PARENTING STRESS AND CHILD MALTREATMENT IN DRUG-EXPOSED CHILDREN
PARENTING STRESS AND CHILD MALTREATMENT IN DRUG-EXPOSED CHILDREN
复制标题
DOI：
10.1016/0145-2134(92)90042-p
复制
发表时间：
1992-01-01
影响因子：
4.8
通讯作者：
KELLEY, SJ
中科院分区：
文献类型：
--
作者：
KELLEY, SJ
本研究旨在探讨产前药物暴露与育儿压力及虐待儿童的关系。样本由48名受试者组成，其中包括24名接触毒品的儿童和24名未接触毒品的儿童作为对照组，这些儿童在年龄、种族、性别和社会经济地位上匹配。受试者的年龄从1到33个月不等，平均13个月。正如预测的那样，怀孕期间使用药物的母亲报告的压力水平高于养母和对照母亲，根据父母养育压力指数(Abidin，1990)衡量，总的育儿压力、与孩子相关的压力和与父母相关的压力。在与儿童相关的压力方面，亲生母亲和养母的得分高于与儿童相关的比较，最显著的是在多动、分心和适应能力方面。研究发现，母亲使用药物与虐待儿童之间有很强的相关性，虐待儿童的严重程度足以迫使CPS将儿童带走。超过40%的接触毒品的儿童被寄养，最常见的是由外祖母照料。大多数在怀孕期间吸毒的母亲是多物质滥用者，21%的母亲是静脉吸毒者，这增加了母亲和儿童感染艾滋病毒的风险。讨论了干预措施的含义。
This study was conducted to examine the relationship between prenatal exposure to drugs and parenting stress and child maltreatment. The sample was comprised of 48 subjects including 24 drug-exposed children and a comparison group of 24 non-drug-exposed children matched on age, race, gender and socioeconomic status. The subjects' age ranged from 1 to 33 months with a mean of 13 months. As predicted, mothers who used drugs during pregnancy reported higher levels of stress than foster mothers and comparison mothers on total parenting stress, child related stress, and parent related stress as measured by the Parenting Stress Index (Abidin, 1990). Biological mothers and foster mothers of drug-exposed infants scored higher than comparisons on child-related stress, most notably in the areas of hyperactivity, distractability and adaptability. A strong association was found between maternal use of drugs and child maltreatment serious enough to necessitate removal of the children by CPS. Over 40% of the drug-exposed children were in foster care, most often with maternal grandmothers. Most mothers who used drugs during pregnancy were polysubstance abusers and 21% were intravenous drug users increasing the risk of HIV infection for mothers and children. Implications for intervention are discussed.