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德国家庭中甲基苯丙胺的使用:父母的物质使用、亲子互动和涉及儿童的风险。

Methamphetamine Use in German Families: Parental Substance Use, Parent-Child Interaction and Risks for Children Involved.

机构信息

a German Institute of Addiction and Prevention Research, Catholic University of Applied Sciences , Koeln , Germany.

b Ruhr-University Bochum , Bochum, Germany.

出版信息

Subst Use Misuse. 2019;54(4):583-591. doi: 10.1080/10826084.2018.1528459. Epub 2019 Jan 14.

DOI:10.1080/10826084.2018.1528459
PMID:30636479
Abstract

BACKGROUND

With an immense increase in methamphetamine use in Germany in the past decade, large sections of the drug-using community have been identified as parents of young children.

OBJECTIVE

With the fast-emerging issue of psychosocial and familial consequences of methamphetamine use, this study focused on gaining an insight into substance use, parenthood, and parenting by German methamphetamine users, with special emphasis on the psychological outcomes for the children involved.

METHODS

We conducted 24 qualitative interviews with parents (16 mothers and eight fathers), who were in outpatient treatment for their Crystal Meth use and were currently abstinent from using drugs. Personal information on parenting, drug use, and effects on the children was supplemented by standardized parents' reports on the children's behavioral patterns.

RESULTS

Parenting was described as challenging and often emotionally neglectful, impulsive, and inconsistent. The interview results further indicated an inter-relatedness of substance use and the parental role. Overall, children of methamphetamine users appeared to be at an increased risk of pre-and postnatal substance exposure and great psychosocial distress, especially evident in externalizing behavior such as hyperactivity and behavioral problems.

CONCLUSION

Results demonstrate the complex problems of methamphetamine-involved parents and suggest the need for a close cooperation between addiction treatment and child welfare services in providing appropriate psychological and educational support for parents and children.

摘要

背景

在过去十年中,德国吸食冰毒的人数大幅增加,其中很大一部分吸毒人群被确认为幼儿的父母。

目的

鉴于冰毒使用所带来的心理社会和家庭后果问题日益凸显,本研究重点了解德国冰毒使用者的物质使用、为人父母和育儿情况,特别关注所涉儿童的心理后果。

方法

我们对 24 名正在接受门诊治疗的冰毒使用者父母(16 名母亲和 8 名父亲)进行了访谈,他们目前已戒除冰毒。通过对父母的标准化报告补充有关育儿、吸毒和对子女影响的个人信息,了解他们的育儿、吸毒情况和对子女的影响。

结果

父母表示育儿具有挑战性,且往往在情感上忽视孩子、冲动且前后不一致。访谈结果还表明,物质使用和父母角色之间存在相互关联。总体而言,冰毒使用者的子女似乎面临更大的产前和产后物质暴露风险,以及更大的心理社会困扰,尤其是在多动和行为问题等外化行为方面。

结论

研究结果表明,冰毒滥用父母存在复杂问题,并表明成瘾治疗和儿童福利服务之间需要密切合作,为父母和子女提供适当的心理和教育支持。

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