Cross-boundary children and their parents suffer from various stressors and mental health problems. This pilot study aimed to investigate whether an emotion regulation parallel intervention for children and parents enhanced resilience and mental health among both groups. A total of 38 pairs of cross-boundary children and parents participated in concurrent but separate intervention sessions. Three waves of tests (i.e. pre-, post-, and one-month follow-up tests) were conducted, using t-tests to evaluate the time effects during the intervention.
Findings
The children and parents reported significant improvements in positive affect, resilience, and family harmony, as well as a reduction in depressive symptoms following the emotion regulation intervention. For both children and parents, over half of the participants who were in the high-depression category have crossed the threshold, from high to low level of depression at post-test, and participants with higher depression levels generally benefited more from the intervention.
Applications
Future researchers seeking to implement demand-driven and practice-based interventions in community settings should consider contextual and cultural sensitivity, and involve community stakeholders (e.g. cross-boundary family members and social workers) in all aspects of the research process with a given community-based participatory research approach. Screening based on depression may maximize the benefits to the participants. The essential components, as well as the fidelity measures of the intervention, should be refined. Randomized controlled trials are advocated in future studies to test the efficacy and effectiveness of the intervention in different contexts (e.g. clinical and community populations).
AldaoA.Nolen-HoeksemaS., & SchweizerS. (2010).
Emotion-regulation strategies across psychopathology: A meta-analytic review. Clinical Psychology Review,
30(2), 217–237. https://doi.org/10.1016/j.cpr.2009.11.004
2.
BanezG. A., & CompasB. E. (1990).
Children’s and parents’ daily stressful events and psychological symptoms. Journal of Abnormal Child Psychology,
18(6), 591–605. https://doi.org/10.1007/bf01342749
3.
BarlowD. H. (2010).
Negative effects from psychological treatments: A perspective. American Psychologist,
65(1), 13–20. https://doi.org/10.1037/a0015643
4.
BarnR., & DasC. (2015).
Family group conferences and cultural competence in social work. The British Journal of Social Work,
46(4), 942–959. https://doi.org/10.1093/bjsw/bcu105
BerwickD. M.MurphyJ. M.GoldmanP. A.WareJ. E.BarskyA. J., & WeinsteinM. C. (1991).
Performance of a five-item mental health screening test. Medical Care,
29(2), 169–176. https://doi.org/10.1097/00005650-199102000-00008
7.
BogartL. M., & UyedaK. (2009).
Community-based participatory research: Partnering with communities for effective and sustainable behavioral health interventions. Health Psychology,
28(4), 391–393. https://doi.org/10.1037/a0016387
8.
BrailovskaiaJ.SchönfeldP.KochetkovY., & MargrafJ. (2019).
What does migration mean to us? USA and Russia: Relationship between migration, resilience, social support, happiness, life satisfaction, depression, anxiety and stress. Current Psychology,
38(2), 421–431. https://doi.org/10.1007/s12144-017-9627-3
9.
BrasseurS.GrégoireJ.BourduR., & MikolajczakM. (2013).
The profile of emotional competence (PEC): Development and validation of a self-reported measure that fits dimensions of emotional competence theory. PLOS ONE,
8(5), e62635. https://doi.org/10.1371/journal.pone.0062635
10.
Campbell-SillsL., & SteinM. B. (2007).
Psychometric analysis and refinement of the Connor–Davidson Resilience Scale (CD-RISC): Validation of a 10-item measure of resilience. Journal of Traumatic Stress,
20(6), 1019–1028. https://doi.org/10.1002/jts.20271
ChanA. K. W., & NganL. L. S. (2018).
Investigating the differential mobility experiences of Chinese cross-border students. Mobilities,
13(1), 142–156. https://doi.org/10.1080/17450101.2017.1300452
13.
ChanK. L.YeungK. C.ChuC. K.TsangK. Y., & LeungY. K. (2002).
An evaluative study on the effectiveness of a parent-child parallel group model. Research on Social Work Practice,
12(4), 546–557. https://doi.org/10.1177/1049731502012004006
14.
ChanP. W. K., & KabirA. H. (2014). Education across borders in Hong Kong. In ZhangH.ChanP. W. K., & BoyleC. (Eds), Equality in education: Fairness and inclusion (pp. 155–166).
Brill | Sense.
15.
CohenJ. (1988). Statistical power analysis for the behavioural sciences (2nd ed.).
Lawrence Erlbaum Associates.
16.
CuijpersP.van StratenA.SmitsN., & SmitF. (2006).
Screening and early psychological intervention for depression in schools. European Child & Adolescent Psychiatry,
15(5), 300–307. https://doi.org/10.1007/s00787-006-0537-4
17.
DowellK. A., & OglesB. M. (2010).
The effects of parent participation on child psychotherapy outcome: A meta-analytic review. Journal of Clinical Child & Adolescent Psychology,
39(2), 151–162. https://doi.org/10.1080/15374410903532585
18.
EisenbergN.SpinradT. L., & EggumN. D. (2010).
Emotion-related self-regulation and its relation to children’s maladjustment. Annual Review of Clinical Psychology,
6(1), 495–525. https://doi.org/10.1146/annurev.clinpsy.121208.131208
19.
EliasA. A., & CavanaR. Y. (2000). Stakeholder analysis for systems thinking and modelling. Paper presented at the 35th Annual Conference of the Operational Research Society of New Zealand, Wellington, New Zealand.
20.
FabrizioC. S.LamT. H.HirschmannM. R.PangI.YuX.WangX., & StewartS. M. (2015).
Parental emotional management benefits family relationships: A randomized controlled trial in Hong Kong, China.Behaviour Research and Therapy,
71, 115–124. https://doi.org/10.1016/j.brat.2015.05.011
21.
FraserM. W., & GalinskyM. J. (2010).
Steps in intervention research: Designing and developing social programs. Research on Social Work Practice,
20(5), 459–466. https://doi.org/10.1177/1049731509358424
22.
GoinsR. T.GreggJ. J., & FiskeA. (2013).
Psychometric properties of the Connor-Davidson Resilience Scale with older American Indians: The native elder care study. Research on Aging,
35(2), 123–143. https://doi.org/10.1177/0164027511431989
23.
GoodmanR.FordT.SimmonsH.GatwardR., & MeltzerH. (2003).
Using the Strengths and Difficulties Questionnaire (SDQ) to screen for child psychiatric disorders in a community sample. International Review of Psychiatry,
15(1–2), 166–172. https://doi.org/10.1080/0954026021000046128
24.
HaggerM. S.LuszczynskaA.de WitJ.BenyaminiY.BurkertS.ChamberlandP. E., Chater, A., Dombrowski, S. U., van Dongen, A., French, D. P., Gauchet, A., Hankonen, N., Karekla, M., Kinney, A. Y., Kwasnicka, D., Hing Lo, S., López-Roig, S., Meslot, C., Marques, M. M.,… GollwitzerP. M. (2016).
Implementation intention and planning interventions in health psychology: Recommendations from the Synergy Expert Group for research and practice.Psychology & Health,
31(7), 814–839. https://doi.org/10.1080/08870446.2016.1146719
25.
JoyceS.ShandF.TigheJ.LaurentS. J.BryantR. A., & HarveyS. B. (2018).
Road to resilience: A systematic review and meta-analysis of resilience training programmes and interventions. BMJ Open,
8, e017858. https://doi.org/10.1136/bmjopen-2017-017858
26.
KhawajaN. G.IbrahimO., & SchweitzerR. D. (2017).
Mental wellbeing of students from refugee and migrant backgrounds: The mediating role of resilience. School Mental Health,
9(3), 284–293. https://doi.org/10.1007/s12310-017-9215-6
27.
KjellstrandE. K., & HarperM. (2012).
Yes, she can: An examination of resiliency factors in middle- and upper-income single mothers. Journal of Divorce & Remarriage,
53(4), 311–327. https://doi.org/10.1080/10502556.2012.671677
LamT. H.StewartS. M.HirschmannM. R.FabrizioC. S., & YuX. (2015).
Can randomized controlled trials be conducted in community social service settings?Public Health,
129(5), 601–603. https://doi.org/10.1016/j.puhe.2015.01.019
30.
LanzaS. T., & RhoadesB. L. (2013).
Latent class analysis: An alternative perspective on subgroup analysis in prevention and treatment. Prevention Science,
14(2), 157–168. https://doi.org/10.1007/s11121-011-0201-1
31.
Liu-SeifertH.ZhangS.D’SouzaD., & SkljarevskiV. (2010).
A closer look at the baseline-observation-carried-forward (BOCF). Patient Preference and Adherence,
4, 11–16. https://doi.org/10.2147/ppa.s8135
32.
MacKinnonD. P., & LueckenL. J. (2008).
How and for whom? Mediation and moderation in health psychology. Health Psychology,
27(2S), S99–S100. https://doi.org/10.1037/0278-6133.27.2(Suppl.).S99
33.
MastenA. S. (2014).
Global perspectives on resilience in children and youth. Child Development,
85(1), 6–20. https://doi.org/10.1111/cdev.12205
MoP. K. H., & MakW. W. S. (2009).
Help-seeking for mental health problems among Chinese. Social Psychiatry and Psychiatric Epidemiology,
44(8), 675–684. https://doi.org/10.1007/s00127-008-0484-0
36.
MorrisA. S.SilkJ. S.SteinbergL.MyersS. S., & RobinsonL. R. (2007).
The role of the family context in the development of emotion regulation. Social Development,
16(2), 361–388. https://doi.org/10.1111/j.1467-9507.2007.00389.x
37.
Naragon-GaineyK.McMahonT. P., & ChackoT. P. (2017).
The structure of common emotion regulation strategies: A meta-analytic examination. Psychological Bulletin,
143(4), 384–427. https://doi.org/10.1037/bul0000093
38.
NomaguchiK., & MilkieM. A. (2017). Sociological perspectives on parenting stress: How social structure and culture shape parental strain and the well-being of parents and children. In Deater-DeckardK. & PannetonR. (Eds), Parental stress and early child development (pp. 47–73).
Springer International Publishing.
39.
OrracaP.RochaD., & VargasE. (2017).
Cross-border school enrolment: Associated factors in the U.S.–Mexico borderlands. The Social Science Journal,
54(4), 389–402. https://doi.org/10.1016/j.soscij.2017.07.008
40.
PerreiraK. M.MarchanteA. N.SchwartzS. J.IsasiC. R.CarnethonM. R.CorlissH. L., Kaplan, R. C., Santisteban, D. A., Vidot, D. C., Van Horn, L., & DelamaterA. M. (2018).
Stress and resilience: Key correlates of mental health and substance use in the Hispanic community health study of Latino youth. Journal of Immigrant and Minority Health,
21(1), 4–13. https://doi.org/10.1007/s10903-018-0724-7
41.
SchwartzS. J.UngerJ. B.Baezconde-GarbanatiL.ZamboangaB. L.Lorenzo-BlancoE. I.Des RosiersS. E., Romero, A. J., Cano, M. Á., Gonzales-Backen, M. A., Córdova, D., Piña-Watson, B. M., Huang, S., Villamar, J. A., Soto, D. W., Pattarroyo, M., & SzapocznikJ. (2015).
Trajectories of cultural stressors and effects on mental health and substance use among Hispanic immigrant adolescents. Journal of Adolescent Health,
56(4), 433–439. https://doi.org/10.1016/j.jadohealth.2014.12.011
42.
SiuA. L., & US Preventive Services Task Force. (2016).
Screening for depression in adults: US Preventive Services Task Force recommendation statement.JAMA,
315(4), 380–387. https://doi.org/10.1001/jama.2015.18392
43.
TanH. (2009).
A research on the relationships of children’s emotionality and emotion control with social adaptability. Psychological Science,
32(6), 1391–1394. https://doi.org/10.16719/j.cnki.1671-6981.2009.06.013
44.
UrsacheA.MerzE. C.MelvinS.MeyerJ., & NobleK. G. (2017).
Socioeconomic status, hair cortisol and internalizing symptoms in parents and children. Psychoneuroendocrinology,
78, 142–150. https://doi.org/10.1016/j.psyneuen.2017.01.020
45.
ValdezC. R.PadillaB.MooreS. M., & MagañaS. (2013).
Feasibility, acceptability, and preliminary outcomes of the Fortalezas Familiares intervention for Latino families facing maternal depression. Family Process,
52(3), 394–410. https://doi.org/10.1111/famp.12033
46.
VlassenrootK., & BüscherK. (2013).
Borderlands, identity and urban development: The case of Goma (Democratic Republic of the Congo). Urban Studies,
50(15), 3168–3184. https://doi.org/10.1177/0042098013487772
47.
WangL.ShiZ.ZhangY., & ZhangZ. (2010).
Psychometric properties of the 10-item Connor–Davidson Resilience Scale in Chinese earthquake victims. Psychiatry and Clinical Neurosciences,
64(5), 499–504. https://doi.org/10.1111/j.1440-1819.2010.02130.x
48.
WatsonD.ClarkL. A., & TellegenA. (1988).
Development and validation of brief measures of positive and negative affect: The PANAS scales. Journal of Personality and Social Psychology,
54(6), 1063–1070. https://doi.org/10.1037/0022-3514.54.6.1063
49.
WhiteJ. M., & KleinD. M. (2002). Family theories.
Sage.
WindleG.BennettK. M., & NoyesJ. (2011).
A methodological review of resilience measurement scales. Health and Quality of Life Outcomes,
9, 1–18. https://doi.org/10.1186/1477-7525-9-8
52.
XuY.AnnM.FarverJ.ZhangZ.ZengQ.YuL., & CaiB. (2005).
Mainland Chinese parenting styles and parent-child interaction. International Journal of Behavioral Development,
29(6), 524–531. https://doi.org/10.1177/01650250500147121
53.
YapM. B. H.AllenN. B., & SheeberL. (2007).
Using an emotion regulation framework to understand the role of temperament and family processes in risk for adolescent depressive disorders. Clinical Child and Family Psychology Review,
10(2), 180–196. https://doi.org/10.1007/s10567-006-0014-0
54.
YuX.LauJ. T. F.MakW. W. S.ZhangJ.LuiW. W. S., & ZhangJ. (2011).
Factor structure and psychometric properties of the Connor-Davidson Resilience Scale among Chinese adolescents. Comprehensive Psychiatry,
52(2), 218–224. https://doi.org/10.1016/j.comppsych.2010.05.010
55.
YuX.StewartS. M.ChuiJ. P. L.HoJ. L. Y.LiA. C. H., & LamT. H. (2014).
A pilot randomized controlled trial to decrease adaptation difficulties in Chinese new immigrants to Hong Kong. Behavior Therapy,
45(1), 137–152. https://doi.org/10.1016/j.beth.2013.10.003
56.
YuX.TamW. W. S.WongP. T. K.LamT. H., & StewartS. M. (2012).
The Patient Health Questionnaire-9 for measuring depressive symptoms among the general population in Hong Kong. Comprehensive Psychiatry,
53(1), 95–102. https://doi.org/10.1016/j.comppsych.2010.11.002
57.
YuenC. Y. M., & CheungA. C. K. (2014).
School engagement and parental involvement: The case of cross-border students in Singapore.The Australian Educational Researcher,
41(1), 89–107. https://doi.org/10.1007/s13384-013-0124-x
