Secco Loretta, Letourneau Nicole, Campbell Mary Ann, Craig Stephanie, Colpitts Jennifer
Loretta Secco, RN, BScN, MN, PhD, and Jennifer Colpitts, BA, Faculty of Nursing, University of New Brunswick, Fredericton, Canada. Nicole Letourneau, RN, MN, PhD, Faculty of Nursing, University of Calgary, Alberta, Canada. Mary Ann Campbell, PhD, L. Psych, Psychology Department, University of New Brunswick, Saint John, Canada. Stephanie Craig, BSc, University of New Brunswick, Fredericton, Canada.
J Addict Nurs. 2014 Jul-Sep;25(3):139-47. doi: 10.1097/JAN.0000000000000038.
Although methadone maintenance treatment (MMT) is the intervention of choice for addiction, unfortunately, mothers are less likely to engage in care. Greater understanding of how mothers experience the addiction and the recovery process is needed to develop strategies to effectively engage mothers in MMT. This mixed method study applied quantitative and qualitative approaches with a sample of 12 mothers who were engaged in MMT for 3 or more months. Although the results showed stresses of high depression and difficult life circumstance scores, the mothers had strengths that included positive social support and family functioning. Inductive analysis of transcribed interviews identified three themes that explained how mothers experienced addiction and recovery: diminished maternal identity, choice for mothering, and redefined maternal identity. During addiction, mothers described a sense of diminished maternal identity with two subthemes of diminished performed mothering and interrupted mothering. With the second theme, choice for mothering, mothers described making the choice to attend MMT for their children. The third theme, redefined maternal identity, consisted of two subthemes that reflected potential outcomes of MMT and addiction recovery. Whereas most mothers described positive, restored maternal identity, two mothers of older children noted continued diminished maternal identity with persistence of negative mother-child relationships despite maternal addiction recovery. Recommendations are made to assist service providers to consider maternal identity within the recovery process.
尽管美沙酮维持治疗（MMT）是治疗成瘾的首选干预措施，但不幸的是，母亲参与治疗的可能性较小。为了制定有效促使母亲参与美沙酮维持治疗的策略，需要更深入地了解母亲如何体验成瘾及康复过程。这项混合方法研究采用了定量和定性方法，样本为12名接受美沙酮维持治疗3个月或更长时间的母亲。尽管结果显示母亲们存在高度抑郁的压力和艰难的生活状况得分，但她们也有优势，包括积极的社会支持和家庭功能。对转录访谈的归纳分析确定了三个主题，解释了母亲如何体验成瘾和康复：母亲身份的削弱、育儿选择以及重新定义的母亲身份。在成瘾期间，母亲们描述了一种母亲身份削弱的感觉，有两个子主题，即实际育儿的减少和育儿的中断。对于第二个主题“育儿选择”，母亲们描述了为了孩子而选择参加美沙酮维持治疗。第三个主题“重新定义的母亲身份”由两个子主题组成，反映了美沙酮维持治疗和成瘾康复的潜在结果。尽管大多数母亲描述了积极的、恢复的母亲身份，但两名大龄儿童的母亲指出，尽管母亲的成瘾问题已康复，但由于负面的母子关系持续存在，她们的母亲身份仍持续削弱。研究提出了一些建议，以帮助服务提供者在康复过程中考虑母亲身份。
