Assessing the effects of an education program on mental health problems in separated parents
- Mercedes Novo 1
- Francisca Fariña 2
- Dolores Seijo 1
- María José Vázquez 2
- Ramón Arce 1
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1
Universidade de Santiago de Compostela
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2
Universidade de Vigo
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ISSN: 0214-9915, 1886-144X
Año de publicación: 2019
Volumen: 31
Número: 3
Páginas: 284-291
Tipo: Artículo
Otras publicaciones en: Psicothema
Resumen
Antecedentes: la ruptura de pareja, como evento estresante, puede derivar en Problemas en la Salud Mental (PSM) de los progenitores. Para afrontar esta contingencia se han desarrollado programas educativos que han mostrado su eficacia en la reducción del conflicto y la mejora de la coparentalidad. Pero los efectos en los PSMs no han sido estudiados. Así, nos planteamos un estudio campo para conocer los efectos de un programa educativo para la ruptura de pareja en los PSMs. Método: 116 progenitores separados que cumplimentaron el programa “Ruptura de Pareja, no de Familia” respondieron, pre- y post-intervención, al Brief Symptom Inventory (BSI). Resultados: los resultados mostraron, en contraste con la población normativa, que los progenitores separados puntuaban significativamente más alto en los PSMs. La intervención implicó una mejora significativa en todos PSMs, oscilando desde el 19% en ansiedad fóbica al 36% en depresión y ansiedad generalizada, así como en los índices generales de malestar (36% en el Índice de Severidad Global; 28% en el Índice de Malestar referido a Síntomas Positivos; y el 33% en el Total de Síntomas Positivos). Conclusiones: se discuten las implicaciones de los resultados de la ruptura e intervención en los PSMs de los padres separados y el bienestar de los hijos.
Referencias bibliográficas
- Afifi , T. O., Cox, B. J., & Enns, M. W. (2006). Mental health profiles among married, never-married, and separated/divorced mothers in a nationally representative sample. Social Psychiatry and Epidemiology, 41, 122-129. http://dx.doi.org/10.1007/s00127-005-0005-3
- Amado, B. G., Arce, R., Fariña, F., & Vilariño, M. (2016). CBCA reality criteria in adults: A meta-analytic review. International Journal of Clinical and Health Psychology, 16, 201-210. http://dx.doi. org/10.1016/j.ijchp.2016.01.002
- Amado, B. G., Arce, R., & Herraiz, A. (2015). Psychological injury in victims of child sexual abuse: A meta-analytic review. Psychosocial Intervention, 24, 49-62. http://dx.doi.org/10.1016/j.psi.2015.03.002
- Amato, P. R. (2000). The consequences of divorce for adults and children. Journal of Marriage and Family, 62, 1269-1287. Retrieved from http://www.jstor.org/stable/1566735
- Amato, P. R. (2010). Research on divorce: Continuing trends and new developments. Journal of Marriage and Family, 72, 650-666. http:// dx.doi.org/10.1111/j.1741-3737.2010.00723.x
- American Academy of Pediatrics (2012). The lifelong effects of early childhood adversity and toxic stress. Pediatrics, 129, 232-246. http:// dx.doi.org/10.1542/peds.2011-2663
- American Psychiatric Association (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: American Psychiatric Association.
- Arce, R., Fariña, F., Seijo, D., & Novo, M. (2015). Assessing impression management with the MMPI-2 in child custody litigation. Assessment, 22, 769-777. https://dx.doi.org/10.1177/1073191114558111
- Babb, B. (1997). An interdisciplinary approach to family law jurisprudence: Application of an ecological and therapeutic perspective. Indiana Law Journal, 72, 775-808. Retrieved from https://www.repository.law. indiana.edu/ilj/vol72/iss3/5
- Babb, B. A., Danzinger, G. H., Moran, J. D., & Englander, I. (2009). Parent education programs: Review of the literature and annotated bibliography. Baltimore, MD: Maryland Administrative Office of the Courts. http://dx.doi.org/10.2139/ssrn.2496927
- Blanco, V., Otero, P., López, L., Torres, Á., & Vázquez, F. L. (2017). Predictores del cambio clínicamente significativo en una intervención de prevención de la depresión [Clinically significant predictors of change in an intervention for the prevention of depression]. Revista Iberoamericana de Psicología y Salud, 8, 9-20. https://doi. org/10.23923/j.rips.2017.08.002
- Bourassa, K. J., Allen, J. J., Mehl, M. R., & Sbarra, D. A. (2017). Impact of narrative expressive writing on heart rate, heart rate variability, and blood pressure after marital separation. Psychosomatic Medicine, 79, 697-705. http://doi.org/10.1097/PSY.0000000000000475
- Blaisure, K. R., & Geasler, M. J. (1996). Results of a survey of court connected parent education programs in US counties. Family Court Review, 34, 23-40. https://doi.org/10.1111/j.174-1617.1996.tb00398.x
- Braver, S. L., Salem, P., Pearson, J., & DeLusé, S. R. (1996). The content of divorce education programs. Family Court Review, 34(1), 41-59. htpps://dx.doi.org/10.1111/j.174-1617.1996.tb00399.x
- Connell, A. M., & Goodman, S. H. (2002). The association between psychopathology in fathers versus mothers and children’s internalizing and externalizing behavior problems: A meta-analysis. Psychological Bulletin, 128, 746-773. http://doi.org/10.1037//0033-2909.128.5.746
- Cronin, S., Becher, E. H., McCann, E., McGuire, J., & Powell, S. (2017). Relational conflict and outcomes from an online divorce education program. Evaluation and Program Planning, 62, 49-55. https://doi. org/10.1016/j.evalprogplan.2017.02.008
- Cutrín, O., Gómez-Fraguela, J. A., Maneiro, L., & Sobral, J. (2017). Effects of parenting practices through deviant peers on nonviolent and violent antisocial behaviours in middle-and late-adolescence. European Journal of Psychology Applied to Legal Context, 9(2), 75-82. https:// doi.org/10.1016/j.ejpal.2017.02.001
- Derogatis, L. R. (1993). Brief Symptoms Inventory (BSI): Administration, scoring and procedures manual (3rd ed.). Minneapolis, MN: NCS Pearson, Inc.
- Fariña, F., Arce, R., Novo, M., & Seijo, D. (2012). De las necesidades de los menores a la intervención: un programa con menores en riesgo de desestructuración familiar [About the need of intervention with children: A program to intervene with children under risk of unstructured families]. In M. Isorna & D. Saavedra (Coords.), Prevención de drogodependencias y otras conductas adictivas (pp. 305-317). Madrid, Spain: Pirámide.
- Fariña, F., Arce, R., Vázquez, M. J., Novo, M., & Seijo, D. (2014). “Ruptura de pareja, no de familia”. Manual y sesiones de intervención: intervención con progenitores [“Ruptura de pareja, no de familia”. Manual and intervention sessions: Intervention with parents]. Santiago de Compostela, Spain: Andavira.
- Fariña, F., Novo, M., Arce, R., & Seijo, D. (2002). Programa de intervención “Ruptura de pareja, no de familia” con familias inmersas en procesos de separación [“Ruptura de pareja, no de familia” intervention program with families under a breakup process]. Revista de Psicopatología Clínica, Legal y Forense, 2, 67-85.
- Fariña, F., Novo, M., Arce, R., & Vázquez, M. J. (2017). Intervenciones con familias tras la ruptura de pareja con enfoque de Justicia Terapéutica: programas de apoyo y coordinación de parentalidad [Interventions with families after the breakup from a Therapeutic Jurisprudence perspective: Supporting programs and parental coordinating]. In H. Marchiori (Dir.), Victimología: Vol. 20. Violencia familiar. Protección víctimas niños (pp. 25-46). Córdoba, Argentina: Encuentro Grupo Editor.
- Fariña, F., Redondo, L., Seijo, D., Novo, M., & Arce, R. (2017). A meta-analytic review of the MMPI validity scales and indexes to detect defensiveness in custody evaluations. International Journal of Clinical and Health Psychology, 17, 128-138. http://dx.doi.org/10.1016/j.ijchp.2017.02.002
- Fariña, F., Seijo, D., Arce, R., & Vázquez, M. J. (2017). Custodia compartida, corresponsabilidad parental y justicia terapéutica como nuevo paradigma [Joint custody, parental co-responsibility, and therapeutic jurisprudence as a new paradigm]. Anuario de Psicología Jurídica, 27, 107-113. https://doi.org/10.1016/j.apj.2016.11.001
- Fackrell, T. A., Hawkins, A. J., & Kay, N. M. (2011). How effective are court-affiliated divorcing parents education programs? A metaanalytic study. Family Court Review, 49, 107-119. http://dx.doi.org/110.1111/j.1744-1617.2010.01356.x
- Fritz, C. O., Morris, P. E., & Richler, J. J. (2012). Effect size estimates: Current use, calculations, and interpretation. Journal of Experimental Psychology: General, 141(1), 2-18. http://dx.doi.org/10.1037/a0024338
- Goodman, M., Bonds, D., Sandler, I., & Braver, S. (2004). Parent psychoeducational programs and reducing the negative effects of interparental conflict following divorce. Family Court Review, 42, 263-279. http://dx.doi.org/10.1111/j.174-1617.2004.tb00648.x
- Goodman, S. H., & Godlib, I. H. (1999). Risk for psychopathology in children of depressed mothers: A developmental model for understanding mechanisms of transmission. Psychological Review, 106, 458-490. http://dx.doi.org/10.1037/0033-295X.106.3.458
- Grych, J. H. (2005). Interparental conflict as a risk factor for child maladjustment: Implications for the development of prevention programs? Family Court Review, 43, 97-108.
- Herman, P. M., Mahrer, N. E., Wolchik, S. A., Porter, M. M., Jones, S., & Sandler, I. (2015). Cost-benefi t analysis of a preventive intervention for divorced families: Reduction in mental health and justice system service use costs 15 years later. Prevention Science, 16, 586-596. http://dx.doi.org/10.1007/s11121-014-0527-6
- Hodgson, C. L., Udy, A. A., Bailey, M., Barrett, J., Bellomo, R., Bucknall, T., … & Cooper, D. J. (2017). The impact of disability in survivors of critical illness. Intensive Care Medicine, 43, 992-1001. http://doi.org/10.1007/s00134-017-4830-0
- Idstad, M., Torvik, F. A., Borren, I., Rognmo, K., Røysamb, E., & Tambs, K. (2015). Mental distress predicts divorce over 16 years: The HUNT study. BMC Public Health, 15, 320. http://doi.org/10.1186/s12889-0151662-0
- Kalmijn, M. (2010). Country differences in the effects of divorce on well-being: The role of norms, support, and selectivity. European Sociological Review, 26, 475-490. http://doi.org/10.1093/esr/jcp035
- Kamp, D. C. (2013). Marital and cohabitation dissolution and parental depressive symptoms in fragile families. Journal of Marriage and Family, 75, 91-109. http://doi.org/10.1111/j.1741-3737.2012.01020.x
- Kreidl, M., Å típková, M., & Hubatková, B. (2017). Parental separation and children’s education in a comparative perspective: Does the burden disappear when separation is more common? Demographic Research, 36, 73-110. http://doi.org/10.4054/DemRes.2017.36.3
- Ley Orgánica 15/1999, de 13 de diciembre, de Protección de Datos de Carácter Personal (1999). Boletín Oficial del Estado, 298, 4308843099. Retrieved from https://www.boe.es/buscar/pdf/1999/BOE-A1999-23750-consolidado.pdf
- Mandy, M., Morawska, A., & Filus, A. (2017). Effects of early parenting interventions on parents and infants: A Meta-Analytic Review. Journal of Child and Family Studies, 26, 1507-1526. http://dx.doi.org/10.1007/s10826-017-0675-y
- Martínez-Pampliega, A., Aguado, V., Corral, S., Cormenzana, S., Merino, L., & Iriarte, L. (2015). Protecting children after a divorce: Efficacy of Egokitzen-an intervention program for parents on children’s adjustment. Journal of Child and Family Studies, 24, 3782-3792. http://dx.doi.org/10.1007/s10826-015-0186-7
- Martinón, J. M., Fariña, F., Corras, T., Seijo, D., Souto, A., & Novo, M. (2017). Impacto de la ruptura de los progenitores en el estado de salud física de los hijos [Impact of parental breakup on the physical health of children]. European Journal of Education and Psychology, 10, 9-14. http://dx.doi.org/10.1016/j.ejeps.2016.10.002
- Mattejat, F., & Remschmidt, H. (2008). The children of mentally ill parents. Deutsches Arzteblatt International, 105, 413-418. http://doi.org/10.3238/arztebl.2008.0413
- McGuire, J., Mason, T., & O’Kane, A. (2000). Effective interventions, service and policy implications. In J. McGuire, T. Mason & A. O’Kane (Eds.), Behavior, crime and legal processes. A guide for forensic practitioners (pp. 289-314). Chichester, UK: John Wiley and Sons.
- Middeldorp, C. M., Wesseldijk, L.W., Hudziak. J. J., Verhulst. F.C., Lindauer. R. J. L., & Dieleman, G. C. (2016). Parents of children with psychopathology: Psychiatric problems and the association with their child’s problems. European Child & Adolescent Psychiatry, 25, 919927. http://doi.org/10.1371/journal.pone.0180410
- Plass-Christl, A., Haller, A. C., Otto, C., Barkmann, C., Wiegand-Grefe. S., Holling. H., … Klasen, F. (2017). Parents with mental health problems and their children in a German population based sample: Results of the BELLA study. PLoS ONE, 12(7), e0180410. http://doi.org/10.1371/journal.pone.0180410
- Polak, D., & Saini, M. (2018). The complexity of families involved in high-conflict disputes: A postseparation ecological transactional tramework. Journal of Divorce & Remarriage, 60(2), 117-140. https://doi.org/10.1080/10502556.2018.1488114
- Pollet, S. L., & Lombreglia, M. (2008). A nation wide survey of mandatory parent education. Family Court Review, 46, 375-394. http://doi.org/10.1111/j.1744-1617.2008.00207.x
- Pruett, M. K., & Cornett, L. (2017). Evaluation of the University of Denver’s center for separating and divorcing families: The first out-of-court divorce option. Family Court Review, 55, 375-389.
- Rosenthal, R., & Rubin, D. B. (1982). A simple, general purpose display of magnitude of experimental effect. Journal of Educational Psychology, 74, 166-169. https://dx.doi.org/10.1037/0022-0663.74.2.166
- Salgado, J. F. (2018). Transforming the Area under the Normal Curve (AUC) into Cohen’s d, Pearson’s rpb, , Odds-Ratio, and Natural Log
- Odds-Ratio: Two conversion tables. European Journal of Psychology Applied to Legal Context, 10, 35-47. https://doi.org/10.5093/ ejpalc2018a5
- Salem, P. (1995). Education for divorcing parents: A new direction for family courts. Hofstra Law Review, 23, article 4. Retrieved from https://scholarlycommons.law.hofstra.edu/hlr/vol23/iss4/4
- Seijo, D., Fariña, F., Corras, T., Novo, M., & Arce, R. (2016). Estimating the epidemiology and quantifying the damages of parental separation in children and adolescents. Frontiers in Psychology, 7, 1611. http:// doi.org/10.3389/fpsyg.2016.01611
- Sigal, A., Sandler, I., Wolchik, S., & Braver, S. (2011). Do parent program promote healthy post-divorce parenting? Critical distinctions and a review of the evidence. Family Court Review, 49, 120-139. https:// dx.doi.org/10.1111/j.1744-1617.2010.01357.x
- Symoens, S., Bastaits, K., Mortelmans, D., & BrackeBreaking, P. (2013). Up, breaking hearts? Characteristics of the divorce process and wellbeing after divorce. Journal of Divorce & Remarriage, 54, 177-196. https://doi.org/10.1080/10502556.2013.773792
- van der Pol, L. D., Groeneveld, M. G., Endendijk, J. J, van Berkel, S. R., Hallers-Haalboom, E. T., Bakermans-Kranenburg, M. J., … Mesman, J. (2016). Associations between fathers’ and mothers’ psychopathology symptoms, parental emotion socialization, and preschoolers’ socialemotional development. Journal of Child and Family Studies, 25, 33673380. https://doi.org/10.1007/s10826-016-0490-x PMID: 27795659
- Vilariño, M., Fariña, F., & Arce, R. (2009). Discriminating real victims from feigners of psychological injury in gender violence: Validating a protocol for forensic settings. European Journal of Psychology Applied to Legal Context, 1, 221-243. Retrieved from https://dialnet.unirioja.es/servlet/articulo?codigo=3011195&orden=408548&info=link
- Wang, H., & Amato, P. R. (2000). Predictors of divorce adjustment: Stressors, resources, and definitions. Journal of Marriage and Family, 62, 655-668. Retrieved from http://www.jstor.org/stable/1566787?seq=13#page_scan_tab_contents
- Willén, H. (2015). Challenges for divorced parents: Regulating negative emotions in post-divorce relationships. Australian and New Zealand Journal of Family Therapy, 36, 356-370. https://doi.org/10.1002/ anzf.1115
- Wilson, S., & Durbin, C. E. (2010). Effects of paternal depression on fathers’ parenting behavior: A meta-analytic review. Clinical Psychology Review, 30, 167-180. https://doi.org/10.1016/j.cpr.2009.10. 007
- Wolchik, S. A., Tein, J. Y., Sandler, I. N., & Kim, H. J. (2016). Developmental cascade models of a parenting-focused program for divorced families on mental health problems and substance use in emerging adulthood. Development and Psychopathology, 28, 869-888. https://doi.org/10.1017/S0954579416000365
- Zhou, N., Cao, H., & Leerkes, E. M. (2017). Interparental conflict and infants’ behavior problems: The mediating role of maternal sensitivity. Journal of Family Psychology, 31, 464-474. http://dx.doi.org/10.1037/ t14990-000
- Wexler, D. B. (2015). Presentation. In F. Fariña & E. Pillado (Eds.), Mediación familiar: una nueva visión de la gestión y resolución de conflictos familiares desde la justicia terapéutica (pp. 13-14). Valencia, Spain: Tirant lo Blanch.