LONG TERM EFFECT OF PREMARITAL INTERVENTION

婚前干预的长期影响

• 批准号: 6128811
• 负责人: HOWARD J MARKMAN
• 金额: $ 33.75万
• 依托单位: UNIVERSITY OF DENVER (COLORADO SEMINARY)
• 依托单位国家: 美国
• 财政年份: 1985
• 资助国家: 美国
• 起止时间: 1985-02-01 至 2005-04-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6128811
• 关键词: aggression; behavioral /social science research tag; communication behavior; conflict; depression; divorce /separation; dyadic interaction; education; human subject; marriage /marital status; marriage counseling; mental disorders; religious group; spouses

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.

描述（改编自申请人的摘要）：寻求资金， 继续进行一项大规模的社区预防试验， 以降低风险因素（例如，处理冲突的教学技巧），并提高 保护因素（例如，承诺水平不断提高） 婚姻成功和婚前夫妇的心理健康结果。在 在最近的资助期间，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PREP计划 在大多数夫妇结婚地方都能得到服务。在我们可以传播的范围内 一个有效的计划，离婚和痛苦预防在社区，我们 会对破坏性婚姻冲突的高发生率产生重大影响， 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名 RO，并将RO随机分配到三组中的一组： 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 (DU PREP）; 3）自然发生的婚前编程（NO）。通过使用 随机选择的替代干预组（无与等待列表对照 组，例如），这种设计使我们能够避免选择效应， 也困扰着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）， 客观编码员评定的质量，以及自我报告的 抑郁症，而两个PREP组改善。长期随访 干预计划的效果将进一步评估婚姻结果， 各组之间抑郁症和焦虑症的发生率和严重程度。我们 提出5年的资金，这将使我们能够研究夫妇通过 离婚风险最高的时期，因为预防的目标从定义上讲是 长期和最高风险期迅速侵蚀婚姻满意度 离婚是在结婚后的前6-10年内（Glenn，1998）。其他 目标包括：（2）评估区域办事处对干预措施的持续使用;（3） 评估加强会议在多大程度上可以提高 随着时间的推移进行干预，（4）使用我们建立的随机试验 为了验证我们关于婚姻痛苦、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， 以及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，以及（6） 确定PREP新版本满足以下需求的程度： 少数民族夫妇