Family ProcessPub Date : 2024-04-26DOI: 10.1111/famp.13004
Angela B. Bradford, Alyssa Banford Witting, Shayne R. Anderson, Lee N. Johnson, Quintin A. Hunt, Richard B Miller, Roy A. Bean
{"title":"Lost in translation: Therapeutic Alliance as a mediator in the relationship between teletherapy and marital satisfaction","authors":"Angela B. Bradford, Alyssa Banford Witting, Shayne R. Anderson, Lee N. Johnson, Quintin A. Hunt, Richard B Miller, Roy A. Bean","doi":"10.1111/famp.13004","DOIUrl":"https://doi.org/10.1111/famp.13004","url":null,"abstract":"The global impact of the SARS‐COV‐2 pandemic necessitated a rapid shift to online/teletherapy psychotherapy services. While research suggests the feasibility and efficacy of teletherapy, there is limited investigation into couple teletherapy's impact on satisfaction and therapeutic alliance. This study aimed to address this gap by examining changes in couple satisfaction during tele‐ and in‐person therapy sessions over 12 sessions and exploring whether therapeutic alliance development mediates these changes. Using growth curve modeling in a sample of 416 couples, it found that teletherapy participants initially reported higher couple satisfaction, but improvement in this domain was slower than in‐person therapy recipients. The development of the therapeutic alliance mediated this effect via two indirect paths. Implications include the need for focused attention on alliance development in teletherapy and more empirically‐informed approaches in couple teletherapy.","PeriodicalId":51396,"journal":{"name":"Family Process","volume":null,"pages":null},"PeriodicalIF":3.9,"publicationDate":"2024-04-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140799582","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Family ProcessPub Date : 2024-04-24DOI: 10.1111/famp.13002
E. M. Padilla-Muñoz, M. M. Barbancho-Morant, M. D. Lanzarote-Fernández, Susana Sanduvete-Chaves, S. Chacón-Moscoso
{"title":"Psycho-emotional intervention with parents of very preterm babies during the first year: A single-arm pilot study.","authors":"E. M. Padilla-Muñoz, M. M. Barbancho-Morant, M. D. Lanzarote-Fernández, Susana Sanduvete-Chaves, S. Chacón-Moscoso","doi":"10.1111/famp.13002","DOIUrl":"https://doi.org/10.1111/famp.13002","url":null,"abstract":"Studies of intervention programs that aim to improve the emotional state of parents of children admitted to the neonatal intensive care units (NICU) are scarce in Spain. The aims of this single-arm pilot study are to get to know the emotional profile of parents of high-risk preterm newborns, and to explore parents' patterns of emotional well-being before and after a psychological program called the Parental Empowerment Program, to increase parental readiness levels. The sample was made up of 100 parents (50 couples) who participated in the program. Measurements were taken of post-traumatic stress, depression, and resilience at 1 month and 12 months. Repeated measurements and dyadic data analyses were performed. One month after the birth of the baby and prior to the start of the program, mothers show more symptoms of stress and depression than fathers. After the intervention, both parents experienced improvements in their mood levels. The evidence obtained seems to show that high resilience levels and low post-traumatic stress symptoms are associated with reduced depression levels after implementing the program. However, the heterogeneity of the responses obtained, the observed associations between stress, resilience, and maternal depression, along with the reciprocal influence between maternal and paternal depression 1 year after the intervention, highlight the need for a more in-depth exploration of the interplay between risk and protective factors in this population. Despite the identified potential threats to validity, further work in this direction is recommended, including the implementation of clinical trials to demonstrate intervention efficacy. The adaptation of the parents' mutual emotional adjustment at each stage would allow them to participate more actively in the baby's care.","PeriodicalId":51396,"journal":{"name":"Family Process","volume":null,"pages":null},"PeriodicalIF":3.9,"publicationDate":"2024-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140665891","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Family ProcessPub Date : 2024-04-23DOI: 10.1111/famp.13003
Catherine Walker O'Neal, Justin A. Lavner, Todd M Jensen, Mallory Lucier‐Greer
{"title":"Mental health profiles of depressive symptoms and personal well-being among active-duty military families.","authors":"Catherine Walker O'Neal, Justin A. Lavner, Todd M Jensen, Mallory Lucier‐Greer","doi":"10.1111/famp.13003","DOIUrl":"https://doi.org/10.1111/famp.13003","url":null,"abstract":"Although some research has examined the mental health of individual family members in military families, additional research is needed that considers mental health among multiple members of the family system simultaneously and that characterizes subsets of families with distinct patterns. Mental health patterns of depressive symptoms and well-being in and among families were identified using latent profile analysis with a community sample of 236 military families with a service member (SM) parent, civilian partner, and adolescent. Drawing from the Family Adjustment and Adaptation Response model, we examined several military-related family demands (e.g., relocations, deployments) and capabilities (e.g., family cohesion, social support outside the family) as correlates of the family profiles. Three profiles emerged: thriving families (62.3% of the sample where all three family members reported relatively low depressive symptoms and high personal well-being), families with a relatively distressed SM (24.2%), and families with a relatively distressed adolescent (13.5%). Overall, there were no differences between the groups of families regarding military-related demands, yet there were differences between the groups regarding their capabilities, namely family cohesion and social support. In general, families in the thriving profile tended to have higher family cohesion and social support as reported by multiple family members compared to the other two profiles. Findings can inform the development of family needs assessments and tailored interventions (and intervention points) based on family profiles and current capabilities.","PeriodicalId":51396,"journal":{"name":"Family Process","volume":null,"pages":null},"PeriodicalIF":3.9,"publicationDate":"2024-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140666694","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Family ProcessPub Date : 2024-04-22DOI: 10.1111/famp.13001
Allen K. Sabey, Adele Lafrance, James Furrow, Guy Diamond, Daniel Hughes
{"title":"A family reunion of “clinical cousins”: Attachment and emotion in four family-oriented therapy models","authors":"Allen K. Sabey, Adele Lafrance, James Furrow, Guy Diamond, Daniel Hughes","doi":"10.1111/famp.13001","DOIUrl":"10.1111/famp.13001","url":null,"abstract":"<p>Attachment theory and the science of emotion provide a strong foundation for intervention at the family system level. Four therapeutic models in particular, Attachment-Based Family Therapy, Emotion-Focused Family Therapy, Dyadic Developmental Psychotherapy, and Emotionally Focused Family Therapy, demonstrate how a broad and accurate view of attachment relationships and emotion can be utilized to effectively intervene for a variety of presenting problems in a relational and empathic way for all involved. This paper continues a conversation that began at the Summit for Attachment and Emotion in Family Therapy in 2021 and aims to foster openness, collaboration, and affirmation between four different models of family therapy with shared theoretical roots. The presenters at the Summit and the authors of this paper view similarities across these models as validating and differences as opportunities to serve more families in unique ways, learning from one another's creativity to promote healing within families in the most effective and efficient ways possible. The paper frames the value of attachment theory and emotion science for family therapy, discusses the importance of learning from a variety of models with shared theoretical roots, presents brief summaries of the four models presented at the Summit, compares the models for similarities and complementarities, and shares highlights from each of the presenters from the Summit.</p>","PeriodicalId":51396,"journal":{"name":"Family Process","volume":null,"pages":null},"PeriodicalIF":2.6,"publicationDate":"2024-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140675612","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Family ProcessPub Date : 2024-04-18DOI: 10.1111/famp.12997
Marsha Kline Pruett, Xiying Wang, Tianmei Zhu, Jonathan Alschech, Michael Saini
{"title":"The Co-Parenting Across Family Structures Scale: Replication for Mandarin parents","authors":"Marsha Kline Pruett, Xiying Wang, Tianmei Zhu, Jonathan Alschech, Michael Saini","doi":"10.1111/famp.12997","DOIUrl":"10.1111/famp.12997","url":null,"abstract":"<p>Co-parenting, the undertaking of parents working together to raise their children, is well documented as an important consideration of children's adjustment in Western countries, but we know less about the role of co-parenting in other cultures. In China, for example, co-parenting has only recently emerged in the social science literature. This study aimed to examine the cultural sensitivity of the CoPAFS instrument among Chinese Mandarin-speaking parents. CoPAFS is a 27-item survey designed to assess co-parenting across married and unmarried family structures originally developed in English. Data were collected from 729 Chinese-speaking and 348 English-speaking respondents. Factor analyses and confirmatory factor analyses indicated that the overall model fit for the translated co-parenting measure was acceptable in Mandarin. However, the five CoPAFS subscales (trust, respect, communication, acrimony, and value) differed across comparison groups, with communication notable for its lack of endorsement among Chinese couples. Implications of measuring co-parenting within Chinese families are offered.</p>","PeriodicalId":51396,"journal":{"name":"Family Process","volume":null,"pages":null},"PeriodicalIF":2.6,"publicationDate":"2024-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140689582","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Family ProcessPub Date : 2024-04-17DOI: 10.1111/famp.12998
María Fernanda García, Pablo Montero-Zamora, Christopher P. Salas-Wright, Mildred Maldonado-Molina, Maria Pineros-Leano, J. C. Hodges, Melissa Bates, Eric C. Brown, Jose Rodríguez, Ivonne Calderón, Seth J. Schwartz
{"title":"The impact of cultural stress on family functioning among Puerto Rican displaced families and the effect on mental health","authors":"María Fernanda García, Pablo Montero-Zamora, Christopher P. Salas-Wright, Mildred Maldonado-Molina, Maria Pineros-Leano, J. C. Hodges, Melissa Bates, Eric C. Brown, Jose Rodríguez, Ivonne Calderón, Seth J. Schwartz","doi":"10.1111/famp.12998","DOIUrl":"10.1111/famp.12998","url":null,"abstract":"<p>Hurricane María caused significant devastation on the island of Puerto Rico, impacting thousands of lives. Puerto Rican crisis migrant families faced stress related to displacement and relocation (cultural stress), often exhibited mental health symptoms, and experienced distress at the family level. Although cultural stress has been examined as an individual experience, little work has focused on the experience as a family. To address this gap, we conducted a mixed-methods study designed to examine the predictive effects of cultural stress on family conflict and its mental health implications among Puerto Rican Hurricane María parent and child dyads living on the U.S. mainland. In the quantitative phase of the study, 110 parent–child dyads completed an online survey assessing cultural stress, family dynamics, and mental health. As part of our primary analysis, we estimated a structural equation path model. Findings from the quantitative phase showed a significant positive relationship between family cultural stress and family conflict, as well as individual parent and child mental health symptoms. In the qualitative phase of the study, 35 parent–child dyads participated in individual interviews. Findings from the interviews revealed variations in difficulties related to language, discrimination, and financial burdens, with some participants adapting more quickly and experiencing fewer stressors. Findings also highlight the impact on mental health for both parents and youth, emphasizing the family-level nature of cultural stress, while noting a potential discrepancy between qualitative and quantitative findings in the discussion of family conflict.</p>","PeriodicalId":51396,"journal":{"name":"Family Process","volume":null,"pages":null},"PeriodicalIF":2.6,"publicationDate":"2024-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140624483","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Family ProcessPub Date : 2024-04-15DOI: 10.1111/famp.13000
Kelly King, Peggy Whiting, Damon Toone, Taheera Blount
{"title":"How adult children of incarcerated parents experience ambiguous loss","authors":"Kelly King, Peggy Whiting, Damon Toone, Taheera Blount","doi":"10.1111/famp.13000","DOIUrl":"https://doi.org/10.1111/famp.13000","url":null,"abstract":"Families can experience grief when they lose a loved one to incarceration. Although there has not been a death, the removal of a family member from day-to-day life and the uncertainty and stigma surrounding incarceration pose major challenges. We applied consensual qualitative research methods to understand the unique grief experience that adult children have when a parent is incarcerated. Our findings elaborate on the impacts of the loss, the complicating factors of stigma and disenfranchisement, as well as how individuals have made meaning and pursued healing from this experience over time. Impacts included changes to member roles within the new family structure and difficulty forming secure bonds with peers. Participants characterized stigma toward their parent as extending to themselves and complicating their ability to openly miss their parent or process complicated reactions to the incarceration. Despite systemic challenges, participants set their personal life goals and used a combination of problem-focused coping and distancing themselves from the incarceration to successfully manage the loss. Consistent with these findings, mental health professionals serving this population can validate incarceration as a loss, repair ambiguity in family roles, develop an accepting therapeutic relationship that reduces perceived stigma, and identify possibilities for activism.","PeriodicalId":51396,"journal":{"name":"Family Process","volume":null,"pages":null},"PeriodicalIF":3.9,"publicationDate":"2024-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140599829","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Family ProcessPub Date : 2024-04-11DOI: 10.1111/famp.12999
Adriana Kaori Terol, Hedda Meadan, Laura R. Gómez, Sandy Magaña
{"title":"Cultural adaptation of an intervention for caregivers of young autistic children: Community members' perspectives","authors":"Adriana Kaori Terol, Hedda Meadan, Laura R. Gómez, Sandy Magaña","doi":"10.1111/famp.12999","DOIUrl":"10.1111/famp.12999","url":null,"abstract":"<p>Caregivers of autistic children in low-to-middle-income countries experience many barriers to access resources to support their child's development. Caregiver training is considered an evidence-based practice and may be a cost-effective way to support caregivers of autistic children in such settings. This study focuses on the cultural adaptation of Parents Taking Action (PTA; Magaña et al., <i>Family Process</i>, <i>56</i>, 57–74, 2017) to support caregivers of autistic children in Paraguay. We conducted focus groups and individual interviews with 28 caregivers, autistic individuals, and professionals in Paraguay to understand caregivers' needs and to explore needed cultural adaptations of PTA to achieve contextual fit. Participants identified caregivers' need for accurate and reliable information, strategies to support children's growth, and emotional support and strategies to manage stress. Additionally, participants provided recommendations for adapting PTA considering the dimensions within the Cultural Adaptation Checklist (Lee et al., <i>International Journal of Developmental Disabilities</i>, 2023). This study is the first step in the iterative process of culturally adapting an intervention and the process described in this study may be appropriate for culturally adapting other interventions.</p>","PeriodicalId":51396,"journal":{"name":"Family Process","volume":null,"pages":null},"PeriodicalIF":2.6,"publicationDate":"2024-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/famp.12999","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140600211","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Family ProcessPub Date : 2024-04-02DOI: 10.1111/famp.12996
Ruth Kevers, Sofie de Smet, Peter Rober, Cécile Rousseau, Lucia De Haene
{"title":"Silencing or silent transmission? An exploratory study on trauma communication in Kurdish refugee families","authors":"Ruth Kevers, Sofie de Smet, Peter Rober, Cécile Rousseau, Lucia De Haene","doi":"10.1111/famp.12996","DOIUrl":"https://doi.org/10.1111/famp.12996","url":null,"abstract":"Trauma communication in refugee families is increasingly recognized as an important relational dynamic influencing psychosocial well-being, yet studies exploring interactional dynamics and meaning making at play in intra-family trauma communication remain scarce. This article reports on a qualitative study with Kurdish refugee families including parents (<i>N</i> = 10) and children (<i>N</i> = 17) resettled in Belgium, aiming to explore practices on trauma communication within refugee family relationships. In a multiple-phased qualitative design, semi-structured family interviews and participant observation administered in the homes of the participant families are followed by parental interviews involving a tape-assisted recall procedure to investigate observed intergenerational trauma communication and parent–child interactions. Data analysis shows parents and children seldom explicitly talked about the families' lived experiences of trauma. This silence was especially related to parental wishes to avoid their children's future involvement in violence. However, findings also indicate how the intra-family transmission of memories of collective violence occurs in many subtle ways. Four modes of indirect trauma communication could be distinguished: (1) focusing on the repetition of violence in the present; (2) transmission of the collective trauma history; (3) family storytelling; and (4) interaction with meaningful objects of the past. These findings shed light onto the interwoven nature of personal–familial and collective trauma and loss and illuminate the meanings of silence and disclosure in the context of the Kurdish diaspora. In the final section, we discuss our findings and outline its clinical implications for family therapeutic practices in refugee trauma care.","PeriodicalId":51396,"journal":{"name":"Family Process","volume":null,"pages":null},"PeriodicalIF":3.9,"publicationDate":"2024-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140599826","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Family ProcessPub Date : 2024-03-28DOI: 10.1111/famp.12990
Danielle M. Weber, Chalandra M. Bryant, Hannah C. Williamson, Kadija Mussa, Justin A. Lavner
{"title":"Predictors of change in relationship satisfaction among Black postpartum mothers","authors":"Danielle M. Weber, Chalandra M. Bryant, Hannah C. Williamson, Kadija Mussa, Justin A. Lavner","doi":"10.1111/famp.12990","DOIUrl":"10.1111/famp.12990","url":null,"abstract":"<p>The transition to parenthood can be a challenging time for the relationships of new parents and result in declines in relationship satisfaction. Although a robust literature has identified characteristics that predict changes in relationship satisfaction during this period, the relationships of Black mothers postpartum remain understudied. To address this gap, we examined a set of relational, individual, and external characteristics as predictors of relationship satisfaction trajectories over the first four months postpartum. First-time Black mothers (<i>N</i> = 93, 22.6% married, 52.7% cohabiting, 24.7% not cohabiting) reported on relational, individual, and external characteristics at 1 week postpartum and their relationship satisfaction at 1, 8, and 16 weeks postpartum. Mothers who reported more commitment and partner support were higher in initial satisfaction, as were mothers who were married or cohabiting with a partner (relative to mothers who were not cohabiting with their partner). Mothers with clinically significant depressive symptoms at 1 week postpartum had lower initial relationship satisfaction than mothers without clinically significant depressive symptoms. Mothers' sleep difficulties and experiences of racial discrimination were associated with changes in relationship satisfaction over time; mothers experiencing more sleep difficulties and racial discrimination experienced larger declines in satisfaction. These findings offer new insights into risk and protective factors associated with relationship satisfaction among Black mothers during the early postpartum period and can inform multicomponent interventions to enhance their relationship functioning.</p>","PeriodicalId":51396,"journal":{"name":"Family Process","volume":null,"pages":null},"PeriodicalIF":2.6,"publicationDate":"2024-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/famp.12990","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140319866","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}