DeustoTeka Examinando por Autor "Cormenzana, Susana"

Examinando por Autor "Cormenzana, Susana"

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Adaptation and validation of the Spanish version of the Being a Mother scale
(PeerJ Inc., 2024) Riera Martín, Anna; Oliver Roig, Antonio; Cormenzana, Susana; Richart Martínez, Miguel; Martínez Pampliega, Ana
Background. Becoming a mother is a very important process because of the impact it can have on women and their families. Currently, there is no validated questionnaire that evaluates the process of becoming a mother in the Spanish population. Moreover, no consistent results have been obtained to identify significant differences between primiparous and multiparous mothers. Aim. (1) Linguistic and metric validation of the Being a Mother scale (BaM-13) in the Spanish population, (2) analysis of possible differences between primiparous and multiparous mothers’ experience of motherhood. Methods. Instrumental design. In 2016–2017, a sample of 579 mothers with children between 6 and 11 months of age completed the Spanish version of BaM-13. The instrument was translated using forward and back translation. Construct validity, internal consistency, and criterion validity were empirically analyzed. Results. Factorial analyses showed that the scale presented two adequate factors. Internal consistency of the global scale (α = 0.818, ω = 0.861), the Postnatal bonding factor (α = 0.773, ω = 0.784), and the Adult’s experience factor (α = 0.710, ω = 0.721) was adequate. Significant associations were found with postpartum depression (r = 0.560), parental competence (r = −0.584) and postnatal bonding (r = −0.327). In terms of parity, primiparous mothers have greater difficulty in postnatal bonding, compared to multiparous mothers (p = 0.006). Conclusions. The Spanish version of the BaM-13 scale is valid for measuring mothers’ experience of motherhood in a wide range of domains. The findings of the study show the importance of considering parity in the experience of becoming a mother, highlighting the approach to postnatal bonding in primiparous mothers. Additionally, we underline that it should not be assumed that multiparous mothers experience fewer difficulties in their motherhood process.
Custody and child symptomatology in high conflict divorce: an analysis of latent profiles
(Colegio Oficial de Psicólogos del Principado de Asturias, 2021) Martínez Pampliega, Ana; Herrero Lázaro, Marta; Cormenzana, Susana; Corral, Susana; Sanz, Mireia; Merino, Laura; Iriarte Elejalde, Leire; Ochoa de Alda, Íñigo; Alcañiz, Leire; Alvarez, Irati
Background: There is much controversy about the impact of joint physical custody on child symptomatology in the context of high interparental conflict. In this study we analyzed child symptomatology with person-centered methodology, identifying differential profiles, considering post-divorce custody, parental symptomatology, and coparenting variables. We examined the association between these profiles and child symptomatology, as well as the mediating role of parenting in that association. Method: The participants were 303 divorced or separated Spanish parents with high interparental conflict. We used the study of latent profiles and the INDIRECT procedure in Mplus. We also controlled for the variables age and number of children, new partners, frequency of the relationship with the ex-partner, time elapsed since the divorce, and gender of the parent. Results: From the parents´ perspective, the profile characterized by low parental symptomatology and high coparenting, regardless of the type of custody, was related to children exhibiting less somatic, anxious, and depressive symptomatology, and aggressive behavior. The mediating role of parenting was also identified. Conclusions: Parental symptomatology, coparenting, and parenting are essential for understanding post-divorce child symptomatology and the study highlights importance of person-centered multidimensional models.
The differential role of fathers' and mothers' parenting styles, as a function of the custody agreement: post-divorce family adjustment and children's symptomatology
(Pontificia Universidad Javeriana, 2024-12-31) Sanz Vázquez, Mireia; Herrero Lázaro, Marta; Corral, Susana; Cormenzana, Susana; Martínez Pampliega, Ana
The present study aims to analyze differences in parenting styles of fathers and mothers, considering the custody arrangements and their impact on children’s symptomatology, considering post-divorce family adjustment as a mediator variable. Participants were 286 divorced or separated parents with high interparental conflict. Through ANCOVAs, it was observed that after divorce, fathers' and mothers' parenting practices contributed in equal measure to children's psychological well-being. Non-custodial fathers used a more indulgent style whereas custodial mothers showed a more critical style. In both cases, the mediation results using PROCESS 2.15 showed how each parenting style was related to the children's psychological well-being through postdivorce family adaptation. This study supports the need to consider both the type of custody and postdivorce family adjustment in the comprehension of the impact of parental styles on children’s symptomatology. The results have important implications in psychotherapeutic and clinical orientations.
Divorce and physical health: a three-level meta-analysis
(Elsevier Ltd, 2024-05-21) Pellón Elexpuru, Inés; Dijk, Rianne van; Valk, Inge van der; Martínez Pampliega, Ana; Molleda Pedrueza ; Cormenzana, Susana
Divorce is often considered a major and stressful life transition. Given that divorcees are overrepresented in primary care and there is a association between individuals' physical health and psychological adjustment, potential post-divorce health problems are of concern. Yet, empirical evidence is lacking on the magnitude of the overall physical health risk after divorce, on possible differences across specific pathologies, and on factors that may increase or reduce this risk. The current meta-analysis addresses these issues. We identified 94 studies including u = 248 relevant effect sizes, based on N = 1,384,507 participants. Generally, compared to married individuals, divorcees showed significantly worse self-reported health (OR = 1.20, [1.08–1.33]), experienced more physical symptoms (OR = 1.34, [1.17–1.53]), and had a higher risk for diabetes (OR = 1.18 [1.05–1.33]), joint pathologies (OR = 1.24, [1.14–1.34]), cardiovascular (OR = 1.24, [1.09–1.41]) and cerebrovascular conditions (OR = 1.31, [1.14–1.51]), and sexually transmitted diseases (OR = 2.48, [1.32–4.64]). However, they had no increased risk of hypertension, hypercholesterolemia, cancer and cancer development, disabilities or limitations, or cognitive pathologies. Nor did divorcees significantly differ from married individuals when aggregating all pathologies to measure overall physical health problems (OR = 1.14, [0.85 to 1.54]). Yet, moderation analyses revealed that being female, unemployed, childless, or having a lower education constitutes a higher risk for overall physical health problems after divorce. The same applied to having a heavy alcohol consumption, lack of exercise, and being overweight. Our meta-analysis shows that divorcees are at heightened risk of certain pathologies, with sexually transmitted diseases as a particular post-divorce hazard. These findings call for more awareness among counsellors and physicians on divorcees’ health conditions and the characteristics that make divorcees even more vulnerable to health problems.
The efficacy of postdivorce intervention programs for children: a meta-analytical review
(John Wiley and Sons Inc., 2023-03) Herrero Lázaro, Marta; Roca, Patricia; Cormenzana, Susana; Martínez Pampliega, Ana
Preventive postdivorce interventions aim to help children cope with divorce and promote their adjustment. Nevertheless, questions remain regarding the concrete outcomes of these interventions and the intervention characteristics that influence them. This meta-analysis of 30 studies analyzes the efficacy of postdivorce interventions on children's symptomatology, personal resources, and adaptation to divorce. Likewise, it explores whether the intervention impacts the putative mediators from the family context and whether the characteristics of the studies themselves also influence the results. Using a data set of N = 4344 individuals, 258 effect sizes were calculated. Random effects analyses evidenced the impact of the interventions on specific variables instead of on children's global adjustment. There were no significant effects on children's mental health outcomes, and none of these effects were qualified by the moderators that were examined. Preventive postdivorce interventions had significant effects, specifically on children's divorce adjustment and self-esteem. The study of the moderators found that the interventions were generally homogeneous, and only one of the 20 moderators examined had a significant effect. Based on children's age, the interventions had an impact on family functioning only when they involved younger children, but this result should be interpreted with caution due to the small sample of studies. This meta-analysis provides evidence of the relevance of postdivorce interventions to critical variables as well as information about the role of the intervention characteristics in the effects and makes suggestions for future research on divorce interventions that encompass both practical and empirical developments.
Is the Egokitzen post-divorce intervention program effective in the community context?
(Elsevier Ltd, 2021-10) Martínez Pampliega, Ana; Herrero Lázaro, Marta; Sanz, Mireia; Corral, Susana; Cormenzana, Susana; Merino, Laura; Iriarte Elejalde, Leire; Ochoa de Alda, Íñigo; Alcañiz, Leire; Alvarez, Irati
Background: Evidence-based postdivorce intervention programs, aimed at promoting childreńs psychological adjustment, are scarce internationally. In Spain, the Egokitzen program has been established its effectiveness in the context of a university laboratory, but there is no evidence of its effectiveness when implemented from a community context. Objective: To evaluate the effectiveness of the Egokitzen program in the perception of externalizing and internalizing child symptomatology, when delivered by community-based agencies. Method: 372 parents with children under the age of 12 participated in a quasi-experimental pre-post intervention approach with a wait-list comparison group and two follow-up measures at 6 and 12 months. 270 were part of the experimental group (EG) and 112 of the control group (CG). The postdivorce intervention consisted of the Egokitzen program. The following variables were measured through the information provided by the parents: childhood symptomatology (somatization, aggressiveness, anxiety/depression; Child Behavior Checklist, CBCL), parental mental health symptomatology (anxiety, depression, and interpersonal sensitivity; Symptoms Checklist SCL-90), and parenting (inductive, indulgent, and rigid styles; Scale of Rules and Demands. Parents's versión, ENE-P). Results: The intervention program had an indirect effect on childhood symptomatology and a direct effect on parental symptomatology and parenting. The mediating role of parental symptomatology on childhood symptomatology was confirmed through the direct effect of the program on parental symptomatology. Despite the effect on parental patterns, they did not play a mediating role in childhood symptomatology. Conclusions: The Egokitzen program seems to be effective in the community context and, according to the parents, could reduce their children's symptomatology indirectly through the reduction of parental symptomatology. At longitudinal level, in the intervention group, it is observed that the results obtained after participation in the Egokitzen program were maintained and even increased at 6 and 12 months.
Lawyer-client relationship in divorce proceedings: development and validation of a new instrument
(Frontiers Media SA, 2024) Martínez Pampliega, Ana; Cormenzana, Susana; García Garnica, María del Carmen; Pellón Elexpuru, Inés; Merino, Laura
Introduction: This study is based on the paradigm of collaborative law and the current absence of instruments that evaluate the lawyer-client relationship as a function of the needs of the family system. The objective was to construct and validate an instrument, conceptualizing the lawyer-client relationship as a helping relationship. Method: Two groups of experts and 239 parents (58% mothers and 42% fathers), users of Family Visitation Centers, participated in the study. The content, construct, and criterion validity of the instrument, as well as its invariance for both parents, were analyzed. Results: The resulting 12-item instrument has been shown to have a two-dimensional structure, invariant for both parents, with high psychometric solidity. Discussion: The LCR scale seems to be a valuable and effective measure for use in a legal context, with important correlations with the parents’ psychological well-being, leading to a promising and relevant instrument for the holistic approach to the divorce process.
Marital functioning and treatment outcome in couples undergoing assisted reproduction
(Blackwell Publishing Ltd, 2019-02) Martínez Pampliega, Ana; Cormenzana, Susana; Martín, Sagrario; Navarro Aresti, Lucía
Aim: To investigate the relationship between the quality of marital functioning and communication, individual psychological symptomatology, and pregnancy achievement in couples undergoing assisted reproduction. Background: The results concerning marital functioning and the feasibility of pregnancy yield contradictory outcomes and the quality of the relationship of the couple undergoing assisted reproduction has not been analysed from systemic models. Our hypothesis is that when undergoing assisted reproduction treatment (ART), the couple's functioning and communication will be related to the pregnancy rate. Design: This study employs a cross-sectional design with couples receiving ART. Methods: Spanish heterosexual couples (N = 185) completed the self-report instruments. The data were collected from 2010 - 2015. All the couples completed at least one treatment process, or at least 1 year had gone by since beginning the treatment. Results: The association between couple relationship quality and the individual psychological symptomatology experienced during the assisted reproduction process was confirmed in men and women. Although both members of the couple experienced an increase of symptomatology, only men's symptomatology was statistically significantly linked to pregnancy achievement. Conclusion: It is necessary to support the couple from the assisted reproduction centres, promoting cohesion, flexibility, and communication in the relationship. The intervention process should also be understood from a systemic perspective; that is, considering dyadic transactions as a systemic unit. Two aspects seem to be especially relevant for clinical nurses in ART: (a) the man's role is crucial for treatment success; (b) the woman's communication is crucial to the process.
Physical and psychological symptomatology, co-parenting, and emotion socialization in high-conflict divorces: a profile analysis
(Multidisciplinary Digital Publishing Institute (MDPI), 2024-09) Pellón Elexpuru, Inés; Martínez Pampliega, Ana; Cormenzana, Susana
Although the consequences of divorce and conflict have been extensively studied, most research has focused on children rather than ex-spouses, although variables such as parental health or co-parenting may have an influence on children’s development through processes such as emotion socialization. In addition, the relationship between these variables has never been considered in high-conflict divorces. Therefore, the present study aimed to analyze the impact of physical and psychological symptomatology and co-parenting on the emotion socialization patterns of parents experiencing high-conflict divorces. Furthermore, the moderating role of resilience was considered, as it has been highly studied as a coping mechanism in adverse situations but barely in divorce at the parental level. For this purpose, a Latent Profile Analysis was carried out with Mplus 8.10, using a sample of 239 parents from Family Visitation Centers. Results revealed, on the one hand, that parents with fewer physical and psychological symptoms sowed more emotion socialization behaviors than those with more symptomatology. On the other hand, in situations of high interparental conflict, the role of co-parenting and resilience seems less relevant than that of physical and psychological symptomatology when analyzing parental skills like emotion socialization.
Post-divorce adjustment, coparenting and somatisation: mediating role of anxiety and depression in high-conflict divorces
(Elsevier B.V., 2024-04) Pellón Elexpuru, Inés; Martínez Pampliega, Ana; Cormenzana, Susana
Background: Due to the overlap of somatisation with other psychiatric symptomatology and the difficulty of making a clear diagnosis, few studies have focused on somatic symptoms after divorce. Moreover, their results are controversial and do not provide a conclusive differentiation according to gender. Objective: The present study is based on the hypothesis that psychological difficulties of adjustment to divorce and coparenting are linked to somatic symptomatology, in a sample of high-conflict divorcees, considering anxious and depressive symptoms as mediating factors. The role of some control variables was considered: marital status, level of education, time elapsed since separation, type of custody, frequency of contact with the children, and type of relationship with the ex-partner. In addition, the differential role of gender was studied. Method: A path analysis was carried out with the IBM SPSS AMOS 28 programme. Results: Its results supported the relationship between psychological difficulties of adjustment to divorce and somatisation, as well as the mediating role of anxiety. A direct relationship between coparenting and somatisation was also found. These results were invariant in men and women, although specific differences were identified in the impact of anxiety. Limitations: As a preliminary study, it is not without limitations. Firstly, it can be noted that it is a homogeneous sample with similar socio-demographic characteristics. Furthermore, the instruments used are general screening tests, and it could be interesting to incorporate more specific assessment tools. Conclusions: This study supported the link between the conflictive divorce and the somatic symptomatology, leading to further research
Psychometrics of the SCL-90-R and development and testing of brief versions SCL-45 and SCL-9 in infertile couples
(Lippincott Williams and Wilkins, 2019-07) Martínez Pampliega, Ana; Herrero Fernández, David; Martín, Sagrario; Cormenzana, Susana
Background Although infertile couples are mentally healthy, dealing with infertility and assisted reproductive technology (ART) treatment is usually associated with psychological distress. It would therefore be useful to have short, multidimensional instruments to be able to identify people who present more intense emotional reactions and follow up their emotional distress throughout the ART. Objectives The goals of the study were to analyze the psychometric adequacy of the original 90-item version of the Symptom Checklist (SCL-90) in a sample of Spanish women and their partners undergoing ART, as well as to develop and analyze two brief versions of the SCL-90, given the absence of adequate short versions for this population. Methods A cross-sectional design for patients and their partners in the process of ART through in vitro fertilization was used. The two brief scales were obtained, which took into account the levels of variance explained by the items and confirmatory factor analysis. Results Two brief instruments were developed. The first, with 45 items (SCL-45-I Infertility), includes nine subdimensions: Somatization, Interpersonal Sensitivity, Obsessive-Compulsive Disorder, Depression, Anxiety, Hostility, Paranoid Ideation, Phobic Anxiety, and Psychoticism. The second instrument contains nine items (SCL-9-I or Global Severity Index [GSI]), one item for each dimension. Both instruments were psychometrically adequate (SCL-45-I: χ2/df = 7.24, RMSEA =.057, 95% CI [.056,.059], CFI =.97, NNFI =.97, SRMR =.049; SCL-9-I: χ2/df = 9.66, RMSEA =.068, 95% CI [.061,.076], CFI =.97, NNFI =.96, SRMR =.035). Measurement invariance analysis by gender was conducted, and the instruments were shown to be suitable for both men and women. Discussion The suitability of the SCL-90-R for use in ART was verified, and two valid instruments - useful and easy to use for nurses, psychologists, and other care providers - were developed.
Vivencia cognitiva y emocional del conflicto interparental y su impacto en el bienestar del adolescente: papel mediador de la regulación emocional y el humor
(Universidad de Deusto, 2015-03-06) Cormenzana, Susana; Martínez Pampliega, Ana; Facultad de Psicología y Educación; Psicología clínica y de la salud
Investigación contemporánea resalta la relevancia del estudio de aquellos factores vinculados al funcionamiento ajustado del hijo adolescente, y en particular, la necesidad de identificación y comprensión de aquellas variables que intervienen en la relación e impacto del conflicto interparental sobre el desempeño y bienestar de los hijos. La presente tesis doctoral pretende contribuir a esta línea de estudio, a través de la formulación y análisis de un nuevo modelo explicativo que recoge componentes emocionales del funcionamiento personal del hijo adolescente como mecanismos mediadores de la relación entre el conflicto dentro del subsistema interparental, los estilos de crianza como indicador de las relaciones filioparentales y la sintomatología en el hijo adolescente. El marco teórico de base del presente modelo se establece desde dos aproximaciones teóricas: El Modelo Cognitivo-Contextual (Grych & Fincham , 1990) y la Teoría de la Seguridad Emocional (Davies & Cummings, 1994). Esta investigación presenta un diseño transversal dirigido a población adolescente y se divide en tres fases de orden secuencial. En primer lugar, y tras la carencia detectada de instrumentos de medida de crianza diseñados y validados en contexto nacional, se diseña y valida una nueva propuesta de cuestionario de crianza desde la perspectiva del hijo (Cuestionario de Competencias Parentales. CCP). Para el estudio de sus propiedades psicométricas, se llevan a cabo cuatro estudios independientes: dos siguiendo la técnica Delphi y dos estudios empíricos. Los resultados de este conjunto de investigaciones arrojan validez y adecuación del nuevo instrumento. En la segunda Fase del estudio, se procede al análisis de la bondad métrica del conjunto de instrumentos aplicados en la fase 3 que carecían de una versión adaptada para población adolescente española: Escala de Dificultades en la Regulación de las Emociones (Gratz & Roener, 2004), Cuestionario de estilos de humor (HSQ; Martin, Puhlik-Doris, Larse, Gray, & Weir, 2003) y la Escala de Seguridad Emocional en el Sistema Familiar (SIFS; Forman & Davies, 2002). Los resultados permiten respaldar la validez de constructo (análisis factoriales confirmatorios), la validez concurrente (correlaciones con medidas afines) y la fiabilidad. Por último, en la tercera fase del estudio, se procede al análisis del modelo mediacional referente a la propuesta conceptual formulada. Los resultados parecen indicar que este nuevo modelo estructural refleja no sólo el efecto directo de aspectos intrapersonales de carácter emocional en el ajuste del hijo, sino también su relación conjunta con variables familiares como los estilos de crianza y el conflicto, lo cual respalda la significatividad del contexto y la situación concreta a la hora de evaluar aspectos emocionales . En resumen, el presente estudio supone el primer respaldo a un modelo que trata de ayudar a avanzar la investigación en el área del funcionamiento familiar en general y del conflicto interparental en particular. Para ello, se incorporan variables de carácter intrapersonal referentes a la vivencia emocional de las relaciones familiares y vinculadas a aspectos más estables del manejo de las experiencias emocionales en contextos cotidianos del individuo. Estos resultados prometedores apoyan la continuidad de esta nueva línea de investigación que apenas acaba de comenzar.

Examinando por Autor "Cormenzana, Susana"

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