The objective of this study is to present the psychoeducational program Egokitzen, a post-divorce intervention for parents and preliminary data on its efficacy, by means of a quasi-experimental design with a wait-list comparison group. This program-Egokitzen-has been recently published following years of development, pilot tests and adaptation, and comprises 11 weekly intervention sessions that focus on three major blocks of content: (a) divorce in itself, (b) interparental conflict; and (c) parenting styles and discipline. Thirty-four parents, with a total number of 51 children-aged 2-23 years-took part in the study. Participants completed measures of interparental conflict, family communication, perception of family relationships, parental symptomatology and children's aggressive and anxiety/depression symptoms before, after the intervention and 6 months on completion of the program. Significant differences were found in terms of the perceived conflict and children's mental health symptoms, especially in the 6-moth follow-up period. More structural variables, such as communication, family satisfaction or parent-child relationships, seem to require more time for noticeable change and stability. We can conclude that, even though the results are exploratory, the Egokitzen program is a very promising initiative for helping prevent and fostering the healthy psychological development of children who are going through the parental divorce process.
It is necessary to support the couple from the assisted reproduction centres, promoting cohesion, flexibility, and communication in the relationship. The intervention process should also be understood from a systemic perspective; that is, considering dyadic transactions as a systemic unit. Two aspects seem to be especially relevant for clinical nurses in ART: (a) the man's role is crucial for treatment success; (b) the woman's communication is crucial to the process.
Background Although infertile couples are mentally healthy, dealing with infertility and assisted reproductive technology (ART) treatment is usually associated with psychological distress. It would therefore be useful to have short, multidimensional instruments to be able to identify people who present more intense emotional reactions and follow up their emotional distress throughout the ART. Objectives The goals of the study were to analyze the psychometric adequacy of the original 90-item version of the Symptom Checklist (SCL-90) in a sample of Spanish women and their partners undergoing ART, as well as to develop and analyze two brief versions of the SCL-90, given the absence of adequate short versions for this population. Methods A cross-sectional design for patients and their partners in the process of ART through in vitro fertilization was used. The two brief scales were obtained, which took into account the levels of variance explained by the items and confirmatory factor analysis. Results Two brief instruments were developed. The first, with 45 items (SCL-45-I Infertility), includes nine subdimensions: Somatization, Interpersonal Sensitivity, Obsessive-Compulsive Disorder, Depression, Anxiety, Hostility, Paranoid Ideation, Phobic Anxiety, and Psychoticism. The second instrument contains nine items (SCL-9-I or Global Severity Index [GSI]), one item for each dimension. Both instruments were psychometrically adequate (SCL-45-I: χ2/df = 7.24, RMSEA = .057, 95% CI [.056, .059], CFI = .97, NNFI = .97, SRMR = .049; SCL-9-I: χ2/df = 9.66, RMSEA = .068, 95% CI [.061, .076], CFI = .97, NNFI = .96, SRMR = .035). Measurement invariance analysis by gender was conducted, and the instruments were shown to be suitable for both men and women. Discussion The suitability of the SCL-90-R for use in ART was verified, and two valid instruments—useful and easy to use for nurses, psychologists, and other care providers—were developed.
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