Intervenções Preventivas com Casais: O que Podemos Aprender com a Experiência Internacional?

Autores

DOI:

https://doi.org/10.1590/0102.3772e35nspe11

Palavras-chave:

Aconselhamento conjugal, Satisfação, Resiliência, Psicologia preventiva, Terapia familiar

Resumo

A dissolução da unidade conjugal é um desafio familiar e para os diversos sistemas sociais a esta relacionados. O objetivo deste artigo é revisar a literatura sobre programas preventivos com casais, visando a identificar os formatos de sucesso, as lacunas existentes no que é oferecido no Brasil e o que podemos aprender com a experiência internacional. Os dados são apresentados e discutidos privilegiando os estudos que se mostraram teórica e empiricamente relevantes para o desenvolvimento de um programa adaptado à realidade brasileira. Os estudos encontrados apontam para a eficácia das intervenções preventivas na promoção de habilidades relacionadas à resiliência conjugal. Entretanto, os mecanismos de mudança implicados nesse processo e sua repercussão na qualidade conjugal ainda não foram esclarecidos.

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Referências

Allen, E., Stanley, S., Rhoades, G., & Markman, H. (2015). PREP for Strong Bonds: A review of outcomes from a randomized clinical trial. Contemporary Family Therapy, 37(3), 232-246. https://doi.org/10.1007/s10591-014-9325-3

Axelsen, S. F., Brixval, C. S., Due, P., & Koushede, V. (2014). Integrating couple relationship education in antenatal education - A study of perceived relevance among expectant Danish parents. Sexual & Reproductive Healthcare: Official Journal of the Swedish Association of Midwives, 5(4), 174-175. https://doi.org/10.1016/j.srhc.2014.06.006

Blanchard, V. L., Hawkins, A. J., Baldwin, S. A., & Fawcett, E. B. (2009). Investigating the effects of marriage and relationship education on couples’ communication skills: A meta-analytic study. Journal of Family Psychology, 23(2), 203-214. https://doi.org/10.1037/a0015211

Bradley, J. M., & Hojjat, M. (2016). A model of resilience and marital satisfaction. The Journal of Social Psychology, 157(5),588-601. https://doi.org/10.1080/00224545.2016.1254592

Braithwaite, S., & Fincham, F. (2007). ePREP: Computer based prevention of relationship dysfunction, depression and anxiety. Journal of Social and Clinical Psychology, 26, 609-622. https://doi.org/10.1521/jscp.2007.26.5.609

Beck, A. T. (1995). Para além do amor. Rio de Janeiro: Record

Bodenmann, G., Pihet, S., & Kayser, K. (2006). The relationship between dyadic coping and marital quality: A 2-year longitudinal study.Journal of Family Psychology, 20(3), 485-493. http://doi.org/10.1037/0893-3200.20.3.485

Braukhaus, C., Hahlweg, K., Kroeger, C., Groth, T., & Fehm-Wolfsdorf, G. (2003). The effects of adding booster sessions to a prevention-training program for committed couples. Behavioral and Cognitive Psychotherapy, 31(3), 325-336. https://doi.org/10.1017/S1352465803003072

Carvalho, A. C., & Sardinha, A. (2017). Terapia Cognitiva Sexual: Uma proposta integrativa na psicoterapia da sexualidade (1st ed.). Rio de Janeiro: Cognitiva.

Cobb, R. J., & Sullivan, K. T. (2015). Relationship education and marital satisfaction in newlywed couples: A propensity score analysis. Journal of Family Psychology, 29(5), 667-678. https://doi.org/10.1037/a0039580

Dela Coleta, M. F. (1989). A medida da satisfação conjugal: Adaptação de uma escala. Psico, 18(2), 90-112.

Dion, M. R. (2005). Healthy marriage programs: Learning what works. The Future of Children, 15(2), 139-56. Retrieved from http://www.ncbi.nlm.nih.gov/pubmed/16158734

Doss, B. D., Cicila, L. N., Georgia, E. J., Roddy, M. K., Nowlan, K. M., Benson, L. A., & Christensen, A. (2016). A randomized controlled trial of the web-based OurRelationship program: Effects on relationship and individual functioning. Journal of Consulting and Clinical Psychology, 84(4), 285-96. https://doi.org/10.1037/ccp0000063

Doss, B. D., Rhoades, G. K., Stanley, S. M., Markman, H. J., & Johnson, C. A. (2009). Differential use of premarital education in first and second marriages. Journal of Family Psychology, 23(2), 268-273. https://doi.org/10.1037/a0014356

Duncan, S., Steed, A., & Needham, C. M. (2009). A comparison evaluation study of web-based and traditional marriage and relationship education. Journal of Couple & Relationship Therapy, 8, 162-180. https://doi.org/10.1080/15332690902813836.

Feinberg, M. E., & Kan, M. L. (2008). Establishing family foundations: Intervention effects on coparenting, parent/infant well-being, and parent-child relations.Journal of Family Psychology,22(2), 253-263. https://doi.org/10.1037/0893-3200.22.2.253

Fincham, F. D., Stanley, S. M., & Beach, S. R. H. (2007). Transformative processes in marriage: An analysis of emerging trends.Journal of Marriage and Family, 69(2), 275-292. https://doi.org/10.1111/j.1741-3737.2007.00362.x

Gambrel, L. E., & Piercy, F. P. (2015). Mindfulness-based relationship education for couples expecting their first child - Part 2: Phenomenological findings. Journal of Marital and Family Therapy, 41(1), 25-41. https://doi.org/10.1111/jmft.12065

Garneau, C. L., & Adler-Baeder, F. (2015). Changes in stepparents’ coparenting and parenting following participation in a community-based relationship education program. Family Process, 54(4), 590-599. https://doi.org/10.1111/famp.12133

Giddens, A. (1993). A transformação da intimidade: Sexualidade, amor e erotismo nas sociedades modernas. São Paulo: UNESP.

Gottman, J., Ryan, K., Swanson, C., & Swanson, K. (2005). Proximal change experiments with couples: A methodology for empirically building a science of effective interventions for changing couples' interaction. Journal of Family Communication, 5(3), 163-190, https://doi.org/10.1207/s15327698jfc0503_1

Gottman, J., & Silver, N. (2012). What makes love last. New York: Simon & Schuster.

Guerney, B. G. (1977). Relationship enhancement: Skill-training programs for therapy, problem prevention, and enrichment. San Francisco, CA: Jossey Bass.

Hahlweg, K., & Richter, D. (2010). Prevention of marital instability and distress. Results of an 11-year longitudinal follow-up study. Behaviour Research and Therapy, 48(5), 377-383. https://doi.org/10.1016/j.brat.2009.12.010

Halford, W. K., Markman, H. J., Kline, G. H., & Stanley, S. M. (2003). Best practice in couple relationship education. Journal of Marital and Family Therapy, 29(3), 385-406. http://www.ncbi.nlm.nih.gov/pubmed/12870411

Halford, W. K., Markman, H. J., & Stanley, S. (2008). Strengthening couples’ relationships with education: Social policy and public health perspectives. Journal of Family Psychology, 22(4), 497-505. https://doi.org/10.1037/a0012789

Halford, W. K., Pepping, C. A., Hilpert, P., Bodenmann, G., Wilson, K. L., Busby, D., Larson, J., & Holman, T. (2015). Immediate effect of couple relationship education on low-satisfaction couples: A randomized clinical trial plus an uncontrolled trial replication. Behavior Therapy, 46(3), 409-421. https://doi.org/10.1016/j.beth.2015.02.001

Halford, W. K., & Simons, M. (2005). Couple relationship education in Australia. Family Process, 44(2), 147-159. http://www.ncbi.nlm.nih.gov/pubmed/16013742

Halford, K. W., Rahimullah, R. H., Wilson, K. L., Occhipinti, S., Busby, D. M., & Larson, J. (2017). Four year effects of couple relationship education on low and high satisfaction couples: A randomized clinical trial. Journal of Consulting and Clinical Psychology, 85(5), 495-507. https://doi.org/10.1037/ccp0000181

Harcourt, K. T., Adler-Baeder, F., Rauer, A., Pettit, G. S., & Erath, S. (2015). Relationship education for incarcerated adults. Family Process, 56(1), 75-90. https://doi.org/10.1111/famp.12164

Hawkins, A. J., Amato, P. R. & Kinghorn, A. (2013), Are government”supported healthy marriage initiatives affecting family demographics? A state”level analysis. Family Relations, 62, 501-513. http://doi.org/10.1111/fare.12009

Hawkins, A. J., Blanchard, V. L., Baldwin, S. A., & Fawcett, E. B. (2008). Does marriage and relationship education work? A meta-analytic study. Journal of Consulting and Clinical Psychology, 76(5), 723-734. https://doi.org/10.1037/a0012584

Hawkins, A. J., Stanley, S. M., Cowan, P. A., Fincham, F. D., Beach, S. R., Cowan, C. P., Rhoades, G. K., Markman, H. J., & Daire, A. P. (2013). A more optimistic perspective on government-supported marriage and relationship education programs for lower income couples. American Psychologist, 68(2),110-111. https://doi.org/10.1037/a0031792.

Hawkins, A. J., & Erickson, S. E. (2015). Is couple and relationship education effective for lower income participants? A meta-analytic study. Journal of Family Psychology, 29(1), 59-68. https://doi.org/10.1037/fam0000045

Heatherington, L., Friedlander, M., & Greenberg, L. (2005). Change process research in couple and family therapy: Methodological challenges and opportunities. Journal of Family Psychology, 19, 18-27. https://doi.org/10.1037/0893-3200.19.1.18.

Instituto Brasileiro de Geografia e Estatística. (2011). Estatística de Registro Civil. Rio de Janeiro.

Kalinka, C. J., Fincham, F. D., & Hirsch, A. H. (2012). A randomized clinical trial of online-biblio relationship education for expectant couples. Journal of Family Psychology, 26(1), 159-64. https://doi.org/10.1037/a0026398

Kirby, J. S., & Baucom, D. H. (2007). Treating emotion dysregulation in a couples context: A pilot study of a couples skills group intervention. Journal of Marital and Family Therapy, 33(3), 375-91. https://doi.org/10.1111/j.1752-0606.2007.00037.x

Koppelman, J. (2002). Promoting marriage as welfare policy: Looking at a public role in private lives. NHPF Issue Brief, (770), 1-17. Retrieved from http://www.ncbi.nlm.nih.gov/pubmed/11878356

Kotrla, K., & Dyer, P. (2008). Using marriage education to strengthen military families: Evaluation of the active military life skills program. Social Work and Christianity, 35(3), 287-311.

Leavell, H., & Clark, E. G. (1965).Preventive medicine for the doctor in his community. New York: MacGraw Hill.

Litzinger, S., & Gordon, K. C. (2005). Exploring relationships among communication, sexual satisfaction, and marital satisfaction. Journal of Sex and Marital Therapy, 31(5), 409-424. https://doi.org/10.1080/00926230591006719

Lucier-Greer, M., Adler-Baeder, F., Harcourt, K. T., & Gregson, K. D. (2014). Relationship education for stepcouples reporting relationship instability - Evaluation of the Smart Steps: Embrace the Journey curriculum. Journal of Marital and Family Therapy, 40(4), 454-69. https://doi.org/10.1111/jmft.12069

Markman, H. J., & Rhoades, G. K. (2012). Relationship education research: Current status and future directions. Journal of Marital and Family Therapy, 38(1), 169-200. https://doi.org/10.1111/j.1752-0606.2011.00247.x

Markman, H. J., Rhoades, G. K., Stanley, S. M., & Peterson, K. M. (2013). A randomized clinical trial of the effectiveness of premarital intervention: moderators of divorce outcomes. Journal of Family Psychology, 27(1), 165-172. https://doi.org/10.1037/a0031134

Markman, H. J., Rhoades, G. K., Stanley, S. M., Ragan, E. P., & Whitton, S. W. (2010). The premarital communication roots of marital distress and divorce: The first five years of marriage. Journal of Family Psychology, 24(3), 289-98. doi: https://doi.org/10.1037/a0019481.

Miller, S., Nunnally, E. W., & Wackman, D. B. (1976). A communication training program for couples. Social Casework, 57(1), 9-18.https://doi.org/10.1177/104438947605700102

Mosmann, C., Wagner, A., & Féres-Carneiro, T. (2006). Qualidade conjugal: mapeando conceitos, Paidéia, 16(35), 315-325. https://doi.org/10.1590/S0103-863X2006000300003.

Murta, S. G., Rodrigues, A. C., Rosa, I. de O., & Paulo, S. G. de. (2012). Avaliação de um programa psicoeducativo de transição para a parentalidade. Paidéia, 22(53), 403-412. https://doi.org/10.1590/S0103-863X2012000300012

Neff, L. A., & Broady, E. F. (2011). Stress resilience in early marriage: Can practice make perfect? Journal of Personality and Social Psychology, 101(5), 1050-1067. https://doi.org/10.1037/a0023809

Neumann, A. P., Wagner, A., & Remor, E. (2018). Couple relationship education program “Living as Partners”: Evaluation of effects on marital quality and conflict.Psicologia: Reflexão e Crítica,31, 26. https://dx.doi.org/10.1186/s41155-018-0106-z

Norgren, M. de B. P., Souza, R. M. de, Kaslow, F., Hammerschmidt, H., & Sharlin, S. A. (2004). Satisfação conjugal em casamentos de longa duração: Uma construção possível. Estudos de Psicologia (Natal), 9(3), 575-584. https://doi.org/10.1590/S1413-294X2004000300020

Ooms, T. (2005). The new kid on the block: What is marriage education and does it work?. Washington: Center for Law and Social Policy (CLASP). Retrieved from https://vawnet.org/material/new-kid-block-what-marriage-education-and-does-it-work

Owen, J., Manthos, M., & Quirk, K. (2013). Dismantling study of prevention and relationship education program: The effects of a structured communication intervention. Journal of Family Psychology, 27(2), 336-341. https://doi.org/10.1037/a0031597

Petch, J. F., Halford, W. K., Creedy, D. K., & Gamble, J. (2012a). A randomized controlled trial of a couple relationship and coparenting program (Couple CARE for Parents) for high- and low-risk new parents. Journal of Consulting and Clinical Psychology, 80(4), 662-73. https://doi.org/10.1037/a0028781

Petch, J., Halford, W. K., Creedy, D. K., & Gamble, J. (2012b). Couple relationship education at the transition to parenthood: A window of opportunity to reach high-risk couples. Family Process, 51(4), 498-511. https://doi.org/10.1111/j.1545-5300.2012.01420.x

Pihet, S., Bodenmann, G., Cina, A., Widmer, K., & Shantinath, S. D. (2007). Can prevention of marital distress improve well-being? Results of a 1-year longitudinal study. Clinical Psychology and Psychotherapy, 14, 79-88.https://doi.org/10.1002/cpp.522

Quirk, K., Strokoff, J., Owen, J. J., France, T., & Bergen, C. (2014). Relationship education in community settings: Effectiveness with distressed and non-distressed low-income racial minority couples. Journal of Marital and Family Therapy, 40(4), 442-53. https://doi.org/10.1111/jmft.12080

Rauer, A. J., Adler-Baeder, F., Lucier-Greer, M., Skuban, E., Ketring, S. A., & Smith, T. (2014). Exploring processes of change in couple relationship education: Predictors of change in relationship quality. Journal of Family Psychology, 28(1), 65-76. https://doi.org/10.1037/a0035502

Rhoades, G. K. (2015). The effectiveness of the Within Our Reach Relationship Education Program for Couples: Findings from a federal randomized trial. Family Process, 54(4), 672-685. https://doi.org/10.1111/famp.12148

Owen, J. and Rhoades, G. K. (2012), Reducing interparental conflict among parents in contentious child custody disputes: An initial investigation of the Working Together Program. Journal of Marital and Family Therapy, 38, 542-555. https://doi.org/10.1111/j.1752-0606.2010.00215.x

Rhoades, G. K., & Stanley, S. M. (2011). Using individual-oriented relationship education to prevent family violence. Journal of Couple & Relationship Therapy, 10(2), 185-200. https://doi.org/10.1080/15332691.2011.562844

Rhoades, G. K., Stanley, S. M., & Markman, H. J. (2009). Working with cohabitation in relationship education and therapy. Journal of Couple & Relationship Therapy, 8(2), 95-112. https://doi.org/10.1080/15332690902813794

Ripley, J. S., & Worthington, E. L., Jr. (2002). Hope-focused and forgiveness-based group interventions to promote marital enrichment. Journal of Counseling & Development, 80(4), 452-463. http://doi.org/10.1002/j.1556-6678.2002.tb00212.x

Sardinha, A., Falcone, E. M. O., & Ferreira, M. C. (2009). As relações entre a satisfação conjugal e as habilidades sociais percebidas no cônjuge. Psicologia: Teoria e Pesquisa, 25(3), 395-402. http://doi.org/10.1590/S0102-37722009000300013.

Sbarra, D. A. (2015). Divorce and health: Current trends and future directions. Psychosomatic Medicine, 77(3), 227-236. https://doi.org/10.1097/PSY.0000000000000168

Schulz, M. S., Cowan, C. P., & Cowan, P. A. (2006). Promoting healthy beginnings: A randomized controlled trial of a preventive intervention to preserve marital quality during the transition to parenthood. Journal of Consulting and Clinical Psychology, 74(1), 20-31. https://doi.org/10.1037/0022-006X.74.1.20

Scorsolini-Comin, F. & Santos, M. A. (2009). Casar e ser feliz: Mapeando a mensuração da satisfação conjugal. Psico, 40(4), 430-437

Scott, S. B., Rhoades, G. K., Stanley, S. M., Allen, E. S., & Markman, H. J. (2013). Reasons for divorce and recollections of premarital intervention: Implications for improving relationship education. Couple & Family Psychology, 2(2), 131-145. https://doi.org/10.1037/a0032025

Spanier, G. B. (1976). Measuring dyadic adjustment: New scales for assessing the quality of marriage and similar dyads. Journal of Marriage and the Family, 38(1), 15-28.

Stanley, S. M., Allen, E. S., Markman, H. J., Rhoades, G. K., & Prentice, D. L. (2010). Decreasing divorce in army couples: Results from a randomized controlled trial using PREP for strong bonds. Journal of Couple Relationship Therapy, 9(2), 149-160. https://doi.org/10.1080/15332691003694901

Stanley, S. M., Amato, P. R., Johnson, C. A., & Markman, H. J. (2006). Premarital education, marital quality, and marital stability: Findings from a large, random household survey. Journal of Family Psychology, 20(1), 117-126. https://doi.org/10.1037/0893-3200.20.1.117

Stanley, S. M., Rhoades, G. K., Loew, B. A., Allen, E. S., Carter, S., Osborne, L. J., … Markman, H. J. (2014). A randomized controlled trial of relationship education in the U.S. Army: 2-year outcomes. Family Relations, 63(4), 484-495. https://doi.org/10.1111/fare.12083

Thuen, F., & Laerum, K. T. (2005). A public/private partnership in offering relationship education to the Norwegian population. Family Process, 44(2), 175-185. Retrieved from http://www.ncbi.nlm.nih.gov/pubmed/16013744

Vedes, A. M., Lind, W., & Lourenço, M. (2011). Fundamentos para o desenho de estratégias de prevenção para a promoção da satisfação e da resiliência conjugal. Psicologia, 25(1), 91-112.

Visvanathan, P. D., Richmond, M., Winder, C., & Koenck, C. H. (2015). Individual-oriented relationship education: An evaluation study in community-based settings. Family Process, 54(4), 686-702. https://doi.org/10.1111/famp.12116

Wadsworth, M. E., & Markman, H. J. (2013). Where’s the action? Understanding what works and why in relationship education. Behavior Therapy, 43(1), 99-112. https://doi.org/10.1016/j.beth.2011.01.006

Wagner, A., Mosmann, C., & Falcke, D. (2015). Viver a dois: Oportunidades e desafios da conjugalidade. São Leopoldo: Sinodal.

Walsh, F. (2005). Fortalecendo a resiliência familiar. São Paulo: Roca.

Wang, P. (1991). Pre-marital education bears fruits. China Population Today, 8(4), 17. Retrieved from http://www.ncbi.nlm.nih.gov/pubmed/12317272

Whitton, S. W., Weitbrecht, E. M., Kuryluk, A. D., & Hutsell, D. W. (2016). A randomized waitlist-controlled trial of culturally sensitive relationship education for male same-sex couples. Journal of Family Psychology, 30(6), 763-768. https://doi.org/10.1037/fam0000199

Williamson, H. C., Altman, N., Hsueh, J., & Bradbury, T. N. (2016). Effects of relationship education on couple communication and satisfaction: A randomized controlled trial with low-income couples. Journal of Consulting and Clinical Psychology, 84(2), 156-166. https://doi.org/10.1037/ccp0000056

Williamson, H. C., Hammett, J. F., Ross, J. M., Karney, B. R., & Bradbury, T. N. (2018). Premarital education and later relationship help-seeking. Journal of Family Psychology, 32(2), 276-281. https://doi.org/10.1037/fam0000383.

Wood, R. G., McConnell, S., Moore, Q., Clarkwest, A., & Hsueh, J. A. (2010). Strengthening unmarried parents' relationships: The early impacts of building strong families. Princeton, NJ: Mathematica Policy Research.

Yao, Z. (1990). A serial surveillance for premarital health care. China Population Research Leads, 9, 1. Retrieved from http://www.ncbi.nlm.nih.gov/pubmed/12342915

Yoo, H., Bartle-Haring, S., Day, R. D., & Gangamma, R. (2014). Couple communication, emotional and sexual intimacy, and relationship satisfaction. Journal of Sex and Marital Therapy, 40(4), 275-293. https://doi.org/10.1080/0092623X.2012.751072.

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Publicado

2020-06-17

Como Citar

Sardinha, A., & Féres-Carneiro, T. (2020). Intervenções Preventivas com Casais: O que Podemos Aprender com a Experiência Internacional?. Psicologia: Teoria E Pesquisa, 35(Especial). https://doi.org/10.1590/0102.3772e35nspe11

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Revisão da Literatura