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Family process and youth internalizing problems: A triadic model of etiology and intervention

Published online by Cambridge University Press:  06 April 2016

Jessica L. Schleider  and
John R. Weisz
Jessica L. Schleider*
Affiliation:
Harvard University
John R. Weisz
Affiliation:
Harvard University
*
Address correspondence and reprint requests to: Jessica L. Schleider, Psychology Department, Harvard University, 33 Kirkland Street, Cambridge, MA 02138; E-mail: jschleider@fas.harvard.edu.
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Abstract

Despite major advances in the development of interventions for youth anxiety and depression, approximately 30% of youths with anxiety do not respond to cognitive behavioral treatment, and youth depression treatments yield modest symptom decreases overall. Identifying networks of modifiable risk and maintenance factors that contribute to both youth anxiety and depression (i.e., internalizing problems) may enhance and broaden treatment benefits by informing the development of mechanism-targeted interventions. A particularly powerful network is the rich array of family processes linked to internalizing problems (e.g., parenting styles, parental mental health problems, and sibling relationships). Here, we propose a new theoretical model, the triadic modelof family process, to organize theory and evidence around modifiable, transdiagnostic family factors that may contribute to youth internalizing problems. We describe the model's implications for intervention, and we propose strategies for testing the model in future research. The model provides a framework for studying associations among family processes, their relation to youth internalizing problems, and family-based strategies for strengthening prevention and treatment.

Type
Regular Articles
Information
Development and Psychopathology , Volume 29 , Special Issue 1: Developmental and Social–Ecological Perspectives on Children, Political Violence, and Armed Conflict , February 2017 , pp. 273 - 301
Copyright
Copyright © Cambridge University Press 2016 

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