Skip to main content
Search
Search
    Quick Search anywhere
    Quick search in Citations
Advanced Search
Skip main navigationClose Drawer MenuOpen Drawer Menu
Previous article
Next article
Übersichten

Die Wirksamkeit familienbezogener Interventionsansätze bei Angststörungen und depressiven Störungen im Kindes- und Jugendalter

Stand der Evidenzbasierung

Published Online:September 01, 2006https://doi.org/10.1026/0942-5403.14.1.12

Abstract

Zusammenfassung. Der vorliegende Beitrag bietet eine Übersicht über randomisierte kontrollierte Studien zur Wirksamkeit familienbezogener Interventionen bei Angststörungen und depressiven Störungen im Kindes- und Jugendalter. Der Einbezug der Eltern in kontrollierte Wirksamkeitsstudien wurde bisher fast ausschließlich im Rahmen von kognitiv-verhaltenstherapeutischen Programmen realisiert. Wirksamkeitsstudien zu Angststörungen wurden ausnahmslos mit 6 bis 14-Jährigen durchgeführt, das Einbeziehen des familialen Umfelds erwies sich dabei insbesondere bei jüngeren Kindern (7 bis 10-Jährige) als bedeutsam. Im Gegensatz dazu existieren für depressive Störungen lediglich Wirksamkeitsstudien bei Jugendlichen (13 bis 18-Jährige). Ein Vorteil familienbezogener Interventionen gegenüber der reinen Jugendlichentherapie konnte bisher nicht nachgewiesen werden.


The efficacy of family involvement in the treatment of anxiety disorders and depressive disorders in childhood and adolescence: Current state of evidence-based psychotherapy

Abstract. This paper describes the current findings concerning efficacy from randomized controlled trials of family-based interventions for children and adolescents with anxiety and depressive disorders.To date, parents have only been included in controlled trials of cognitive-behavioral interventions. Efficacy trials for anxiety disorders have only been carried out in 6- to 14-year olds, but have shown that younger children (7 to 10 years old) benefited when the family was involved. By contrast, the existing efficacy trials for depressive disorders have been limited to adolescents (13 to 18 years old), and have shown that family-based interventions are not superior to pure adolescent therapy.

Literatur

  • Asarnow, J. R. , Jaycox, L. H. , Tompson, M. C. (2001). Depression in youth: Psychosocial interventions. Journal of Clinical Child Psychology , 30 , 33– 47 . First citation in articleCrossref, Google Scholar

  • Barrett, P. M. (1995a). Group coping koala workbook. Unpublished manuscript, Griffith University at Nathan . First citation in articleGoogle Scholar

  • Barrett, P. M. (1995b). Group family anxiety management. Unpublished manuscript, Griffith University at Nathan . First citation in articleGoogle Scholar

  • Barrett, P. M. (1998). Evaluation of cognitive-behavioral group treatments for childhood anxiety disorders. Journal of Clinical Child Psychology , 27 , 459– 468 . First citation in articleCrossref, Google Scholar

  • Barrett, P. M. , Dadds, M. R. , Rapee, R. M. (1991). Coping koala workbook. Unpublished manuscript, Griffith University at Nathan . First citation in articleGoogle Scholar

  • Barrett, P. M. , Dadds, M. R. , Rapee, R. M. (1996). Family treatment of childhood anxiety: A controlled trial. Journal of Consulting and Clinical Psychology , 2 , 333– 342 . First citation in articleCrossref, Google Scholar

  • Barrett, P. M. , Duffy, A. L. , Dadds, M. R. , Rapee, R. M. (2001). Cognitive-behavioral treatment of anxiety disorders in children: Long-term (6-year) follow-up. Journal of Consulting and Clinical Psychology , 69 , 135– 141 . First citation in articleCrossref, Google Scholar

  • Barrett, P. M. , Lowry-Webster, H. , Turner, C. (2000a). FRIENDS program for children: Parents' supplement. Brisbane: Australia Academic Press . First citation in articleGoogle Scholar

  • Barrett, P. M. , Lowry-Webster, H. , Turner, C. (2000b). FRIENDS program for children: Group leaders manual. Brisbane: Australia Academic Press . First citation in articleGoogle Scholar

  • Barrett, P. M. , Rapee, R. M. , Dadds, M. R. , Ryan, S. M. (1996). Family enhancement of cognitive style in anxious and aggressive children. Journal of Abnormal Child Psychology , 24 , 187– 203 . First citation in articleCrossref, Google Scholar

  • Birmaher, B. , Brent, D. A. , Kolko, D. , Baugher, M. , Bridge, J. , Holder, D. , Iyengar, S. , Ulloa, R. E. (2000). Clinical outcome after short-term psychotherapy for adolescent with major depressive disorder. Archives of General Psychiatry , 57 , 29– 36 . First citation in articleCrossref, Google Scholar

  • Brent, D. A. , Holder, D. , Kolko, D. , Birmaher, B. , Baugher, M. , Roth, C. , Iyengar, S. , Johnson, B. A. (1997). A clinical psychotherapy trial for adolescent depression comparing cognitive, family, and supportive therapy. Archives of General Psychiatry , 54 , 877– 885 . First citation in articleCrossref, Google Scholar

  • Brent, D.A. , Kolko, D. , Birmaher, B. , Baugher, M. , Bridge, J. (1999). A clinical trial for adolescent depression: Predictors of additional treatment in the acute and follow-up phases of the trial. Journal of the American Academy of Child and Adolescent Psychiatry , 38 , 263– 271 . First citation in articleCrossref, Google Scholar

  • Carr, A. (2000). What works with children and adolescents?. London: Routledge . First citation in articleGoogle Scholar

  • Christophersen, E. R. , Mortweet, S. L. (2001). Treatments that work with children. Washington, DC: APA . First citation in articleGoogle Scholar

  • Clarke, G. N. , Lewinsohn, P. M. , Hops, H. (1990a). Leader's manual for adolescent groups. Adolescent coping with depression course. Eugene: Castalia Publishing Company . First citation in articleGoogle Scholar

  • Clarke, G. N. , Lewinsohn, P. M. , Hops, H. (1990b). Student workbook. Adolescent coping with depression course. Eugene: Castalia Publishing Company . First citation in articleGoogle Scholar

  • Clarke, G. N. , Rohde, P. , Lewinsohn, P. M. , Hops, H. , Seeley, J. R. (1999). Cognitive-behavioral treatment of adolescent depression: efficacy of acute group treatment and booster sessions. Journal of the American Academy of Child and Adolescent Psychiatry , 38 , 272– 279 . First citation in articleCrossref, Google Scholar

  • Cobham, V. E. , Dadds, M. R. , Spence, S. H. (1998). The role of parental anxiety in the treatment of childhood anxiety. Journal of Consulting and Clinical Psychology , 66 , 893– 905 . First citation in articleCrossref, Google Scholar

  • Dadds, M. R. (1995). Families, children and the development of dysfunction. London: Sage . First citation in articleCrossref, Google Scholar

  • Dadds, M. R. , Barrett, P. M. , Rapee, R. M. , Ryan, S. M. (1996). Family process and child anxiety and aggression: An observational analysis. Journal of Abnormal Child Psychology , 24 , 715– 734 . First citation in articleCrossref, Google Scholar

  • Dadds, M. R. , Heard, P. M. , Rapee, R. M. (1991). Anxiety disorders in children. International Review of Psychiatry , 3 , 231– 241 . First citation in articleCrossref, Google Scholar

  • Diamond, G. S. , Reis, B. , Diamond, G. M. , Siqueland, L. , Isaac, L. (2002). Attachment-based family therapy for depressed adolescents: A treatment development study. Journal of the American Academy of Child and Adolescent Psychiatry , 41 , 1190– 1196 . First citation in articleCrossref, Google Scholar

  • Diamond, G. S. , Siqueland, L. (1995). Family therapy for the treatment of depressed adolescents. Psychotherapy , 32 , 77– 90 . First citation in articleCrossref, Google Scholar

  • Fonagy, P. , Target, M. , Cottrell, D. , Phillips, J. , Kurtz, Z. (2002). What works for whom? A critical review of treatments for children and adolescents. New York: Guilford . First citation in articleGoogle Scholar

  • Ihle, W. , Ahle, M. E. , Jahnke, D. , Esser, G. (2004). Leitlinien zur Diagnostik und Psychotherapie von depressiven Störungen im Kindes- und Jugendalter: Ein evidenzbasierter Diskussionsvorschlag. Kindheit und Entwicklung , 13 , 64– 79 . First citation in articleLink, Google Scholar

  • Ihle, W. , Herrle, J. (2003a). Stimmungsprobleme bewältigen. Manual für Kursleiter. Tübingen: DGVT . First citation in articleGoogle Scholar

  • Ihle, W. , Herrle, J. (2003b). Stimmungsprobleme bewältigen. Arbeitsbuch für Kursteilnehmer. Tübingen: DGVT . First citation in articleGoogle Scholar

  • Kazdin, A. E. , Weisz, J. R. (2003). Evidence-based psychotherapies for children and adolescents. New York: Guilford Press . First citation in articleGoogle Scholar

  • Kendall, P. C. (1990). Coping Cat Workbook. Merion Station, PA: Temple University . First citation in articleGoogle Scholar

  • Kendall, P. C. (1991). Child and adolescent therapy. Cognitive-behavioral procedures. New York: Guilford Press . First citation in articleGoogle Scholar

  • Kendall, P. C. (1994). Treating anxiety disorders in children: A controlled trial. Journal of Consulting and Clinical Psychology , 62 , 100– 110 . First citation in articleCrossref, Google Scholar

  • Kendall, P. C. , Chansky, T. E. , Kane, M. , Kim, R. , Kortlander, E. , Ronan, K. , Sessa, F. , Siqueland, L. (1992). Anxiety disorders in youth: Cognitive-behavioral interventions. Needham Heights, MA: Allyn & Bacon . First citation in articleGoogle Scholar

  • Lewinsohn, P. M. , Clarke, G. N. , Hops, H. , Andrews, J. (1990). Cognitive-behavioral group treatment of depression in adolescents. Behavior Therapy , 21 , 385– 401 . First citation in articleCrossref, Google Scholar

  • Lewinsohn, P. M. , Clarke, G. N. , Rohde, P. (1994). Psychological approaches to the treatment of depression in adolescents. In W. M. Reynolds & H. F. Johnston (Eds.), Handbook of depression in children and adolescents (pp.309-344). New York: Plenum . First citation in articleCrossref, Google Scholar

  • Lewinsohn, P. M. , Rohde, P. , Hops, H. , Clarke, G. N. (1991). Leader's manual for parent groups: Adolescent Coping with Depression Course. Eugene, OR: Castalia Press . First citation in articleGoogle Scholar

  • Mattejat, F. (2001). Familientherapie. In G. Esser (Hrsg.), Lehrbuch der Klinischen Psychologie und Psychotherapie des Kindes- und Jugendalters (S.488-512). Stuttgart: Thieme . First citation in articleGoogle Scholar

  • Mendlowitz, S. L. , Manassis, K. , Bradley, S. , Scapillato, D. , Miezitis, S. , Shaw, B. F. (1999). Cognitiv-behavioral group treatments in childhood anxiety disorders: The role of parental involvement. Journal of the American Academy of Child and Adolescent Psychiatry , 38 , 1223– 1229 . First citation in articleCrossref, Google Scholar

  • Minuchin, S. (1974). Families and family therapy. Cambridge: Harvard University Press . First citation in articleCrossref, Google Scholar

  • Schneider, S. , Döpfner, M. (2004). Leitlinien zur Diagnostik und Psychotherapie von Angst- und Phobischen Störungen im Kindes- und Jugendalter: Ein evidenzbasierter Diskussionsvorschlag. Kindheit und Entwicklung , 13 , 80– 96 . First citation in articleLink, Google Scholar

  • Shortt, A. L. , Barrett, P. M. , Fox, T. L. (2001). Evaluating the FRIENDS program: A cognitive-behavioral group treatment for anxious children and their parents. Journal of Clinical Child Psychology , 30 , 525– 535 . First citation in articleCrossref, Google Scholar