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母亲抑郁与物质依赖对育儿及儿童行为问题的共病影响与个体影响。

The Comorbid and Individual Impacts of Maternal Depression and Substance Dependence on Parenting and Child Behavior Problems.

作者信息

Seay Kristen D, Kohl Patricia L

机构信息

College of Social Work, DeSaussure College, University of South Carolina, Columbia, SC 29208, USA.

George Warren Brown School of Social Work, Washington University in St. Louis, St. Louis, MO, USA.

出版信息

J Fam Violence. 2015 Oct 1;30(7):899-910. doi: 10.1007/s10896-015-9721-y. Epub 2015 Apr 24.

Abstract

Maternal depression, substance dependence, and the comorbidity of these conditions are highly prevalent risk factors among families involved with Child Protective Services (CPS). Data from the National Survey of Child and Adolescent Well-Being I (NSCAW I) were analyzed to examine the influence of maternal substance dependence, depression, and comorbidity on parenting and child behavior over 36-months among children reported to CPS who remained in the home at all waves. Although neglect and child behavior problems were highest for mothers with comorbidity at baseline, mothers with substance dependence had the poorest self-reported parenting and child behavior problems over time. Results indicate a need for intensive targeted services to address the complex needs of CPS-involved mothers with substance dependence and their in-home children.

摘要

母亲抑郁、物质依赖以及这些情况的合并症,在涉及儿童保护服务(CPS)的家庭中是非常普遍的风险因素。对全国儿童和青少年福利调查I(NSCAW I)的数据进行了分析,以研究母亲物质依赖、抑郁和合并症对所有调查阶段都留在家中的向CPS报告的儿童在36个月期间养育方式和儿童行为的影响。尽管基线时合并症母亲的忽视行为和儿童行为问题最为严重,但随着时间推移,物质依赖母亲自我报告的养育方式最差,儿童行为问题也最多。结果表明,需要提供强化的针对性服务,以满足涉及CPS的物质依赖母亲及其家中孩子的复杂需求。

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