Stewart Duncan, Gossop Michael, Trakada Katia
Research Development and Statistics, Home Office, 2 Marsham Street, London SW1P 4DF, UK.
Addict Behav. 2007 Aug;32(8):1657-68. doi: 10.1016/j.addbeh.2006.11.019. Epub 2006 Dec 29.
Relatively little is known about the treatment of drug dependent parents. This study of drug misusers (n=1075) investigates the involvement of parents with treatment services, childcare arrangements before and during treatment, and outcomes at 1-year follow up. Almost half the sample (46%) were parents. Women were more likely to be responsible for the care of children. Parents, and especially women, who looked after children, were less likely to receive residential treatment. Illicit drug use and psychiatric symptoms were reduced at 1 year. Outcomes did not differ by gender or parenting status, but there was an interaction effect for psychiatric symptoms: for women, looking after children during treatment was associated with less improvement in psychiatric symptoms at follow up. Such women face special difficulties in access to services and would benefit if treatment services were able to offer improved access and childcare support.
人们对药物依赖父母的治疗了解相对较少。这项针对吸毒者（n = 1075）的研究调查了父母与治疗服务的参与情况、治疗前和治疗期间的儿童保育安排以及1年随访结果。几乎一半的样本（46%）是父母。女性更有可能负责照顾孩子。照顾孩子的父母，尤其是女性，接受住院治疗的可能性较小。1年后非法药物使用和精神症状有所减少。结果在性别或育儿状况方面没有差异，但在精神症状方面存在交互作用：对于女性来说，治疗期间照顾孩子与随访时精神症状改善较少有关。这类女性在获得服务方面面临特殊困难，如果治疗服务能够提供更好的获取途径和儿童保育支持，她们将从中受益。
