Children of divorce-coping with divorce: A randomized control trial of an online prevention program for youth experiencing parental divorce.

Autor: Boring JL; Department of Psychology and Human Services, SUNY Broome Community College., Sandler IN; REACH Institute, Department of Psychology, Arizona State University., Tein JY; REACH Institute, Department of Psychology, Arizona State University., Horan JJ; College of Letters and Sciences, Arizona State University., Vélez CE; Department of Psychology, Swarthmore College.
Jazyk: angličtina
Zdroj: Journal of consulting and clinical psychology [J Consult Clin Psychol] 2015 Oct; Vol. 83 (5), pp. 999-1005. Date of Electronic Publication: 2015 Jul 27.
DOI: 10.1037/a0039567
Abstrakt: Objective: Evaluate an online coping skills program to prevent mental health problems in children and adolescents from divorced or separated families.
Method: 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.
Results: 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.
Conclusions: 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.
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Databáze: MEDLINE