R.A.T. de Kemp

Longitudinal Associations of Marital Quality and Marital Dissolution With the Incidence of DSM-III-R Disorders

This study examined whether getting divorced was related to the subsequent incidence of DSM-III-R disorders across a 2-year period, controlling for the perceived quality of the marriage prior to the divorce. Data were used from 4,796 adults aged 18 to 64, who had participated in 3 waves (i.e., 1996, 1997, and 1999) of a large-scale epidemiological study conducted in The Netherlands. Results showed that getting divorced was prospectively linked to both the total and new case incidence of alcohol abuse and dysthymia, as well as to the new case incidence of social phobia. Adults who had divorced, however, were not more likely to develop a mental disorder if they had reported low levels of marital quality prior to the divorce. Thus, the marital discord underlying a divorce rather than divorce itself appeared to determine the onset of clinically relevant mental health problems.

The implementation of Families First in the Netherlands: A one year follow-up

This study examined whether the American family preservation program Families First was successfully implemented in the Netherlands. Data were collected on 250 children of 177 families who received Families First. At the start of treatment 78% of the children appeared to have serious behavioral problems, 67% of the parents experienced a high level of parental stress, and 63% of the children went through a substantial number of life events during the year preceding the treatment. On average the treatments had the intended duration (about 4 weeks), intensity (about 10 hours a week) and availability (during working hours as well as in evenings and in weekends), and family workers did adhere to important guidelines of treatment delivery. One year after treatment 76% of the children were still living at home. Moreover, childrens behavioral problems, parental stress and the number of life events turned out to be significantly decreased. It was concluded that Families First had reached its intended target group, delivered the treatment as intended, and achieved its intended outcomes, suggesting a successful implementation in the Netherlands.