Evidence map›Paper›PMID 29658756›Full record

Trial reportJournal of family psychology : JFP : journal of the Division of Family Psychology of the American Psychological Association (Division 43)2018

Stress spillover, African Americans' couple and health outcomes, and the stress-buffering effect of family-centered prevention.

Allen W Barton, Steven R H Beach, Chalandra M Bryant, Justin A Lavner, Gene H Brody

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of family psychology : JFP : journal of the Division of Family Psychology of the American Psychological Association (Division 43), 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

24 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Relationship intervention moderates the association between substance use and biological aging among Black adults.Health psychology : official journal of the Division of Health Psychology, American Psychological Association · 2025
    Trial
  3. Trial
  4. Trial
  5. Trial
  6. Effects of ePREP and OurRelationship on Low-Income Couples' Mental Health and Health Behaviors: a Randomized Controlled Trial.Prevention science : the official journal of the Society for Prevention Research · 2020
    Trial
  7. Trial
  8. Article
  9. Relationship enhancement protects against relationship-quality-associated weathering among Black adults in romantic partner relationships.Journal of family psychology : JFP : journal of the Division of Family Psychology of the American Psychological Association (Division 43) · 2025
    Article
  10. Article
  11. Strengthening couple functioning promotes resilience to COVID-19-related stressors among Black Americans.Journal of family psychology : JFP : journal of the Division of Family Psychology of the American Psychological Association (Division 43) · 2023
    Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Transgenerational Inheritance and Systemic Racism in America.Psychiatric research and clinical practice · 2023
    Review
  17. Risk and resilience in couple's adjustment to the COVID-19 pandemic.Journal of social and personal relationships · 2022
    Article
  18. Review
  19. Relationship intervention indirectly buffers financial strain's effect on biological aging among Black adults.Journal of family psychology : JFP : journal of the Division of Family Psychology of the American Psychological Association (Division 43) · 2022
    Article
  20. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Allen W BartonCenter for Family Research, University of Georgia.
Steven R H BeachCenter for Family Research, University of Georgia.
Chalandra M BryantDepartment of Human Development and Family Science, University of Georgia.
Justin A LavnerDepartment of Psychology, University of Georgia.
Gene H BrodyCenter for Family Research, University of Georgia.

Funding

Vulnerability to Drug Use & HIV: Advancing Prevention for Rural African AmericansP30DA027827 · NIDA · UNIVERSITY OF GEORGIA · PI BRODY, GENE H. · 2009 to 2018
$10.2M
Home-based Prevention for African American Families in Rural CommunitiesR01HD069439 · NICHD · UNIVERSITY OF GEORGIA · PI BEACH, STEVEN R · 2012 to 2016
$2.6M
National Institute of Child Health and Human DevelopmentNICHD NIH HHS R01 HD069439NIDA NIH HHS P30 DA027827
6 · The paper itself

Abstract

This study investigated (a) the stress spillover pathways linking contextual stressors, changes in couple relationship functioning and depressive symptoms, and changes in individuals' physical health, and (b) the stress-buffering effect of participation in an efficacious, family centered prevention program designed to protect couples from the deleterious effects of stressors. The sample consisted of 346 rural African American couples (63% married) who participated in a randomized controlled trial of the Protecting Strong African American Families (ProSAAF) program. Participants were assessed at three time points across 17 months. Results examining stress spillover within the control group indicated that elevated current, but not prior, financial hardship was associated with decreased effective communication, relationship satisfaction, and relationship confidence as well as increased depressive symptoms; current levels of racial discrimination also predicted greater depressive symptoms. Relationship confidence and relationship satisfaction, but not communication or depressive symptoms, in turn predicted declines in self-reported physical health. Results examining stress-buffering effects suggested that participation in ProSAAF protected individuals' relationship confidence from declines associated with elevated financial hardship. In addition, the indirect effect linking financial hardship to declines in physical health through relationship confidence that emerged among participants in the control group was no longer evident for ProSAAF couples. Results highlight the effect of contextual stressors on African Americans' couple and individual well-being and the potential for the ProSAAF program to provide a constructed resilience resource, protecting couple's confidence in their relationship from the negative effects of financial hardship and, consequently, promoting physical health. (PsycINFO Database Record

Indexed as

Health StatusSocial SupportAdultAgedAged, 80 and overBlack or African AmericanDepressionFemaleHumansMaleMarriageMiddle AgedPersonal SatisfactionProgram EvaluationRural PopulationSelf Report

Identifiers

PMID29658756
PMCPMC5905714

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.