Healthy emotions and relationships with teens-a guide for parents: An intervention development study of a parent-based intervention for adolescents with depression.

Problems in parent-adolescent relationships are a significant risk factor for the development of depression in adolescents. This paper describes the development of a novel and innovative intervention for parents of depressed adolescents that targets attachment-related parenting behaviors, including parent responses to adolescents' emotions (Healthy Emotions and Relationships with Teens-A Guide for Parents [HEART-P]; Reigstad, 2017) and provides results of an open pilot study that was conducted to assess the feasibility and acceptability of the intervention. 15 parents/parent dyads of adolescents (age 12-18) with a depression diagnosis (14 mothers, and one father) participated in a 10-week open trial of HEART-P. Data regarding acceptability and feasibility were collected. Self-report measures of parenting, stress, family relationships, and adolescent depression were also completed by parents at baseline, week 10, and 2 months post-intervention. Parents completed the intervention with 100% adherence to the protocol and expressed high levels of satisfaction. Parents reported reductions in parenting stress, improvement in the quality of their relationship with their adolescent, and improvement in the perception of their parenting skills, with effect sizes in the medium to large range. Adolescents reported reductions in depression, with effect sizes in the small to medium range. Outcomes appear positive and promising, and the intervention was feasible to implement and acceptable to families. Conducting a full-scale randomized control trial to evaluate the efficacy of this newly developed intervention is warranted and timely given the public health need for improved depression treatment outcomes.

ROMANTIC PARTNERS' COPING STRATEGIES AND PATTERNS OF CORTISOL REACTIVITY AND RECOVERY IN RESPONSE TO RELATIONSHIP CONFLICT.

Stress in close relationships can have significant negative consequences for mental health, physical health, and long-term relationship functioning. Dysregulated physiological responses to stress are potential pathways through which relationship stress may lead to these kinds of outcomes, and the ways in which individuals attempt to cope with relationship stress are likely to impact their physiological responses. However, our understanding of the specific coping strategies that predict physiological reactivity and recovery in these contexts is rather limited. This study explored relations between young adult college students' self-reported methods of coping with stress in their romantic relationships and their physiological reactivity to and recovery from negotiating conflict with their romantic partners. Partners' coping styles were also examined as predictors of physiological stress responses. One hundred and ninety opposite-sex couples (N = 380; modal length of relationship = 1-2 years) participated in an experimental conflict discussion task. Physiological stress reactivity to the task was assessed using salivary cortisol, a primary hormonal product of the hypothalamic-pituitary-adrenocortical (HPA) axis. Growth modeling of the cortisol levels before, during, and after the conflict task indicated that men who typically coped with relationship stress by seeking social support showed greater physiological reactivity to the conflict task. Partners' need for social support predicted stronger stress responses for both men and women, as well. While seeking social support is generally thought to be an adaptive coping strategy for couples, the results suggest that within the context of conflict negotiation in which receiving and providing support may be more difficult, seeking support from a partner is associated with greater phyisological stress.