Relations between parent psychopathology, family functioning, and adolescent problems in substance-abusing families: disaggregating the effects of parent gender.

Relations between parent psychopathology, family functioning, and adolescent problems in substance-abusing families: disaggregating the effects of parent gender.
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DOI:
10.1007/s10578-012-0288-z
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发表时间:
2012-08
影响因子:
2.9
通讯作者:
Dumenci, Levent
Dumenci, Levent
中科院分区:
医学4区
文献类型:
--
作者:
Burstein, Marcy;Stanger, Catherine;Dumenci, Levent

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本研究报告:(1)在物质滥用家庭中,研究父母精神病理学与青少年内化问题、外化问题和物质使用之间的关系;(2)测试家庭功能问题作为这些关系的中介。结构方程模型被用来估计父母的精神病理学和家庭功能问题的父母性别的独立影响。参与者包括242名接受药物滥用和/或依赖治疗的父母和59名来自中等收入家庭(SES:M = 4.7; SD = 2.1)的父母(16.9%接受药物滥用/依赖治疗)。获得了325名10至18岁青少年(48%女性; 27.8%非高加索人)的评级(M = 13.5岁; SD = 2.5岁)。采用症状自评量表(SCL-90)/简明症状量表(BSI)、家庭关系量表和儿童行为量表分别对父母精神病理学、家庭功能问题和青少年问题进行评估。结果表明,母亲的精神病理学是直接相关的青少年内化问题和物质使用,但母亲的家庭功能问题的看法未能调解母亲的精神病理学和青少年问题之间的关系。相比之下,父亲的家庭功能问题的看法独特的调解父亲的精神病理学和青少年外化问题之间的关系。研究结果强调,研究母亲和父亲如何可能有差异地影响药物滥用家庭中的青少年问题的重要性。
The present study: (1) examined relations between parent psychopathology and adolescent internalizing problems, externalizing problems, and substance use in substanceabusing families; and (2) tested family functioning problems as mediators of these relations. Structural equation modeling was used to estimate the independent effects of parent psychopathology and family functioning problems by parent gender. Participants included 242 parents in treatment for substance abuse and/or dependence and 59 of their coparents (16.9% in treatment for substance-abuse/dependence) from middle income households (SES: M = 4.7; SD = 2.1). Ratings were obtained for 325 adolescents (48% female; 27.8% non-Caucasian) between the ages of 10 and 18 years (M = 13.5 years; SD = 2.5 years). Parent psychopathology, family functioning problems, and adolescent problems were assessed with parent and coparent ratings on the Symptom Checklist (SCL-90)/Brief Symptom Inventory (BSI), the Family Relationship Measure, and the Child Behavior Checklist, respectively. Results indicated that maternal psychopathology was directly related to adolescent internalizing problems and substance use, but maternal perceptions of family functioning problems failed to mediate relations between maternal psychopathology and adolescent problems. By contrast, paternal perceptions of family functioning problems uniquely mediated relations between paternal psychopathology and adolescent externalizing problems. Findings underscore the importance of examining how mothers and fathers may differentially impact adolescent problems in substance-abusing families.
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