Mothers' and Fathers' Prescription Drug Misuse in Family Contexts: Implications for the Adjustment of Parents of Children With and Without Autism.
Mothers' and Fathers' Prescription Drug Misuse in Family Contexts: Implications for the Adjustment of Parents of Children With and Without Autism.
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母亲和父亲在家庭背景下滥用处方药：对患有和不患有自闭症儿童的父母的调整的影响。
DOI：
10.1080/16066359.2017.1351552
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发表时间：
2018
影响因子：
2.9
通讯作者：
Hartley,SiganL
中科院分区：
文献类型：
--
作者：
Papp,LaurenM;Hartley,SiganL
虽然处方药滥用是个人结果的一个确定的风险因素，但对其在家庭中的发生和影响知之甚少。为了解决这一限制，我们研究了母亲和父亲的处方药滥用是否与父母的调整有关，包括那些有自闭症谱系障碍（ASD）儿童的父母和那些没有自闭症谱系障碍的父母。母亲和父亲的家庭有一个孩子与ASD（n= 178）和比较家庭没有一个孩子与ASD（n= 174）完成了过去一年的处方药滥用和他们的个人和关系调整的调查。总体而言，7.7%（N= 27）的母亲和8.2%（N= 29）的父亲报告了最近的处方药滥用。在有ASD儿童的家庭中，母亲和父亲最近的处方药滥用之间存在显着的相互依赖关系，但在比较家庭中则不然。演员-合作伙伴相互依存模型被用来检查父母的处方药滥用和他们自己和他们的合作伙伴的调整，控制处方药的医疗使用和人口统计学协变量之间的关联。在家庭诊断状态中，母亲的处方药滥用预示着他们自己的酒精问题水平较高，而父亲的处方药滥用只与母亲的睡眠质量较差有关。此外，母亲的处方药滥用与ASD状态（但不是比较）家庭中更高水平的抑郁症状有关。了解父母的处方药滥用及其对家庭成员的影响对于为未来的研究以及预防和治疗策略提供信息至关重要。
Although prescription drug misuse is an identified risk factor for individuals’ outcomes, less is known about its occurrence in and implications for families. To address this limitation, we examined whether mothers’ and fathers’ prescription drug misuse is associated with the adjustment of parents, including those with a child with autism spectrum disorder (ASD) and those without. Mothers and fathers from families with a child with ASD (n= 178) and comparison families without a child with ASD (n= 174) completed surveys of past-year prescription drug misuse and their personal and relationship adjustment. In total, 7.7% (N= 27) of mothers and 8.2% (N= 29) of fathers reported recent prescription drug misuse. There was significant interdependence between mothers’ and fathers’ recent prescription drug misuse in families with a child with ASD but not in comparison families. Actor-partner interdependence modeling was used to examine associations between parents’ prescription drug misuse and their own and their partner’s adjustment, controlling for medical use of prescription drugs and demographic covariates. Across family diagnosis statuses, mothers’ prescription drug misuse predicted higher levels of their own alcohol problems, whereas fathers’ prescription drug misuse related only to mothers’ poorer sleep quality. Moreover, mothers’ prescription drug misuse was associated with higher levels of their own depression symptoms in ASD-status (but not in comparison) families. Understanding parents’ prescription drug misuse and its effects on family members is critical for informing future research and prevention and treatment strategies.