The COVID-19 pandemic constituted a public health crisis bound to impact couples, parents, and families globally. However, the literature on the impacts of COVID-19 in families is not yet integrated. This systematic review aims to (1) provide an overview of how the COVID-19 pandemic potentially changed family systems, especially the couples and parenting dynamics, as well as (2) integrate inconsistent findings, and, finally, (3) define new avenues for research and clinical practice. Inclusion and exclusion criteria were defined for this review. The data was collected in bibliographic databases using a combination of keywords. The study includes empirical research published in English, Spanish, Italian, or Portuguese, appearing in peer-reviewed journals, focusing on the impact of the COVID-19 pandemic on the functioning of different-gender or same-gender couples, married or cohabitating, or cohabitating parents with children aged 2 to 18, between April 2020 and December 2023. Within 381 articles, 58 studies met the inclusion criteria, which 50 were quantitative, four qualitative, and four mixed methods studies. A qualitative thematic analysis of the reviewed articles identified 12 categories that were organized by stress sources, mediators, and outcomes. There is consistent evidence across the literature showing some sources of stress during COVID-19, such as Gender Inequalities (e.g., Unequal Division of Household Duties and Lack of Support for Mothers), and External Stress. Also, we identified some themes on the mediators such as Coping Strategies (e.g., Dyadic Support, Communication as a Mediator and Adaptation to New Daily Routines) and finally as outcomes, Lower Psychological Well-Being, and Relational Growth. However, some inconsistencies were found in Relationship (In) Satisfaction, Sexual Functioning and Communication as an Outcome. Explorations of moderators showed that these inconsistencies should be understood in reference to (1) quality assessment (2) coping and (3) income. After conducting a comprehensive analysis of inconsistencies, our study revealed no notable differences in either relationship satisfaction or sexual frequency before and after the COVID-19 pandemic. Notably, a decline in sexual satisfaction was observed during the COVID-19 period. No conclusive associations were identified between income, relationship satisfaction, sexual satisfaction, sexual frequency, and stress related to COVID-19. Nonetheless, our observations indicated that individuals with moderate or high income, in conjunction with the implementation of effective coping strategies, exhibited a diminished impact of COVID-19-related stress on both relationship satisfaction and sexual functioning. Future studies should focus on a dyadic perspective at various stages of the family cycle, including longitudinal perspectives, as well as studies focused on the role of dyadic coping during times of crises. Findings must be considered with caution because not all studies had equal methodological rigor.

Parental alienation (PA) and its conceptualization or understanding of the process underlying this dynamic has long been controversial, but it has also been frequently brought to courtrooms. This study provides an account of how legal professionals conceptualize “parental alienation” and how they describe the characteristics of the phenomenon. Using a qualitative design, 21 family court judges (range 33–60 years; 11 men and 10 women), working with child custody cases, participated in an individual in-depth interview. A qualitative analysis based on Grounded Theory basic procedures revealed a complex picture of alienation dynamics with five interconnected results. First, PA contexts and landscapes, which included the judges’ perceptions on the PA nurturing contexts, its strategic behavior patterns and functions, portraits of PA and clues for its identification; second, considerations on PA severity; third, the influential factors, including those related to the emergence of PA; fourth, individual and relational impact of being exposed to PA; and fifth, perceived signs of change. The results also allowed for the complexification of the judges’ theories, revealing six properties of the PA concept: elasticity, intentionality and camouflage, power asymmetries, multifactorial nature, and destructiveness. Directions for future research are expanded from these results and pragmatic contributions of knowledge on judges’ critical thinking on PA issues and its manifestations in legal practice are discussed.

In the present study, the attributions of socially and economically disadvantaged mothers for their own negative parenting behavior and for their children's undesirable behaviors as perceived by parents-understood as misbehavior-were analyzed. To this end, an exploratory study with a qualitative design was developed, in which 24 socially and economically disadvantaged mothers were individually interviewed. The data were analyzed following a thematic analysis approach, using software suited to qualitative analysis, namely NVIVO 12. The children's undesirable behaviors as perceived by parents and some characteristics associated with parental performance (particularly the appraisal of the effectiveness of their negative practices) emerged respectively as external and internal factors, explaining mothers' inadaptive behaviors-difficulties in behavior regulation, physical coercion, psychological control and paraverbal hostility. The parental subsystem and school emerged as the main external factors, and the psychological characteristics as the most relevant internal factors, explaining the children's undesirable behaviors-challenge, immaturity, hostility, emotionally-based, school behavior/absenteeism and danger. The results also indicate weak self-critical reflexivity regarding some of the inadaptive behaviors. The comprehensive analysis of the results, based on the literature review, gave rise to an explanatory hypothesis on the dysfunctional circular process regarding the maintenance of inadaptive practices and children's undesirable behaviors, considering the role played by parental attributions and by insufficient parental reflexivity.

Parental abduction of a child occurs when the child is removed, by one parent, from the custody of the other parent or legally appointed guardians. The absence of the child has a profound impact on family members and significantly affects their lives. Also, parental abduction of a child is a relevant social problem which calls for further understanding. The aim of this research was to characterize the experiences of left behind parents in the context of parental abduction of a child. The data for this exploratory qualitative study were analyzed through thematic analysis of the semi-structured interviews carried out with eight male participants in Portugal. Participants' perceptions were organized around three main themes: the impact of this adverse event on different areas of their lives, recovery strategies, and perspectives regarding the future. Findings and their implications for professionals working with these families are discussed in light of the ambiguous loss and ambiguous boundaries frameworks.

Scientific literature has pointed to a growing body of empirical studies that contribute to an accurate mapping of parental alienation. This descriptive literature review of empirical research on parental alienation - in peer-reviewed scientific journals between January 2000 and December 2018 - seeks to characterize the research methodologies and to provide a summary of the main research themes. Several academic databases (B-On: Online Knowledge Library-Search, Ovid, ProQuest, Web of Knowledge, PsycINFO and Google Scholar) were systematically searched and the review followed the PRISMA guidelines for reporting systematic reviews and meta-analyses. Forty-three studies were included, the majority of them following a quantitative, retrospective and cross-sectional design. Parental alienation was mainly associated with divorce and child custody dispute contexts. Results also revealed the main themes targeted by empirical research: Development and use of assessment measures for parental alienation; Parental alienation patterns; Validation of the parental alienation syndrome construct; Parental alienation impact; Parental alienation viewed as child abuse; Professionals' voices and maps on parental alienation. Limitations and recommendations for future research on parental alienation are discussed, highlighting common themes and research gaps.

The death of a child is an individual process of grief but also a context of significant relational processes, which have been only rarely considered in research. The aim of this study was to examine the interactive processes within bereaved parents. Eighteen married bereaved parents were interviewed individually. The semistructured script included questions about the couples' relationship after the death of the child, particularly the relational dynamics and the association between the individual and relational realms. Data analysis using constructivist grounded theory allowed for the development of a circular hypothesis, suggesting that parents' individual grief influences and is influenced by the couple's relationship and partner support, involving interdependence and patterns of emotional transmission (empathy and emotion contagion) within the couple. The findings suggested that psychological interventions should include the dyadic level to optimize mutual support and the benefits obtained within marital interactions.

Scientific research has stressed the negative impact of economic and social adversity on parenting, which compromises children's adaptive trajectories throughout the life cycle. By means of a grounded theory approach, this study aims to explore and understand how mothers within socially and economically disadvantaged contexts conceptualize the “good mother”, and how they experience their own parenting. The sample consisted of 24 economically and socially disadvantaged mothers and a contrasting group of 8 mothers with no economic or social disadvantages. Educating children and ensuring their well-being emerged as the core purposes of a “good mother”, reported to be fulfilled through six main functions – affection, education, basic care, protection, dialogue and family relational care. The results also suggested the influence of beliefs on the parenting role performance, namely on parental strengths and shortcomings. Additionally, almost all the mothers revealed a positive parental self-image, although justifying this image posed difficulties for some, thus suggesting low parenting-related reflexivity. A hypothetical theory on mothers' positive parental self-image emerged through the data analysis. These results provide direction for future research and may potentially inform clinical practice with families in settings characterized by economic and social adversity.

Despite the challenging context of grieving for the death of a child, evidence shows that it is possible for parents to manage and preserve their relationship. The aim of this study was to examine parents' perceptions of positive interpersonal coping processes that helped their relationship after the death of their child. Individual semi-structured interviews with 17 bereaved maritally committed parents were conducted. The interview guide included questions covering themes such as parents' coping together, relationship strengths and mutual support. Data were analyzed through constructivist grounded theory methods. Three main themes were identified: search for meaning (reframing of partners' different coping processes and the changes/difficulties in the relationship, and development of shared beliefs); communication with the partner (direct and indirect feedback, and mutual learning); and care-in-relation (caring for the partner and the relationship). Dyad-level interventions should aim at promoting mutual empathy, development of shared appraisals, and the identification and consideration of each other's boundaries.

The question of what heightens or diminishes sexual desire has long been a passionate theme across cultures in literature, arts, media, and medicine. Yet, little research has been conducted to determine what affects level of desire within couples. The degree of differentiation of self has been suggested as an important variable in shaping partners' level of desire. Through a qualitative analysis of dyadic couple interviews, this study provides an account of characteristics, processes, and trajectories of sexual desire and differentiation in 33 heterosexual couples of varying ages and relationship duration. Factors associated with high desire were change and autonomy, whereas conflict and children were reported to be desire-diminishing factors. Innovation, sharing, autonomy, and effort emerged as desire-promoting strategies, while fostering personal interests, investing in a positive connection, and enhancing personal integrity were identified as couples' strategies to promote and preserve differentiation of self. The results also shed light on couples' perceptions of whether and how sexual desire changes over the course of the relationship and challenge common cultural assumptions about desire in committed relationships-namely the myth that the only authentic expression of desire is that which occurs spontaneously and without intention and planning. Implications for couple therapy are discussed.

The relationship between sexual desire and differentiation of self in couples has been frequently discussed in clinical literature but lacks empirical support. This exploratory study investigates the associations between individual and dyadic levels of sexual desire, differentiation of self, and couple satisfaction. Similarities and discrepancies in sexual desire and differentiation of self between partners were especially targeted. Partners were expected to have a lower discrepancy of differentiation of self than unrelated individuals (Bowen's similarity hypothesis). Partners’ discrepancy in differentiation of self was expected to be negatively associated with sexual desire, and higher levels of sexual desire and differentiation in the dyad were expected be positively associated with couple satisfaction. Results suggest that partners’ similarity regarding differentiation of self predicted individual sexual desire. Other findings suggest that couple satisfaction was positively associated with both sexual desire and differentiation of self. Limitations and clinical implications are discussed.

Differentiation of self – the ability to emotionally self-regulate and to maintain a sense of autonomy within a deep intimate relationship – has been proposed as a relevant factor in couple satisfaction, but the mechanisms underlying this association remain unclear. Sexual desire and intimacy have recently drawn increased attention due to the proposal that some of the relational benefits of long-term intimacy (e.g., predictability) might be detrimental to desire and satisfaction. This study aimed to test a model illustrating the role played by differentiation of self in couple satisfaction through the underlying mechanisms of sexual desire and intimacy, in a survey of 428 heterosexual individuals. The findings supported the proposed model, suggesting that differentiation of self is a predictor of desire, intimacy and couple satisfaction. Desire mediated the association between differentiation and couple satisfaction, and also the association between differentiation and intimacy. Intimacy mediated the association between desire and satisfaction. The model was sustained for women, but a different mechanism was found for men. The results provide support for the close association between intimacy, sexual desire and satisfaction, while suggesting that differentiation of self has a fundamental role in sexual desire, intimacy and couple satisfaction.

In spite of a mostly positive impact of emotional intimacy on sexual desire and satisfaction, emotional merging and the safety and comfort of emotional closeness have been linked with diminished sexual desire. Aiming at a better understanding of the role of intimacy in male sexuality, this paper explored (1) a likely mechanism behind the association between emotional intimacy and sexual satisfaction and (2) whether there is empirical evidence of a negative impact of intimacy on sexual desire. Among 506 heterosexual Croatian men (M = 38.2years, SD = 8.43) currently living with their partners who participated in a large-scale online survey carried out in 2011, sexual satisfaction was dependent on both intimacy and sexual desire. Emotional intimacy was strongly associated with the partner-centered component of personal sexual satisfaction, pointing to a possible mechanism through which intimacy affects sexual well-being. Despite employing different analytical approaches and controlling for age and the length of intimate relationship, no evidence was found of a negative association between relationship intimacy and male sexual desire. Our study supports the notion that intimacy has an important and positive role in male sexuality.

Tese de doutoramento em Psicologia, na especialidade de Psicologia da Familia e Intervencoes Familiares, apresentada a Faculdade de Psicologia e Ciencias da Educacao da Universidade de Coimbra e a Faculdade de Psicologia da Universidade de Lisboa

Using the lenses of systemic family psychology and family sociology, this study explores the meanings of couple intimacy and the factors that have an impact on it. Through the qualitative analysis of 33 joint couple interviews, several links were found between current intimacy debates (ie, togetherness versus autonomy), which help to build a complex picture of relationship dynamics. The participants’ perspectives provided three important results. First, couple intimacy was perceived as encompassing authenticity, sharing and trust, along with privacy, understanding and autonomy. Second, factors that have a negative impact on couple intimacy were related to the calibration of boundaries with other subsystems (especially work). Third, changing the everyday routine of couple life is the factor that influences intimacy in a most positive manner. These results allow us to provide a theoretical complexification and an empirical update of couple intimacy, as well as to contribute with relevant clues for couple therapy and preventive systemic interventions.

The scientific community underlines that one of the main challenges for couples is the effect of time on sexual desire. Some studies suggest that although some dimensions associated with intimacy tend to increase during the relationship, sexual desire and the related constructs tend to decrease. Some researchers have recently suggested that couples' relationships with high degrees of sharing and fusion might be particularly detrimental for the sustenance of sexual desire. However, the authors found no empirical or theoretical studies that investigate the relations between intimacy and desire. Recovering the concept of differentiation as a possible influencing variable between intimacy and desire, this article develops reflections on this theme, which is of paramount relevance for the couple viability.

Obesity (OB) is increasing and it is now common even in children and adolescents. Concurrent, several reports has been shown that physical inactivity (PI) in children and adolescent is growing worldwide. Most of the studies that confirm the growing prevalence of OB and PI on adolescents were conducted in developed countries and/or large cities. Therefore, there are still few population-based studies about adolescents in small town in developing countries. PURPOSE: To estimate the prevalence of physically inactive high school adolescent students and to associate with nutritional status in a small town in the southeast of Brazil. METHODS: A cross-sectional study was conducted in Diamantina, a town with a population of approximately 45,000 people. The total high school adolescent (15 to 18 years old) population comprised of 1294 students divided into six schools (1 private and 5 public). After contacting all six schools, only four schools agreed to participate (1 private and 3 public, total of 1017 students). A total of 535 students consented to have their height and body mass measured, to calculate the Body Mass Index (BMI), and 610 to answer the International Physical Activity Questionnaire (IPAQ). We used the percentiles 85% and 95% of BMI as the cutoff for overweight (OW) and obesity, respectively. PI was considered an expenditure of less than 300 min/week of moderate and vigorous physical activities. The results are presented in percentage and chi square test was used to indicate association. RESULTS: Of 535 students evaluated for nutritional status [324 (60.5%) girls and 211 boys (39.5%)], we observed that 23 girls (7.1%) were OW and 11 (3.4%) OB. For boys, 19 (9.0%) were OW and 9 (4.26%) OB. Of 610 students surveyed for physical activity [382 (62.6%) girls and 228 boys (37.4%)], 169 (44%) girls and 69 (30%) boys were considered inactive. The percentages of OW and OB tended to be higher on boys compared to girls (p<0.05), although more girls were considered physically inactive than boys (p<0.05). CONCLUSION: Our results demonstrate a small prevalence of overweight, obesity and physical inactivity in the studied population compared to other national and worldwide studies. We speculate that the lifestyle in small cities and town is favorable to healthy habits. Supported by FAPEMIG.