University of Groningen
Anxiety and Depression: Family Matters
Festen, Helma
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Publication date: 2017
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Festen, H. (2017). Anxiety and Depression: Family Matters: Offspring Risk and Resilience, Prevention and Treatment. Rijksuniversiteit Groningen.
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Anxiety and Depression: Family Matters
Offspring Risk and Resilience, Prevention and Treatment
The research in this thesis has been funded by the Prevention program of the Netherlands Organization for Health Research and Development (ZonMw prevention, nr 120620024).
© Helma Festen, 2017
All rights reserved. No part of this thesis may be reproduced or transmitted in any form or by any means, electronic or mechanical, including photocopy, recording, or any information storage and retrieval systems, without written permission of the author.
Cover and lay-out: Marlies Bouman
Print: GVO drukkers & vormgevers B.V., Ede ISBN printed thesis: 978-90-367-9785-6 ISBN e-book: 978-90-367-9784-9
Anxiety and Depression: Family Matters
Off spring Risk and Resilience, Prevention and Treatment
Proefschrift
ter verkrijging van de graad van doctor aan de
Rijksuniversiteit Groningen
op gezag van de
rector magnifi cus prof. dr. E. Sterken
en volgens besluit van het College voor Promoties.
De openbare verdediging zal plaatsvinden op
donderdag 1 juni 2017 om 12.45 uur
door
Helma Festen
geboren op 10 februari 1982
te Groningen
Promotor Prof. dr. P. J. de Jong Copromotor Dr. M. H. Nauta Beoordelingscommissie Prof. dr. E. S. Becker Prof. dr. R. A. Schoevers Prof. dr. P. M. Westenberg
Table of contents
Chapter 1 General Introduction 7
PART I: Preventing Anxiety and Depression in Offspring
Chapter 2 Preventing mood and anxiety disorders in youth: a multicenter Randomized Controlled Trial (RCT) in high risk offspring of depressed and anxious patients
29
Chapter 3 Parents’ perceptions on offspring risk and prevention of anxiety and depression: a qualitative study
51 Chapter 4 A first impression of professionals’ experiences with care for
offspring of depressed and anxious patients: recommendations for clinical practice
79
PART II: Risk and Resilience
Chapter 5 The relationship between parent and offspring anxiety and depression: the mediating role of childhood emotional maltreatment and offspring implicit self-associations
89
Chapter 6 Children at high risk for anxiety and depression: heightened pessimism, lowered optimism, but no heightened negative implicit self-associations
111
PART III: The Role of Parents in their Children’s Treatment Success
Chapter 7 Temperament and parenting predicting anxiety change in cognitive behavioral therapy: the role of mothers, fathers, and children
133
Chapter 8 General Discussion 153
Nederlandse Samenvatting (Dutch summary) 167
References 179
Dankwoord 201
