Parenting Intervention Development and Assessment with Substance Abusing Mothers

描述(由申请人提供)：这份K02申请寻求心理学家的支持，以进行一项研究计划，以(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，并(B)测试假设的循环机制，将母亲暴露于典型的育儿压力、母亲情绪调节失调和再次吸毒的风险、母亲对儿童情绪暗示和儿童情绪失调的不敏感联系起来。这项工作对预防受母体药物滥用影响的家庭中的药物滥用和不适应育儿具有重要意义。在K23奖项的资助下，这位候选人将对依恋机制的复杂理解转化为一种创新的方法，以治疗实质虐待女性的育儿障碍。她得到了NIDA(R01DA17294)的资助，以进一步开发和评估这种干预措施。她还将依恋原则应用于对滥用药物母亲及其子女关系问题的实证调查。她现在试图(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随访研究，(3)在她的干预方法中确定显著的治疗机制，(4)检查典型的育儿应激源是否会增加母亲复发的风险，(5)检查母亲滥用药物和延迟识别儿童情绪线索之间的联系，以及(6)检查戒毒是否可以提高对育儿压力的耐受性。候选人将进一步发展她的技能，以(A)解释第一阶段的调查结果，(B)设计适当的后续干预研究，(C)设计研究以统计分析治疗变化的机制，(D)制定研究范式，以衡量母亲对育儿压力的反应，以及(E)制定程序，测量母亲的阈值，以检测儿童的情绪暗示。在支持期间，她的研究将包括两个主要努力：(1)分析60名母亲的过程和结果数据，完成一项随机初步研究，测试她基于依恋的干预的初步效果；(2)完成一项包括40名母亲的初步研究，其中将使用新开发的育儿压力范式来测试育儿压力来源、复发风险、照顾不敏感和儿童情绪失调之间的拟议联系。

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.