Parental involvement in adolescent depression interventions: A systematic review of randomized clinical trials.


Journal Article (Review)

Despite the widespread research recommendations for psychiatric nurses and other mental health professionals to include parents in adolescent depression treatment, no systematic reviews have yet synthesized the findings from intervention studies that included parents in the treatment and/or prevention of adolescent depression. Therefore, this systematic review was conducted to (i) identify and describe clinical trials that included parents as an integral component of adolescent depression interventions, (ii) examine the effectiveness of these trials in reducing depressive symptoms, and (iii) evaluate their methodological quality. We systematically searched the databases PubMed and PsycINFO. The search strategy adhered to the PRISMA statement to guide identification and selection of articles. Further, a structured evaluation form was adapted from the CONSORT statement and methodological literature to evaluate the elicited clinical trials. A total of 288 unique articles met criteria for abstract level screening, 45 articles were selected for full-text review, and 16 articles were included in the final analysis. We found that (i) available approaches to include parents in adolescent depression interventions vary in their theoretical stance, purpose, sample characteristics, and measured outcomes, (ii) the health outcomes of these approaches seemed to be contingent upon the nature of parental involvement, and (iii) effective translation of these approaches into practice needs to be considered in the light of their methodological rigour. Our review revealed a variety of promising approaches to utilize the parental and family contexts as a means of preventing or treating adolescent depression. However, more research is needed to determine which interventions, within what contexts, and using what resources will facilitate the best health outcomes for adolescents with depression and their parents.

Full Text

Duke Authors

Cited Authors

  • Dardas, LA; van de Water, B; Simmons, LA

Published Date

  • April 2018

Published In

Volume / Issue

  • 27 / 2

Start / End Page

  • 555 - 570

PubMed ID

  • 29277947

Pubmed Central ID

  • 29277947

Electronic International Standard Serial Number (EISSN)

  • 1447-0349

International Standard Serial Number (ISSN)

  • 1445-8330

Digital Object Identifier (DOI)

  • 10.1111/inm.12429


  • eng