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The feasibility and effectiveness of a time-limited psychodynamic couple-focused therapy for adoptive parents: preliminary evidence from the Adopting Together project
Adoption & Fostering Pub Date : 2020-03-01 , DOI: 10.1177/0308575919900662
Ela Polek 1 , Damian McCann 2
Affiliation  

This article reports on a preliminary test of the effectiveness of Adopting Together, a time-limited psychodynamic couple-focused therapy model for adoptive couples. Fifty-one couples approached the programme and 50 were offered therapy (40 heterosexual, six lesbian and four gay male couples). The intervention took place in Cohort 1 between June and December 2015, and in Cohort 2 between October 2016 and April 2018. Data were collected at intake (T1), after 10 weeks of therapy (T2) and after completion at 20 weeks (T3). Participants’ scores at these time points were compared using paired samples t-tests, repeated measures ANOVA and chi-square tests. It was found that the programme had a positive effect in reducing depression and stress related to parenting, the quality of the relationship between partners and parent-rated child mental health issues, indicating that interventions in which the couple relationship has a significant focus can be effective for adoptive families. This is the first study that tests the effectiveness of time-limited psychodynamic couple-focused therapy for adoptive couples, and especially significant was its attractiveness to same-sex partners. The study is limited by the small sample, the absence of a control group and a 25% attrition rate for returned questionnaires. However, these limitations were mitigated by repeating the analyses in the two independent cohorts and by reporting confidence intervals for the obtained effect size coefficients.

中文翻译:

针对养父母的限时心理动力学夫妇集中疗法的可行性和有效性:来自“一起领养”项目的初步证据

本文报告了对“一起领养”的有效性的初步测试,这是一种针对领养夫妇的限时心理动力学夫妇集中治疗模型。51 对夫妇参加了该计划,其中 50 对接受了治疗(40 对异性恋、6 对女同性恋和 4 对男同性恋)。干预发生在 2015 年 6 月至 12 月的第 1 组和 2016 年 10 月至 2018 年 4 月的第 2 组。 数据在摄入时 (T1​​)、治疗 10 周后 (T2) 和第 20 周完成后 (T3) 收集. 使用配对样本 t 检验、重复测量方差分析和卡方检验比较参与者在这些时间点的分数。研究发现,该计划对减少与育儿相关的抑郁和压力有积极作用,伴侣之间关系的质量与父母评定的儿童心理健康问题,表明以夫妻关系为重点的干预措施对收养家庭是有效的。这是第一项测试针对收养夫妇的限时心理动力学夫妇集中疗法的有效性的研究,特别重要的是它对同性伴侣的吸引力。该研究受到样本量小、没有对照组以及回收问卷的流失率为 25% 的限制。然而,通过在两个独立队列中重复分析并报告获得的效应大小系数的置信区间,这些限制得到了缓解。这是第一项测试针对收养夫妇的限时心理动力学夫妇集中疗法的有效性的研究,特别重要的是它对同性伴侣的吸引力。该研究受到样本量小、没有对照组以及回收问卷的流失率为 25% 的限制。然而,通过在两个独立队列中重复分析并报告获得的效应大小系数的置信区间,这些限制得到了缓解。这是第一项测试针对收养夫妇的限时心理动力学夫妇集中疗法的有效性的研究,特别重要的是它对同性伴侣的吸引力。该研究受到样本量小、没有对照组以及回收问卷的流失率为 25% 的限制。然而,通过在两个独立队列中重复分析并报告获得的效应大小系数的置信区间,这些限制得到了缓解。
更新日期:2020-03-01
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