Heterogeneity in the Effects of Interventions to Prevent Depression in Couples Facing Job Loss: Studying Baseline Target Moderation of Impact
Couples’ communication styles are associated with depression following job loss for both job seekers and their partners. The Couples Employment Program (CEP), an eight-session program for couples facing job loss, was developed to integrate job search strategies sessions from the JOBS program with co...
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Veröffentlicht in: | Prevention science 2023-02, Vol.24 (2), p.271-285 |
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description | Couples’ communication styles are associated with depression following job loss for both job seekers and their partners. The Couples Employment Program (CEP), an eight-session program for couples facing job loss, was developed to integrate job search strategies sessions from the JOBS program with couple communication sessions, targeting job search behavior, motivation, mastery, and couple communication. We hypothesized that CEP would have compensatory effects, such that those who began the program with lower job search behavior, lower motivation, less mastery, and more negative or less positive couple communication would make more gains on these targets, and this would mediate impact on reducing risk for depression. We conducted a randomized field trial of CEP with 1477 heterosexual couples facing recent unemployment. Baseline levels of job search behavior and motivation, but not mastery or depression, moderated the impact of intervention on job seeker depression slopes over 12 months; job seekers reporting less job search behavior and motivation at baseline benefited more. Male partners with higher baseline depression also benefited. Opposite to our hypothesis, baseline levels of couple’s communication moderated the impact of intervention such that partners in couples with more negative and less positive communication showed iatrogenic effects. There was no evidence that baseline target levels moderated the impact of the intervention on any of these targets. We speculate that more intensive communication training may be necessary for positive impact. |
doi_str_mv | 10.1007/s11121-022-01410-3 |
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The Couples Employment Program (CEP), an eight-session program for couples facing job loss, was developed to integrate job search strategies sessions from the JOBS program with couple communication sessions, targeting job search behavior, motivation, mastery, and couple communication. We hypothesized that CEP would have compensatory effects, such that those who began the program with lower job search behavior, lower motivation, less mastery, and more negative or less positive couple communication would make more gains on these targets, and this would mediate impact on reducing risk for depression. We conducted a randomized field trial of CEP with 1477 heterosexual couples facing recent unemployment. Baseline levels of job search behavior and motivation, but not mastery or depression, moderated the impact of intervention on job seeker depression slopes over 12 months; job seekers reporting less job search behavior and motivation at baseline benefited more. Male partners with higher baseline depression also benefited. Opposite to our hypothesis, baseline levels of couple’s communication moderated the impact of intervention such that partners in couples with more negative and less positive communication showed iatrogenic effects. There was no evidence that baseline target levels moderated the impact of the intervention on any of these targets. We speculate that more intensive communication training may be necessary for positive impact.</description><identifier>ISSN: 1389-4986</identifier><identifier>EISSN: 1573-6695</identifier><identifier>DOI: 10.1007/s11121-022-01410-3</identifier><identifier>PMID: 35904646</identifier><language>eng</language><publisher>New York: Springer US</publisher><subject>Behavior ; Child and School Psychology ; Communication ; Couples ; Depression - prevention & control ; Employment ; Family Characteristics ; Health Psychology ; Heterogeneity ; Heterosexuality ; Humans ; Iatrogenic effects ; Intensive treatment ; Interpersonal communication ; Intervention ; Job creation ; Job hunting ; Male ; Medicine ; Medicine & Public Health ; Mental depression ; Moderation ; Motivation ; Public Health ; Search strategies ; Unemployment ; Vocational education</subject><ispartof>Prevention science, 2023-02, Vol.24 (2), p.271-285</ispartof><rights>Society for Prevention Research 2022</rights><rights>2022. 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The Couples Employment Program (CEP), an eight-session program for couples facing job loss, was developed to integrate job search strategies sessions from the JOBS program with couple communication sessions, targeting job search behavior, motivation, mastery, and couple communication. We hypothesized that CEP would have compensatory effects, such that those who began the program with lower job search behavior, lower motivation, less mastery, and more negative or less positive couple communication would make more gains on these targets, and this would mediate impact on reducing risk for depression. We conducted a randomized field trial of CEP with 1477 heterosexual couples facing recent unemployment. Baseline levels of job search behavior and motivation, but not mastery or depression, moderated the impact of intervention on job seeker depression slopes over 12 months; job seekers reporting less job search behavior and motivation at baseline benefited more. Male partners with higher baseline depression also benefited. Opposite to our hypothesis, baseline levels of couple’s communication moderated the impact of intervention such that partners in couples with more negative and less positive communication showed iatrogenic effects. There was no evidence that baseline target levels moderated the impact of the intervention on any of these targets. We speculate that more intensive communication training may be necessary for positive impact.</description><subject>Behavior</subject><subject>Child and School Psychology</subject><subject>Communication</subject><subject>Couples</subject><subject>Depression - prevention & control</subject><subject>Employment</subject><subject>Family Characteristics</subject><subject>Health Psychology</subject><subject>Heterogeneity</subject><subject>Heterosexuality</subject><subject>Humans</subject><subject>Iatrogenic effects</subject><subject>Intensive treatment</subject><subject>Interpersonal communication</subject><subject>Intervention</subject><subject>Job creation</subject><subject>Job hunting</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Mental depression</subject><subject>Moderation</subject><subject>Motivation</subject><subject>Public Health</subject><subject>Search strategies</subject><subject>Unemployment</subject><subject>Vocational education</subject><issn>1389-4986</issn><issn>1573-6695</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7TQ</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNp9kctuFDEQRS0EIg_4ARbIEhs2DX50-8GODAkJGgQSs7fcnvLQUY_d2G6k-Qj-Oe5MAIkFK9tVp26V6yL0gpI3lBD5NlNKGW0IYw2hLSUNf4ROaSd5I4TuHtc7V7pptRIn6CznW0Ko6Dh5ik54p0krWnGKfl1DgRR3EGAoBzwEXL4DvvQeXMk4enwTav4nhDLEkHGJ-GuC5Yk_wJQg5xpeqlZxnkbI-Mq6Iezwp9jjdcz5Hf5W5u1hCV3YDOMQAG9s2kHBn-MWkl1k79vsJ-vKM_TE2zHD84fzHG2uLjer62b95ePN6v26cZx0pek0A--EU1y51iqplBJU1p3wfmtVz5yUFahLoKCdZtJL0fXS95x6UFbyc_T6KDul-GOGXMx-yA7G0QaIczZMaKEEkUJV9NU_6G2cU6jDGaY7KZjgWleKHSmX6qcTeDOlYW_TwVBiFq_M0StTvTL3Xhlei14-SM_9HrZ_Sn6bUwF-BHJNhR2kv73_I3sHgXyfyA</recordid><startdate>20230201</startdate><enddate>20230201</enddate><creator>Howe, George W.</creator><general>Springer US</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>0-V</scope><scope>3V.</scope><scope>7TQ</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88G</scope><scope>8AM</scope><scope>8AO</scope><scope>8BJ</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ALSLI</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>BGRYB</scope><scope>CCPQU</scope><scope>DHY</scope><scope>DON</scope><scope>DPSOV</scope><scope>DWQXO</scope><scope>FQK</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>JBE</scope><scope>K7.</scope><scope>K9.</scope><scope>KC-</scope><scope>M0O</scope><scope>M0S</scope><scope>M1P</scope><scope>M2L</scope><scope>M2M</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PSYQQ</scope><scope>Q9U</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0001-8303-9768</orcidid></search><sort><creationdate>20230201</creationdate><title>Heterogeneity in the Effects of Interventions to Prevent Depression in Couples Facing Job Loss: Studying Baseline Target Moderation of Impact</title><author>Howe, George W.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c305t-592efc6c838c4a878886171003bda8b2c772ef6691e9c927f765b7fb31fe8a73</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Behavior</topic><topic>Child and School Psychology</topic><topic>Communication</topic><topic>Couples</topic><topic>Depression - prevention & control</topic><topic>Employment</topic><topic>Family Characteristics</topic><topic>Health Psychology</topic><topic>Heterogeneity</topic><topic>Heterosexuality</topic><topic>Humans</topic><topic>Iatrogenic effects</topic><topic>Intensive treatment</topic><topic>Interpersonal communication</topic><topic>Intervention</topic><topic>Job creation</topic><topic>Job hunting</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Mental depression</topic><topic>Moderation</topic><topic>Motivation</topic><topic>Public Health</topic><topic>Search strategies</topic><topic>Unemployment</topic><topic>Vocational education</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Howe, George W.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Social Sciences Premium Collection</collection><collection>ProQuest Central (Corporate)</collection><collection>PAIS Index</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Psychology Database (Alumni)</collection><collection>Criminal Justice Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>International Bibliography of the Social Sciences (IBSS)</collection><collection>Public Health Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>Social Science Premium Collection</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>Criminology Collection</collection><collection>ProQuest One Community College</collection><collection>PAIS International</collection><collection>PAIS International (Ovid)</collection><collection>Politics Collection</collection><collection>ProQuest Central Korea</collection><collection>International Bibliography of the Social Sciences</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>International Bibliography of the Social Sciences</collection><collection>ProQuest Criminal Justice (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>ProQuest Politics Collection</collection><collection>Criminal Justice Database</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Political Science Database</collection><collection>Psychology Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest One Psychology</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><jtitle>Prevention science</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Howe, George W.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Heterogeneity in the Effects of Interventions to Prevent Depression in Couples Facing Job Loss: Studying Baseline Target Moderation of Impact</atitle><jtitle>Prevention science</jtitle><stitle>Prev Sci</stitle><addtitle>Prev Sci</addtitle><date>2023-02-01</date><risdate>2023</risdate><volume>24</volume><issue>2</issue><spage>271</spage><epage>285</epage><pages>271-285</pages><issn>1389-4986</issn><eissn>1573-6695</eissn><abstract>Couples’ communication styles are associated with depression following job loss for both job seekers and their partners. The Couples Employment Program (CEP), an eight-session program for couples facing job loss, was developed to integrate job search strategies sessions from the JOBS program with couple communication sessions, targeting job search behavior, motivation, mastery, and couple communication. We hypothesized that CEP would have compensatory effects, such that those who began the program with lower job search behavior, lower motivation, less mastery, and more negative or less positive couple communication would make more gains on these targets, and this would mediate impact on reducing risk for depression. We conducted a randomized field trial of CEP with 1477 heterosexual couples facing recent unemployment. Baseline levels of job search behavior and motivation, but not mastery or depression, moderated the impact of intervention on job seeker depression slopes over 12 months; job seekers reporting less job search behavior and motivation at baseline benefited more. Male partners with higher baseline depression also benefited. Opposite to our hypothesis, baseline levels of couple’s communication moderated the impact of intervention such that partners in couples with more negative and less positive communication showed iatrogenic effects. There was no evidence that baseline target levels moderated the impact of the intervention on any of these targets. We speculate that more intensive communication training may be necessary for positive impact.</abstract><cop>New York</cop><pub>Springer US</pub><pmid>35904646</pmid><doi>10.1007/s11121-022-01410-3</doi><tpages>15</tpages><orcidid>https://orcid.org/0000-0001-8303-9768</orcidid></addata></record> |
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subjects | Behavior Child and School Psychology Communication Couples Depression - prevention & control Employment Family Characteristics Health Psychology Heterogeneity Heterosexuality Humans Iatrogenic effects Intensive treatment Interpersonal communication Intervention Job creation Job hunting Male Medicine Medicine & Public Health Mental depression Moderation Motivation Public Health Search strategies Unemployment Vocational education |
title | Heterogeneity in the Effects of Interventions to Prevent Depression in Couples Facing Job Loss: Studying Baseline Target Moderation of Impact |
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