Institute of Psychology, Xiamen University, Xiamen, China.
Department of Human Sciences, The Ohio State University, 135 Campbell Hall, 1787 Neil Ave, Columbus, OH, 43210, USA.
J Abnorm Child Psychol. 2018 Feb;46(2):209-221. doi: 10.1007/s10802-017-0303-8.
The current study examined the mediating role of both mother and child interactive behaviors, which granted or undermined autonomy and relatedness, on the bidirectional and longitudinal association between maternal depressive symptoms and child internalizing behaviors, as well as the association between maternal substance use and child externalizing behaviors. Child's sex and mother's drug of choice were explored as potential moderators of the mediation relationship. Data were collected from 183 dyads including treatment-seeking substance using mothers and their children (95 males, aged between 8 and 16 years old). Structural equation modeling analysis showed girls' internalizing and externalizing behaviors at the 3-month follow-up were negatively associated with the same behaviors at the 12-month follow-up through increased relatedness undermining behaviors from their mothers at the 6-month follow-up. Among mothers with opioids as their drug of choice (DOC), children's externalizing behaviors at the 3-month follow-up were positively associated with mothers' substance use at the 12-month follow-up through the elevated levels of mothers' relatedness undermining behaviors at the 6-month follow-up. Among mothers with alcohol as their DOC, maternal depressive symptoms at the 3-month follow-up were positively related to children's internalizing behaviors at the 12-month follow-up through reduced relatedness undermining behaviors exhibited by mothers at the 6-month follow-up. To our knowledge, this is one of the first studies to attempt to unravel these longitudinal and bidirectional influences as well as the moderated mediation pathways among families with a substance using mothers.
本研究考察了母亲和孩子的互动行为（赋予或破坏自主性和关联性）在母亲抑郁症状与儿童内化行为之间的双向和纵向关联，以及母亲物质使用与儿童外化行为之间的关联中的中介作用。研究还探讨了孩子的性别和母亲的用药选择作为中介关系的潜在调节因素。数据来自 183 对包括寻求治疗的物质使用母亲及其子女（95 名男性，年龄在 8 至 16 岁之间）的样本。结构方程模型分析表明，女孩在 3 个月随访时的内化和外化行为与 12 个月随访时的相同行为呈负相关，原因是母亲在 6 个月随访时表现出更多的破坏关联性行为。在以阿片类药物为用药选择（DOC）的母亲中，儿童在 3 个月随访时的外化行为与母亲在 12 个月随访时的物质使用呈正相关，原因是母亲在 6 个月随访时表现出更多的破坏关联性行为。在以酒精为 DOC 的母亲中，母亲在 3 个月随访时的抑郁症状与儿童在 12 个月随访时的内化行为呈正相关，原因是母亲在 6 个月随访时表现出的破坏关联性行为减少。据我们所知，这是首次尝试揭示这些具有物质使用母亲的家庭中的纵向和双向影响以及受调节的中介途径的研究之一。
