Randomized Controlled Trial of the Marriage Checkup: Depression Outcomes

The association between relationship functioning and depressive symptoms is well established. This study examined the effects of the Marriage Checkup, a brief two-session Assessment and Feedback relationship intervention, on depressive symptoms. Two hundred and nine married couples participated in the Marriage Checkup and were randomized into Treatment (N = 108) and Waitlist-Control Conditions (N = 101). Compared to the control condition, intervention participants reported significant improvements in depressive symptoms (d = 0.55), with an even greater effect for those who were reporting more severe baseline depression symptoms (d = 0.67). These outcomes are comparable to those within long-term individual psychotherapy, couple therapy, and pharmacology trials, making this the briefest intervention to date to demonstrate significant improvements in depressive symptoms. Clinical implications are discussed.     

‘Change is Only Part of the Answer’: An Interview with Kim Halford

Kim Halford has conducted major research on the determinants of relationship satisfaction and stability, and how to promote healthy couple relationships both through relationship education for currently well‐functioning couples, and through couple therapy for distressed couples. Kim is Professor of Clinical Psychology at Griffith University, and Director, Queensland Cancer Fund, Griffith University Cancer Support Centre. He is the author of Brief Couple Therapy: Helping Partners Help Themselves; Australian Couples in Millennium Three: A Research and Development Agenda for Marriage and Relationship Education, co‐author of Clinical Handbook of Marriage and Couples Interventions; Report to the Australian Psychological Society on the Status and Future Directions of Health Psychology in Australia; Couple CARE: The Couple Commitment and Relationship Enhancement Program, Couple Guidebook (in press). He is also author or co‐author of over 90 book chapters, journal articles and audiovisual productions.     

Family Studies and Intergenerational Studies

ABSTRACT

This paper reviews key sources in the field of family studies in order to identify, in research and program development, intersections of theoretical, methodological, or programmatic interests. The purpose of the paper is to begin a dialogue between researchers and practitioners in the fields of family studies and intergenerational studies to foster collaborative projects in research and programming. The authors have chosen to limit the literature reviewed to sources that contain landmark reviews of research on intergenerational relationships from the perspective of the family studies field: Decade reviews that appeared in the primary journal of the National Council on Family Relations, the Journal of Marriage and the Family(Broderick, 1971a; Berardo, 1980; Booth, 1990; Milardo, 2000); the Handbook of Marriage and the Family(Sussman & Steinmetz, 1987; Sussman, Steinmetz, & Peterson, 1999); Families: Intergenerational and Generational Connections(Pfeifer & Sussman, 1991).     

Associations Between Victimization and Adolescents' Self‐Reported Responses to Peer Provocation Are Moderated by Peer‐Reported Aggressiveness

Many early adolescents experience peer victimization, but little research has examined how they respond to aggression by peers. Thus, in a large sample of early adolescents (N = 648; M age = 12.96; SD = 0.30; 52.0% female), we examined (1) the associations between peer‐reported victimization and self‐reported responses to peer provocation, and (2) whether these associations were moderated by peer‐reported aggression. In particular, we predicted that the reported use of assertion, a strategy generally viewed as socially skillful, would be associated with less victimization, but only for youth low on peer‐reported aggression. Results were consistent with this hypothesis. Moreover, seeking adult intervention was associated with greater victimization for youth high on peer‐reported aggression. Implications for research and practice are discussed.     

Checking up on Couples—A Meta‐Analysis of the Effect of Assessment and Feedback on Marital Functioning and Individual Mental Health in Couples

The primary aim of the current meta‐analysis was to investigate the overall effect of a relationship checkup (RC), a couple‐oriented assessment, and feedback intervention. Systematic literature searches revealed 12 eligible randomized trials published between 1995 and 2015. Results showed significant overall pre–post effect of an RC on marital functioning (Hedge's g = 0.20) and individual mental health (g = 0.44). The between‐group controlled effect size was significant at postassessment (g = 0.23) and up to six‐month follow‐up (g = 0.23). Characteristics of the RC format, therapist‐guided versus self‐directed, or the study samples, distressed versus healthy, did not moderate the overall effect of the RC. Thus, our results suggest an RC to improve couples' marital functioning up to six‐month follow‐up, while the effect on individual mental health and repeated delivery of a RC awaits further research.     

Reliability and Validity of the Global Assessment of Relational Functioning (GARF) in a Psychiatric Family Therapy Clinic

The reliability and validity of the Diagnostic and Statistical Manual of Mental Disorders-IV Global Assessment of Relational Functioning (GARF) was evaluated in consenting participants presenting to a family therapy training clinic. The purpose of this study was to (a) assess whether the GARF could be administered quickly in a marriage and family therapy training clinic, (b) assess the inter-rater and internal reliability of GARF ratings of intake sessions, (c) examine the relationship of GARF ratings to established measures of relationship functioning, and (d) compare GARF ratings to a measure of depressive symptoms. Study participants completed the General Functioning Subscale of the Family Assessment Device (GFS/FAD), the Quality of Marriage Index (QMI), and the Center for Epidemiologic Studies–Depression Scale (CES-D). After intake sessions were conducted with study participants, GARF ratings were made by an American Association for Marriage and Family Therapy Approved Supervisor or Supervisor-in-Training, a therapist trainee, and two observing trainees who had observed the session from behind a one-way mirror. Cronbach’s coefficient alphas and the average intraclass correlation coefficients were both .82 when ratings of the supervisor and two observers were compared and .78 and .79, respectively, when ratings of the supervisor, two observers, and therapist were evaluated. There was significant agreement between GARF ratings made by the supervisor and therapist (but not observers) and scores on the GFS/FAD, QMI, and CES-D. Results suggest that GARF ratings can be made quickly and reliably, especially among raters with greater clinical experience, and are related to measures of relational functioning and depression. Implications for research and marriage and family therapy training are discussed.     

Evaluation of the Psychometric Properties of the Gap‐Overlap Task in 10‐Month‐Old Infants

Understanding the development of attention is key to understanding cognitive maturation. The gap‐overlap task can be administered at all ages and is widely used to study the development of overt visual attention. However, studies using the gap‐overlap task report different measures and little is known about the tasks’ psychometric properties, especially in infants. We tested the 1‐week test–retest reliability of two frequently used gap‐overlap measures of attentional disengagement in 10‐month‐old infants; the gap effect as measured by the difference between the gap and overlap condition and the gap effect as measured by the difference between the gap and baseline condition. Sixty‐seven infants performed the gap‐overlap task twice, of which 45 infants had sufficient data quality for further analyses. Test–retest reliability of the overlap‐gap gap effect was higher (r = .50) than the baseline‐gap gap effect (r = .29). Moreover, the shared variance between overlap and baseline saccadic reaction times was moderate to high across sessions. In light of these results and the methodological challenges and limitations of infant research, we consider the overlap‐gap gap effect to be a good measure to study the development of attentional disengagement in infants and suggest the exclusion of the baseline condition in future studies.     

The Importance of Racial Socialization: School‐Based Racial Discrimination and Racial Identity Among African American Adolescent Boys and Girls

This study examined various parental racial socialization messages as mediators between school‐based racial discrimination and racial identity formation over 4 years for African American boys (N = 639) and African American girls (N = 711). Findings indicated that school‐based racial discrimination was associated with racial identity beliefs. For African American boys, behavioral racial socialization messages mediated the relation between school‐based racial discrimination and racial centrality over time. Mediation also resulted for African American girls, but for a different set of race‐related messages (negative messages and racial barriers) and racial identity beliefs. The developmental significance of the findings and implications for future research are discussed.     

The Development of Multiple Self‐Concept Dimensions During Adolescence

The purpose of this research was to analyze the development of self‐concept during adolescence. Participants included 484 teenagers (226 boys and 258 girls) from middle‐class families in the Basque Country region of Spain (M_age = 14.99, SD = 1.81 in Time 1 and M_age = 15.64, SD = 1.80 in Time 2). Longitudinal analysis found differences in the general school dimension. Six dimensions (math, verbal, general school, physical abilities, parent relationships and same‐sex relationships) reported a linear trend with a decreasing monotonic pattern; self‐esteem fit a cubic trend and physical appearance a quadratic trend line. Males showed higher means in self‐esteem, math, physical abilities, physical appearance, emotional stability and parent relationships; and females had higher values in verbal and general school.     

Linking Magazine Exposure to Social Appearance Anxiety: The Role of Appearance Norms in Early Adolescence

Early adolescents (N = 1,591; M_age = 11.698; SD = 0.892) participated in a two‐wave panel study (6‐month interval) to examine the longitudinal association between appearance‐focused magazine exposure and social appearance anxiety. We revealed that magazine exposure positively correlated with the internalization of appearance ideals and the attribution of social rewards to attractiveness which, in turn, related to social appearance anxiety. Internalization and attribution of social rewards formed a reinforcing spiral; once internalized, early adolescents associate positive things with appearance ideals (e.g., peer acceptance) and the perception of rewards increases early adolescents' inclination to internalize ideals. Given the adverse consequences of social appearance anxiety, the findings warrant research on the role of media in the occurrence of social appearance anxiety.     

Self‐Perceived Competence in Mainland China: A Multiwave Longitudinal Examination of Internalizing Symptoms in Chinese Adolescents

The present 9‐wave, 2‐year study examined whether Cole's (1991) theory of self‐perceived competence could help explain vulnerability to depressive and anxiety symptoms in a sample of adolescents from mainland China. Participants included 624 adolescents (319 females and 305 males) from an urban school in Changsha (n = 308) and from a rural school in Liuyang (n = 316). Findings showed that self‐perceived academic competence was negatively associated with prospective depressive and anxiety symptoms. Meanwhile, adolescents with low levels of self‐perceived social competence were at heightened risk for depressive symptoms during times of increased stressors (supporting a vulnerability‐stress model). These findings advance past research by highlighting new developmental pathways for depressive and anxiety symptoms in Chinese adolescents.     

“We're Supposed to Look Like Girls,But Act Like Boys”: Adolescent Girls’ Adherence to Masculinity Norms

In the ecological systems perspective, gender ideologies are part of the macrosystem that shapes human development. A growing literature indicates that youth accommodate and resist such ideologies, with adherence to masculinity norms being linked with negative adjustment. Most masculinity research focuses on boys’ adherence to masculinity, but girls are also pressured to uphold masculinity norms. Using mixed modeling, we examined girls’ adherence to masculinity and psychological (self‐esteem, depressive symptoms) and social (peer support and conflict) well‐being in the United States (N = 407; M_age = 12.28) and China (N = 356; M_age = 12.41). In both countries, adherence to masculinity was negatively associated with psychosocial well‐being. Chinese girls reported greater masculinity adherence, but associations with psychosocial well‐being were not moderated by nationality.     

Measuring the Effectiveness of the Emotionally Focused Therapy Externship Training in Hungary done through Translation

Our study adds to the rising field of dissemination and implementation research on Emotionally Focused Therapy. We evaluated the psychometric characteristics of the Hungarian EFT‐KACS, examined the impact of the EFT Externship training done through translation on Hungarian therapists, and we investigated how therapist background characteristics related to outcomes. A total of 340 Hungarian professionals completed the questionnaires (N = 152 in 2016; and N = 188 in 2018) at three data collecting points—prior to (N = 329), after the training (N = 254), and 6 months later (N = 101). Results suggest the Hungarian EFT‐KACS has similar psychometric properties as the original English version and shows high internal consistency. The 4‐day EFT Externship trainings done through translation provided significant, lasting increases in perceived EFT‐specific knowledge and competency, and in alliance, similar to findings in English‐ and Spanish‐speaking countries. Externship outcomes were also found to be related to specific therapist experience and background characteristics.     

Adolescent Personality as Risk and Resiliency in the Testosterone–Externalizing Association

Previous investigations of testosterone and externalizing behavior have provided mixed findings. We tested the hypothesis that self‐regulatory personality moderates the testosterone–externalizing behavior association in adolescence. Parents reported on their 13‐ to 18‐year‐old (N = 106, M_age = 16.01, SD = 1.29) children's personalities and psychopathology. Testosterone was measured via drool samples. As hypothesized, personality moderated the testosterone–externalizing behavior association. High testosterone predicted higher levels of externalizing behaviors, but only for adolescents low in Agreeableness and Conscientiousness. Also, personality acted as a resiliency factor: high levels of Conscientiousness, in the presence of high testosterone, predicted lower levels of rule breaking. Results highlight how endogenous factors, such as personality, may interact with testosterone, and emphasize the relevance of including personality moderators in future research.     

Aversive Peer Experiences on Social Networking Sites: Development of the Social Networking‐Peer Experiences Questionnaire (SN‐PEQ)

Cyber victimization is an important research area, yet little is known about aversive peer experiences on social networking sites (SNSs), which are used extensively by youth and host complex social exchanges. Across samples of adolescents (n = 216) and young adults (n = 214), we developed the Social Networking‐Peer Experiences Questionnaire (SN‐PEQ) and examined its psychometric properties, distinctiveness from traditional peer victimization measures, and associations with internalized distress. The SN‐PEQ demonstrated strong factorial invariance and a single‐factor structure that was distinct from other forms of peer victimization. Negative SNS experiences were associated with youths' symptoms of social anxiety and depression, even when controlling for traditional peer victimization. Findings highlight the importance of examining the effects of aversive peer experiences that occur via social media.     

Clients’ perceptions of marriage and family therapists’ way‐of‐being: a phenomenological analysis

Previous research highlights the influence of therapist factors on treatment outcomes. One therapist factor proposed as fundamental to the process of therapy is the therapist's way‐of‐being, a relational concept that refers to how the therapist regards a client—either as a person or object (Fife et al., [2014] Journal of Marital and Family Therapy, 40, 20–33). Although this case has been made conceptually, there is little empirical research on therapists’ way‐of‐being with clients. The primary purpose of this research is to investigate clients’ perceptions of their therapists’ way‐of‐being. Utilizing a common factors perspective, the study seeks to explore: (a) how clients experience their therapists’ way‐of‐being and (b) the influence therapists’ way‐of‐being has on clients’ engagement. Phenomenological methods were used to gain a nuanced understanding of the phenomenon. Qualitative data were collected through semi‐structured face‐to‐face interviews with clients (N = 10) who received individual therapy from a marriage and family therapist. Results were organized into two main themes: core tenets (attunement, congruency, and aligning with clients) and operational tenets (providing affirmation and validation, balancing flexibility and structure, and accomplishing goals). Findings are used to make a case for adding the concept of way‐of‐being as an overarching construct for several well‐established therapist factors. Clinical and training implications are discussed.     

A Mixed-Methods Approach to Refining and Measuring the Construct of Positive Risk-Taking in Adolescence

Adolescence is a peak period for risk-taking, but research has largely overlooked positive manifestations of adolescent risk-taking due to ambiguity regarding operationalization and measurement of positive risk-taking. We address this limitation using a mixed-methods approach. We elicited free responses from contemporary college students (N = 74, M_age = 20.1 years) describing a time they took a risk. Qualitative analysis informed the construction of a self-report positive risk-taking scale, which was administered to a population-based sample of adolescents (N = 1,249, M_age = 16 years) for quantitative validation and examination of associations with normative and impulsive personality. Sensation seeking predicted negative and positive risk-taking, whereas extraversion and openness were predominantly related to positive risk-taking. Results provide promising evidence for a valid measure of adolescents' engagement in positive risks.     

The Efficacy of Emotionally Focused Couples Therapy and Behavioral Couples Therapy: A Meta‐Analysis

Behavioral couple therapy (BCT) and emotionally focused couples therapy (EFCT) are well‐established treatments to reduce couple distress. This meta‐analysis summarizes the current state of knowledge on the efficacy of these two therapy methods by focusing on randomized controlled trials only. A literature search revealed 33 suitable primary studies (2,730 participants in total), all of them measuring relationship satisfaction. Robust‐variance random‐effects meta‐analysis revealed medium effect sizes at post‐test (overall: g = 0.60; BCT: g = 0.53; EFCT: g = 0.73) and small effect sizes of 6 months after treatment (overall: g = 0.44; BCT: g = 0.35; EFCT: g = 0.66), but these gains were not maintained after 12 months (BCT only: g = 0.06). Between the two therapy methods, no significant effect size differences could be found. Results have to be interpreted with caution due to potential publication bias.     

Delinquency,School Context,and Risk Factors in India,Australia, and the United States: Implications for Prevention

There is a dearth of research on delinquency, school context, and risk factors across developed and developing nations. Using representative samples and matched surveys, we examined delinquency among cohorts in Mumbai, India (N = 3,717); Victoria, Australia (N = 1,842); and Washington State (WA), United States (N = 1,828). We used multivariate Poisson hierarchical linear modeling. Risk factor and delinquency levels varied across sites. Delinquency clustered within certain schools, particularly in Mumbai. Community disorganization exhibited an association with delinquency as a school‐level context effect in Mumbai and Victoria. Peer delinquency, sensation seeking, and poor family management exhibited cross‐nationally consistent associations with delinquency. Programs that target schools, the clustering of problem behaviors, and cross‐nationally consistent risk factors should be considered internationally.