Tedgård Eva, Råstam Maria
Department of Clinical Sciences Lund, Child and Adolescent Psychiatry, Lund University, Baravägen 1, 22185 Lund, Sweden ; Office for Healthcare 'Sund', Child and Adolescent Psychiatry, Infant and Toddler Unit, 20502 Malmö, Sweden ; Beritta Gurrisgatan 17, 217 74 Malmö, Sweden.
Department of Clinical Sciences Lund, Child and Adolescent Psychiatry, Lund University, Baravägen 1, 22185 Lund, Sweden ; Gillberg Neuropsychiatry Centre, Institute of Neuroscience and Physiology, University of Gothenburg, Göteborg, Sweden.
Springerplus. 2016 Sep 13;5(1):1540. doi: 10.1186/s40064-016-3045-0. eCollection 2016.
To investigate whether women raised in a family with substance abuse constitute a particularly vulnerable group of patients in an infant psychiatry setting and to identify the risk factors of suspected parental malfunctioning in women referred to treatment in an infant and toddler intervention program.
A history of family substance abuse can severely disrupt the caretaking abilities of parents in ways that can have far-reaching consequences, and children growing up with insufficient parental care may incorporate this deficiency into their own parental behavior.
In total, 126 mothers completed self-report questionnaires assessing their substance abuse and health problems as well as problems in their family of origin. The index group was defined as women who reported substance abuse in their family of origin (n = 35). The comparison group was defined as women who denied substance abuse in their family of origin (n = 91).
Symptoms of depression and anxiety were overrepresented in the total group of mothers compared with the Swedish norm. The index group had experienced parental divorce and traumatic life events more often and reported earlier substance abuse of their own. They had significantly more depression and ADHD symptoms and were more often single parents. All these factors can have a negative influence, separately or in combination, on the ability to practice sensitive parenting.
Female offspring of substance-abusing parents are an especially vulnerable group of patients. To prevent the intergenerational transmission of alcohol and drug abuse, it is important to identify parents with specific needs and to administer targeted treatment and support at primary health care centers and child psychiatric clinics.
调查在有药物滥用问题的家庭中成长的女性，在婴幼儿精神病学环境中是否构成特别脆弱的患者群体，并确定在婴幼儿干预项目中接受治疗的女性中，疑似父母功能失调的风险因素。
家庭药物滥用史会严重扰乱父母的照顾能力，产生深远影响，在父母照顾不足的环境中成长的孩子，可能会将这种缺陷纳入自己为人父母的行为中。
共有126名母亲完成了自我报告问卷，评估她们的药物滥用、健康问题以及原生家庭中的问题。索引组定义为报告原生家庭中有药物滥用问题的女性（n = 35）。对照组定义为否认原生家庭中有药物滥用问题的女性（n = 91）。
与瑞典正常水平相比，母亲总群体中抑郁和焦虑症状的比例过高。索引组经历父母离异和创伤性生活事件的情况更频繁，且报告自己更早开始药物滥用。她们有明显更多的抑郁和多动症症状，且更多是单亲家长。所有这些因素单独或综合起来，都会对实施敏感育儿的能力产生负面影响。
有药物滥用问题父母的女性后代是特别脆弱的患者群体。为防止酒精和药物滥用的代际传播，识别有特殊需求的父母，并在初级卫生保健中心和儿童精神病诊所提供有针对性的治疗和支持非常重要。
