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: 7794895
• 负责人: NANCY E SUCHMAN
• 金额: $ 18.14万
• 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/7794895
• 关键词: Abstinence; Acting Out; Adolescent; Adoption; Affect; Age; Alcohols; Applications Grants; Behavior; Behavioral; Burn injury; Case Management; Child; Child Behavior; Child Development; Childhood; Clinical; Communication; Conflict (Psychology); Control Groups; Cues; Data; Development; Discipline; Disease; Drug abuse; Drug usage; Emotional; Evaluation; Exposure to; Family; Family psychotherapy; Feeling; Follow-Up Studies; Fostering; Funding; Goals; Heroin; Home environment; Household; Infant; Infant Care; Intervention; Intervention Studies; Investigation; Link; Maintenance; Maternal Exposure; Measures; Mental Depression; Mentored Patient-Oriented Research Career Development Award; Methadone; Modeling; Monograph; Mothers; National Institute of Drug Abuse; Outcome; Parent-Child Relations; Parenting behavior; Parents; Pattern; Pharmaceutical Preparations; Physical activity; Pilot Projects; Prevention program; Problem Solving; Problem behavior; Procedures; Process; Psychologist; Publishing; Punishment; Randomized; Randomized Clinical Trials; Relapse; Reporting; Research; Research Design; Research Support; Resistance; Rewards; Risk; Role; School-Age Population; Staging; Stress; Substance abuse problem; Testing; Therapeutic; Toddler; Training; Training Programs; Translating; Treatment outcome; Woman; Work; Writing; abuse neglect; anger management; base; caregiving; design; disorder later incidence prevention; drug abuse prevention; efficacy testing; follow-up; foster care; improved; indexing; innovation; maternal drug abuse; maternal drug use; neglect; non-drug; peer; permissiveness; programs; psychosocial; response; self reported behavior; skills; skills training; social skills; stressor; substance abuse prevention; success; 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（申请人提供）：该K02申请寻求对研究心理学家进行研究计划的支持，该研究计划（a）将依恋原则转化为正在照顾婴儿和幼儿的药物滥用母亲的临床育儿干预措施，（B）测试将母亲暴露于典型的育儿压力源，母亲情绪失调和药物使用复发风险联系起来的假设周期性机制，母亲对儿童情绪线索不敏感和儿童情绪失调。这项工作对预防受母亲药物滥用影响的家庭中的药物滥用和不适应的养育方式具有重要意义。由K23奖资助了5年，候选人已经将对依恋机制的复杂理解转化为治疗药物滥用妇女育儿障碍的创新方法。她从NIDA（R01DA17294）获得资金，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的母亲及其子女的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后续研究，（3）在她的干预方法中确定突出的治疗机制，（4）检查典型的养育压力是否会增加母亲复发的风险（5）检查母亲药物滥用和延迟识别儿童情绪线索之间的联系，以及（6）研究是否戒毒可以提高父母对压力的耐受性。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，以统计分析治疗机制的变化，（d）开发研究范式，以衡量母亲对养育压力的反应，（e）开发测量母亲阈值的程序，以检测儿童的情绪线索。在支持期间，她的研究将包括两个主要的努力：（1）分析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，测试了她基于依恋的干预的初步功效，（2）完成了一项40位母亲的初步研究，其中新开发的育儿压力范式将用于测试育儿压力源之间的拟议联系，复发的风险，过敏性反应迟钝和儿童情绪失调。