

William R. Beardslee, M.D.; Jacqueline L. Martin, Ph.D.
DOI: 10.1176/appi.books.9781585623921.466783

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Excerpt

In clinical practice, it is common to encounter parents with either medical or psychiatric illness or both. Working with parents with such illnesses provides an important opportunity to help both parents and their children. In this chapter, we address two areas. First, we discuss parental mental illness that places families at higher risk for the development of disorder in children and at the same time provides an important opportunity for preventive intervention. Using children of parents with depression as a model, we specifically discuss risk factors, protective factors, and resilience and review prevention programs. We outline prevention programs that have been developed for families with anxiety disorders and substance abuse disorders. Second, we address directly what clinicians can do when they encounter parents with mental illness in their practice, based on both clinical experience and the research on preventive intervention. We have not focused on medical illness, although we believe many of the same principles apply, given many studies include parents who have both mental and physical illness.

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Table Reference Number
TABLE 42–1. Specific and nonspecific risks for depression and other disorders

References

Albee GW, Gulotta TP: Primary Prevention Works. Thousand Oaks, CA, Sage, 1997
 
Barrett PM, Turner C: Prevention of anxiety symptoms in primary school children: preliminary results from a universal school-based trial. Br J Clin Psychol 40:399–410, 2001
[PubMed]
 
Barrett PM, Sonderegger R, Xenos S: Using FRIENDS to combat anxiety and adjustment problems among young migrants to Australia: a national trial. Clin Child Psychol Psychiatry 8:241–260, 2003
 
Bartlett SJ, Krishnan AJ, Reikert KA, et al: Maternal depressive symptoms and adherence to therapy in inner-city children with asthma. Pediatrics 113:229–237, 2004
[PubMed]
 
Beardslee WR: When a Parent Is Depressed: How to Protect Your Children From the Effects of Depression in the Family. Boston, MA, Little, Brown, 2002
 
Beardslee WR, Podorefsky D: Resilient adolescents whose parents have serious affective and other psychiatric disorders: the importance of self-understanding and relationships. Am J Psychiatry 145:63–69, 1988
[PubMed]
 
Beardslee WR, Versage E, Gladstone TRG: Children of affectively ill parents: a review of the past ten years. J Am Acad Child Adolesc Psychiatry 37:1134–1141, 1998
[PubMed]
 
Beardslee WR, Gladstone TRG, Wright, EJ, et al: A family-based approach to the prevention of depressive symptoms in children at risk: evidence of parental and child change. Pediatrics 112:119–131, 2003
 
Beardslee WR, Boris N, Compton W, et al: The Prevention of Mental Disorders in General Psychiatric Practice: Implications for Assessment, Intervention and Research: A Report Submitted by the Task Force on Prevention to the Council on Research. Washington, DC, American Psychiatric Association, 2005
 
Beardslee WR, Wright EJ, Gladstone TRG, et al: Long-term effects from a randomized trial of two public health preventive interventions for parental depression. J Fam Psychol 21:703–713, 2007
 
Beidel DC, Turner SM: At risk for anxiety, I: psychopathology in the offspring of anxious parents. J Am Acad Child Adolesc Psychiatry 36:918–924, 1997
[PubMed]
 
Biederman J, Faraone SV, Hirshfeld-Becker DR, et al: Patterns of psychopathology and dysfunction in high-risk children of parents with panic disorder and major depression. Am J Psychiatry 158:49–57, 2001
[PubMed]
 
Bijl RV, Cuijpers P, Smit F: Psychiatric disorders in adult children of parents with a history of psychopathology. Soc Psychiatry Psychiatr Epidemiol 37:7–12, 2002
[PubMed]
 
Bruce ML, Takeuchi DT, Leaf PJ: Poverty and psychiatric status: longitudinal evidence from the New Haven Epidemiologic Catchment Area Study. Arch Gen Psychiatry 48:470–474, 1991
[PubMed]
 
Chorpita B, Albano A, Barlow D: Cognitive processing in children: relation to anxiety and family influences. J Clin Child Psychol 25:170–176, 1996
 
Cicchetti D, Cohen DJ (eds): Developmental psychopathology: Risk, disorder, and adaptation, Vol 2. New York, Wiley, 1995
 
Cicchetti D, Schneider-Rosen K: An organizational approach to childhood depression, in Depression in Young People: Developmental and Clinical Perspectives. Edited by Rutter M, Izard CE, Read PB. New York, Guilford, 1986, pp 71–134
 
Clarke GN, Lewinsohn PM: Instructor's Manual for the Adolescent Coping With Stress Course. Portland, OR, Kaiser Permanente Center for Health Research, 1995
 
Clarke GN, Hornbrook M, Lynch F, et al: A randomized trial of a group cognitive intervention for preventing depression in adolescent offspring of depressed parents. Arch Gen Psychiatry 58:1127–1134, 2001
[PubMed]
 
Coolidge FL, Thede LL, Jang KL: Heritability of personality disorders in childhood: a preliminary investigation. J Pers Disord 15:33–40, 2001
[PubMed]
 
Cornish AM, McMahon CA, Ungerer J, et al: Maternal depression and the experience of parenting in the second postnatal year. J Reprod Infant Psychol 24:121–132, 2006
 
Costello EJ, Angold A: Epidemiology, in Anxiety Disorders in Children and Adolescents. Edited by March JS. New York, Guilford, 1995, pp 109–124
 
Cuijpers P, Langendoen Y, Bijl RV: Psychiatric disorders in adult children of problem drinkers: prevalence, first onset and comparison with other risk factors. Addiction 94:1489–1498, 1999
[PubMed]
 
Cummings EM, Keller PS, Davies PT: Towards a family process model of maternal and paternal depressive symptoms: exploring multiple relations with child and family functioning. J Child Psychol Psychiatry 46:479–489, 2005
[PubMed]
 
Dadds MR, Barrett PM, Rapee RM, et al: Family process and child anxiety and aggression: an observational analysis. J Abnorm Child Psychol 24:715–735, 1996
[PubMed]
 
Dadds MR, Spence SH, Holland DE, et al: Prevention and early intervention for anxiety disorders: a controlled trial. J Consult Clin Psychol 65:627–635, 1997
[PubMed]
 
Dadds MR, Holland DE, Laurens KR, et al: Early intervention and prevention of anxiety disorders in children: results at 2-year follow-up. J Consult Clin Psychol 67:145–150, 1999
[PubMed]
 
DelBello MP, Geller B: Review of studies of child and adolescent offspring of bipolar parents. Bipolar Disord 3:325–334, 2001
[PubMed]
 
Dishion TJ, Kavanagh K: Intervening in Adolescent Problem Behavior: A Family Centered Approach. New York, Guilford, 2003
 
Eisenberg L: Prevention, rhetoric and reality. J R Soc Med 77:268–280, 1984
[PubMed]
 
Eisenberg L: The social construction of the human brain. Am J Psychiatry 152:1563–1575, 1995
[PubMed]
 
Felitti V, Anda RF, Nordenberg D, et al: Relationship of childhood abuse and household dysfunction to many of the leading causes of death in adults. Am J Prev Med 14:245–258, 1998
[PubMed]
 
Foa EB, Costello EJ, Franklin M, et al: Prevention of anxiety disorders, in Treating and Preventing Adolescent Mental Health Disorders: What We Know and What We Don't Know: A Research Agenda for Improving the Mental Health of Our Youth. Edited by Evans DL, Foa EB, Gur RE, et al. Oxford, England, Oxford University Press, 2005, pp 222–246
 
Hicks BM, Krueger RJ, Iacono WG, et al: Family transmission and heritability of externalizing disorders: a twin-family study. Arch Gen Psychiatry 61:922–928, 2004
[PubMed]
 
Hirshfeld DR, Biederman J, Brody L, et al: Associations between expressed emotion and child behavioral inhibition and psychopathology: a pilot study. J Am Acad Child Adolesc Psychiatry 36:205–213, 1997
[PubMed]
 
Hirshfeld-Becker DR, Biederman J: Rationale and principles for early intervention with young children at risk for anxiety disorders. Clin Child Fam Psychol Rev 5:161–172, 2002
[PubMed]
 
Hosman C, Jané-Llopis E, Saxena S: Prevention of Mental Disorders: Effective Interventions and Policy Options: A Summary Report. Geneva, Switzerland, World Health Organization, 2004
 
Kumpfer KL, Alvadaro R, Whiteside HO: Family-based interventions for substance use and misuse prevention. Subst Use Misuse 38:1759–1787, 2003
[PubMed]
 
LaFreniere PJ, Capuano F: Preventive intervention as a means of clarifying direction of effects in socialization: anxious-withdrawn preschoolers case. Dev Psychopathol 9:551–564, 1997
[PubMed]
 
Lowry-Webster HM, Barrett PM, Dadds MR: A universal prevention trial of anxiety and depressive symptomatology in childhood: preliminary data from an Australian study. Behav Change 18:36–50, 2001
 
Luthar SS: Resilience in development: a synthesis of research across five decades, in Developmental Psychopathology: Risk, Disorder, and Adaptation, 2nd Edition. Edited by Cicchetti D, Cohen DJ. New York, Wiley, 2006, pp 739–795
 
Luthar SS, Cicchetti D, Becker B: The construct of resilience: a critical evaluation and guidelines for future work. Child Dev 71:543–562, 2000
[PubMed]
 
MacMillan HL: Child sexual abuse: an overview (part II). Canadian Child Psychiatric Bulletin 5:90–94, 1997
 
March J: Cognitive-behavioral psychotherapy for children and adolescents with OCD: a review and recommendations for treatment. J Am Acad Child Adolesc Psychiatry 34:7–18, 1995
[PubMed]
 
Masten AS, Best KM, Garmezy N: Resilience and development: contributions from the study of children who overcome adversity. Dev Psychopathol 2:425–444, 1990
 
McAlister-Groves BM, Zuckerman B, Marans S, et al: Silent victims: children who witness violence. JAMA 269:262–264, 1993
 
Mrazek PJ, Haggerty RJ: Reducing Risks for Mental Disorders. Washington, DC, Institute of Medicine, National Academy Press, 1994
 
Munoz RF, Mrazek PJ, Haggerty RJ: Institute of Medicine report on prevention of mental disorders: summary and commentary. Am Psychol 51:1116–1122, 1996
[PubMed]
 
Olds DL: Prenatal and infancy home visiting by nurses: from randomized trials to community replication. Prev Sci 3:153–172, 2002
[PubMed]
 
Olson AL, Dietrich AJ, Prazar G, et al: Two approaches to maternal depression screening during well child visits. Dev Behav Pediatr 26:169–176, 2005
[PubMed]
 
Park RJ, Senior R, Stein A: The offspring of mothers with eating disorders. Eur Child Adolesc Psychiatry 12:1110–1119, 2003
 
Rapee RM: The development and modification of temperamental risk for anxiety disorders: prevention of a lifetime of anxiety. Biol Psychiatry 52:947–957, 2002
[PubMed]
 
Reiss D, Neiderhiser J, Hetherington EM, et al: The relationship code: deciphering genetic and social patterns in adolescent development. Cambridge, MA, Harvard University Press, 2000
 
Rutter M: Commentary: some focus and process considerations regarding effects of parental depression on children. Dev Psychol 26:60–67, 1990
 
Sameroff AJ, Chandler MJ: Reproductive risk and the continuum of caretaking casualty, in Review of Child Developmental Research, Vol 4. Edited by Horowitz FD, Hetherington M, Scarr-Salopatek S. Chicago, IL, University of Chicago Press, 1987, pp 187–244
 
Sameroff A, Bartko WT, Baldwin A, et al: Family and social influences on the development of child competence, in Families, Risk, and Competence. Edited by Feiring C, Lewis M. Mahwah, NJ, Lawrence Erlbaum Associates, 1998, pp 161–185
 
Seifert K, Bowman PJ, Heflin CM, et al: Social and environmental predictors of maternal depression in current and recent welfare recipients. Am J Orthopsychiatry 70:510–522, 2000
 
Shaw DS, Dishion TJ, Supplee L, et al: Randomized trial of a family centered approach to the prevention of early conduct problems: 2-year effects of the family check-up in early childhood. J Consult Clin Psychol 74:1–9, 2006
[PubMed]
 
Siqueland L, Kendall P, Steinberg L: Anxiety in children: perceived family environments and observed family interaction. J Clin Child Psychol 25:225–237, 1996
 
Spoth RL, Kavanagh KA, Dishion TJ: Family centered preventive intervention science: toward benefits to larger populations of children, youth, and families. Prev Sci 3:145–152, 2002
[PubMed]
 
Steinhausen H: Children of alcoholic parents. Eur Child Adolesc Psychiatry 4:143–152, 1995
[PubMed]
 
U.S. Department of Health and Human Services: Mental Health: A Report of the Surgeon General. Washington, DC, U.S. Department of Health and Human Services, 2000. Available at: http://www.surgeongeneral.gov/library/mentalhealth/home.html. Accessed July 23, 2009.
 
Weissman MM, Pilowsky DJ, Wickramartne PJ, et al: Remissions in maternal depression and child psychopathology: a STAR*D-child report. JAMA 295:1389–1398, 2006
[PubMed]
 
Zeanah CH, Boris NW, Larrieu JA: Infant development and developmental risk: a review of the past 10 years. J Am Acad Child Adolesc Psychiatry 36:165–178, 1997
[PubMed]
 
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Sample questions:
1.
Which of the following interventions for families at high risk because of parental mental illness is supported by the Institute of Medicine Committee on Prevention?
2.
There are several well-established risk factors for depression and other disorders. Some of them are specific for depression. All of the following are specific risks for depression except
3.
Children growing up with parents with a psychiatric disorder are at significantly higher risk of developing a mental disorder during their life span. All of the following statements regarding risks and outcomes are correct except
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