Prior On-Off Relationship Instability and Distress in the Separation and Divorce Transition.

Divorce is considered distressing for many individuals (Sbarra et al., Current Directions in Psychological Science, 2015, 24, 109); however, individuals in poor-quality relationships may experience certain benefits of leaving an unstable union (Amato & Hohmann-Marriott, Journal of Marriage and Family, 2007, 69, 621). On-off relationship cycling, or the breakup and reconciliation of a relationship, is a salient indicator of poor relationship quality and a common form of relationship instability (Dailey et al., Personal Relationships, 2009, 16, 23) that is associated with distress (Monk et al., Family Relations, 2018, 67, 523). In line with divorce-stress-adjustment and relational turbulence theory perspectives, we hypothesized that those whose relationships were characterized by on-off instability would experience less distress during the separation and divorce process. Given gender inequality in marriage (e.g., Dempsey, Journal of Sociology, 2002, 38, 91; Monin & Clark, Sex Roles, 2011, 65, 320), we also hypothesized that this association would be more pronounced for women. Using data from 98 divorced or separating couples, we found that relationship cycling prior to the separation and divorce process was associated with fewer distress symptoms for women. Conversely, a history of relationship cycling was associated with more distress symptoms for men. Our study provides support and extends prior investigations illustrating that, for some, those in unions characterized by more turmoil, may experience relief following a termination.

El divorcio se considera angustiante para muchas personas (Sbarra et al., 2015); sin embargo, las personas que tienen relaciones de mala calidad pueden percibir ciertos beneficios al romper una unión inestable (Amato & Hohmann-Marriott, 2007). El ciclo intermitente de las relaciones, o la separación y la reconciliación de una relación, es un indicador prominente de la mala calidad de la relación y una forma común de inestabilidad relacional (Dailey et al., 2009) que está asociada con el distrés (Monk et al., 2018). En consonancia con las perspectivas de adaptación al estrés por el divorcio y de la teoría del estrés relacional, planteamos la hipótesis de que aquellas personas cuyas relaciones se caracterizaban por la inestabilidad intermitente sufrirían menos distrés durante la separación y el proceso de divorcio. Dada la desigualdad de género en el matrimonio (p. ej.: Dempsey, 2002; Monin & Clark, 2011) también planteamos la hipótesis de que esta asociación sería más marcada para las mujeres. Utilizando datos de 98 parejas divorciadas o que se estaban separando, descubrimos que el ciclo relacional anterior a la separación y al proceso de divorcio estuvo asociado con menos síntomas de distrés en las mujeres. Contrariamente, un historial de ciclo relacional se asoció con más síntomas de distrés en los hombres. Nuestro estudio ofrece respaldo y amplía investigaciones previas demostrando que algunas personas que están en uniones caracterizadas por más confusión pueden sentir alivio después de una separación.

The Cultural Adaptation of a Transition Program for Latino Families of Youth with Autism Spectrum Disorder.

During the transition to adulthood, effective and culturally relevant supports are critical for families of youth with autism spectrum disorder (ASD). There is a dearth of documented program development and research on supports for Spanish-speaking Latino families during this life stage. The present work describes the cultural adaptation process of an evidence-based transition program for Latino families of youth with ASD. A model of the actions necessary to meaningfully conduct a cultural adaptation in this context is described. After implementing the culturally adapted program titled Juntos en la Transición with five Spanish-speaking families, parents reported high social validity of the program through surveys and interviews. The cultural adaptation process followed in this work is important for the further development of programs that address the transition needs of Latino youth with ASD and their families. Our impressions may also be useful to those who aim to develop culturally sensitive and ecologically valid multifamily group intervention programs for families from cultural and linguistic minority groups.

Durante la transición a la adultez, las adaptaciones eficaces y culturalmente relevantes son fundamentales para las familias de jóvenes con trastorno del espectro autista (TEA). Hay una escasez de investigaciones y desarrollo de programas documentados sobre las adaptaciones para las familias latinas de habla hispana durante esta etapa de la vida. El presente trabajo describe el proceso de adaptación cultural de un programa de transición de base fáctica para familias latinas de jóvenes con TEA. Se describe un modelo de las medidas necesarias para llevar a cabo significativamente una adaptación cultural en este contexto. Después de implementar el programa adaptado culturalmente y titulado Juntos en la Transición con cinco familias de habla hispana, los padres informaron una alta validez social del programa mediante encuestas y entrevistas. El proceso de adaptación cultural seguido en este trabajo es importante para el futuro desarrollo de programas que aborden las necesidades de transición de los jóvenes latinos con TEA y sus familias. Nuestras impresiones también pueden ser útiles para aquellos que desean desarrollar programas de intervención en grupos multifamiliares ecológicamente válidos y culturalmente adaptados para familias de grupos culturales y lingüísticos minoritarios.

Predictors of type 1 diabetes mellitus outcomes in young adults after transition from pediatric care.

BACKGROUND: Type 1 diabetes (T1D) is a common chronic disease. Poor health outcomes are often noted after transfer to adult health care. It is important to determine the predictors of such outcomes to decrease morbidity and mortality. METHODS: The present retrospective study included patients followed for ≥1 year before and ≥1 year after transfer to adult care in a Canadian tertiary diabetes center. Data including demographics, education, comorbidity and pediatric diabetes management-related factors were analyzed as possible independent predictors of adult HbA1c, number of adult diabetes-related hospitalizations, and clinic visits. RESULTS: In all, 102 youths were followed to a mean (±SD) age of 21.8 ± 1.5 years. Predictors of mean adult HbA1c using linear regression were the presence of any comorbidity (0.71%; 95% confidence interval [CI] 0.15-1.27; P = 0.01) and pediatric HbA1c (0.67% per 1% increase in HbA1c; 95% CI 0.51-0.84; P < 0.001). Predictors of hospitalization for hyperglycemia were a history of pediatric hospitalization for hyperglycemia (incidence rate ratio [IRR] 1.20; 95% CI 1.02-1.41; P = 0.029) and high school vs university education (IRR 3.13; 95% CI 1.12-8.73; P = 0.030). CONCLUSION: Young adults with complicated health histories and less education are more likely to experience poor diabetes outcomes in the years after transfer to adult care. These features may highlight youth requiring closer attention or may be targets for intervention.