Preventing Mental Health Problems in Children After High Conflict Parental Separation/Divorce Study: An Optimization Randomized Controlled Trial Protocol.

Journal: Mental health & prevention

Volume: 32

Issue: 

Year of Publication: 

Affiliated Institutions:  Arizona State University. University of Rochester. New York University. University of Washington. University of Notre Dame.

Abstract summary 

Parental divorce is a childhood stressor that affects approximately 1.1 million children in the U.S. annually. The children at greatest risk for deleterious mental health consequences are those exposed to high interparental conflict (IPC) following the separation/divorce. Research shows that children's emotional security and coping efficacy mediate the impact of IPC on their mental health. Interventions targeting their adaptive coping in response to IPC events may bolster their emotional security and coping efficacy. However, existing coping interventions have not been tested with children exposed to high post-separation/divorce IPC, nor has any study assessed the effects of individual intervention components on children's coping with IPC and their mental health. This intensive longitudinal intervention study examines the mechanisms through which coping intervention components impact children's responses to interactions in interparental relationships. A 2 factorial experiment will assess whether, and to what extent, three candidate intervention components demonstrate main and interactive effects on children's coping and mental health. Children aged 9-12 (target N = 144) will be randomly assigned to one of eight combinations of three components with two levels each: (1) reappraisal (present vs. absent), (2) distraction (present vs. absent), (3) relaxation (present vs. absent). The primary outcomes are child-report emotional security and coping efficacy at one-month post-intervention. Secondary outcomes include internalizing and externalizing problems at the three-month follow-up. Based on data from this optimization phase RCT, intervention components will be selected to comprise a multi-component intervention and assessed for effectiveness in a subsequent evaluation phase RCT.

Authors & Co-authors:  O'Hara Wolchik Sandler West Reis Collins Lyon Cummings

Study Outcome 

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Statistics
Citations :  Achenbach TM (2018). Manual for assessing progress and outcomes in problems and strengths using the ASEBA. Burlington, VT: University of Vermont, Research Center for Children, Youth; ….
Authors :  8
Identifiers
Doi : 200301
SSN : 2212-6570
Study Population
Male,Female
Mesh Terms
Other Terms
child mental health;coping;evidence-based intervention;optimization;parental divorce
Study Design
Study Approach
Country of Study
Publication Country
Germany