The authors compared two cognitive, psychoeducational preventive interventions for families in which a parent had an affective disorder. Families with a child between 8 and 15 years of age and at least one parent who had experienced a recent episode of affective disorder were studied. The interventions were similar in content but different in the degree of involvement of the children and in how they linked information to the families' life experiences. One was a clinician-facilitated intervention and one was a lecture-style intervention. One and a half years after enrollment, self-reports and accessor-ratings for those in the clinician-facilitated intervention were associated with more positive changes than the lecture intervention.