<p>Parental divorce is common and linked to adverse mental health outcomes and reduced well-being in children and adolescents, yet digital interventions for this group remain scarce. This study reports on a randomized controlled trial of a digital intervention (SES NXT) for children and adolescents aged 3–17 experiencing parental divorce. Participants (<i>n</i> = 866) were randomized to either SES NXT (<i>n</i> = 449) or a waitlist control group (<i>n</i> = 417). At 12-week follow-up from baseline, the intervention group showed medium to large improvements across all primary and secondary mental health and well-being outcomes versus the waitlist control group, as measured by the Strength and Difficulty Questionnaire (SDQ). Primary outcomes included emotional symptoms, total difficulties, and impairment (Cohen’s (<i>d</i>) = 0.66–0.71, all <i>p’s</i> &lt; 0.001). Secondary outcomes included conduct problems, hyperactivity, peer problems, and prosocial behavior (Cohen’s (<i>d</i>) = 0.47–0.56, all <i>p’s</i> &lt; 0.001). Findings are discussed through the Divorce-Stress-Adjustment framework and within the Northern European (Danish) cultural context.</p>

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Effects of the SES NXT intervention on mental health and well-being for children of divorce

  • Gert Martin Hald,
  • Daniel Bach Johnsen,
  • Theis Lange,
  • Andreas Nielsen Hald,
  • Søren Sander,
  • Camilla Stine Øverup

摘要

Parental divorce is common and linked to adverse mental health outcomes and reduced well-being in children and adolescents, yet digital interventions for this group remain scarce. This study reports on a randomized controlled trial of a digital intervention (SES NXT) for children and adolescents aged 3–17 experiencing parental divorce. Participants (n = 866) were randomized to either SES NXT (n = 449) or a waitlist control group (n = 417). At 12-week follow-up from baseline, the intervention group showed medium to large improvements across all primary and secondary mental health and well-being outcomes versus the waitlist control group, as measured by the Strength and Difficulty Questionnaire (SDQ). Primary outcomes included emotional symptoms, total difficulties, and impairment (Cohen’s (d) = 0.66–0.71, all p’s < 0.001). Secondary outcomes included conduct problems, hyperactivity, peer problems, and prosocial behavior (Cohen’s (d) = 0.47–0.56, all p’s < 0.001). Findings are discussed through the Divorce-Stress-Adjustment framework and within the Northern European (Danish) cultural context.