title: A randomized clinical trial of the effectiveness of premarital intervention: moderators of divorce outcomes.
abstract: This study examined the effects of premarital relationship intervention on divorce during the first 8 years of first marriage. Religious organizations were randomly assigned to have couples marrying through them complete the Prevention and Relationship Education Program (PREP) or their naturally occurring premarital services. Results indicated no differences in overall divorce rates between naturally occurring services (n = 44), PREP delivered by clergy at religious organizations (n = 66), or PREP delivered by professionals at a university (n = 83). Three moderators were also tested. Measured premaritally and before intervention, the level of negativity of couples' interactions moderated effects. Specifically, couples observed to have higher levels of negative communication in a video task were more likely to divorce if they received PREP than if they received naturally occurring services; couples with lower levels of premarital negative communication were more likely to remain married if they received PREP. A history of physical aggression in the current relationship before marriage and before intervention showed a similar pattern as a moderator, but the effect was only marginally significant. Family-of-origin background (parental divorce and/or aggression) was not a significant moderator of prevention effects across the two kinds of services. Implications for defining risk, considering divorce as a positive versus negative outcome, the practice of premarital relationship education, and social policy are discussed.
authors: Department of Psychology, University of Denver, Denver, CO 80208-3500, USA. hmarkman@du.edu
authors: Howard J
authors: HJ
authors: Markman
authors: Galena K
authors: GK
authors: Rhoades
authors: Scott M
authors: SM
authors: Stanley
authors: Kristina M
authors: KM
authors: Peterson
mesh_terms: D000328:Adult; D002977:Clergy / Q000379:methods / Q000592:standards; D003142:Communication; D019546:Couples Therapy / Q000379:methods / Q000592:standards*; D004243:Divorce / Q000517:prevention & control*; D005260:Female; D006282:Health Personnel / Q000592:standards; D006801:Humans; D007398:Interpersonal Relations; D008297:Male; D016896:Treatment Outcome; D055815:Young Adult