Boring Jesse L, Sandler Irwin N, Tein Jenn-Yun, Horan John J, Vélez Clorinda E
Department of Psychology and Human Services, SUNY Broome Community College.
REACH Institute, Department of Psychology, Arizona State University.
J Consult Clin Psychol. 2015 Oct;83(5):999-1005. doi: 10.1037/a0039567. Epub 2015 Jul 27.
Evaluate an online coping skills program to prevent mental health problems in children and adolescents from divorced or separated families.
Children ages 11-16 (N = 147) whose families had filed for divorce were recruited using public court records. Participants were blocked by risk-score and randomly assigned to either a control (Internet self-study condition, Best of the Net (BTN) or the experimental intervention, Children of Divorce-Coping With Divorce (CoD-CoD), a 5-module highly interactive online program to promote effective coping skills. Program effects were tested on measures of children's self-reported coping and parent and youth reports of children's mental health problems.
Significant main effects indicated that youth in CoD-CoD improved more on self-reported emotional problems relative to BTN youth (d = .37) and had a lower rate of clinically significant self-reported mental health problems (OR = .58, p = .04). A significant Baseline × Treatment interaction indicated that the 55% of youth with highest baseline problems improved more than those in BTN on their self-report of total mental health problems. A significant interaction effect indicated that CoD-CoD improved youth coping efficacy for the 30% of those with the lowest baseline coping efficacy. For the 10% of youth with lowest parent-reported risk at baseline, those who received BTN had lower problems than CoD-CoD participants.
CoD-CoD was effective in reducing youth-reported mental health problems and coping efficacy particularly for high risk youth. Parent-report indicated that, relative to BTN, CoD-CoD had a negative effect on mental health problems for a small group with the lowest risk.
评估一项在线应对技能项目，以预防离异或分居家庭中儿童和青少年的心理健康问题。
利用公共法庭记录招募了11至16岁（N = 147）且家庭已提起离婚诉讼的儿童。参与者按风险评分进行分组，并随机分配到对照组（互联网自学条件，网络精华（BTN））或实验性干预组，即离婚儿童应对离婚（CoD-CoD），这是一个包含5个模块的高度互动在线项目，旨在提升有效的应对技能。通过儿童自我报告的应对方式以及父母和青少年报告的儿童心理健康问题的测量指标来测试项目效果。
显著的主效应表明，相对于BTN组的青少年，CoD-CoD组的青少年在自我报告的情绪问题上改善更为明显（d = 0.37），且自我报告的具有临床意义的心理健康问题发生率更低（OR = 0.58，p = 0.04）。显著的基线×治疗交互作用表明，基线问题最高的55%的青少年在心理健康问题总自我报告方面比BTN组的青少年改善更大。显著的交互效应表明，CoD-CoD提高了基线应对效能最低的30%的青少年的应对效能。对于基线时父母报告风险最低的10%的青少年，接受BTN的青少年比CoD-CoD参与者的问题更少。
CoD-CoD在减少青少年报告的心理健康问题和应对效能方面有效，特别是对高风险青少年。父母报告表明，相对于BTN，CoD-CoD对风险最低的一小部分群体的心理健康问题有负面影响。
