Maternal depression and child behaviour problems. Randomised placebo-controlled trial of a cognitive-behavioural group intervention

Br J Psychiatry. 2003 Oct:183:342-8. doi: 10.1192/bjp.183.4.342.

Abstract

Background: Despite the frequently reported association between maternal depression and childhood psychopathological disorder, few studies have attempted to intervene with both conditions.

Aims: To evaluate the effect of group cognitive-behavioural therapy (CBT) on child behaviour problems and maternal depression in a group of women with young children.

Method: An assessor-masked, randomised placebo-controlled trial compared three treatments: CBT for depression and parenting skills enhancement; a mothers' support group; and no intervention. An epidemiological (general population) sample was recruited.

Results: Analysis showed no significant difference between the groups. Within-group comparison suggested that at the end of treatment and at 6-month and 12-month follow-up, child problems and maternal depression had improved significantly in the CBT group.

Conclusions: There was no statistically significant difference between groups. Both contact interventions seemed to provide some benefits to mothers with depression, with a possibly improved outcome resulting from CBT for children with behavioural problems. The results must be treated with caution.

Publication types

  • Clinical Trial
  • Comparative Study
  • Randomized Controlled Trial
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Analysis of Variance
  • Child Behavior Disorders / psychology*
  • Child, Preschool
  • Cognitive Behavioral Therapy / methods*
  • Depressive Disorder / therapy*
  • Female
  • Follow-Up Studies
  • Humans
  • Mother-Child Relations
  • Parenting
  • Treatment Outcome