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改善经历高冲突父母离异的青少年的日常情绪:一项在线预防项目的多基线试验

Enhancing Daily Affect in Youth Experiencing High-Conflict Parental Divorce: A Multiple Baseline Trial of an Online Prevention Program.

作者信息

O'Hara Karey L, Boring Jesse L, Sandler Irwin N, Beck Connie J

机构信息

REACH Institute, Arizona State University.

Department of Psychology, SUNY Broome.

出版信息

Fam Court Rev. 2022 Jul;60(3):458-473. doi: 10.1111/fcre.12654. Epub 2022 Jun 8.

DOI:10.1111/fcre.12654
PMID:36247974
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9561791/
Abstract

This study investigated the effects of a highly interactive, online cognitive-behavioral youth coping program: Children of Divorce-Coping with Divorce (CoD-CoD; Boring et al., 2015) on children exposed to high levels of interparental conflict (IPC). A multiple-baseline experimental design (N = 9) evaluated within-subject intervention effects on change in daily positive and negative affect before, during, and after the intervention (n = 462). Participants were youth ages 11-16 who reported high exposure to IPC and whose parents had filed for divorce or parenting plan determinations in the prior year. A significant interaction effect indicated change in positive affect, but not negative affect, between the intervention and baseline phases. Positive affect linearly decreased during the baseline phase and flattened during the intervention phase. Results indicate that CoD-CoD was effective in interrupting a decline in youth-reported positive affect in a high-IPC sample, which may indicate a buffering effect against depression. Critical future directions include conducting large-scale randomized trials with children from high-IPC families to assess for whom the program is effective and assess long-term effects across a broad range of important outcomes.

摘要

本研究调查了一个高度互动的在线认知行为青少年应对项目

“离婚子女应对离婚”(CoD - CoD;博林等人,2015年)对暴露于高水平父母间冲突(IPC)的儿童的影响。一个多基线实验设计(N = 9)评估了干预前、干预期间和干预后受试者内部干预对每日积极和消极情绪变化的影响(n = 462)。参与者为11 - 16岁的青少年,他们报告称暴露于高水平的父母间冲突,且其父母在前一年已提交离婚申请或育儿计划裁定。一个显著的交互效应表明干预阶段和基线阶段之间积极情绪有变化,但消极情绪没有变化。积极情绪在基线阶段呈线性下降,在干预阶段趋于平稳。结果表明,CoD - CoD有效地阻止了高IPC样本中青少年报告的积极情绪下降,这可能表明对抑郁症有缓冲作用。未来的关键方向包括对来自高IPC家庭的儿童进行大规模随机试验,以评估该项目对哪些人有效,并评估在广泛的重要结果方面的长期影响。

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本文引用的文献

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Dev Psychopathol. 2019 Dec;31(5):1695-1713. doi: 10.1017/S0954579419000981.
2
Randomized Effectiveness Trial of the New Beginnings Program for Divorced Families with Children and Adolescents.新起点计划对离异家庭中儿童和青少年的随机有效性试验。
J Clin Child Adolesc Psychol. 2020 Jan-Feb;49(1):60-78. doi: 10.1080/15374416.2018.1540008. Epub 2019 Jan 15.
3
Annual Research Review: Interparental conflict and youth psychopathology: an evidence review and practice focused update.
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J Child Psychol Psychiatry. 2018 Apr;59(4):374-402. doi: 10.1111/jcpp.12893.
4
Stress, Coping, and Mood Among Latino Adolescents: A Daily Diary Study.《拉丁裔青少年的压力、应对方式和情绪:一项日常日记研究》。
J Res Adolesc. 2017 Sep;27(3):566-580. doi: 10.1111/jora.12294. Epub 2016 Nov 16.
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Small Sample Methods for Multilevel Modeling: A Colloquial Elucidation of REML and the Kenward-Roger Correction.小样本多水平建模方法:REML 和肯沃德-罗杰校正的通俗阐述。
Multivariate Behav Res. 2017 Sep-Oct;52(5):661-670. doi: 10.1080/00273171.2017.1344538. Epub 2017 Jul 17.
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Attendance Trajectory Classes Among Divorced and Separated Mothers and Fathers in the New Beginnings Program.离异或分居父母在新起点计划中的出勤轨迹分类。
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