The efficacy of postdivorce intervention programs for children: A meta-analytical review

Fam Process. 2023 Mar;62(1):74-93. doi: 10.1111/famp.12807. Epub 2022 Aug 29.

Abstract

Preventive postdivorce interventions aim to help children cope with divorce and promote their adjustment. Nevertheless, questions remain regarding the concrete outcomes of these interventions and the intervention characteristics that influence them. This meta-analysis of 30 studies analyzes the efficacy of postdivorce interventions on children's symptomatology, personal resources, and adaptation to divorce. Likewise, it explores whether the intervention impacts the putative mediators from the family context and whether the characteristics of the studies themselves also influence the results. Using a data set of N = 4344 individuals, 258 effect sizes were calculated. Random effects analyses evidenced the impact of the interventions on specific variables instead of on children's global adjustment. There were no significant effects on children's mental health outcomes, and none of these effects were qualified by the moderators that were examined. Preventive postdivorce interventions had significant effects, specifically on children's divorce adjustment and self-esteem. The study of the moderators found that the interventions were generally homogeneous, and only one of the 20 moderators examined had a significant effect. Based on children's age, the interventions had an impact on family functioning only when they involved younger children, but this result should be interpreted with caution due to the small sample of studies. This meta-analysis provides evidence of the relevance of postdivorce interventions to critical variables as well as information about the role of the intervention characteristics in the effects and makes suggestions for future research on divorce interventions that encompass both practical and empirical developments.

预防性离婚后干预措施旨在帮助儿童应对离婚,并促进他们的调适。然而,关于这些干预措施的具体结果以及影响它们的干预措施特点,仍然发现问题存在。本文中的元分析包括30项研究,分析了离婚后干预措施对儿童的症状、个人资源和对离婚的适应的效果。同时,它还探讨了干预措施是否会从家庭背景影响选定的调和因素,以及研究本身的特点是否也会影响结果。本研究使用了4,344个人的数据集,计算了258个效应量。随机效应分析证明了干预措施对特定变量的影响,而不是对儿童的整体适应的影响。这对儿童的心理健康结果没有显著影响,而且这些影响都没有经过被研究的调和因素的认定。预防性的离婚后干预有显著的影响,特别是对孩子的离婚适应和自尊。对调和因素的研究发现,这些干预措施基本上是同质的,被研究的20个调和因素中只有一个有显著的效果。根据儿童的年龄,这些干预措施只在涉及年龄较小的儿童时才对家庭功能产生影响,但由于研究样本较小,这一结果应谨慎解读。这项元分析提供了离婚后干预措施与关键变量相关性的证据,以及干预特征在影响中的作用的信息,并为未来针对离婚干预的研究提出了包括实践和实证发展方面的建议。.

Keywords: children; divorce; efficacy; intervention; meta-analysis; 儿童; 元分析; 干预; 疗效; 离婚.

Publication types

  • Meta-Analysis
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Child
  • Divorce* / psychology
  • Humans
  • Self Concept*