Assessment & Research

Acceptability of interventions for childhood depression.

Tarnowski et al. (1992) · Behavior modification 1992
★ The Verdict

Parents welcome CBT or behavior plans for childhood depression and put pills and social-skills groups at the bottom of the list.

✓ Read this if BCBAs writing treatment plans for depressed children in outpatient or school settings.
✗ Skip if Clinicians who only serve adults or who rely mainly on medication teams.

01Research in Context

01

What this study did

The team asked moms to rate four ways to help a depressed child.

The choices were medicine, behavior therapy, cognitive therapy, or social-skills groups.

Each mom read a short story about a sad child, then picked the plan she liked most.

02

What they found

Moms liked talk-based help more than pills.

Social-skills class came in last among the talk options.

White moms and Black moms ordered the choices differently, but how bad the sadness looked did not change the scores.

03

How this fits with other research

Schneider et al. (2006) asked the same acceptability questions to parents of kids with autism and got the same warm feeling for parent-training tips.

Safer-Lichtenstein et al. (2023) later ran the idea in Spanish-speaking families of children with delays and still saw high satisfaction, showing the pattern holds across languages.

Reid et al. (2019) seems to clash: they found that when parents feel depressed, their children gain less from social-emotional classes. Rasing et al. (1992) saw no link between mom mood and ratings. The gap makes sense—Morganne watched kids in treatment, while J only asked opinions before any service started.

04

Why it matters

When you meet caregivers of a depressed child, start with CBT or standard behavior plans. Skip the social-skills pitch at first and keep medication as the final talking point. Remember that race may shape preference, so ask, don’t assume.

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→ Action — try this Monday

Open the parent meeting by describing a simple CBT reward system before you mention medicine or peer-skills clubs.

02At a glance

Intervention
not applicable
Design
survey
Population
not specified
Finding
not reported

03Original abstract

Using a case description methodology, this study examined the effects of behavior problem severity, intervention type, and subject race on mothers' acceptability ratings of five interventions used to treat childhood depression. Results indicated that (a) all psychological (behavioral or cognitive-behavioral) interventions were rated more acceptable than pharmacological treatment; (b) among the psychological interventions, the social skills intervention was the least preferred; (c) acceptability of treatments varied as a function of subject race; and (d) severity of depressive symptoms failed to influence acceptability ratings significantly. Psychometric support was found for a revised measure of acceptability (Abbreviated Acceptability Rating Profile; AARP) developed in the context of the present study. Implications of the findings for consultation are discussed.

Behavior modification, 1992 · doi:10.1177/01454455920161005