Parenting under the influence: the effects of opioids, alcohol and cocaine on mother-child interaction.

Parenting under the influence: the effects of opioids, alcohol and cocaine on mother-child interaction.
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影响下的育儿:阿片类药物、酒精和可卡因对母子互动的影响。

DOI:
10.1016/j.addbeh.2014.02.003
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发表时间:
2014
影响因子:
4.4
通讯作者:
Brigham,GregoryS
Brigham,GregoryS
中科院分区:
医学2区
文献类型:
--
作者:
Slesnick,Natasha;Feng,Xin;Brakenhoff,Brittany;Brigham,GregoryS

文献摘要

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近20%的接受物质使用障碍治疗的成年人与他们的未成年子女住在一起(Stanger等人,1999年),接受药物使用治疗的妇女在家中生育子女的可能性是男子的两倍(Wechsberg等人,1998年)。父母吸毒通过减少家庭资源(如金钱和食物)影响家庭,研究人员一直注意到物质使用者的养育缺陷(Solis,Shadur,Burns和Hussong,2012)。人们对使用不同药物的母亲或8至16岁年龄较大儿童的母亲在养育子女和母子互动方面的差异知之甚少。这项研究报告了使用阿片类药物,酒精和可卡因的母亲及其8-16岁儿童的治疗样本的结果。母子观察任务和自我报告的养育措施的结果表明,与酒精成瘾的母亲相比,阿片类药物对自主性的破坏较少,母亲对母亲的接受程度较高。非裔美国人的母亲被观察到有较少的负面干预行为比白人和非裔美国人的母亲和儿童自我报告较高的公司控制和母亲的接受。总的来说,母亲们似乎很难对年龄较大的孩子和年龄较小的孩子进行有效的管教。研究结果提供了有用的信息,临床医生寻求有效地调整他们的干预措施,以妇女和儿童谁目前与不同的药物滥用,种族/文化和儿童的发育阶段。
Nearly 20% of adults receiving treatment for a substance use disorder live with their minor children (Stanger et al., 1999) and women in drug use treatment are twice as likely as men to have children in their household (Wechsberg et al., 1998). Parental drug use impacts the family through reduced family resources such as money and food, and researchers consistently note parenting deficits among substance users (Solis, Shadur, Burns, & Hussong, 2012). Little is known about differences in parenting and mother–child interaction among mothers with different drugs of choice or among mothers of older children, between 8 and 16 years. This study reports the findings from a sample of treatment seeking opioid, alcohol and cocaine using mothers and their 8–16-year-old child. Findings from a mother–child observational task and self-reported parenting measure indicated less undermining autonomy and higher mother maternal acceptance among opioid compared to alcohol addicted mothers. African American mothers were observed to have fewer negative interactional behaviors than Whites and both African American mothers and children self-reported higher firm control and maternal acceptance. Overall, mothers appeared to struggle with effective discipline with older versus younger children. Findings offer useful information to clinicians seeking to effectively tailor their interventions to women and children who present with different drugs of abuse, race/culture and developmental stage of child.