Secondary Effects of Parent Treatment for Drug Abuse on Children

父母治疗药物滥用对儿童的继发影响

• 批准号: 8288916
• 负责人: MICHELLE L KELLEY
• 金额: $ 30.32万
• 依托单位: OLD DOMINION UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2009
• 资助国家: 美国
• 起止时间: 2009-07-01 至 2014-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8288916
• 关键词: Address; Adolescence; Adolescent; Adult; Affect; Aftercare; Age; Aggressive behavior; Alcohol abuse; Alcohol or Other Drugs use; Alcoholism; Attention; Behavior; Behavioral; Belief; Child; Child Abuse and Neglect; Childhood; Clinical; Communities; Complex; Conflict (Psychology); Couples; Couples Therapy; Development; Dimensions; Domestic Violence; Drug abuse; Emotional; Environment; Evaluation; Family; Family psychotherapy; Fathers; Female; Health; Home environment; Individual; Intervention; Investigation; Learning; Life; Measures; Mediating; Mediation; Mediator of activation protein; Modeling; Mothers; Names; Outcome; Parenting behavior; Parents; Patients; Personal Satisfaction; Pharmaceutical Preparations; Problem behavior; Process; Psychological adjustment; Questionnaires; Randomized; Randomized Clinical Trials; Research; Risk; Series; Services; Severities; Social Problems; Staging; Substance abuse problem; Symptoms; System; Testing; Variant; Violence; Work; Youth; addiction; adolescent substance abuse; base; emerging adult; experience; follow-up; high risk; improved; intimate partner violence; meetings; non-drug; partner violence; preadolescence; prevent; problem drinker; psychologic; psychosocial; psychosocial adjustment; public health relevance; sobriety; substance abuse treatment; teacher; therapy development; treatment effect

DESCRIPTION (provided by applicant): Children who live with a substance-abusing father often manifest significant emotional, behavioral, and social problems. Although directly treating these children may be ideal, many parents are very reluctant to allow the child to take part in individual or family therapy. Preliminary research suggests that Learning Sobriety Together (LST; the "brand" name of Behavioral Couples Therapy for alcohol and drug abuse), a comprehensive psychosocial intervention for substance abuse that focuses both on reducing substance abuse and improving couple functioning, may provide an entry point into the family system from which to benefit children in these homes. To address this we will conduct a randomized clinical trial (RCT) to compare the emotional and behavioral adjustment, beliefs about aggression, and serious negative behaviors of youth ages 8 to 16 (as rated from mothers, fathers, teachers, and children themselves) whose drug- abusing fathers and non-substance-abusing mothers take part in LST as compared to youth whose fathers take part in an equally intensive individual-based treatment (IBT). We will examine whether LST is associated with significantly higher levels of adjustment (e.g., fewer internalizing and externalizing symptoms, less acceptability of aggression, less delinquency, aggression/violence, and substance use) at post treatment and during the 12-month follow-up as compared to IBT; whether participation in LST will result in lower addiction severity, increase couple functioning, lower interparental conflict, improve parenting, reduce risk for child maltreatment, and improve parental psychological functioning as compared to IBT, whether changes in addition severity, dyadic adjustment, interparental conflict, parenting, and parental psychological adjustment during and after treatment will be associated with changes in children's adjustment; and whether changes in addiction severity, dyadic adjustment, interparental conflict, parenting, and parental psychological functioning will partially or fully mediate the direct effect of treatment condition (LST versus IBT) on youth outcomes. Finally, we will test a moderated-mediation hypothesis to determine whether adolescents experience a significantly weaker effect than preadolescents. We intend to use the information collected from the proposed study to refine and modify LST to enhance its positive effects on children and provide an option for agencies to support youth in these homes. PUBLIC HEALTH RELEVANCE: Children of drug-abusing parents are at extremely high risk for a host of problems throughout childhood and into adulthood, yet their parents are reluctant to involve them in any treatment services. Empirically-based interventions are needed that can benefit not only the drug-abusing parent, but also extend further to the family system to improve their children's current psychosocial adjustment as they prepare for transitions to adulthood. Learning Sobriety Together holds great potential for having such broad and prolonged effects that will benefit families affected by drug abuse as well as the treatment community that serves them.

描述（由申请人提供）：与滥用物质的父亲一起生活的孩子通常表现出严重的情感，行为和社会问题。尽管直接治疗这些孩子可能是理想的，但许多父母非常不愿意让孩子参加个人或家庭疗法。初步研究表明，学习清醒（LST；行为夫妻疗法的“品牌”名称，用于酗酒和吸毒的疗法），这是针对药物滥用的全面心理社会心理干预措施，重点是减少药物滥用和改善夫妇的功能，可能会为这些家庭中的儿童带入家庭系统。为了解决这个问题，我们将进行一项随机临床试验（RCT），以比较8至16岁的年轻人的情感和行为调整，对侵略性的信念以及严重的负面行为（从母亲，父亲，父亲，教师和儿童本身评为评级为虐待父亲的毒品，而虐待父亲的毒品和非虐待的母亲则是与年轻人相比，与年轻人相比，我将与年轻人相提并论。我们将检查LST在治疗后以及与IBT相比相比，LST是否与更高的调整水平（例如，较少的内在症状和外在化症状，更少的可接受性，较小的犯罪性，侵略/暴力和药物使用）以及在12个月的随访中相关；与IBT相比，参与LST是否会导致较低的成瘾严重程度，增加夫妇的功能，降低育儿，降低育儿的风险，降低儿童虐待的风险，改善父母的心理功能，与IBT相比，是否有其他严重性，二氧化调整，父母的育儿冲突，育儿，育儿，育儿，父母的心理调整在治疗过程中和治疗后与儿童调整的变化有关；以及成瘾的严重程度，二元性调整，父母冲突，育儿和父母心理功能的变化是否会部分或完全介导治疗状况的直接影响（LST与IBT）对青年结果。最后，我们将测试一个中等的中等化假设，以确定青少年是否比前核心的效果明显弱。我们打算使用拟议研究收集的信息来完善和修改LST，以增强其对儿童的积极影响，并为机构提供支持这些家庭中的青年的选择。 公共卫生相关性：滥用毒品的父母在整个童年和成年期都面临极高的风险，但是他们的父母不愿意让他们参与任何治疗服务。需要基于经验的干预措施，不仅可以使滥用毒品的父母受益，而且还可以进一步扩展到家庭体系，以改善孩子的当前社会心理调整，因为他们准备过渡到成年。学习清醒具有如此广泛而长时间的影响，这将使受药物滥用以及为他们服务的治疗界受益的家庭受益。