Illness in one family member may be
a symptom of a larger family problem.
Not exact matches
Shlam and Medalia put their cameras right in the center
of the action as these conflicts play out, and it becomes tragically apparent that Internet addiction is merely a
symptom of a
larger disconnect from
family and society, rather than the cause.
They saw the problems that bedeviled the
larger society as scaled - up
symptoms of the pettiness and problems that trouble and destroy personal and
family relationships.
Evidence from
large RCTs reveals that depressive
symptoms and functional impairments may not improve at the same rate with treatment.28, 70 Therefore,
symptoms and functioning should be tracked regularly during the course
of treatment with information gathered from both the patients and their
families when possible.
The prevalence
of maternal depressive
symptoms reported by screening this
large national sample
of indigent mothers interviewed between 1992 and 1993 is similar to the prevalence reported for low - income mothers
of young children at a Baltimore pediatric primary care clinic in 1984 (41 % vs 35 %, respectively).8 In addition, the extent
of family poverty in this study has a «dose - response» association with maternal depressive
symptoms that is similar to that reported in another (smaller) national sample from the 1990s.15 In both studies, as well as this study, mothers with lower incomes reported higher levels
of depressive
symptoms.
The associations between different combinations
of adolescent and parental
symptom load and unemployment benefits in the offspring were weaker than for medical benefits, and were removed to a
large extent after introducing
family factors in Model 3 (results for unemployment are displayed in online supplementary table S4 in the appendix).
Validation for preschool MDD (based on meeting all DSM - IV
symptom criteria) has been supported by the finding
of a specific
symptom constellation that was distinct from other psychiatric disorders and stable during a 6 - month period.22 Additionally, alterations in the hypothalamic - pituitary - adrenal axis reactivity similar to those known in adults with depression, greater
family history
of mood disorders, as well as observational evidence
of depressive affects and behaviors were detected in preschoolers with depression, providing further validation.22,25,27 - 30 More recent findings from a
larger independent sample (N = 306) ascertained from community sites (and serving as the population for this investigation) have replicated the findings described above and have also demonstrated that preschoolers with depression display significant functional impairment evident in multiple contexts rated by both parents and teachers.24
Family therapy views a person's symptoms as taking place in the larger context of the f
Family therapy views a person's
symptoms as taking place in the
larger context
of the
familyfamily.
In a
large sample
of clinically - referred children in practice settings who had depression, anxiety or conduct disorders, a modular approach that allowed clinicians to apply treatment procedures flexibly and in different sequences — including individual CBT for depression or anxiety or parent training for conduct disorders — was associated with steeper trajectories
of symptom improvement than standardised CBT or usual care.10 In the case
of bipolar disorder, implementing individual,
family or multifamily treatment protocols flexibly may lead to greater engagement
of parents and children and lower treatment costs.