权益分类	功能权益	普通用户	{{item.name}}会员
{{category.name}}	{{benefitItem.name}}

DRUG ABUSING WOMEN AND THEIR YOUNG CHILDREN

吸毒妇女及其年幼的孩子

基本信息

批准号：
2668153
负责人：
Sydney L. Hans
金额：
$ 23.41万
依托单位：
UNIVERSITY OF CHICAGO
依托单位国家：
美国
项目类别：
财政年份：
1995
资助国家：
美国
起止时间：
1995-03-15 至 2001-02-28
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/2668153
关键词：
behavioral /social science research tag case history child abuse depression drug abuse chemotherapy female human subject interview methadone mother /infant health care mother child interaction personality disorders preschool child (1-5) psychological stressor social support network socializations women's health

项目摘要

The goal of this study is to better understand the nature of mother-child relationships in dyads where the mother is drug addicted. While considerable effort has been devoted to studying the development of children exposed prenatally to drugs of abuse, little consideration has been given to the risks faced by these children after birth as a consequence of being born to a drug-using mother. Our hypothesis is that the quality of mother-child relationships will be closely related to maternal psychopathology. In particular, we predict that maternal antisocial and related personality disorder will result in unbalanced maternal representations of the child and in insensitive, intrusive, hostile parenting which in turn is reflected in the children's insecure attachments and coercive interactional styles. We predict that maternal depression--in the absence of personality disorder--will be related to more subtle patterns of disengagement from interaction with the child. With a sample of 150 drug-using women and their 30- to 60-month-old children, we plan to document the degree of balance in the mothers' mental representations of their children (Zeanah's Working Model of the Child Interview), the mothers' views about parenting and children (Bavolek's Adult-Adolescent Parenting Inventory), and the quality of actual mother- child interaction in situations that tap different relationship themes (attachment, teaching, socialization, attachment, and engagement in shared routines. Different aspects of the interaction will be rates using Crittenden's Preschool Assessment of Attachment, the Mother-Child Project teaching scales, the Parent Child Observation Guide and event coding to examine processes of maternal control and child compliance. We plan to assess the mothers' current and lifetime DMS-IV psychiatric diagnoses using the SCID and SCID-11 interviews and their current self-reported symptoms using the SCL-90-R. In exploring the major hypotheses we will also give consideration to a system of other variables that might be determinants of maternal psychopathology or non-optimal parental beliefs and behavior. These variables include the mother's history of early care; the mother's history of physical and sexual abuse; the mother's current psychosocial stressors; and the mother's current social support system.

这项研究的目的是为了更好地理解母婴的本质母亲吸毒成瘾的二元组关系。而当已经投入了相当大的努力来研究…的发展产前接触滥用药物的儿童，几乎没有考虑到这些孩子出生后面临的风险是母亲吸毒所生的后果。我们的假设是母子关系的好坏将与母性精神病病理学。特别是，我们预测母体反社会和相关的人格障碍会导致失衡对孩子的母性陈述和麻木不仁、侵扰性的、充满敌意的父母教育反过来又反映在孩子们的不安全感上依恋和强制性的互动风格。我们预测母体抑郁--如果没有人格障碍--将与从与孩子的互动中脱离的更微妙的模式。对150名吸毒妇女及其30至60个月大的婴儿进行了抽样调查孩子们，我们计划记录下母亲们心理上的平衡程度他们的孩子的表现(Zeanah的儿童工作模型采访)，母亲们对育儿和孩子的看法(巴沃莱克的成人-青少年育儿问卷)，以及实际母亲的素质- 儿童在利用不同关系主题的情况下的互动 (依恋、教学、社交、依恋和参与共享例行程序。互动的不同方面将使用克里滕登的学前依恋评估--母子项目教学规模、亲子观察指南和事件编码检查产妇控制和儿童依从性的过程。我们计划评估母亲目前和终生的DMS-IV精神病诊断使用SCID和SCID-11访谈以及他们目前的自我报告症状使用SCL-90-R。在探讨主要假设时，我们亦会考虑一个可能是母体疾病决定因素的其他变量系统精神病态或非最佳的父母信仰和行为。这些变量包括母亲早期护理的历史；母亲的历史身体和性虐待；母亲目前的心理社会压力；以及母亲目前的社会支持系统。