Six-Year Follow-up of Preventive Interventions for Children of Divorce

Wolchik, Sharlene A.; Sandler, Irwin N.; Millsap, Roger E.; Plummer, Brett A.; Greene, Shannon M.; Anderson, Edward G.; Dawson-McClure, Spring; Hipke, Kathleen; Haine, Rachel A.

doi:10.1001/jama.288.15.1874

Cited by 241 publications

(281 citation statements)

References 40 publications

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“…Overall, findings of long-term group differences on obesity, health behaviors and blood pressure reinforce earlier demonstrations of the broad range of benefits from behavioral family intervention for children with or at risk for behavior problems [30][31][32][33][34][35][56][57][58][59][60] and are consistent with theoretical models that implicate parenting in the promotion of healthy physical development. Reductions in BMI among overweight Australian children whose parents participated in a treatment program to improve parenting (eg, responsiveness) also provide support for this approach.…”

Section: Discussionsupporting

confidence: 80%

Early Childhood Family Intervention and Long-term Obesity Prevention Among High-risk Minority Youth

et al. 2012

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WHAT'S KNOWN ON THIS SUBJECT:The evidence base for obesity prevention is extremely limited. Although minority youth are at higher risk of obesity, and early childhood is a critical period for prevention, only 1 program has demonstrated sustained effects on obesity in young minority children.WHAT THIS STUDY ADDS: Among youth at high risk for obesity based on income, minority status, and child behavior problems, early intervention that promotes effective parenting led to meaningful differences in obesity in preadolescence. Early family intervention is an innovative and promising approach.abstract OBJECTIVES: To test the hypothesis that family intervention to promote effective parenting in early childhood affects obesity in preadolescence.METHODS: Participants were 186 minority youth at risk for behavior problems who enrolled in long-term follow-up studies after random assignment to family intervention or control condition at age 4. Follow-up Study 1 included 40 girls at familial risk for behavior problems; Follow-up Study 2 included 146 boys and girls at risk for behavior problems based on teacher ratings. Family intervention aimed to promote effective parenting and prevent behavior problems during early childhood; it did not focus on physical health. BMI and health behaviors were measured an average of 5 years after intervention in Study 1 and 3 years after intervention in Study 2.RESULTS: Youth randomized to intervention had significantly lower BMI at follow-up relative to controls (Study 1 P = .05; Study 2 P = .006). Clinical impact is evidenced by lower rates of obesity (BMI $95th percentile) among intervention girls and boys relative to controls (Study 2: 24% vs 54%, P = .002). There were significant intervention-control group differences on physical and sedentary activity, blood pressure, and diet.CONCLUSIONS: Two long-term follow-up studies of randomized trials show that relative to controls, youth at risk for behavior problems who received family intervention at age 4 had lower BMI and improved health behaviors as they approached adolescence. Efforts to promote effective parenting and prevent behavior problems early in life may contribute to the reduction of obesity and health disparities.

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Section: Discussionsupporting

confidence: 80%

Early Childhood Family Intervention and Long-term Obesity Prevention Among High-risk Minority Youth

et al. 2012

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“…It showed that the divorce had an effect of on adolescents' alcoholism mainly in the last month, and that positive involvement of the father after divorce -was a protective factor relating to alcoholism in families who have experienced divorce. Wolchik et al [29] claim that compared to teens of un-divorced parents, teenagers of divorced parents-have a higher risk of developing mental disorders, to drop out of school or get pregnant.…”

Section: Behavioral Problems and Depressionmentioning

confidence: 99%

The Impact of Parental Separation and Divorce on the Health Status of Children, and the Ways to Improve it

Haimi¹,

Lerner²

2016

J Clin Med Genomics

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The divorce rate rose steadily in recent years, becoming a significant social problem. Many studies showed that the divorce has negative impact on children, but there are many different interpretations of the consequences of this situation on children's lives.There is no doubt that children are being affected by the sudden change in their familial environment as well as by additional influences that accompany the divorce process. It is well recognized that the divorce process affects the mental state of the children, including development of behavioral problems, negative self-concept, social problems, and difficulties in relationships with the parents. Among these children there is a higher frequency of depression, violence, learning and social deterioration, and high risk for suicidal attempts. Research in recent years had shown that the divorce process apparently affects also the state of physical illness in children.Based on clinical and empirical studies in recent years, for most children, the traditional visiting arrangements are out of date, unnecessarily restrictive, and do not meet the interests of the children themselves. There are many advantages for children in separation and divorce situations when the children's living arrangements allow the caring fathers to be actively involved in the life of their children, when there are broad visiting arrangements or even shared custody arrangements.In these situations, there is a significant reduction in the negative aspects of the divorce process and there is an objectively beneficial effect on children's adjustment, which is also reflected from the experience of the children themselves.We describe the situation in Israel and recommend the appropriate management in these cases according to our experience and recently studies.

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“…Given that many effects of terrorism on children can be indirect, interventions that improve parental functioning may reduce the transmission of effects to children (eg, Dybdahl, 2001;Forgatch and DeGarmo, 1999;Wolchik et al, 2002). It is widely assumed that similar effects can be achieved through interventions with teachers.…”

Section: Terrorism Risk and Interventions: A Developmental Resiliencementioning

confidence: 99%

Trauma, Proximity, and Developmental Psychopathology: The Effects of War and Terrorism on Children

Pine

Costello

Masten

2005

Neuropsychopharmacol

135

121

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This report summarizes recent literature relevant to the effects of terrorism on children's mental health. The paper addresses three aspects of this topic. In the first section of the paper, data are reviewed concerning the relationships among stress, trauma, and developmental psychopathology. A particular emphasis is placed on associations with indirect forms of trauma, given that terrorism involves high levels of indirect trauma. Second, the paper delineates a set of key principles to be considered when considering ways in which the effects of terrorism on children's mental health can be minimized. Third, data are reviewed from studies in developmental psychobiology. These data are designed to illustrate the mechanisms through which children exhibit unique effects in the wake of traumatic circumstances.

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Six-Year Follow-up of Preventive Interventions for Children of Divorce

Abstract: In adolescents of divorced parents, the mother program and the mother plus child program reduced symptoms of mental disorder; rates of diagnoses of mental disorder; levels of externalizing problems; marijuana, alcohol, and other drug use; and number of sexual partners.

Cited by 241 publications

References 40 publications

Early Childhood Family Intervention and Long-term Obesity Prevention Among High-risk Minority Youth

Early Childhood Family Intervention and Long-term Obesity Prevention Among High-risk Minority Youth

The Impact of Parental Separation and Divorce on the Health Status of Children, and the Ways to Improve it

Trauma, Proximity, and Developmental Psychopathology: The Effects of War and Terrorism on Children

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