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Published Online: 1 March 2011

Depressed Parents' Treatment Needs and Children's Problems in an Urban Family Medicine Practice

Hilary B. Vidair, Ph.D., Angelo S. Boccia, M.A., Jeffrey G. Johnson, Ph.D., Helen Verdeli, Ph.D., Priya Wickramaratne, Ph.D., Kathleen A. Klink, M.D., Anita M. Softness, M.D., Carmen Dominguez-Rafer, M.D., Richard G. Younge, M.D., M.P.H., and Myrna M. Weissman, Ph.D.Authors Info & Affiliations
Publication: Psychiatric Services
Volume 62, Number 3
https://doi.org/10.1176/ps.62.3.pss6203_0317
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Abstract

Objective:

The study examined interest in treatment and treatment preferences and obstacles of low-income depressed parents.

Methods:

A total of 273 primarily low-income, Hispanic parents of children aged seven to 17 attending an urban family medicine practice agreed to complete a survey by interview or self-report, including screening diagnoses and treatment history. Three groups were compared: major, subthreshold, and no depression.

Results:

Nearly one-third had major (9%) or subthreshold depression (23%), and many in the depressed groups reported recent treatment (50% and 31%, respectively). Parents with any depression were significantly more likely than nondepressed parents to report interest in receiving help, endorse treatment obstacles, and report children's problems.

Conclusions:

High rates of personal and child problems, interest in treatment, and treatment obstacles among low-income, depressed parents highlight the need to develop acceptable mental health services for them and their children, even when parents do not meet full diagnostic criteria for depression. (Psychiatric Services 62:317–321, 2011)

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Figures and Tables

Table 1 Treatment history reported by 273 parents attending an urban family medicine practice, by depression subgroup
Table 2 Treatment preferences and obstacles reported by 273 parents attending an urban family medicine practice, by depression subgroup

Information & Authors

Information

Published In

Go to Psychiatric Services
Go to Psychiatric Services
Cover: Spring Thaw, by Ernest Lawson, circa 1910. Oil on canvas, 25¼ × 30 inches. Terra Foundation for American Art, Daniel J. Terra Collection. Photo credit: Terra Foundation for American Art, Chicago/Art Resource, New York.
Psychiatric Services
Volume 62 • Number 3 • March 2011
Pages: 317 - 321
PubMed: 21363907

History

Published online: 1 March 2011
Published in print: March 2011

Authors

Details

Hilary B. Vidair, Ph.D.
Dr. Vidair, Dr. Johnson, Dr. Wickramaratne, and Dr. Weissman are affiliated with the Department of Psychiatry, College of Physicians and Surgeons, Columbia University, New York City.
They are also with the New York State Psychiatric Institute, where Mr. Boccia and Dr. Verdeli are affiliated.
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Angelo S. Boccia, M.A.
They are also with the New York State Psychiatric Institute, where Mr. Boccia and Dr. Verdeli are affiliated.
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Jeffrey G. Johnson, Ph.D.
Dr. Vidair, Dr. Johnson, Dr. Wickramaratne, and Dr. Weissman are affiliated with the Department of Psychiatry, College of Physicians and Surgeons, Columbia University, New York City.
They are also with the New York State Psychiatric Institute, where Mr. Boccia and Dr. Verdeli are affiliated.
View all articles by this author
Helen Verdeli, Ph.D.
They are also with the New York State Psychiatric Institute, where Mr. Boccia and Dr. Verdeli are affiliated.
Dr. Verdeli is also with the Department of Clinical Psychology, Teachers College, Columbia University.
View all articles by this author
Priya Wickramaratne, Ph.D.
Dr. Vidair, Dr. Johnson, Dr. Wickramaratne, and Dr. Weissman are affiliated with the Department of Psychiatry, College of Physicians and Surgeons, Columbia University, New York City.
They are also with the New York State Psychiatric Institute, where Mr. Boccia and Dr. Verdeli are affiliated.
View all articles by this author
Kathleen A. Klink, M.D.
Dr. Klink, Dr. Softness, Dr. Dominguez-Rafer, and Dr. Younge are with Columbia University Center for Family and Community Medicine, New York City.
View all articles by this author
Anita M. Softness, M.D.
Dr. Klink, Dr. Softness, Dr. Dominguez-Rafer, and Dr. Younge are with Columbia University Center for Family and Community Medicine, New York City.
View all articles by this author
Carmen Dominguez-Rafer, M.D.
Dr. Klink, Dr. Softness, Dr. Dominguez-Rafer, and Dr. Younge are with Columbia University Center for Family and Community Medicine, New York City.
View all articles by this author
Richard G. Younge, M.D., M.P.H.
Dr. Klink, Dr. Softness, Dr. Dominguez-Rafer, and Dr. Younge are with Columbia University Center for Family and Community Medicine, New York City.
View all articles by this author
Myrna M. Weissman, Ph.D.
Dr. Vidair, Dr. Johnson, Dr. Wickramaratne, and Dr. Weissman are affiliated with the Department of Psychiatry, College of Physicians and Surgeons, Columbia University, New York City.
They are also with the New York State Psychiatric Institute, where Mr. Boccia and Dr. Verdeli are affiliated.
View all articles by this author

Notes

Send correspondence to Dr. Vidair at the New York State Psychiatric Institute, 1051 Riverside Dr., Unit 24, New York, NY 10032 (e-mail: [email protected]). Parts of this report were presented at two annual meetings of the Association for Behavior and Cognitive Therapies, November 13–16, 2008, Orlando, Florida, and November 18–21, 2010, San Francisco.

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