Theory-based screening for prevention: Focusing on mediating processes in children of divorce

Prevention programs in mental health theoretically can benefit from selecting participants who have a greater likelihood of developing psychological problems because of their exposure to the putative mediators targeted for change in an intervention. Screening on mediators may increase statistical power to detect program effects, enhance the cost-effectiveness of intervention trials, and decrease the possibility of iatrogenic effects. The circumstances that optimize the strategy of screening on the basis of mediating variables are discussed, and data are presented to illustrate the development of a mediational selection strategy to identify families who might best benefit from a preventive intervention for children of divorce. In addition, we present evidence that adjustment problems for children experiencing a divorce, as with most mental health problems, are not the result of one specific factor, but are jointly determined by several mediating processes that occur subsequent to the divorce. The mediational selection strategy developed illustrates the utility of measuring a set of mediational processes central to conferring risk for mental health problems to children of divorce.     

A longitudinal study of the impact of parental divorce on adolescents' evaluations of self and parents

Children's evaluations of their parents and themselves were obtained over a three-year period. In the interim, as well as prior to the study, some of these children experienced parental divorce and/or unhappy intact families. This report will compare these children's evaluations of themselves and their parents to the evaluations of children who had experienced an intact familial configuration. Notably, two sets of troubled children emerged from this study--an acutely troubled group and a chronically troubled group. These findings are discussed.     

Behavioural and Emotional Development in Children of Divorce

This study reports on teacher perceptions of the impact of parental divorce on behaviour and emotional development in children of divorce. Participants were a purposive sampling of 80 primary school learners with parental divorce experience and a comparison group of 40 others from typical or intact families (n = 120: males = 64; females = 56; age range = 6 to 12 years). Teachers completed the Conners' Rating Scales—Revised (CRS—R: Conners, 1998; Casat et al., 1999) on each of the learners. The findings suggest that teachers perceive younger children from divorced parents were more likely to have emotional and behavioural challenges than those from intact families. By contrast, teachers perceived older children from intact were to have emotional and behavioural difficulties.     

Long-term impact of parental divorce on optimism and trust: changes in general assumptions or narrow beliefs?

Two studies were conducted to examine the long-term impact of parental divorce on beliefs about the self and others. In Study 1, college-aged children of divorce and students from intact families did not differ on 8 basic assumptions or on measures of depression. Those whose parents are divorced, however, were less optimistic about the success of their own future marriages. Assumptions about the benevolence of people best predicted the marital optimism of the parental divorce group, but not of the intact family group. In Study 2, assumptions about the benevolence of people were explored in terms of trust beliefs. College-aged children of divorce and a matched sample from intact homes differed only on marriage-related beliefs, not on generalized trust. Children of divorced reported less trust of a future spouse and were less optimistic about marriage. Exploratory analyses found that continuous conflict in family of origin adversely affected all levels of trust.     

Health-Related Quality of Life and Perceived Need for Mental Health Services in Adolescent Solid Organ Transplant Recipients

The purpose of the current investigation was to assess interest in mental health services among parents of adolescent solid organ transplant recipients and the relationship between parent perceived need for mental health services and patient health-related quality of life (HRQOL). Sixty-three parents rated interest in receiving 10 mental health services, and patient HRQOL ratings were gathered from adolescent transplant recipients and their parents. Ninety-four percent of parents expressed some level of interest in at least one of the proposed services, with over 40 % indicating maximum interest. Parents’ perceived need for mental health services was inversely related to adolescent and parent reports of HRQOL on the behavior, mental health, family cohesion, and parental impact-emotional domains. Results suggest that parents of adolescent solid organ transplant recipients are interested in receiving mental health services for their families. Assessment of need for mental health services and HRQOL may inform the medical team of families requiring intervention.     

Is parental divorce a critical stressor for young adolescents? Grade point average as a case in point.

Previous studies have shown parental divorce to be associated with poor functioning of children and adolescents. Almost all of the studies attempting to delineate these effects, and to shed light on the differences between boys and girls, have limited data collection to postdivorce. This practice has left a void in the picture of divorce--specifically in the area of predivorce effects. The purpose of the present study was to examine academic functioning of young adolescents with respect to both pre- and postdivorce effects. Fifty-eight young adolescents (29 from families which subsequently divorced and 29 from families which remained intact) were studied. Results indicated that boys from subsequently divorcing homes had significantly poorer academic functioning prior to their parents' divorce than did boys whose families remained intact and girls whose parents divorced. Differentially, girls from subsequently divorcing families showed a decline in academic functioning which began prior to divorce and continued beyond the time of divorce. Possible explanations for these gender differences are explored, and the importance of examining predivorce effects is addressed.     

Effects of family interaction on the child's behavior in single-parent or reconstructed families

The effects of the family interaction on children's behavior were studied in single-parent or reconstructed families (N = 63) in a white population in Finland. The focus was on the spousal and the parent-child interaction. Teachers assessed children's behavior and parents were interviewed. The interviews were analyzed qualitatively using the grounded-theory method. The boundary ambiguity theory developed by Pauline Boss was used to examine the interaction in the families. About two fifths of the parents reported that their spousal interaction was good, family boundaries were clear, and the children were taken care of together. Another two fifths interacted only because of the child and family boundaries were ambiguous. In 14 families the involvement of the noncustodial parent was both physically and psychologically low. The physically close but psychologically distant parent-child interaction seemed to affect the child's behavior detrimentally, whereas children with physically and psychologically close interaction with their parents showed less behavioral problems. The children with behavioral problems were more likely to have problems with both parents. They were also more likely to have a stepparent with whom they had conflicts. In conclusion, a good interaction between the parents and clarified family boundaries protect children's mental health after their parents' divorce or separation.     

Are associations between parental divorce and children's adjustment genetically mediated? An adoption study

The hypothesis that the association between parental divorce and children's adjustment is mediated by genetic factors was examined in the Colorado Adoption Project, a prospective longitudinal study of 398 adoptive and biological families. In biological families, children who experienced their parents' separation by the age of 12 years exhibited higher rates of behavioral problems and substance use, and lower levels of achievement and social adjustment, compared with children whose parents' marriages remained intact. Similarly, adopted children who experienced their (adoptive) parents' divorces exhibited elevated levels of behavioral problems and substance use compared with adoptees whose parents did not separate, but there were no differences on achievement and social competence. The findings for psychopathology are consistent with an environmentally mediated explanation for the association between parent divorce and children's adjustment; in contrast, the findings for achievement and social adjustment are consistent with a genetically mediated explanation involving passive genotype-environment correlation.     

父母离异对子心理发展的影响:计票式文献分析途径的研究

采用计票式文献分析技术对国内1994-2005年间关于离异家庭子女心理特点的35篇研究进行了系统回顾,发现所有研究都报告了父母离异对子女心理发展存在消极影响。他们存在更多躯体化、强迫、焦虑、敌对、孤独、冲动等心理健康问题;行为问题发生率高于完整家庭对照组,主要表现为孤僻、退缩、抑郁、社交不良等行为问题;在人格方面更具神经质特征,表现出更强的掩饰性,人格倾向性容易出现过分内向或过分外向的两极化趋势;在自我意识方面更消极;在学业方面表现较差;知觉到更强的压力而且采用更消极的应对方式,有着更高的犯罪率和自杀意念。对目前研究方法上的不足之处进行了探讨,对国内外研究内容和结果上的差异进行了分析,对未来的研究方向提出了意见和建议。     

Halos vs. stigmas: long-term effects of parent's death or divorce on college students' concepts of the family

College students from families of divorce, of death of a parent, and of intact families rated the meaning of six concepts of the family: mother, father, I myself, marriage, family, and divorce. The Semantic Differential was used to assess four dimensions of meaning of family concepts: evaluation, potency, activity, and general cultural favorability. Children of divorce rated father less favorably than did children of death of a parent or of intact families; however, children of divorce rated divorce more favorably than the remaining two groups. Also, children of divorce evaluated the family concepts that were rated here more negatively than, but equally as potent and active as, children of death of a parent and of intact families. Thus, several long-term stigmas attach to family among children of divorce, but no evidence was found of a halo effect for children of death of a parent.     

Multiple attachment relationships within families: mothers and fathers with two young children

Security of attachment between mothers and fathers and their 2 children was examined in 41 maritally intact families. Strange Situation assessments of attachment security for the younger children (mean age = 1 year 10 months), Attachment Q-sort ratings of the older children (mean age = 4 years 8 months), and ratings of parental caregiving behavior of both children were obtained. Younger and older children developed concordant attachments to both parents. Parents were consistent in their caregiving behavior toward their 2 children. However, parents were not congruent in their attachment to their 2 children. Associations were found between maternal caregiving and attachment only in the younger group. The results support the idea that parental caregiving behavior accounts for only modest portions of the variance in attachment security; evolving attachments integrate developmental inputs from the children and the caregivers in the network of early family relationships.     

Events of parental divorce: Stressfulness ratings by children,parents, and clinicians

The stressfulness, for the "typical" child, of 62 events that occur to children of divorce was rated by children of divorce (n = 58), their custodial parents (n = 58), and clinicians (n = 50). In addition, a larger group of children (n = 123) rated the goodness or badness of the events that had happened to them. The rank orderings of the mean stress ratings for the typical child made by children, parents, and clinicians were highly correlated. However, when the absolute stress value of the events was compared across raters, children rated 10 events as significantly less stressful than did parents (p less than .05); parents' and clinicians' ratings differed for 9 events, parents rating 7 as less stressful (p less than .05). Children rated 19 events as less stressful than did clinicians (p less than .05). The rank ordering of the children's mean ratings of events actually experienced correlated highly with the rank orderings of the children's mean ratings of the negative events for the typical child.     

Children's Perception of Parental Empathy as a Precursor of Children's Empathy in Middle and Late Childhood

The present study investigated the relationship between children's self-concepts and evaluations of parent figures. The subjects were elementary school children (352 males and 280 females; Grades 5 through 10) who came from intact families, divorced families, or families in which one or both parents had died. Significant relationships were obtained between children's self-concept ratings and their evaluations of their natural father and mother for both intact and divorced families. This relationship was not significant, however, for families in which a parent had died. Furthermore, children's self-ratings were not significantly correlated with their evaluations of stepparents.     

Marital adaptation,divorce, and parent–infant development: A prospective study

In this prospective study of divorce in the first 4 years of life we have shown that previous marital patterns anticipate the occurrence of divorce and influence the response to that event. Most of the divorces occurred in marriages that were consistently low in satisfaction or decreased in satisfaction from birth on. The family response to the event differed. The continuing effort at conflict resolution and the fact that differing levels of adjustment are reached at different time points are suggested by these reactions. For couples with an unsatisfactory marriage from late pregnancy through the first 2 years (consistently low), the immediate and sustained impact of divorce was to enhance the parent's responsiveness to the needs of their infant and the infant's expectation of being cared for. This was not true for couples decreasing from high to lower satisfaction in their adaptation. However, by child age 4, when all families had been divorced for 1 year, divorce versus no divorce was associated with a differential positive effect on teacher Q-sort ratings of the children for both marital patterns. Children who were from families where the parents were in conflict but did not divorce were more likely to externalize control, were more often uncontrolled, and were more anti- as opposed to prosocial. The implication of these findings are discussed. © 1997 Michigan Association for Infant Mental Health     

Delivering Diagnoses: Parents as Translators and Withholders of Children’s Mental Health Diagnoses

There is a lack of research on how mental health diagnoses are delivered and explained to children and the effectiveness of these strategies. This qualitative study examines how emerging adults recall the delivery of mental health diagnoses in childhood and how they suggest these diagnoses should be delivered to children. Semi-structured interviews were conducted with 42 emerging adults (aged 18–22) who were diagnosed with attention deficit hyperactivity disorder (ADHD), depressive disorders, generalized anxiety disorder (GAD), and/or bipolar disorder in childhood. Findings reveal that parents, rather than mental health professionals, often inform children of their diagnoses. The data suggest that parents often act as translators of diagnostic information, acting as liaisons between mental health professionals and their children. The paper explores ways in which parents and mental health professionals withhold diagnoses from children, and how this affects children’s experiences. Drawing on their own experiences, participants offer suggestions regarding the best ways to deliver diagnoses to children. Findings suggest that adults should share mental health diagnoses openly with children. Implications for social workers and other allied health professionals who support families when children are diagnosed are discussed.     

Parent and Family Impact of Autism Spectrum Disorders: A Review and Proposed Model for Intervention Evaluation

Raising a child with an autism spectrum disorder (ASD) can be an overwhelming experience for parents and families. The pervasive and severe deficits often present in children with ASD are associated with a plethora of difficulties in caregivers, including decreased parenting efficacy, increased parenting stress, and an increase in mental and physical health problems compared with parents of both typically developing children and children with other developmental disorders. In addition to significant financial strain and time pressures, high rates of divorce and lower overall family well-being highlight the burden that having a child with an ASD can place on families. These parent and family effects reciprocally and negatively impact the diagnosed child and can even serve to diminish the positive effects of intervention. However, most interventions for ASD are evaluated only in terms of child outcomes, ignoring parent and family factors that may have an influence on both the immediate and long-term effects of therapy. It cannot be assumed that even significant improvements in the diagnosed child will ameliorate the parent and family distress already present, especially as the time and expense of intervention can add further family disruption. Thus, a new model of intervention evaluation is proposed, which incorporates these factors and better captures the transactional nature of these relationships.     

Preventive intervention with latency-aged children of divorce: A replication study

This replication study assessed the efficacy of a school-based preventive intervention for latency-aged children of divorce. The Children of Divorce Intervention Program (CODIP) emphasizes support, identifying and expressing divorce-related feelings, training situationally relevant communication, problem solving, and anger control skills, and enhancing self-esteem. Fifty-four children of divorce participated in the 11-session program conducted in small groups. Their adjustment was contrasted at pre and post with that of demographically matched peers (N = 78) from intact families on teacher, parent, self-report, and group leader measures. Children of divorce were less well adjusted than their peers before the intervention. They improved significantly after the intervention, approaching youngsters from intact families in adjustment status. The replication data support CODIP's efficacy as a preventive alternative for children of divorce. Needed future development and research steps are considered.     

Locus of control of children experiencing separation and divorce in their families in Iran

A comparison of scores on locus of control by three groups of children in intact families (n=676), parent loss through death (n=30), and parent loss through divorce (n = 20) showed that children from divorced families scored significantly more external than children from intact families. The results are considered in relation to previous studies and some educational implications noted.     

Parental Divorce, Familial Risk for Depression, and Psychopathology in Offspring: A Three-Generation Study

Research suggests a link between parental divorce and negative child outcomes; however, the presence of parental depression may confound this relationship. Studies exploring the simultaneous effects of depression and parents’ divorce on the adjustment of their children are scarce and rarely have a longitudinal design. This is the first three-generation study of the relative effects of depression and divorce on offspring psychopathology, based on data from a 25-year longitudinal study with families at high and low risk for depression. One hundred seventy-eight grandchildren (mean age?=?13.9?years) of depressed and nondepressed parents and grandparents were evaluated by raters blind to their parents’ and grandparents’ clinical status. We found that in both low and high-risk children, divorce had a limited impact on child adjustment over and above familial risk for depression. Divorce had a significant effect on child outcomes only among high-risk grandchildren with a depressed grandparent and non-depressed parents, with this group showing a threefold risk for anxiety disorders. Results support previous findings suggesting that familial risk for depression largely overshadows the effect of parental divorce on child psychopathology. Possible reasons for the lack of association between divorce and child psychopathology among low-risk offspring are discussed.     

Interventions for children of divorce: toward greater integration of research and action.

A number of child-, family-, and system-focused interventions have been designed to prevent or reduce the negative effects of divorce on children. This article critically evaluates these intervention efforts by examining (a) their relation to basic research on the processes proposed to mediate children's postdivorce adjustment and (b) evaluation studies assessing the effectiveness of various programs. Although interventions address some of the factors proposed to mediate children's adaptation to divorce, the interplay between interventions and basic research on children's postdivorce adaptation is limited. Moreover, some intervention efforts appear to be beneficial, but most lack empirical documentation of their efficacy. This analysis leads to several recommendations for basic and applied research and for improving the response of the mental health field to the problems experienced by many children from divorcing families.