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The study aims to describe couples' changes in sexuality after non-metastatic breast cancer from a longitudinal perspective. Our research question was: how do couples experience the cancer-induced change in sexual frequency and what are the reasons evoked to explain this kind of change over time? Forty heterosexual couples participated in a semi-structured interview three months and two years after surgery. A reflexive thematic analysis was conducted on a specific question about sexuality from a larger interview guide. The results showed that couples follow multiple trajectories regarding sexuality after the onset of oncological treatment. Most couples experienced temporary or more lasting changes, mainly associated with altered body image and pain. Some stopped having sexual activities at the beginning of treatment but resumed sexuality two years later; others were unable to restore sexuality. However, some couples stayed sexually active all along the cancer journey, showing that cessation of any sexual activity is not inevitable. Sexuality represents a significant long-term issue for breast cancer survivors and their partners. Prompt treatment can prevent sexual difficulties from crystallizing, while preserving the individual well-being and the quality of the couple's relationship. Health professionals should be aware of the need to screen early for sexual changes, while reevaluating the couple's situation regularly during care. [ABSTRACT FROM AUTHOR]

Multiple determinants of parental burnout have been identified, among which two indexes of non-supportive coparenting play a central role: low endorsement of the partner's parenting, and high exposure of the child to interparental conflicts. It is, however, unclear whether these coparenting dimensions play a role for both mothers and fathers, and if this role may be more important for parents who have a high interdependent self-construal. We surveyed a sample of upper-middle-class heterosexual parents living in a dual-earner family arrangement (152 mothers, 101 fathers) with 0- to 12-year-old children living at home. Parents answered questionnaires about burnout, sociodemographic variables, coparenting, self-construal independence and interdependence, and child-related variables. Generalized linear model analyses showed that (i) burnout is higher in mothers than in fathers; (ii) for fathers, burnout is associated with a higher exposure of the child to interparental conflicts; (iii) for mothers, it is associated with a younger age of the youngest child, a higher exposure of the child to interparental conflicts, a lower endorsement of the partner's parenting, and a higher self-construal interdependence; and (iv) there is no moderation effect of interdependence on the link between the coparenting dimensions and burnout. Burnout is higher in mothers than it is in fathers For fathers, burnout is linked with higher exposure of the child to interparental conflicts, an index of non-supportive coparenting For mothers, burnout is linked with a younger age of the youngest child and with two indexes of non-supportive coparenting: higher exposure of the child to interparental conflicts and lower endorsement of the partner's parenting A high interdependent self-construal is related to burnout in mothers and does not moderate the links between non-supportive coparenting and burnout in either parent Specificities in the variables linked to burnout in mothers and in fathers should be taken into account when treating parental burnout [ABSTRACT FROM AUTHOR]

Purpose: The prevalence of parental burnout, a condition that has severe consequences for both parents and children, varies dramatically across countries and is highest in Western countries characterized by high individualism. Method: In this study, we examined the mediators of the relationship between individualism measured at the country level and parental burnout measured at the individual level in 36 countries (16,059 parents). Results: The results revealed three mediating mechanisms, that is, self-discrepancies between socially prescribed and actual parental selves, high agency and self-directed socialization goals, and low parental task sharing, by which individualism leads to an increased risk of burnout among parents. Conclusion: The results confirm that the three mediators under consideration are all involved, and that mediation was higher for self-discrepancies between socially prescribed and actual parental selves, then parental task sharing, and lastly self-directed socialization goals. The results provide some important indications of how to prevent parental burnout at the societal level in Western countries. [ABSTRACT FROM AUTHOR]

Objective. Both parents may report high levels of stress during the perinatal period with possible negative consequences for parental well-being and child development. Parental sense of efficacy moderates the effect of stress. To date, no studies have assessed links between parental stress and mother-father-infant interactions in terms of family alliance and the extent to which each parent's sense of efficacy moderates these links. Design. In this study, 65 dual-parent families answered a questionnaire about parental stress between 36 and 38 weeks of pregnancy and at 3 months after birth. Families were also observed while playing with their 3-month-old infant in the Lausanne Trilogue Play, and they completed a questionnaire about parental efficacy. Results. Structural equation modeling analyses showed that higher maternal or paternal postnatal stress has a direct link with higher family alliance and the links between stress and family alliance are moderated by complex interaction effects between maternal and paternal senses of efficacy. Conclusions. This study shows the necessity of considering the interaction between the senses of self-efficacy of both parents as moderators of parenting stress. [ABSTRACT FROM AUTHOR]

Introduction: Studies have shown that infants’ emotion regulation capacities are closely linked to the quality of parent-infant interactions. However, these links have been mostly studied in mother-infant dyads and less is known about how the quality of father-infant interactions contributes to the development of emotion regulation during infancy. In this study, we aimed to investigate the links between interactive synchrony (i.e., an index of the quality of parent-infant coordination of interactive behaviors) and infants’ vagal tone (i.e., a physiological index of emotion regulation). To understand the respective contributions of both parents, as well as the interrelations between the functioning of both dyads within a family, we observed mothers and fathers from 84 families interacting with their infants. Methods: Synchrony was assessed by using the CARE-Index; infants’ vagal tone was derived from the analysis of infants’ electrocardiograms recorded during the interactions. Moreover, to take the play’s order into account, we counterbalanced the procedure, so that approximately half of the mothers played first. We specified a first structural equation modeling (SEM) model to investigate the associations between interactive synchrony and the infants’ root mean square of successive differences (RMSSD), an index of vagal regulation, in the two successive parts of the play. We conducted a multigroup analysis in a second SEM model to investigate the associations of the first SEM model in two groups based on the order of interaction. Results: The results of the SEM models showed that greater synchrony was related to greater infant RMSSD within mother-infant dyads and across one dyad to the other dyad in the full sample and in the group of fathers who interacted first with the infants. The associations between synchrony and infant vagal tone within father-infant dyads never appeared to be significant, nor did any associations within each dyad and across dyads when mothers interacted first. Discussion: This study highlights that the links between interactions and infants’ vagal tone are sensitive to family members’ interdependencies and some conditions (the order of interaction). [ABSTRACT FROM AUTHOR]

Developmentalists have demonstrated that the quality of relationships established by infants with their proximal social environment is crucial for lifecourse development. However, studies of parent–infant relationships have mostly centred on the mother–child dyad. Stemming from family systems theory that considers interactions within the whole family as critical for an individual's personal development, a group of family therapists and researchers in Lausanne (Switzerland) tried to bridge the gap between systemic and developmental thinking by stressing the need to establish the mother–father–infant triad as a collective unit of study. In response, they created the Lausanne Trilogue Play (LTP), a method to systematically assess the quality of mother–father–infant interactions. The LTP is an observational situation during which parents are asked to play with their infant in four parts: (i) one parent plays with the infant, while the other parent is 'simply present'; (ii) the parents switch roles; (iii) all three play together; (iv) the parents discuss in front of the infant. The theoretical model underpinning the LTP is the family alliance model, which postulates that the quality of the coordination demonstrated by the triad to achieve this task can be assessed mainly through careful observation of non‐verbal behaviours as indicators of the achievement of four interactive functions (i.e., participation, organisation, focalisation, affect sharing); fulfilment of these functions determines the quality of relational functioning within the system. This article introduces the clinical, theoretical, and empirical foundations of using the LTP method with the family alliance model; its use in clinical and research contexts; and the most recent advances in the field of research on mother–father–infant interactions based on the LTP situation. [ABSTRACT FROM AUTHOR]

Research has shown that the quality of mother-infant interactions, as measured by mother-infant synchrony, is associated with infants' vagal tone, a physiological indicator of emotion regulation. However, little is known about the association between the infant's vagal tone and the quality of father-infant interactions. Existing literature suggests that the greater quantity of time a father spends with the infant, either alone (dyadic time) or with others (social time) may strengthen this association. In this study we investigated the association between father-infant synchrony and infants' vagal tone in 77 dyads made up of fathers and their 3-month-old infants, considering the moderating roles of dyadic time and social time. Results revealed no direct associations between father-infant synchrony and infants' vagal tone. Moderation analyses revealed that more social time increases the association between synchrony and vagal tone. This result indicates a potential influence of family interactive processes. Key findings Father-infant synchrony is not associated with infants' vagal tone in father-infant interactions. The time that fathers share with infants facilitates associations between father-infant synchrony and infants' vagal tone during father-infant interactions. Further investigations should explore whether interactive processes during shared family time influence dyadic father-infant interactions and the infant's physiological emotion regulation at 3 months. [ABSTRACT FROM AUTHOR]

Parental burnout (PB) is a pervasive phenomenon. Parenting is embedded in cultural values, and previous research has shown the role of individualism in PB. In this paper, we reanalyze previously collected data to identify profiles based on the four dimensions of PB, and explore whether these profiles vary across countries' levels of collectivistic-individualistic (COL-IND) values. Our sample comprised 16,885 individuals from 36 countries (73% women; 27% men), and we used a latent profile approach to uncover PB profiles. The findings showed five profiles: Fulfilled, Not in PB, Low risk of PB, High risk of PB and Burned out. The profiles pointed to climbing levels of PB in the total sample and in each of the three country groups (High COL/Low IND, Medium COL-IND, Low COL/High IND). Exploratory analyses revealed that distinct dimensions of PB had the most prominent roles in the climbing pattern, depending on the countries' levels of COL/IND. In particular, we found contrast to be a hallmark dimension and an indicator of severe burnout for individualistic countries. Contrary to our predictions, emotional distance and saturation did not allow a clear differentiation across collectivistic countries. Our findings support several research avenues regarding PB measurement and intervention. [ABSTRACT FROM AUTHOR]

Copyright of Infant Mental Health Journal is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Parental burnout (PB) is a chronic stress-related condition resulting from long-lasting exposure to overwhelming parenting stress. Previous studies showing the seriousness of this condition stressed the urgent need to provide researchers and practitioners with effective assessment tools. Validated PB measures are the Parental Burnout Inventory (PBI) and the Parental Burnout Assessment (PBA). The good psychometric properties of these instruments have been replicated across different samples and countries, but thresholds for identifying impairing PB levels (i.e., cutoff scores) have not yet been established. The present study aims to fill this gap by adopting a multi-informant and multimethod approach to a sample of 192 burned-out and control parents. PBI and PBA cutoffs were derived from the combination of several PB indicators, based on a preregistered analysis strategy. Results identified a score of 74.6 (95% confidence interval (CI) = [69.48–79.68]) for the PBI and 86.3 (95% CI = [79.49–93.03]) for the PBA as indicators of the most severe PB levels. [ABSTRACT FROM AUTHOR]

This study aimed to compare the effectiveness of the Integrative Brief Systemic Intervention (IBSI), combining therapeutic work on marital and coparenting relationships with brief systemic therapy (BST‐as‐usual) for parent couples. Couples were randomly assigned to the IBSI (n = 51) or BST (n = 50). Both treatments were six‐session interventions and lasted about 6 months. Questionnaires on individual, marital, coparenting and family‐related functioning were completed before and after therapy, and at 6‐month follow‐up. A significant improvement in all areas of functioning was observed after treatment and maintained at follow‐up for both IBSI and BST‐as‐usual treatments. No significant differences in outcomes were found between the treatments. Additionally, women reported more distress overall than men, and this distress was reduced more significantly after therapy. Last, BST‐as‐usual couples requested more additional sessions compared to IBSI couples. This study extends the literature on couple therapy with parents. [ABSTRACT FROM AUTHOR]

For some adolescent gamers, playing online games may become problematic, impairing functioning in personal, family, and other life domains. Parental and family factors are known to influence the odds that adolescents may develop problematic gaming (PG), negative parenting and conflictual family dynamics increasing the risk, whereas positive parenting and developmentally supportive family dynamics protecting against PG. This suggests that a treatment for adolescent PG should not only address the gaming behaviors and personal characteristics of the youth, but also the parental and family domains. An established research‐supported treatment meeting these requirements is multidimensional family therapy (MDFT), which we adapted for use as adolescent PG treatment. We report here on one adaptation, applying in‐session gaming. In‐session demonstration of the "problem behavior" is feasible and informative in PG. In the opening stage of therapy, we use in‐session gaming to establish an alliance between the therapist and the youth. By inviting them to play games, the therapist demonstrates that they are taken seriously, thus boosting treatment motivation. Later in treatment, gaming is introduced in family sessions, offering useful opportunities to intervene in family members' perspectives and interactional patterns revealed in vivo as the youth plays the game. These sessions can trigger strong emotions and reactions from the parents and youth and give rise to maladaptive transactions between the family members, thus offering ways to facilitate new discussions and experiences of each other. The insights gained from the game demonstration sessions aid the therapeutic process, more so than mere discussion about gaming. [ABSTRACT FROM AUTHOR]

Copyright of Family Process is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

In this study, we investigated the physiological regulation of vagal tone during dyadic and triadic parent‐infant interactions in infants born before or around the COVID‐19 lockdown in Switzerland. We hypothesized that there would be a decrease in vagal tone in triadic interactions compared with dyadic interactions, as triadic interactions are more complex and therefore more resource demanding. However, we expected this difference to be smaller for infants who experienced the period of confinement, as the lockdown led parents to spend more time at home. We also hypothesized that parents would have less stressful interactional events in the triadic interaction because they would be used to interacting with the child together. This study included 36 parents with their 3 month‐old infants. Eighteen families met the study authors before the onset of the pandemic (pre‐COVID) and 18 met them after its onset, having experienced a period of confinement during the infants' first 3 months of life (COVID). Results showed that the COVID group had no decrease in vagal tone during triadic interactions, whereas the pre‐COVID group did. This difference could not, however, be explained by less stressful interactional events in triadic interactions, as the COVID group showed more stressful interactional events in mother‐father‐infant interactions. [ABSTRACT FROM AUTHOR]

What is it to be "an ideal parent"? Does the answer differ across countries and social classes? To answer these questions in a way that minimizes bias and ethnocentrism, we used open-ended questions to explore ideal-parent beliefs among 8,357 mothers and 3,517 fathers from 37 countries. Leximancer Semantic Network Analysis was utilized to first determine parenting culture zones (i.e., countries with shared ideal-parent beliefs) and then extract the predominant themes and concepts in each culture zone. The results yielded specific types of ideal-parent beliefs in five parenting culture zones: being "responsible and children/family-focused" for Asian parents, being "responsible and proper demeanor-focused" for African parents, and being "loving and responsible" for Hispanic-Italian parents. Although the most important themes and concepts were the same in the final two zones—being "loving and patient," there were subtle differences: English-speaking, European Union, and Russian parents emphasized "being caring," while French-speaking parents valued "listening" or being "present." Ideal-parent beliefs also differed by education levels within culture zones, but no general pattern was discerned across culture zones. These findings suggest that the country in which parents were born cannot fully explain their differences in ideal-parent beliefs and that differences arising from social class or education level cannot be dismissed. Future research should consider how these differences affect the validity of the measurements in question and how they can be incorporated into parenting intervention research within and across cultures. [ABSTRACT FROM AUTHOR]

Copyright of Family Process is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Context: Colon cancer is the 3rd most common cancer in the world. The diagnosis leads the patient and his relatives into a process of mourning for their health and previous life. The literature highlights the impact of the disease on couples. Cancer can either alter or strengthen the relationship. The disease will directly or indirectly affect both partners. Such impact starts with the diagnosis and lasts long after treatments. No study has analyzed both emotional and sexual interactions between partners throughout the illness so far. Objective: This research aims to identify and describe whether congruence within couples tends to improve emotional and sexual adjustment. Method: Thirteen couples took part in this research by answering a set of questionnaires investigating, in particular, dyadic coping strategies, marital and sexual satisfaction. Non-parametric analyses were performed on the quantitative data. Results: Emotional satisfaction is good among the couples in our study. There are important similarities in partners' emotional adjustment. Patients who are most satisfied with their couple typically have a partner who is also satisfied. This was an expected result based on the literature. Overall, sexual satisfaction is described as average, which is either related to a low frequency of sexual intercourse, or a gap between the ideal and actual frequency of intercourse. In terms of dyadic coping, similarities within couples tend to improve emotional and sexual adjustment. Couples in which communication about stress between the patient and their partner is congruent tend to report good marital satisfaction. We found the same results for delegated coping of both the patient and the partner, and for negative coping of the partner. Sexual adjustment is linked to a similar perception within the couple of a common dyadic coping. Conclusion: Emotional and sexual adjustment is largely linked to the quality of the partner's support. The congruence of couple support strategies has been identified as an important factor in emotional satisfaction. In addition, the more couples implement joint stress management, the better their sexual satisfaction. [ABSTRACT FROM AUTHOR]

Infants developing in a cooperative family alliance (FA), characterized by cohesion and mutual support between family members observable during mother–father–child interactions, will likely experience more affect sharing and empathy early in life. Previous studies showed that these experiences might have a positive impact on the development of social cognition, as the development of FA from 3 to 18 months was shown to predict theory of mind (ToM) competences at age 4.5. This study aimed to extend these results to adolescence, as we hypothesized that higher FA in the postpartum would be linked better social cognition skills at age 15 years. We assessed FA during mother–father–child interactions at 3, 9, and 18 months postpartum (N = 49) and adolescents' social cognition skills in a computerized emotion recognition task at age 15 years. Results of growth curve models showed that the stable, but not the changing, components of FA from 3 to 18 months, predicted better emotion recognition—particularly for positive emotional expressions—at age 15 years, when controlling for ToM at age 4.5 years. Results are discussed in light of prior research on the links between early family relationships and children's development from early childhood to adolescence. Highlights: Growth curve models of the development of family alliance showed that family alliance tends to increase between three and eighteen months postpartum. Stability in FA, but not the change from early postpartum to toddlerhood, was linked to better social cognition competences at age 15, even when controlling for social cognition at age 4.5. Higher family alliance scores specifically predicted higher capacities to identify positive and, to a lesser extent, neutral and negative emotional expressions in the emotion recognition task at age 15. [ABSTRACT FROM AUTHOR]

Background: Despite successful functional neurosurgery, patients suffering from epilepsy or Parkinson's disease may experience postoperative psychological distress and social maladjustments. Difficulties in coping with postoperative changes, even positive ones, have shown to be related to patients' presurgery cognitive representations (i.e., expectations, hope). The aim of this study was to develop an instrument assessing various key features of surgery outcomes' representations, namely the Preoperative Hope and Expectations Questionnaire (PHEQ). Methods: Participants were patients (n = 50) diagnosed with Parkinson's disease (n = 25) or epilepsy (n = 25), candidates for functional neurosurgery (i.e., Deep brain stimulation, anterior temporal lobectomy). Two to three weeks before the planned surgery, they were administrated items assessing their actual state, preoperative expectations, and hope regarding surgery outcomes. They also completed measures assessing optimism, quality of life and mood. Results: Exploratory analysis resulted in a 14-item version of the PHEQ composed of two factors (abstract representations, including psychological well-being and concrete representations, such as direct surgery outcomes). The PHEQ demonstrated high internal consistency and good convergent validity. Patients were more prone to express postoperative improvements in terms of hope rather than expectations. They generally focused on concrete rather than abstract features, although patients with Parkinson's disease had higher abstract future-oriented representations. Conclusions: The PHEQ presents satisfactory psychometric properties and may be considered as a reliable instrument for research and clinical practice. [ABSTRACT FROM AUTHOR]

Role distribution is a central issue for parents in the transition to parenthood, but little is known about the motivations in fathers to assume a specific role. Differences in work-family balance in each parent may be motivated by an individual choice mutually shared by both partners; however, in many couples, the parents may feel forced to adopt a traditional role distribution, either for financial reasons, or to comply with social expectations about what men and women should do when they are parents. This feeling of being socially constrained to adopt a role distribution that is not congruent with intrinsic motivations can generate dissatisfaction and may jeopardize the development of the interparental relationship. Coparenting refers to the emotional and instrumental support parents bring to each other in their parental tasks. It has been shown to be central in family functioning and a powerful predictor of children's emotional and cognitive development. In this study, we aimed to assess the extent to which different motivations for role distribution in fathers are predictive of the quality of the coparental relationship. A convenience sample of 144 fathers from the French-speaking part of Switzerland completed online questionnaires about their motivations, coparental relationship, and sociodemographic characteristics. Results showed that the reasons for role distribution were mainly economical, practical, and in order to meet personal expectations. Multivariate general linear modeling showed that role distribution that is constrained to meet social expectations and age were predictive of a less cohesive coparental relationship, whereas a deliberate choice in role distribution was linked to a more cohesive coparental relationship. [ABSTRACT FROM AUTHOR]

Objectives: The aim of this study was to assess, across the first year after surgery, the influence of attachment insecurity, that is, avoidant and anxious tendencies, on body image, sexual activity, and side effects of treatments in women diagnosed with breast cancer. Design: A total of 110 women with non-metastatic breast cancer were surveyed 2 weeks (T1), 3 months (T2), and 12 months (T3) after surgery. Methods: Self-reported questionnaires were used to assess attachment tendencies (avoidance and anxiety), medical data (cancer stage, oncological treatment), sociodemographic data (age, socioeconomic level, relational status), and the three outcomes. Results: Generalized linear modeling showed that (1) having more avoidant and anxious attachment tendencies predicted a more negative body image, as did being younger and having undergone a mastectomy; (2) having more avoidant attachment tendencies predicted being sexually inactive, as did having undergone neoadjuvant chemotherapy or adjuvant hormonal therapy, whereas being younger and in a committed relationship predicted being sexually active; and (3) attachment tendencies did not predict the intensity of side effects, whereas a higher cancer stage and being at the beginning of treatment predicted more side effects. Conclusions: Women with avoidant and anxious attachment tendencies may be especially vulnerable to the consequences of oncological treatment, in particular regarding body image and sexual activity. [ABSTRACT FROM AUTHOR]

Objective: This article aims to provide an overview of the efficacy of co‐parenting programs on outcomes related to child's adjustment, parents' well‐being, and quality of the co‐parenting, romantic, and parent–child relationships. Background: Numerous co‐parenting programs have been developed, supported by empirical findings associating quality of co‐parenting to the overall family well‐being. However, to our knowledge, the efficacy of those programs has not yet been assessed. Method: This article included 38 articles corresponding to 27 randomized controlled trials (RCTs) presenting 23 programs. We conducted a meta‐analysis to estimate the efficacy of co‐parenting programs and a review of programs to identify the ingredients of co‐parenting programs that may contribute to this efficacy. Results: Results support a small but significant effect of co‐parenting programs on outcomes related to parents' well‐being and the quality of co‐parenting and romantic relationships. Conclusion: Finally, despite the heterogeneity of the programs, some commonalities are identified, such as the use of psychoeducation and skills training. Implications: Our work supports the added value of co‐parenting programs for both vulnerable families and families with no apparent major difficulties. Future directions in terms of study and program designs are proposed to promote high‐quality research in this field. [ABSTRACT FROM AUTHOR]

Background and aims: Social variables including parental and family factors may serve as risk factors for Internet Gaming Disorder (IGD) in adolescents. An IGD treatment programme should address these factors. We assessed two family therapies - multidimensional family therapy (MDFT) and family therapy as usual (FTAU) - on their impact on the prevalence of IGD and IGD symptoms. Methods: Eligible for this randomised controlled trial comparing MDFT (N 5 12) with FTAU (N 5 30) were adolescents of 12-19 years old meeting at least 5 of the 9 DSM-5 IGD criteria and with at least one parent willing to participate in the study. The youths were recruited from the Centre Phenix-Mail, which offers outpatient adolescent addiction care in Geneva. Assessments occurred at baseline and 6 and 12 months. Results: Both family therapies decreased the prevalence of IGD across the one-year period. Both therapies also lowered the number of IGD criteria met, with MDFT outperforming FTAU. There was no effect on the amount of time spent on gaming. At baseline, parents judged their child's gaming problems to be important whereas the adolescents thought these problems were minimal. This discrepancy in judgment diminished across the study period as parents became milder in rating problem severity. MDFT better retained families in treatment than FTAU. Discussion and Conclusions: Family therapy, especially MDFT, was effective in treating adolescent IGD. Improvements in family relationships may contribute to the treatment success. Our findings are promising but need to be replicated in larger study. Trial registration number: ISRCTN 11142726. [ABSTRACT FROM AUTHOR]

The present study was aimed at assessing the links between shared parental care and maternal and paternal sensitivity and coparenting over the first 2 years of the child's life. The sample consisted of 69 families who took part in the study when their child was 3, 9, and 18 months old. Sensitivity and coparenting interactions were assessed in our laboratory with situations of observation: a free play and the Lausanne Trilogue Play. The main results are that (a) maternal and paternal sensitivity increases with time but sensitivity is not linked with either maternal or paternal care; (b) coparenting support is higher when the father or the mother is engaged in care at one or two of the time points than when they are engaged at the three time points; and (c) there are interaction effects according to which support is higher in couples where both parents are engaged at the three time points. These results suggest that the interplay of maternal and paternal care has to be taken into account to understand the development of coparenting in the early family. [ABSTRACT FROM AUTHOR]

This study explored the change that unfolded when parents resolved their coparenting dissatisfaction during an Integrative Brief Systemic Intervention (IBSI) for parent couples. We conducted a task analysis (Greenberg, 2007) to build a model of resolving coparenting dissatisfaction. We compared a postulated model of change (rational model) based on theoretical and clinical assumptions to the observations of the actual change process that couples experienced in an IBSI (empirical analysis). The empirical analysis was conducted on six IBSI therapy cases (three exhibiting positive development and three exhibiting no development). We defined positive development in IBSI as moving from coparenting dissatisfaction to coparenting satisfaction. The final rational–empirical model included six steps that facilitated the resolution of coparenting dissatisfaction. This study contributes to deepening the knowledge of how coparenting may change during marital therapy. [ABSTRACT FROM AUTHOR]

The coparental relationship is central for the development of the child and the well-being of parents. In Western societies, gender-role stereotypes are strongly associated with domestic and family work. To date, few data are available to assess the links between identification with gender roles and coparenting interactions. In this study, primiparous parents (N = 50) were seen in the laboratory at the fifth month of pregnancy. Parents were asked to play with their baby at the first meeting by using a doll in accordance with the procedure of the prenatal Lausanne Trilogue Play. Parents' identification with gender roles, marital satisfaction, and the history of the couple were assessed through self-reported questionnaires. Results showed that (a) feminine traits are most represented in mothers and feminine and androgynous traits are most represented in fathers and (b) being feminine in fathers is linked with better prenatal coparental interactions. [ABSTRACT FROM AUTHOR]

Background: Family caregivers of people with Alzheimer's disease are the most important support in concrete personal and economic terms. Family dynamics play a fundamental role in the provision of informal caregiving benefits.Objective: This review aims to identify factors related to the family caregiving of relatives with Alzheimer's disease, taking specifically into account the construct of coping and expressed emotion.Methods: This is a systematic review including articles selected using search terms including "caregivers," "Alzheimer's," "family," and "relationship" in research databases. Findings were synthesized and categorized into themes.Results: A total of 454 abstracts were identified. Following screening, lateral searches, and quality appraisal, 36 studies were included for synthesis. A total of 5 themes were identified: burden; demographics; coping strategies; caregiver mental health; and family dynamics and expressed emotions.Conclusion: The quality and level of evidence supporting each theme varied. We need further research into family dynamics ameliorating the caregiving and how to measure it. [ABSTRACT FROM AUTHOR]

Objective: Despite the impact that diagnosis and treatment can have on patients' sexual health, very little research has been conducted on the impact of colon cancer on sexual health. The aim of this systematic review was to assess the prevalence of sexual dysfunctions in colon cancer and describe the sociodemographic, clinical, and psychological correlates of sexual dysfunction.Methods: Four electronic databases (PsycINFO, PubMed, AcademicSearchPremier, Cochrane Library) were searched for studies reporting sexual adjustment outcomes for colorectal cancer patients from January 1990 to July 2019.Results: Of the 380 articles screened, 14 were included in this review. Sexual function is affected by colon cancer: patients' sexual satisfaction decreases significantly, as does the frequency of sexual intercourse. There is an increase in sexual problems (desire, excitement, or pleasure disorders). Male gender, advanced age, distress, and the comorbidities increase sexual disorders. In addition, it appears that partner distress negatively affects patients' sexual health. Taking such difficulties into account appears key for these patients and their partners. They could benefit from better care throughout treatment and in remission.Conclusion: The results of this systematic review highlight the importance of taking an interest in the sexual health of patients with colon cancer. [ABSTRACT FROM AUTHOR]

The aim of this study was to assess the links between partners' and women's expressed emotion with the distress of one another during the first year after surgery for breast cancer in women. The design was longitudinal. A sample of 61 couples participated in the study at 2 weeks, 3 months, and 12 months after the surgery. Expressed emotion was assessed with the Five-Minute Speech Sample. Psychological distress was assessed with a self-reported questionnaire. Mixed-model analyses showed that partners' expressed emotion is associated with heightened psychological distress in women during the first year after surgery, even after medical data were controlled for. [ABSTRACT FROM AUTHOR]

To remedy problematic Internet use (PIU) and problematic online gaming (POG) in adolescents, much is expected from efforts by parents to help youths to contain their screen use. Such parental mediation can include (a) refraining from acting, (b) co-viewing or co-gaming with the teen, (c) active mediation, and (d) restrictive mediation. We evaluated if parental mediation practices are linked to PIU and POG in adolescents. For a systematic literature review, we searched for publications presenting survey data and relating parental mediation practices to levels of PIU and/or POG in adolescents. The review's selection criteria were met by 18 PIU and 9 POG publications, reporting on 81.002 and 12.915 adolescents, respectively. We extracted data on gaming problems, mediation interventions, study design features, and sample characteristics. No type of parental mediation was consistently associated with lower or elevated problematic screen use rates in the adolescents. Refraining from parental mediation tended to aggravate screen use problems, whereas active mediation (talking to the teen) may mitigate such problems in PIU, but less clearly in POG. The link of restrictive mediation with problematic screen use varied from positive to negative, possibly depending on type of restriction. In both PIU and POG, family cohesion was related to lower rates of the problem behavior concerned and family conflict to higher rates. Parental mediation practices may affect problematic screen use rates for better or worse. However, research of higher quality, including observations of parent-teen interactions, is needed to confirm the trends noted and advance the critical issue of the possible association between PIU, POG, and family interactions. [ABSTRACT FROM AUTHOR]

Objectives: Breast cancer (BC) can be understood as a we-disease, which affects a couple as a unit and requires coping as a unit (eg, common dyadic coping, CDC). However, partners can be incongruent in their perceptions of CDC, for example, because of misunderstandings and lack of mutuality or conflict, which may likely be associated with greater distress. Thus, this paper examines the effect of CDC congruence on individual psychological distress in cancer patients and their partners.Methods: Seventy mixed-sex couples in which the woman had nonmetastatic BC completed self-report questionnaires at 2 weeks, 3 months, and 1 year after cancer surgery. CDC congruence measured the difference between patients' and partners' CDC perceptions while controlling for CDC itself.Results: Multilevel modeling showed negative associations between couples' CDC and psychological distress. Beyond this effect, female patients' psychological distress was associated with CDC congruence with an interaction showing that psychological distress was greater when couples were congruent with low rather than a high CDC.Conclusion: Less congruence was associated with greater psychological distress in BC patients but not their male partners - especially if the couple reported low CDC. Health professionals should identify and address diverging perceptions, so that additional distress can be minimized for BC patients. [ABSTRACT FROM AUTHOR]

Patients with Parkinson's disease (PD) may benefit from deep brain stimulation (DBS) to improve motor and medication-induced symptoms. Yet mixed evidence regarding the outcome of successful DBS on couple satisfaction has been highlighted in the literature. Thirty patients diagnosed with PD were included in a study investigating couple satisfaction (MSS-14), depression (HAD-D) and anxiety (HAD-A) at four measurement times: before DBS and 6, 12, and 18 months post-surgically. Sixteen spouses/partners were included as well. Couple satisfaction from the patient perspective was never associated with depression or anxiety. However, poor marital adjustment (i.e., difference and absolute difference between patients and spouses/partners MSS-14 scores) predicted patients' pre-operative depressive mood. Longitudinal analyses showed that couple satisfaction (n = 9) worsened at 12 months and 18 months compared to pre-DBS scores, F(2.047, 16.378) = 8.723, p =.003, and despite concomitant motor improvement. Growth curve analyses showed that couple satisfaction worsening occurred between 6 and 12 months post-operatively (b = 2.938, p <.001). Thus, couple satisfaction did not increase along with motor improvement and deteriorated after the adjustment period following DBS. [ABSTRACT FROM AUTHOR]

In this study, we investigated sexual outcomes in individuals presenting fearful-avoidant attachment, that is, those who have both high avoidant and anxious attachment tendencies (reluctant to engage in a close relationship and a dire need to be loved by others). A community sample of men and women (N = 600; 25-45 years) completed self-reported questionnaires related to attachment, sexuality, and control variables. Results showed that fearful avoidance is predictive of (a) more sexual partners in individuals during their lifetime and (b) greater sexual compliance. These effects were true for women as well as for men. [ABSTRACT FROM AUTHOR]

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The aim of this study was to assess the influence of maternal and paternal representations of mother-child and father-child relationships on coparenting interactions during the first two years of the child's life. The sample constituted 69 families whose mothers' and fathers' representations were assessed when their child was 3, 9, and 18 months old with a self-reported questionnaire. Coparenting support and conflict were assessed in our laboratory with the Lausanne Trilogue Play, a standardized situation of observation. Questionnaires were used to control for variables known to influence coparenting: marital satisfaction and child temperament. Results show that (i) parental representations are stable through time; (ii) both parents tend to see themselves and the other parent as less tolerant as the child gets older; (iii) representations explain coparenting support over and above other variables of influence; and (iv) there is an interaction effect between representations and the child's gender. [ABSTRACT FROM AUTHOR]

Copyright of Family Process is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

The Lausanne Trilogue Play (LTP) is a widely used laboratory situation designed for the systematic observation of mother-father-infant interactions for clinical and research purposes. Nevertheless, its ecological validity has never been tested. In this exploratory study, 49 primiparous parents with their 3-month-old infants were assessed by questionnaires to determine the extent to which their behaviour in the LTP was typical, that is, representative of everyday interactions. Results show that (a) most of the parents assessed their behaviour as typical and (b) the quality of triadic interactions was linked with parents' assessment of the typicality of the infant's behaviour. [ABSTRACT FROM AUTHOR]

This article provides a brief history of key developments in the growth of the Lausanne Trilogue Play (LTP) paradigm that paved a foundation for new scholarship featured in the papers that follow. We outline core, foundational elements of the LTP work, highlighting the close interplay between clinical and research applications, the systems orientation in both regards, the dual attention to both top down (metamodel) and bottom up (microanalysis, in particular) frames, and the relevance of transitions from dyad to triad. Next, later developments in methodological refinement and expansion within the LTP’s country-of-origin are described, with closing commentary provided on the path-breaking contributions of several investigations that employed the LTP in five different countries, each illuminating previously under-studied family phenomena. The historical considerations spotlighted in this article, and the lessons learned from new empirical investigations the early work has inspired, are important to consider in tandem as the field begins expanding beyond the LTP’s original foundations and makes increasing use of the paradigm as a research instrument beyond clinical settings. [ABSTRACT FROM AUTHOR]

The quality of family relations, observed during mother-father-infant triadic interactions, has been shown to be an important contributor to child social and affective development, beyond the quality of dyadic mother-child, father-child, and marital relationships. Triadic interactions have been well described in families with 3 month olds and older children using the Lausanne Trilogue Play (LTP). Little is known about the development of mother-father-baby interactions in the very 1st weeks postpartum, mostly because no specific observational setting or particular instrument had been designed to cover this age yet. To fill this gap, we adapted the LTP to create a new observational setting, namely the Diaper Change Play (DCP). Interactions are assessed using the Family Alliance Assessment Scales for DCP (FAAS-DCP). We present the validation of the DCP and its coding system, the FAAS-DCP. The three validation studies presented here (44 mother-father-child-triads) involve a sample of parents with 3-week-old infants recruited in two maternity wards (n = 32 and n = 12) in Switzerland. Infants from both sites were all healthy according to their APGAR scores, weight at birth, and scores on the NICU Network Neurobehavioral Scale (NNNS), which was additionally conducted on the twelve infants recruited in one of the maternity ward. Results showed that the "FAAS - DCP" coding system has good psychometric properties, with a good internal consistency and a satisfying reliability among the three independent raters. Finally, the "FAAS-DCP" scores on the interactive dimensions are comparable to the similar dimensions in the FAAS-LTP. The results showed that there is no statistically significant difference on scores between the "FAAS-DCP" and the "FAAS," which is consistent with previous studies underlying stability in triadic interaction patterns from pregnancy to 18 months. These first results indicated that the DCP is a promising observational setting, able to assess the development of the early family triadic functioning. The DCP and the FAAS-DCP offer to both clinicians and researchers a way to improve the understanding of the establishment of early family functioning as well as to study the young infant's triangular capacity. Perspectives for future research will be discussed. [ABSTRACT FROM AUTHOR]

We examined the evolution of the subjective burden of romantic partners caring for women with non-metastatic breast cancer and investigated the moderating role of couple satisfaction on caring stress. Forty-seven partners filled out questionnaires 3 and 12 months after surgery. Using a stress process model, we examined caring stressors and moderating factors (couple satisfaction, coping and social support) as predictors of subjective burden. Results showed that subjective burden decreases over time and that the couple satisfaction largely explains it above and beyond other influential variables. Partners dissatisfied with their couple relationship are especially vulnerable to the stress of caregiving. [ABSTRACT FROM AUTHOR]

The aim of this study was to test a specific model according to which representations of sexuality (sexual motivation, sexual satisfaction, sexual anxiety, and fear of sex) act as mediators between attachment tendencies and sexual activities (frequency of dyadic and solitary sexual activity and frequency of sexual desire). A community sample of men and women (N = 490; 25–45 years) engaged in an ongoing couple relationship completed questionnaires related to the study variables. After age, duration of relationship, and marital satisfaction were controlled for, the main results showed that (a) in women, higher attachment anxiety was predictive of a higher frequency of dyadic sex and desire for sex; avoidance was predictive of a lower sexual desire; (b) in men, attachment avoidance was predictive of a lower frequency of dyadic sex and desire for sex and of a higher frequency of solitary activity; and (c) most of these effects were indirect and mediated through representations; the paths linking avoidance to sexual activities went mainly through lower positive representations in both women and men (sexual motivation and satisfaction), whereas the paths for anxiety went through a higher negative representation in men (sexual anxiety) and through a higher positive representation in women (sexual motivation). These results were consistent with the deactivation and hyperactivation strategies described for avoidant and anxious tendencies, respectively. However, several suppressor effects were observed, highlighting complex mediational paths. Finally, structural invariance showed that the links between attachment and sexual activities were mediated by representations for both women and men. [ABSTRACT FROM AUTHOR]

Objective: To examine the protective role of relationship satisfaction on body image in women with breast cancer throughout the first year post-surgery.Methods: Seventy-four Swiss patients engaged in a relationship filled out a questionnaire assessing body image disturbance 2 weeks, 3 months, and 1 year after surgery. A univariate latent change score model was used to analyze the evolution of body image disturbance and the contribution of relationship satisfaction to body image disturbance.Results: Women who were satisfied with their relationship reported less body image disturbance than did dissatisfied women at 2 weeks post-surgery. Being married was also associated with less body image disturbance at that time. The protective effect of these relational variables was still observable 1 year later. Changes in body image disturbance over time were explained by the negative impacts of mastectomy and chemotherapy.Conclusions: How women perceive the impact of breast cancer treatment on their body may be partly determined by the quality of the relational context in which they live. [ABSTRACT FROM AUTHOR]

Copyright of Family Process is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)