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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
Objectives: Prevalence rates and sex differences in depression, anxiety, and eating disorders and associations with recalled childrearing practices. Methods: Cross-sectional study based on self-report scales: Questionnaire of Recalled Parental Rearing Behavior (German version of EMBU), Beck Anxiety Inventory (BAI), Fragebogen zur Depressionsdiagnostik nach DSM-IV (German version of the Inventory to Diagnose Depression), and Eating Attitudes Test (EAT). 707 university entrants with an average age of 20 years were tested. Results: Point prevalence rates of 6.2 % for depression, 5.2 % for anxiety disorders, and 6.9 % for eating disorders. Higher rates in females for all of the three disorders. Significant associations of sociodemographic and biographical factors with the recalled parental rearing behavior and mental disorders was found. After controlling the impact of factors such as sex, parental divorce, or the occurrence of chronic physical disease the recalled parental rearing behavior proved to be a significant variable especially for depression (lack of warmth by the father, rejection/punishment and control/overprotection by the mother), but also for anxiety (control/overprotection by the father and rejection/punishment by the mother) and eating disorders (control/overprotection by the mother)
An outline of evidence-based guidelines for the assessment and treatment of depressive disorders in childhood and adolescence is presented. Depressive disorders in children and adolescents are marked by core symptoms similar to those seen in adults, although symptom expression varies greatly with developmental stage. These disorders are common, especially in adolescence, chronic, and recurrent, and are associated with comorbid conditions such as anxiety disorders, conduct disorders, and substance use disorders. Effective treatment approaches for the prevention of depressive disorders and the acute treatment of mild and moderate depressive disorders are available. The psychotherapeutic interventions of choice are currently cognitive behavioral therapy (CBT) and interpersonal therapy (IPT). The antidepressants of choice are currently selective serotonin reuptake inhibitors (SSRI). Especially on relapse prevention and the evaluation of the combination of psychotherapy with antidepressant medication further studies are necessary
Are maternal weight, eating and feeding practices associated with emotional eating in childhood?
(2013)
Background: Research concerning children's emotional eating behavior has shown its negative impact on weight-related problems. Taking the model of Birch and Davison (2001) into account, we focus on the role of maternal feeding behavior on the association between emotional eating of the mother and the child. Methods: 482 mothers and their children participated in this cross-sectional study. The mothers were asked about their feeding strategies, their children's and their own emotional eating and weight. We tested a structural equation model for different feeding strategies. Results: In addition to an expected direct association between the mother's and child's emotional eating, the maternal feeding strategies are related to the child's eating behavior. A higher maternal restriction of food or its monitoring was associated with a higher level of children's emotional eating, while allowing the child more control about their eating was linked to less pronounced emotional eating behavior. Conclusions: The results highlight the relevance of maternal feeding behavior on emotional eating in childhood. In terms of preventing weight-related problems, the findings indicate the necessity of training parents in allowing their children more control and avoiding the restriction of food.