Background

Parents play a crucial role in facilitating depression treatment for adolescents, yet parental preferences for adolescent treatments are ill-understood. Past treatment experience and belief in a biological model of depression may impact preferences, and warrant investigation.

Methods

Parents (N = 143) of teens (12–18 years) completed a survey assessing preference for adolescent depression treatments, treatment knowledge, and beliefs about the biological etiology of depression. Details about parents' and adolescents' past mental health concerns and treatment were obtained. Parents indicated degree of preference from 0 (Not at all preferable) - 10 (Highly preferable) for six treatment options (counselling, antidepressant medication, repetitive transcranial magnetic stimulation, electroconvulsive therapy, exercise, no treatment) for three adolescents vignettes depicting varying depression severity (Mild/Moderate, Severe, and Treatment-Resistant).

Results

Mean preference ratings across all vignette severities were high for counselling (range: 8.57–9.38) and exercise (range: 9.04–9.25). Multiple regression revealed parental past experience of psychopharmacological treatment was significantly associated with current preference for adolescent antidepressant medication, with increased helpfulness and milder/fewer adverse events associated with stronger preference. Greater perceived helpfulness of past teen psychopharmacological treatment was significantly associated with greater current parental preference for adolescent antidepressant medication. Strength of biological beliefs and counselling preference were significantly positively associated.

Limitations

Sample was highly educated, predominately female, and majority treatment-utilizing limiting the generalizability of findings.

Conclusions

Parents' own past medication experiences and degree of biological etiological beliefs appear to be associated with current teen depression treatment preferences. Counselling and exercise were highly preferred across depression severity.

中文翻译：

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父母对青少年抑郁症治疗的偏好：过去治疗经验和生物学病因信念的作用

背景

父母在促进青少年抑郁症治疗方面发挥着至关重要的作用，但人们对父母对青少年治疗的偏好却知之甚少。过去的治疗经验和对抑郁症生物学模型的信念可能会影响偏好，并需要进行调查。

方法

青少年（12-18 岁）的父母（N  = 143）完成了一项调查，评估对青少年抑郁症治疗的偏好、治疗知识和对抑郁症生物学病因的信念。获得了有关父母和青少年过去心理健康问题和治疗的详细信息。对于描述不同抑郁严重程度的六种治疗方案（咨询、抗抑郁药物、重复经颅磁刺激、电痉挛疗法、运动、不治疗），父母表示偏好程度从 0（一点也不可取）到 10（非常可取） （轻度/中度、重度和难治性）。

结果

对于咨询（范围：8.57-9.38）和运动（范围：9.04-9.25），所有小插曲严重程度的平均偏好评分都很高。多元回归显示父母过去的精神药理学治疗经验与当前对青少年抗抑郁药物的偏好显着相关，乐于助人的增加和与更强的偏好相关的不良事件更轻/更少。过去青少年精神药理学治疗的更大感知帮助与当前父母对青少年抗抑郁药物的更大偏好显着相关。生物学信念的强度和咨询偏好呈显着正相关。

限制

样本受过高等教育，主要是女性，并且大多数治疗利用限制了研究结果的普遍性。

结论

父母自己过去的药物治疗经验和生物学病因学信念的程度似乎与当前青少年抑郁症治疗偏好有关。在抑郁症的严重程度中，咨询和锻炼是非常受欢迎的。