Department of Psychiatry (0680), University of California, San Diego, 9500 Gilman Drive, La Jolla, California 92093-0680, USA.
J Stud Alcohol Drugs. 2011 Nov;72(6):954-64. doi: 10.15288/jsad.2011.72.954.
The methamphetamine epidemic in the United States involves a large number of men and women with dependent-age children. However, we know little about the parenting strains experienced by methamphetamine-using mothers and fathers and the relationship of these parenting strains to mental health outcomes, specifically depressive symptoms.
The primary goal of this study was to examine five dimensions of parental role strain in relation to depressive symptoms in a sample of 180 methamphetamine-using parents of dependent-age children in San Diego, CA. Dimensions of parental role strain included child emotional and behavioral problems, child physical health problems, child-related financial strain, interpersonal conflict involving children, and intrapsychic strain related to children.
Methamphetamineusing mothers reported significantly more child-related emotional and behavioral problems compared with methamphetamine-using fathers (7.9 vs. 6.8; t = 2.5, p < .05). In multiple regression analysis, higher Beck depression scores were associated with being a mother (β = .186, p < .05), having more children younger than 18 years old (β = .165, p < .05), less emotional support (β = -.230, p < .01), and higher scores on intrapsychic parental role strain related to children (β = .288, p < .01).
These findings suggest the importance of considering the multidimensional nature of parenting strain in the development of drug treatment and counseling programs for methamphetamine-using parents.
美国的冰毒泛滥涉及大量有未成年子女的男性和女性。然而,我们对吸食冰毒的母亲和父亲所经历的育儿压力以及这些育儿压力与心理健康结果(尤其是抑郁症状)的关系知之甚少。
本研究的主要目的是在加利福尼亚州圣地亚哥的 180 名有未成年子女的吸食冰毒的父母样本中,考察父母角色压力的五个维度与抑郁症状的关系。父母角色压力的维度包括儿童的情绪和行为问题、儿童的身体健康问题、与儿童相关的经济压力、涉及儿童的人际冲突以及与儿童有关的内在心理压力。
与吸食冰毒的父亲相比,吸食冰毒的母亲报告的与儿童有关的情绪和行为问题明显更多(7.9 比 6.8;t = 2.5,p <.05)。在多元回归分析中,贝克抑郁评分较高与母亲身份(β =.186,p <.05)、有 18 岁以下的孩子较多(β =.165,p <.05)、情感支持较少(β = -.230,p <.01)和与儿童有关的内在心理父母角色压力评分较高(β =.288,p <.01)有关。
这些发现表明,在制定针对吸食冰毒的父母的药物治疗和咨询计划时,必须考虑育儿压力的多维性质。