Deciding to Come Out to Parents: Toward a Model of Sexual Orientation Disclosure Decisions
The purpose of this study was to conduct research to understand nonheterosexual youths’ decision to disclose their sexual orientation information to their parents. The sample for this study includes 22 youth between the ages of 14 and 21. Constructivist grounded theory guided the qualitative methodology and data analysis. The findings from this study posit an emerging model of sexual orientation disclosure decisions comprised of four interrelated factors that influence the decision to disclose or not disclose, as well as a description of the mechanism through which disclosure either does or does not occur. Clinical impli...
Source: Family Process - June 1, 2017 Category: International Medicine & Public Health Authors: Erika L. Grafsky Tags: Original Article Source Type: research

Family Profiles of Cohesion and Parenting Practices and Latino Youth Adjustment
Using a sample of 279 (52% female) Latino youth in 9th grade (M = 14.57, SD = .56), we examined profiles of family cohesion and parenting practices and their relation to youth adjustment. The results of latent profile analyses revealed four family profiles: Engaged, Supportive, Intrusive, and Disengaged. Latino youth in the Supportive family profile showed most positive adjustment (highest self‐esteem and lowest depressive symptoms), followed by youth in the Engaged family profile. Youth in the Intrusive and Disengaged profiles showed the lowest levels of positive adjustment. The findings contribute to the current li...
Source: Family Process - June 1, 2017 Category: International Medicine & Public Health Authors: Mayra Y. B ámaca‐Colbert, Melinda Gonzales‐Backen, Carolyn S. Henry, Peter S.Y. Kim, Martha Zapata Roblyer, Scott W. Plunkett, Tovah Sands Tags: Original Article Source Type: research

Couple Therapy with Veterans: Early Improvements and Predictors of Early Dropout
Family services within Veterans Affairs Medical Centers fulfill an important role in addressing relationship distress among Veterans, which is highly prevalent and comorbid with psychopathology. However, even for evidence‐based couple therapies, effectiveness is weaker compared to controlled studies, maybe because many Veteran couples drop out early and do not reach the “active” treatment stage after the 3–4 session assessment. In order to improve outcomes, it is critical to identify couples at high risk for early dropout, and understand whether couples may benefit from the assessment as an intervention. The curren...
Source: Family Process - June 1, 2017 Category: International Medicine & Public Health Authors: Melanie S. Fischer, Vickie Bhatia, Jenna L. Baddeley, Rawya Al ‐Jabari, Julian Libet Tags: Original Article Source Type: research

A Community ‐Responsive Adaptation to Reach and Engage Latino Families Affected by Maternal Depression
We describe a cultural adaptation framework that is responsive to the unique opportunities and challenges of identifying and recruiting vulnerable families through community partnerships, and of addressing the needs of families by incorporating multiple community perspectives. Specifically, we apply these principles to the cultural adaptation of an intervention originally developed for low‐income African American and White families facing maternal depression. The new intervention, Fortalezas Familiares (Family Strengths), was targeted to Latino immigrant families whose mothers were in treatment for depression in mental h...
Source: Family Process - June 1, 2017 Category: International Medicine & Public Health Authors: Carmen R. Valdez, Alyssa Ramirez Stege, Elizabeth Martinez, Stephanie D'Costa, Thomas Chavez Tags: Original Article Source Type: research

Communication of Information about Genetic Risks: Putting Families at the Center
Genetic information is a family affair. With the expansion of genomic technologies, many new causal genes and variants have been established and the potential for molecular diagnoses increased, with implications not only for patients but also their relatives. The need for genetic counseling and intrafamilial circulation of information on genetic risks grew accordingly. Also, the amount and, particularly, the complexity of the information to convey multiplied. Sharing information about genetic risks with family members, however, has never been an easy matter and often becomes a source of personal and familial conflicts and ...
Source: Family Process - June 1, 2017 Category: International Medicine & Public Health Authors: Álvaro Mendes, Alison Metcalfe, Milena Paneque, Liliana Sousa, Angus J. Clarke, Jorge Sequeiros Tags: Original Article Source Type: research

Dyadic Coping in Couple Therapy Process: An Exploratory Study
This study aimed at moving beyond previous research on couple therapy efficacy by examining moment‐by‐moment proximal couple and therapist interactions as well as final treatment outcomes and their reciprocal association. Seven hundred four episodes of dyadic coping within 56 early therapy sessions, taken from 28 married couples in treatment, were intensively analyzed and processed using a mixed‐methods software (T‐LAB). Results showed that negative dyadic coping was self‐perpetuating, and therapists tended to passively observe the negative couple interaction; on the contrary, positive dyadic coping appeared to r...
Source: Family Process - June 1, 2017 Category: International Medicine & Public Health Authors: Davide Margola, Silvia Donato, Monica Accordini, Robert E. Emery, Douglas K. Snyder Tags: Original Article Source Type: research

Changing Me, Changing Us: Relationship Quality and Collective Efficacy as Major Outcomes in Systemic Couple Therapy
We examine the sensitivity to change in the Evaluation of Social Systems (EVOS) scale, which assesses relationship quality and collective efficacy. In Study 1 we conducted a waitlist‐control, short‐term couple therapy RCT study (N = 43 couples) with five systemic therapy sessions treating communication and partnership problems; our intent was to provide high external validity. Construct validity of EVOS was assessed by comparison with additionally applied scales (Family Scales; Outcome Questionnaire, OQ‐45.2). In Study 2, N = 332 individuals completed an experiment with high internal validity in order to verify s...
Source: Family Process - June 1, 2017 Category: International Medicine & Public Health Authors: Corina Aguilar ‐Raab, Dennis Grevenstein, Linda Gotthardt, Marc N. Jarczok, Christina Hunger, Beate Ditzen, Jochen Schweitzer Tags: Original Article Source Type: research

What Are They Thinking? A National Study of Stability and Change in Divorce Ideation
This study reports on a nationally representative sample of married individuals ages 25–50 (N = 3,000) surveyed twice (1 year apart) to investigate the phenomenon of divorce ideation, or what people are thinking when they are thinking about divorce. Twenty‐eight percent of respondents had thought their marriage was in serious trouble in the past but not recently. Another 25% had thoughts about divorce in the last 6 months. Latent Class Analysis revealed three distinct groups among those thinking about divorce at Time 1: soft thinkers (49%), long‐term‐serious thinkers (45%), and conflicted thinkers (6%). Yet, di...
Source: Family Process - June 1, 2017 Category: International Medicine & Public Health Authors: Alan J. Hawkins, Adam M. Galovan, Steven M. Harris, Sage E. Allen, Sarah M. Allen, Kelly M. Roberts, David G. Schramm Tags: Original Article Source Type: research

Daily Events for Clinical Couples: Examining Therapy Interventions, Positive Events, Arguments, and Exercise in the Beginning Stage of Therapy
This study examined the daily association of several events within the beginning phase of couple therapy. Events examined were as follows: trying something from therapy, an argument, a positive event, and physical exercise. Participants were 33 couples in a treatment‐as‐usual setting who completed the Daily Diary of Events in Couple Therapy (DDECT). A dyadic multilevel model was used to explore the daily associations between predictor and outcome variables. Results showed when male partners tried something from therapy at rates greater than the average their female partners reported a more positive relationship while w...
Source: Family Process - June 1, 2017 Category: International Medicine & Public Health Authors: Lee N. Johnson, Kayla D. Mennenga, Megan Oka, Rachel B. Tambling, Shayne R. Anderson, Jeremy Yorgason Tags: Original Article Source Type: research

From Couple Therapy 1.0 to a Comprehensive Model: A Roadmap for Sequencing and Integrating Systemic, Psychodynamic, and Behavioral Approaches in Couple Therapy
Couple therapy is a complex undertaking that proceeds best by integrating various schools of thought. Grounded in an in‐depth review of the clinical and research literature, and drawing on the author's 40‐plus years of experience, this paper presents a comprehensive, flexible, and user‐friendly roadmap for conducting couple therapy. It begins by describing “Couple Therapy 1.0,” the basic conjoint couple therapy format in which partners talk to each other with the help of the therapist. After noting the limitations of this model, the paper introduces upgrades derived from systemic, psychodynamic, and behavioral/ed...
Source: Family Process - June 1, 2017 Category: International Medicine & Public Health Authors: Arthur C. Nielsen Tags: Original Article Source Type: research

Treatment Efficacy of Multiple Family Therapy for Chinese Families of Children with Attention Deficit Hyperactivity Disorder
Family Process,Volume 57, Issue 2, Page 399-414, June 2018. (Source: Family Process)
Source: Family Process - May 30, 2017 Category: International Medicine & Public Health Authors: Joyce L. C. Ma , Kelly Y. C. Lai , Lily Li Li Xia Source Type: research

Treatment Efficacy of Multiple Family Therapy for Chinese Families of Children with Attention Deficit Hyperactivity Disorder
Family Process, EarlyView. (Source: Family Process)
Source: Family Process - May 30, 2017 Category: International Medicine & Public Health Source Type: research

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Family Process, Ahead of Print. (Source: Family Process)
Source: Family Process - May 30, 2017 Category: International Medicine & Public Health Source Type: research

Marital Interactions, Family Intervention, and Disagreements: A Daily Diary Study in a Low ‐income Sample
Family Process,Volume 57, Issue 2, Page 359-379, June 2018. (Source: Family Process)
Source: Family Process - May 18, 2017 Category: International Medicine & Public Health Authors: JoAnn Hsueh , Meghan McCormick , Christine Merrillees , Patricia Chou , Edward Mark Cummings Source Type: research

Marital Interactions, Family Intervention, and Disagreements: A Daily Diary Study in a Low ‐income Sample
Family Process, EarlyView. (Source: Family Process)
Source: Family Process - May 18, 2017 Category: International Medicine & Public Health Source Type: research