Life course impacts of parenting a child with a disability.

We contrasted parents who had a child with a developmental disability, a serious mental health problem, and a normative comparison group with respect to parental attainment and well-being at mid-life. Data are from the Wisconsin Longitudinal Study, collected when the respondents were 18, 36, and 53 or 54, on average. Although similar at age 18, group patterns of attainment and well-being diverged thereafter. Parents of a child with a developmental disability had lower rates of employment, larger families, and lower rates of social participation but were similar to parents without a child with a disability in educational and marital status, physical health, and psychological well-being. Parents whose child had a serious mental health problem had normative patterns of educational and occupational attainment and marriage, but elevated levels of physical symptoms, depression, and alcohol symptoms at mid-life.

The effects of negative racial stereotypes and afrocentricity on black couple relationships.

This questionnaire study investigated the relationship between internalized negative stereotypes, Afrocentricity, and dyadic trust and adjustment for 73 Black couples. Internalized negative stereotypes alone generally did not predict relationship problems, however, the combination of internalized negative stereotypes and high Afrocentricity for the men was associated with decreased perceptions of partner dependability, an aspect of relationship trust, and decreased dyadic adjustment for both partners. Contrary to predictions, Afrocentricity was associated with less perceived partner dependability and satisfaction for the couples. Controlling for socioeconomic status failed to alter these associations. Findings imply that racial perspectives are important predictors of Black couple outcomes and that complex and conflicting racial attitudes held by Afrocentric Black men may cause deterioration in Black couple relationships.

Marriage and the parenting alliance: longitudinal prediction of change in parenting perceptions and behaviors.

The study evaluates how marriage and the parenting alliance affect parenting experiences over time. Couples (N = 79) with school-age children who have mental retardation completed self-report and observational measures of marriage, the parenting alliance, and parenting attitudes and behaviors at 2 periods, 18-24 months apart. Longitudinal structural equation modeling demonstrated significant effects of marital quality on changes over time in self-reports of perceived parenting competence for both the mothers and the fathers, and in observed negative mother-child interactions. Also, in all cases, the parenting alliance mediated the effects of marriage on parenting experiences. There was little evidence of reciprocal causation in which parenting variables predicted change in the quality of marriage and the parenting alliance. Interactions involving child age suggested that teenagers as opposed to younger children were more reactive to negative features of their parents' marital functioning and parenting alliance. Implications are discussed regarding stable but negative marital functioning and regarding possible differences in mothers' and fathers' parenting in the context of marital distress.

Disaggregating parental depression and family stress in assessing families of children with developmental disabilities: a multisample analysis.

The psychometric properties of a 5-item subcomponent (DEP5) of Factor 1, Parent and Family Problems, of the Friedrich Questionnaire on Resources and Stress were examined to determine whether these items formed a depression subcomponent of the larger family stress factor. Data were pooled from two samples numbering more than 450 respondents. Internal analyses established that the DEP5 had adequate internal reliability and stability over 2 years. Furthermore, confirmatory factor analyses indicated that the DEP5 measured depressive reactions as distinct from other parent and family problems. These results should be useful to researchers who want to reanalyze the Questionnaire on Resources and Stress data specifically for depressive reactions. Also, the technique for disaggregating global instruments can be applied to other variables.

Developmental change and consistency in parental interactions with school-age children who have mental retardation.

Developmental changes and within-family consistency in parent-child interactions were examined for mothers and fathers of school-age children (6 to 18 years) with mental retardation. At Time 1 and 18 to 24 months later, 98 families (29 single, 69 two-parent) with a child who had mild or moderate mental retardation completed semi-structured interaction sessions in their homes. As expected, both positive and negative exchanges decreased longitudinally, and cross-sectional comparisons revealed fewer parent commands, less child noncompliance, fewer child negatives, and less parent positive reciprocity with older children. Most behaviors were highly consistent between family members and stable over time. Findings were discussed in relation to parental responsiveness to developmental changes for the child and the coherence of family relationships over time.

Cost-benefit and cost-effectiveness analyses of behavioral marital therapy as an addition to outpatient alcoholism treatment.

Thirty-six newly abstinent married male alcoholics, who had recently begun outpatient individual alcoholism counseling, were randomly assigned to a no-marital-therapy control group or to 10 weekly sessions of a behavioral marital therapy (BMT) or an interactional couples group. The cost-benefit analysis of BMT plus individual alcoholism counseling showed (a) decreases in health care and legal costs in the 2 years after as compared to the year before treatment, (b) a positive cost offset, and (c) a benefit-to-cost ratio greater than 1 indicating that health and legal system cost savings (i.e., benefits) exceeded the cost of delivering the BMT treatment. None of the positive cost-benefit results observed for BMT were true for participants given interactional couples therapy plus individual alcoholism counseling for which posttreatment utilization costs increased. Thus, adding BMT to individual alcoholism counseling produced a positive cost benefit, whereas the addition of interactional couples therapy did not. Individual counseling both alone and with BMT added showed substantial and significant cost savings from reduced utilization that substantially and significantly exceeded the cost of delivering the treatment; and the two treatments did not differ significantly on these cost savings and cost offsets. Individual counseling alone did have a significantly more positive benefit-to-cost ratio than BMT plus individual counseling due to the lower cost of delivering the individual counseling which was about half the cost of delivering BMT plus individual counseling. Cost-effectiveness analyses indicated that BMT plus individual counseling was less cost effective than individual counseling alone and modestly more cost effective than interactional therapy in producing abstinence from drinking. When marital adjustment outcomes were considered, the three treatments were equally cost effective except during the active treatment phase when BMT was more cost effective than interactional couples therapy. Study limitations are discussed.

Parental interactions with children with and without mental retardation: behavior management, coerciveness, and positive exchange.

The in-home interactions of mothers and fathers with their school-age children were compared in families of children with mild or moderate mental retardation (n = 53) and families of children without mental retardation (n = 51). Consistent with expectations, the parents of children with mental retardation were relatively more controlling and less playful with their child. However, they also employed effective behavior management practices without resorting to coercive control strategies. Further, 24 to 51% of the variance in interaction processes were predicted by a set of risk factors common to both groups, with the status of the child as having or not having mental retardation accounting for relatively little unique variance.

Preventing marital distress through communication and conflict management training: a 4- and 5-year follow-up.

This article reports the 4- and 5-year follow-up results of evaluating the effects of a marital distress prevention program. The program, Prevention and Relationship Enhancement Program (PREP), is a 5-session program designed to teach couples effective communication and conflict management skills. At the 5-year follow-up, intervention, as compared with control, couples had higher levels of positive and lower levels of negative communication skills and lower levels of marital violence. Data are also presented on couples who declined the program. Issues are discussed concerning selection effects, change mechanisms, and future directions for prevention research.

Assessing retirement satisfaction and perceptions of retirement experiences.

A 2-part investigation developed a measure of retirement as a life transition. Study 1 generated items from interviews with retirees (n = 40) and service providers. Item analysis with recent retirees (n = 86) produced a 51-item Retirement Satisfaction Inventory assessing 6 areas: preretirement work functioning, adjustment and change, reasons for retirement, satisfaction with life in retirement, current sources of enjoyment, and leisure and physical activities. Study 2 examined a heterogeneous sample of men (n = 159) and women (n = 243) retires. Factor analyses produced internally consistent subscales. Moderate, but acceptable, test-retest reliability was demonstrated. Satisfaction scores correlated with concurrent measures and, together with pre- and postretirement experiences, discriminated 4 groups of voluntary and involuntary retirees. Few effects related to gender, socioeconomic status, length of retirement, and part-time employment were found.

Social class and parenting children with mild and moderate mental retardation.

Based on Kohn's (1977) and Gecas' (1979) theories of social class and parenting values, the role of socioeconomic status (SES) as a determinant of parenting attitudes and behaviors and as a moderator of problems associated with raising children with handicaps was evaluated among 171 families raising a child with mild or moderate mental retardation. Self-report measures assessed mothers' and fathers' attitudes regarding control, independence, and closeness within the family, and parental and family problems. Supportive, aversive, and controlling parent-child interactions were observed in the home. As expected, higher SES was associated with parental attitudes and behaviors related to fostering independent initiative in the family, and lower SES parents exhibited relatively more controlling and negative behaviors. However, regardless of SES, controlling parental behaviors also were responsive to the level of functioning of the child with mental retardation. Consistent with an hypothesis about violations of SES-related values, negative and controlling interactions with the child were more highly correlated with the parents' reports of parental and family problems for upper SES as opposed to lower SES parents. Several models of SES and family adaptation are discussed.

Marriage and the parenting partnership: perceptions and interactions of parents with mentally retarded and typically developing children.

The quality of the parents' marital bond and their ability to work together in the parenting role were examined for the parents of school-aged children (ages 6-18) with mild and moderate mental retardation (n = 38) and a comparable group of parents of typically developing children (n = 34). Significantly more negative functioning for the parents of mentally retarded children was observed during marital interactions, and parent-child interactions but was not reflected in their self-reports of marriage and parenting, suggesting that expectations about marital and parenting strains may modulate negative sentiments for these parents. Across both groups, marital quality and the parenting partnership, together with child behavior problems, accounted for 23% to 53% of the variance in parenting confidence and in aversive parent-child exchanges. Negative marital interaction was a particularly important predictor of aversive parent-child exchanges.

School adjustment of children of alcoholic fathers: comparison to normal controls.

The present study used objective indices of academic performance to test the hypothesis that children of alcoholic fathers (COA's) have poorer school adjustment than children of nonalcoholic parents (non-COA's). Subjects were 39 children of male alcoholics treated for alcoholism in a VA program and 33 control children whose nonalcoholic parents (matched on demographic indices) reported low marital conflict. The results showed that daughters of alcoholics, but not the sons, showed more variability than controls in their school attendance. There was suggestive evidence that they also missed more school days than controls, with a reversed pattern for the sons of alcoholics. Generally, however, the COA group was not compromised academically and did not show more conduct problems compared to controls. Within the COA group, long-term paternal drinking adjustment (years of problem drinking and total number of hospitalizations for drinking) appeared to be related to poorer GPA, while short-term adjustment (alcohol-related days in jail and number of days drinking in year previous to treatment) were more related to poorer attendance. The results are discussed in terms of the mechanism of the effect of paternal drinking on children's school adjustment and the difficulty in making generalizations about the consequences of being the child of an alcoholic.

Clinical family assessment: applying structured measurement procedures in treatment settings*.

This article describes the use of a battery of structured family measurement procedures to conduct systematic, comprehensive assessments of families who enter treatment. The measures are derived from family research and include self-report questionnaires and structured observation of family interactions. The assessment is multimodal, and examines the entire family unit, the marital subsystem, the individual family members, and the larger social context affecting a family. Two case examples are presented which demonstrate how the structured assessment data are combined with clinical theory and other information about a family to generate initial hypotheses about the functioning of the family system and likely avenues for therapeutic intervention.

Marital interactions and the duration of alcoholic husbands' sobriety.

Recent studies of the family interactions of alcoholics have suggested that the alcoholic's general drinking adjustment may influence marital interactions. The present investigation examined the marital interactions of 30 male alcoholics who had maintained continuous sobriety for various lengths of time ranging from a few days to over 7 years. It was predicted that longer periods of sobriety would be associated with less conflict and fewer struggles for control between husbands and wives. The findings supported the hypothesis, in that the duration of the husbands' sobriety was significantly negatively correlated with the number of statements of disagreement emitted by husbands and wives. Also, there were trends for duration of sobriety to be negatively associated with the frequencies of question-asking and aggressive behaviors by husbands, and positively associated with the amount of talk time by husbands. Contrasts of 11 high sobriety couples (duration of sobriety: 2 years or longer) and 11 low sobriety couples (duration of sobriety: less than 4 months) revealed that high sobriety husbands asked fewer questions, stated fewer disagreements, and emitted fewer aggressive behaviors than husbands in the low sobriety group. In addition, high sobriety husbands displayed a trend toward more active talk time, and their wives showed a trend toward asking fewer questions than their low sobriety counterparts. The results suggest that marital functioning is superior in couples with longer periods of sobriety. The need for examining possible causal links in this relationship is emphasized.