Social Stress Among Mothers in Treatment

描述：(申请人提供) 该提案的目的是使用现有的数据库来检查 哪些养育女性的社会制度影响她们参与和参与的能力 从治疗中受益。她的社交网络的变化，她的能力 不同角色的责任，以及她得到的支持程度 家庭成员和同龄人构成了不同程度的社会压力。它是 假设经历高度社会压力的女性(例如， 家庭冲突、与吸毒伙伴或同龄人的持续联系、养育子女 问题)将更难将注意力集中在治疗上。 具体地说，社交压力大的女性预计参加的人数会更少 而且与辅导员的关系比那些地位较低的人差 社会压力状况。将特别强调与以下方面有关的问题 儿童的功能水平和育儿责任。具体目标 A)定义来自家庭关系的社会压力的衡量标准， 孕期与育儿的同伴关系与育儿责任 药物滥用治疗中的妇女和b)检查社会压力因素如何影响 参与治疗。 拟议的分析将使用现有的数据库来检查 妇女社会制度对她们参与治疗和从治疗中获利的能力的影响。 收集了147名妇女的综合入院和治疗期间的数据 和他们的229个孩子，作为CSAT资助的提供治疗的倡议的一部分 献给妇女和她们的子女。参与机构有20个 个人公寓家庭，为妇女提供日常治疗服务 和儿童保育。数据是在五年内收集的，从 1996年4月至2000年9月 分析工作将如下进行。首先，研究对象的心理测量特性 将审查反映潜在家庭和社会压力来源的措施，并 将制定综合措施。接下来，家庭和社会措施 与治疗期间结果相关的将通过单变量确定 分析。最后，代表各种不同因素相对贡献的模型 预测3个月结果的应激源将使用多变量来开发 技巧。

DESCRIPTION: (provided by applicant) The purpose of this proposal is to use an existing database to examine ways in which parenting women's social systems impact their ability to engage in and benefit from treatment. Changes in her social network, her ability to fulfill responsibilities in various roles, and the degree of support she receives from family members and peers, constitute varying degrees of social stress. It is hypothesized that women who experience a high degree of social stress (e.g., family conflict, continued contact with drug-using partners or peers, parenting problems) will have more difficulty focusing their attention on treatment. Specifically, women with high social stress are expected to attend fewer sessions and have poorer relationships with counselors than those under lower social stress conditions. Special emphasis will be placed on issues related to children's level of functioning and parenting responsibilities. Specific aims are to a) define measures of social stress stemming from family relationships, peer relationships, and parenting responsibilities among pregnant and parenting women in substance abuse treatment and b) examine how social stressors impact treatment participation. The proposed analyses will use an existing database to examine the impact of women's social systems on their ability to engage in and profit from treatment. Comprehensive admission and during-treatment data were collected on 147 women and their 229 children as part of a CSAT-funded initiative to provide treatment to women and their dependent children. The participating agency housed 20 families in individual apartments, providing daily treatment services for women and child care for children. Data was collected over a five-year period from April 1996 to September 2000. Analyses will be conducted as follows. First, the psychometric properties of measures reflecting potential family and social stressors will be examined and composite measures will be developed. Next, family and social measures associated with during-treatment outcomes will be identified through univariate analyses. Finally, models representing the relative contribution of various stressors in predicting month 3 outcomes will be developed using multivariate techniques.