Maternal Drug Abuse Psychopathology and Child Adaptation

描述(由申请人提供)：本申请申请续展 资助研究产妇药物滥用的作用，而不是 与儿童精神障碍有关的其他常见的共生精神障碍 调整结果。我们的团队目前正在获得 关于不适应、能力和脆弱性的综合数据，以及 8-17岁儿童及其母亲的保护性因素调查我们 预计总的基线样本约为350个母子二胎，几乎 一半的母亲将被诊断为可卡因/阿片类药物依赖或滥用。 在拟议的项目中，我们试图重新评估这一群体，大约有四个 在最初评估的数年后。 具体目的是检查：(1)产妇用药的程度 虐待/依赖，而不是情感和焦虑的诊断 常见的并存问题，与儿童的 随时间推移的适应不良；(2)近端指标 家庭功能障碍与儿童死亡率的增加有关 随时间推移的精神病理学，以及终生母亲诊断的中介作用； (3)儿童、家庭和儿童一级的保护力量的作用 社区；(4)儿童精神病理学可能预示的程度 随着时间的推移，母亲的痛苦会增加。 基线研究需要测量不同的影响在 个人、家庭和社区层面，使用多种方法， 多信息者评估策略。儿童的结果通过以下方面进行评估： 不适应的诊断性指标和维度指标以及各方面 日常生活的能力。据我们所知，这将是第一批研究之一 为了获得对一大群老年人的前瞻性评估的广度 母亲吸毒成瘾的孩子，有匹配的比较样本。给定 发育期包括一半的青年在青春期中期 随访，以及接近成年期的一半-我们将能够检查因素 牵涉到严重调整的开始和结晶 滥用药物和行为骚乱等问题。调查结果还包括 预计将为影响以下疾病的治疗和政策提供高度信息 上瘾的母亲及其子女，强调，例如，关键 需要关注这些母亲的心理和育儿问题 除了禁欲的问题，并驳斥了这些女性是 对他们照料的未成年儿童来说，不可避免地比其他任何人都更有害 压力很大的母亲，生活在城市贫困中。

DESCRIPTION (provided by applicant): This application requests continuation of funding to support research on the role of maternal drug abuse, as opposed to other commonly co-occurring psychiatric disorders, in relation to children's adjustment outcomes. Our group is currently in the process of obtaining comprehensive data on maladjustment, competence, and vulnerability and protective factors in a sample of 8-17 year old children and their mothers. We anticipate a total baseline sample of about 350 child-mother dyads, and almost half of the mothers will have diagnoses of cocaine/opioid dependence or abuse. In the proposed project, we seek to re-assess this cohort approximately four years after the initial assessments. Specific aims are to examine: (1) the degree to which maternal drug abuse/dependence, as opposed to affective and anxiety diagnoses which are commonly comorbid problems, are linked with escalations in children's maladjustment over time; (2) the degree to which proximal indicators of disturbed family functioning are linked with increases in children's psychopathology over time, and mediate effects of lifetime maternal diagnoses; (3) the role of protective forces at the level of the child, the family, and the community; (4) the degree to which child psychopathology might presages increases in mothers' distress over time. The baseline study entailed measurement of diverse influences at the individual, family and community levels, with the use of a multi-method, multi-informant assessment strategy. Child outcomes were assessed in terms of both diagnostic and dimensional indicators of maladjustment, as well as aspects of everyday competence. To our knowledge, this will be among the first studies to obtain this breadth of prospective assessments on a large cohort of older children of addicted mothers, with a matched comparison sample. Given the developmental periods encompassed with half the youth in mid-adolescence at follow-up, and half approaching adulthood- we will be able to examine factors implicated both in the onset, and the crystallization, of serious adjustment problems such as substance abuse and conduct disturbances. Findings are also expected to be highly informative for treatments and policies affecting addicted mothers and their children, underscoring, for example, the critical need for attention to these mother's psychological and parenting problems in addition to issues of abstinence, and countering myths that these women are inevitably more inimical for minor children in their care than are any other highly stressed mothers, living in urban poverty.