Journal of Public Health

, Volume 19, Issue 4, pp 321–327 | Cite as

Prevention of familial transmission of depression: EFFEKT-E, a selective program for emotionally burdened families

  • Anneke Bühler
  • Charlotte Kötter
  • Stefanie Jaursch
  • Friedrich Lösel
Original Article

Abstract

Aim

Parental depression is a strong risk factor for depression in children and is associated with offspring’s behavioral problems. Therefore, prevention measures should aim to reduce the transmission of risk to children of depressed mothers. In this paper, description and evaluation results are reported for EFFEKT-E (Entwicklungsförderung in Familien: Eltern- und Kinder-Training in emotional belasteten Familien), a prevention program to be used in the setting of mother–child rehabilitation clinics. EFFEKT-E is a family-oriented program including parent training and social skills training for pre-school children.

Subjects and methods

The evaluation study contained 375 mothers and their children. The program was evaluated in a quasi-experimental pre-post-follow-up design using instruments on parenting behavior and children’s emotional and behavioral problems.

Results

Evaluation showed satisfying out reach and implementation of the program. Compared to a treatment-as-usual condition, EFFEKT-E children exhibited less emotional disruption and hyperactivity. Mother’s sense of parental competence was promoted, problematic parenting behavior decreased.

Conclusion

EFFEKT-E is an evidence-based selective program which has the potential to prevent intergenerational transmission of depression.

Keywords

Selective prevention Family-oriented Depression Behavioral problems Children Depressed mothers 

Notes

Acknowledgements

The study was funded by the German Federal Ministry of Education and Research. We wish to thank the Bundesverband Arbeiterwohlfahrt and clinic staff for their cooperation and mothers and children for study participation.

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Copyright information

© Springer-Verlag 2011

Authors and Affiliations

  • Anneke Bühler
    • 1
  • Charlotte Kötter
    • 1
  • Stefanie Jaursch
    • 2
  • Friedrich Lösel
    • 2
    • 3
  1. 1.Institut für Therapieforschung, München, PräventionsforschungMünchenGermany
  2. 2.Universität Erlangen-NürnbergErlangenGermany
  3. 3.Institute of CriminologyUniversity of CambridgeCambridgeUK

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