University of South Carolina, College of Nursing, Suite 202, 1601 Greene Street, Columbia, SC 29208, United States of America.
Medical University of South Carolina, Charleston, SC, United States of America.
Arch Psychiatr Nurs. 2019 Apr;33(2):155-163. doi: 10.1016/j.apnu.2018.11.009. Epub 2018 Nov 22.
Little information is available on parental self-care while in recovery from addictive substances, and its relationship to parenting and recovery outcomes. We evaluated the feasibility of obtaining self-care and parenting outcomes for adults in long-term recovery from addictive substances, and explored potential contributing factors. Nineteen mothers and fathers who self-reported at least two years of sobriety participated in this study. Feasibility challenges included recruitment and scheduling interviews, given multiple work and personal demands on participants' schedules. Possible associations of self-care to parental efficacy (PE), parenting behaviors, resilience, and total recovery years were examined as indicators to parental functioning. The exploratory analyses showed a significant moderate correlation between PE and parenting behaviors (r = 0.45, p < 0.05) as well as total years in recovery and age (r = 0.43, p < 0.05); total years in recovery differed significantly when compared by race (χ2 (1) = 5.63; p = 0.018) and education (χ2 (1) = 3.94; p = 0.048). There was also a significant inverse relationship between total years in recovery and PE (r = -0.43, p < 0.05) and parental self-care (r = -0.59, p < 0.01). Recruiting parents (especially minorities) in long-term recovery was very challenging indicating that recruitment through community organizations was not feasible without a site champion. Preliminary findings showed statistically significant correlations among self-care, parental efficacy, age, and total years in recovery. As researchers and clinicians, it is necessary to determine the role and impact of self-care for future intervention development, however, recruitment strategies need to be modified to ensure sufficiently large study samples.
关于父母在戒瘾物质后恢复期间的自我保健及其与育儿和恢复结果的关系，相关信息有限。我们评估了长期戒瘾物质的成年人获得自我保健和育儿结果的可行性，并探讨了潜在的促成因素。19 名自我报告至少两年戒酒的母亲和父亲参加了这项研究。可行性挑战包括招募和安排访谈，因为参与者的日程安排受到多项工作和个人需求的影响。自我保健与父母效能感（PE）、育儿行为、适应力和总康复年限的可能关联作为父母功能的指标进行了检查。探索性分析显示，PE 与育儿行为之间存在显著中度相关性（r=0.45，p<0.05），总康复年限与年龄之间也存在显著中度相关性（r=0.43，p<0.05）；与种族（χ2（1）=5.63；p=0.018）和教育程度（χ2（1）=3.94；p=0.048）相比，总康复年限差异显著。总康复年限与 PE（r=-0.43，p<0.05）和父母自我保健（r=-0.59，p<0.01）呈显著负相关。招募长期康复的父母（尤其是少数民族）极具挑战性，这表明如果没有现场支持者，通过社区组织进行招募是不可行的。初步研究结果表明，自我保健、父母效能感、年龄和总康复年限之间存在统计学上显著的相关性。作为研究人员和临床医生，有必要确定自我保健在未来干预措施发展中的作用和影响，但需要修改招募策略以确保有足够大的研究样本。
