Child abuse, neglect and deprivation and the family

Jacobs, Joshua

doi:10.1007/978-94-011-6162-6_10

Cited by 2 publications

(2 citation statements)

References 51 publications

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“…To measure depression, we used Patient Health Questionnaire‐ 9 (PHQ‐9; Kroenke et al, 2001); post‐traumatic stress (PTSD), Post‐traumatic Stress Disorder Checklist for DSM‐5 (PCL‐5; Ashbaugh et al, 2016); couple adjustment, Dyadic Adjustment Scale (DAS; Spanier, 1976); for ER, Difficulties in Emotion Regulation Scale (DERS; Gratz & Roemer, 2004); and for life stress, the Social Readjustment Rating Scale (SRRS; Holmes & Rahe, 1967). For ACE, we used the Jacobs Neglect , Abandonment , and Abuse Protocol (J‐NAAP ; Jacobs, 2002).…”

Section: Methods and Instrumentsmentioning

confidence: 99%

Congruence couple therapy for alcohol use and gambling disorders with comorbidities (part II): Targeted areas and mechanisms of change

2022

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Study of change mechanisms is important to advance theory development and to reveal the active components that make a critical difference in treatment. Improved outcomes in a randomized controlled trial that favored Congruence Couple Therapy (CCT) vs individual‐based Treatment‐as‐Usual (TAU) were correlated within each group. Partial correlations were used to test for mediation effects. The aggregate correlation coefficient of improved variables in addiction and mental health, couple adjustment, emotion regulation (ER) and life stress was moderate for CCT and weak for TAU. CCT showed greater number of mediating effects among improved variables than TAU. The prominence of the process mechanism of improved ER with its mediating effects for addiction and psychiatric symptoms evidenced in both groups is noteworthy, but ER improvement was significantly associated with improved couple adjustment only in CCT. Reduction in life stress in CCT was associated with a broader range of improvements in CCT compared to TAU. Correlation patterns were substantiated by CCT participants’ endorsement of treatment targets emphasizing relationship, communication, emotion, problem solving, addiction and intergenerational issues of trauma. TAU participants reported significantly lower endorsements for these treatment targets. The correlation of ER and couple adjustment suggested as a key process mechanism should be further elucidated in future studies to differentiate relationship‐based vs individual‐based models and their respective outcomes for primary clients and partners. These findings are considered preliminary, requiring larger samples and advanced modelling among variables to provide a more profound mechanism analysis.

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Section: Methods and Instrumentsmentioning

confidence: 99%

Congruence couple therapy for alcohol use and gambling disorders with comorbidities (part II): Targeted areas and mechanisms of change

2022

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“…Jacobs neglect, abandonment, and abuse protocol (J-NAAP) (Jacobs, 2002) J-NAAP assesses traumatic childhood adverse experience of loss/abandonment, serious neglect, physical abuse, emotional abuse, and sexual abuse. The test-retest reliability (N = 93) is 0.86 as reported by the Jacobs (Personal Communication with Jacobs, 2011).…”

Section: Adverse Childhood Experiencementioning

confidence: 99%

Congruence couple therapy for alcohol use and gambling disorders with comorbidities (part I): Outcomes from a randomized controlled trial

et al. 2022

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A nonblinded randomized trial was conducted at two Canadian provincial outpatient addiction clinics that tested the effectiveness of a systemic congruence couple therapy (CCT) versus individual‐based treatment‐as‐usual (TAU) on nine clinical outcomes: (1) primary outcomes—alcohol use and gambling, psychiatric symptoms, and couple adjustment; (2) secondary outcomes—emotion regulation, substance use, depression, post‐traumatic stress symptoms, and life stress. Data of primary clients and partners (N = 46) were analyzed longitudinally across baseline, posttreatment (5 months), and follow‐up (8 months). Alcohol use disorder (95%) and gambling disorder (5%) were in the severe range at baseline, and co‐addiction was 27%. Psychiatric comorbidity was 100%, and 18% of couples were jointly addicted. Between‐group comparison favored CCT in primary outcomes with medium‐to‐large effect sizes (Cohen's h = 0.74–1.44). Secondary outcomes were also significantly stronger for CCT (Cohen's h = 0.27–1.53). Within‐group, for all primary outcomes, a significant proportion of symptomatic CCT clients and partners improved, converging with ANOVA results of large effect sizes (0.14–0.29). All secondary outcomes improved significantly in CCT with large effect sizes (0.14–0.50). TAU showed significant within‐group improvement in alcohol use, other substance use, and life stress with large effect sizes (0.16–0.40). Primary clients and partners made largely equivalent improvement within CCT and within TAU. Results were triangulated with clients' satisfaction ratings and counselors' reports. Overall, significant within‐group effects were detected for CCT both clinically and statistically and between‐group difference favored CCT. Future trials are required to validate these promising findings.

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Child abuse, neglect and deprivation and the family

Cited by 2 publications

References 51 publications

Congruence couple therapy for alcohol use and gambling disorders with comorbidities (part II): Targeted areas and mechanisms of change

Congruence couple therapy for alcohol use and gambling disorders with comorbidities (part II): Targeted areas and mechanisms of change

Congruence couple therapy for alcohol use and gambling disorders with comorbidities (part I): Outcomes from a randomized controlled trial

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