Brown Suzanne, Victor Bryan G, Dayton Carolyn J, Tracy Elizabeth M
Wayne State University School of Social Work.
School of Social Work, University of Michigan - Ann Arbor.
Addict Res Theory. 2019;27(4):294-304. doi: 10.1080/16066359.2018.1515350. Epub 2019 Jan 7.
Poor early relationship experiences during the first 16 years of life may negatively impact adults' capacity to establish and utilize social support (Suchman, McMahon, Slade, & Luthar, 2005). This is especially of concern for women with substance use disorders (SUD) for whom social support is associated with recovery maintenance and treatment retention (Gregoire & Snively, 2001). The purpose of this study was to examine the influence of early relationship experiences, specifically paternal and maternal warmth, on recovery related social support and personal network characteristics among African American (AA) and non-AA women in treatment for SUD. Data were collected from 254 women in substance abuse treatment, 146 AA and 108 non-AA. Ordinal logistic, Poisson or multiple linear regressions were fitted to predict the impact of maternal and paternal warmth during childhood on adult social network composition and recovery support. Greater maternal warmth was associated with greater recovery-specific social support for both AA (β = 0.12) and non-AA (β = 0.15) women. Paternal, but not maternal, warmth significantly predicted the number of social network members who supported recovery for non-AA women (AOR = 1.04), and number of network members who used drugs and alcohol for AA women (IRR = 0.99). Developmental experiences associated with fathers appear to affect different domains of adult functioning than those associated with mothers, and those effects are different for AA versus non-AA women. Attention to these differences may inform culturally relevant substance abuse prevention and treatment efforts.
生命最初16年中不良的早期人际关系经历可能会对成年人建立和利用社会支持的能力产生负面影响(萨克曼、麦克马洪、斯莱德和卢塔尔,2005年)。这对于患有物质使用障碍(SUD)的女性来说尤其值得关注,因为社会支持与康复维持和治疗留存相关(格雷瓜尔和斯尼夫利,2001年)。本研究的目的是考察早期人际关系经历,特别是父母的温暖程度,对接受SUD治疗的非裔美国(AA)和非AA女性中与康复相关的社会支持及个人社交网络特征的影响。数据收集自254名接受药物滥用治疗的女性,其中146名AA女性和108名非AA女性。采用有序逻辑回归、泊松回归或多元线性回归来预测童年时期父母的温暖程度对成年后社交网络构成和康复支持的影响。更高的母亲温暖程度与AA女性(β = 0.12)和非AA女性(β = 0.15)更强的康复特定社会支持相关。父亲的温暖程度(而非母亲的)显著预测了非AA女性中支持康复的社交网络成员数量(优势比 = 1.04),以及AA女性中使用毒品和酒精的网络成员数量(发病率比 = 0.99)。与父亲相关的发展经历似乎对成年功能的不同领域产生影响,与母亲相关的经历不同,而且这些影响在AA女性和非AA女性中也有所不同。关注这些差异可能为具有文化相关性的药物滥用预防和治疗工作提供信息。