Parenting Intervention Development and Assessment with Substance Abusing Mothers

对滥用药物的母亲进行育儿干预的制定和评估

• 批准号: 7470808
• 负责人: NANCY E SUCHMAN
• 金额: $ 18.18万
• 依托单位: YALE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2008
• 资助国家: 美国
• 起止时间: 2008-04-01 至 2013-03-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7470808
• 关键词: Abstinence; Affect; Child; Clinical; Cues; Data; Disease; Drug usage; Emotional; Exposure to; Family; Follow-Up Studies; Funding; Infant Care; Intervention; Intervention Studies; Investigation; Link; Maternal Exposure; Measures; Mentored Clinical Oncology Award; Mentored Clinical Scientist Award; Mentored Patient-Oriented Research Career Development Award; Modeling; Mothers; National Institute of Drug Abuse; Outcome; Parenting behavior; Parents; Pilot Projects; Prevention; Procedures; Process; Psychologist; Randomized; Relapse; Research; Research Design; Risk; Staging; Stress; Substance abuse problem; Support of Research; Testing; Therapeutic; Toddler; Translating; Woman; Work; base; caregiving; design; follow-up; improved; innovation; maternal drug use; programs; response; skills; stressor; therapy development

DESCRIPTION (provided by applicant): This K02 application seeks support for a research psychologist to conduct a program of research that (a) translates attachment principles into clinical parenting interventions for substance abusing mothers who are caring for infants and toddlers and (b) tests hypothesized cyclical mechanisms linking maternal exposure to typical parenting stressors, maternal affect dysregulation and risk for relapse to drug use, maternal insensitivity to child emotional cues and child emotional dysregulation. This work has vital implications for the prevention of substance abuse and maladaptive parenting in families affected by maternal substance abuse. Funded by a K23 award for 5 years, the candidate has translated a sophisticated understanding of attachment mechanisms into an innovative approach to treating parenting disorders in substance abusing women. She received funding from NIDA (R01DA17294) to further develop and evaluate this intervention. She has also applied attachment principles to empirical investigation of the relational problems of substance abusing mothers and their children. She now seeks to (1) analyze and interpret her intervention outcomes, (2) design appropriate follow up studies using the NIDA stage model, (3) identify salient therapeutic mechanisms in her intervention approach, (4) examine whether typical parenting stressors increase maternal risk for relapse (5) examine links between maternal substance abuse and delayed recognition of child emotional cues, and (6) examine whether abstinence from drug use can improve tolerance for parenting stress. The candidate will further develop her skills to (a) interpret Stage I findings, (b) design appropriate follow-up intervention research, (c) design studies to statistically analyze therapeutic mechanisms of change, (d) develop research paradigms for measuring maternal response to parenting stressors and (e) develop procedures for measuring maternal thresholds for detecting child emotional cues. During the period of support, her research will include two major efforts: (1) the analysis of process and outcome data from 60 mothers completing a randomized pilot study testing the preliminary efficacy of her attachment-based intervention, and (2) completion of a preliminary study with 40 mothers in which newly-developed parenting stress paradigms will be used to test proposed links between parenting stressors, risk for relapse, caregiving insensitivity and child emotional dysregulation.

描述（由申请人提供）：本K02申请寻求心理学家的支持，以开展一项研究项目，该项目包括：(a)将依恋原则转化为照顾婴幼儿的药物滥用母亲的临床育儿干预措施；(b)测试与母亲暴露于典型育儿压力源、母亲情绪失调和药物复发风险、母亲对儿童情绪线索不敏感和儿童情绪失调有关的假设周期性机制。这项工作对预防药物滥用和受母亲药物滥用影响的家庭中的不适应养育具有重要意义。该候选人获得了K23奖5年的资助，将对依恋机制的复杂理解转化为治疗药物滥用妇女养育障碍的创新方法。她获得了NIDA （R01DA17294）的资助，以进一步开发和评估该干预措施。她还将依恋原则应用于药物滥用母亲及其子女关系问题的实证调查。她现在寻求(1)分析和解释她的干预结果，(2)使用NIDA阶段模型设计适当的后续研究，(3)确定她的干预方法中的显著治疗机制，(4)检查典型的父母压力源是否增加母亲复发的风险(5)检查母亲药物滥用与儿童情绪线索的延迟识别之间的联系，以及(6)检查戒断药物使用是否可以提高对父母压力的耐受性。候选人将进一步发展她的技能，以(a)解释第一阶段的发现，(b)设计适当的后续干预研究，(c)设计研究以统计分析改变的治疗机制，(d)开发研究范式以测量母亲对养育压力源的反应，以及(e)开发测量母亲阈值以检测儿童情绪线索的程序。在支持期间，她的研究将包括两项主要工作：(1)分析来自60位母亲的过程和结果数据，这些母亲完成了一项随机试点研究，以测试她基于依恋的干预的初步效果；(2)完成了一项针对40位母亲的初步研究，该研究将使用新开发的育儿压力范式来测试育儿压力源、复发风险、照顾不敏感和儿童情绪失调之间的联系。