MATERNAL DRUG USE, PSYCHOPATHOLOGY, AND CHILD ADAPTATION

描述：(申请人摘要) 尽管持续关注父母滥用药物对 儿童发展，有许多悬而未决的问题关于如何 哪些父母吸毒和共病的精神病理会影响心理社会 儿童的适应。建立在实地理论和方法的基础上 ，我们将使用因果关系的概念模型 影响力，一种全面的衡量方法，以及个人和 基于变量的数据分析方法，以解决四个具体问题 关于母亲药物依赖和共病的影响 学龄儿童发育结局的精神病理学研究 与依赖阿片类药物的母亲生活在一起的青少年。使用分层的 525名照顾8至17岁以下儿童的母亲样本 表现出不同程度发育不良风险的情况 结果，我们将：1)区分与母亲使用药物有关的风险 与常见的精神病态共病有关的人 阿片类药物依赖的妇女；2)检查社会能力的模式 并在早期阐明能力之间存在的关系 物质使用和新兴精神病理学；3)探索在 子宫暴露滥用药物、围产期并发症、心理问题 创伤和暴露在高危家庭环境中调节人际关系 母体吸毒、共病精神病和发育 结果；以及4)探索CHID的属性、积极的 家庭环境的各个方面。社会支持和利用 社区服务可降低风险，促进儿童积极发展 尽管有逆境的存在。通过澄清发育过程 在这一特定范围内促进儿童的积极和消极发展 我们希望这些发现将为未来的研究提供方向 对患有毒品的儿童、依赖父母的儿童进行处理，并通知 对这一被剥夺公民权的人口的持续干预发展 药物依赖妇女及其子女，特别是设计的干预措施 超越对缺陷的补救，转向促进儿童的韧性。

DESCRIPTION: (Applicant's Abstract) Despite ongoing concern about the impact of parental substance abuse on child development, there are a number of unresolved questions about ways in which parental drug use and comorbid psychopathology affect the psychosocial adjustment of children. Building upon theory and methodology from the field of developmental psychopathology, we will use a conceptual model of causal Influence, a comprehensive approach to measurement, and both individual- and variable-based approaches to data analysis to address four specific issues concerning the impact of maternal drug dependence and comorbid psychopathology on developmental outcomes for school-age children and adolescents living with an opioid-dependent mother. Using a stratified sample of 525 mothers caring for children 8 to 17 years of age under conditions representing varying degrees of risk for poor developmental outcomes, we will: 1) distinguish risks associated with maternal drug use from those associated with comorbid psychopathology common among opioid-dependent women; 2) examine patterns of social competence in the children and clarify the relationships present among competence, early substance use, and emerging psychopathology; 3) explore ways in which in utero exposure to drugs of abuse, perinatal complications, psychological trauma, and exposure to high risk family environments mediate relationships between maternal drug use, comorbid psychopathology and developmental outcomes; and 4) explore ways in which attributes of the chid, positive aspects of the family environment. social support, and utilization of community services attenuate risk and promote positive child development despite the presence of adversity. By clarifying developmental processes promoting both positive and negative child development within this specific population, we expect the findings will offer direction for future research done with children living with a drug, dependent parent and inform the ongoing development of intervention for this disenfranchised population of drug-dependent women and their children, particularly intervention designed to move beyond remediation of deficits toward promotion of child resilience.