LONG TERM EFFECT OF PREMARITAL INTERVENTION

描述(改编自申请者摘要)：寻求资助 继续以社区为基础的大规模预防试验 降低风险因素(例如，教授处理冲突的技能)并提高 已知的保护性因素(例如，不断提高的承诺水平) 对婚前夫妇的婚姻成功和心理健康的影响。在 在最近的资助期，我们的主要目标是评估我们在多大程度上 可以培训神职人员在宗教环境中提供预科课程- 在大多数夫妇结婚的地方都会接受服务。在我们可以传播的范围内 作为一项有效的社区离婚和痛苦预防计划，我们 会对破坏性婚姻冲突的高比率产生重大影响 离婚，以及相关的心理健康问题。到目前为止，我们已经招募了109人 ROS，并将ROS随机分配到以下三组之一：1)由以下人员提供的PREP 受过培训的神职人员(RO Prep)；2)由我们的丹佛大学团队提供的Prep (3)自然发生的婚前计划(否)。通过使用 随机选择的替代干预组(不与等待名单对照 例如，组)，这种设计使我们能够避免 已经困扰了这一领域的其他预防试验。结果表明，NO. 随着时间的推移(从测试前到测试后)，组在通信方面会恶化 目标编码员评定的质量，以及自我报告水平的提高 抑郁，而两个预备组都有所改善。更长期的随访 干预计划的效果将进一步评估婚姻结果，以及 这些群体中抑郁和焦虑症的比率和严重程度。我们 建议提供5年的资金，使我们能够通过 离婚风险最高的时期，因为根据定义，预防目标是 婚姻满意度快速下降的长期和最高风险时期 离婚是在结婚后的头6-10年内(Glenn，1998)。其他 目标包括(2)评估区域组织持续使用干预措施的情况；(3) 评估促进会议可以在多大程度上提高 随时间推移的干预，(4)使用我们所建立的随机试验 来检验我们关于婚姻痛苦、成功和心理发展的理论 健康后果(5)检查婚姻痛苦、抑郁、攻击性、 和随之而来的精神障碍和损害可能会随着时间的推移而演变和(6) 确定新版本的PREP在多大程度上满足 少数族裔夫妇。

DESCRIPTION (Adapted from the Applicant's Abstract): Funding is sought to continue a large-scale community based prevention trial of a program designed to lower risk factors (e.g., teaching skills for handling conflict) and raise protective factors (e.g., increasing levels of commitment) known to contribute to marital success and mental health outcomes for premarital couples. In the most recent funding period our major aim was to evaluate the extent to which we could train clergy to deliver the PREP program in religious settings-settings in which most couples marry receive services. To the extent we can disseminate an effective program for divorce and distress prevention in the community, we can have a major impact on the high rates of destructive marital conflict and divorce, and associated mental health problems. To date, we have recruited 109 ROs, and randomly assigned the ROs to one of three groups: 1) PREP delivered by trained clergy (RO PREP); 2) PREP delivered by our University of Denver team (DU PREP); 3) Naturally occurring premarital programming (NO). By using a randomly selected alternative intervention group (NO vs. a waiting list control group, for example), this design enables us to avoid the selection effects that have plagued other prevention trials in this area. Results indicate that the NO group deteriorates over time (from Pre to Post testing) on communication quality as rated by objective coders, and increases in levels of self-reported depression, while the two PREP groups improve. Longer term follow-up of the effects of the intervention programs will further assess marital outcomes, and rates and severity of depression and anxiety disorders among the groups. We propose 5 years of funding which will allow us to study couples through the highest risk period for divorce since the goals of prevention are by definition long-term and the highest risk period for rapid erosion of marital satisfaction and divorce is within the first 6-10 years of marriage (Glenn, 1998). Other aims include (2) assessing the ongoing use of the intervention by the ROs, (3) assessing the extent to which booster sessions can enhance the effectiveness of the intervention over time, (4) using the randomized trial we have established to test our theory of the development of marital distress, success, and mental health consequences (5) examining how marital distress, depression, aggression, and consequent mental disorders and impairment may evolve over time and (6) determining the extent to which a new version of PREP meets the needs of minority couples.