Seay Kristen D
College of Social Work, 2629University of South Carolina, Columbia, SC, USA.
Child Maltreat. 2020 Nov;25(4):446-456. doi: 10.1177/1077559520913638. Epub 2020 Apr 1.
This study examines the role of mediation in the pathway from parental substance use to children developing child internalizing and externalizing behaviors. Using the National Survey of Child and Adolescent Well-Being II, a random half sample (i.e., split-half approach) of children aged 18 months to 17 years who remained in the home following a child welfare investigation ( = 1,633) was used to examine direct and mediated pathways from parental self-reported alcohol and drug use to, separately, parent report of child internalizing and externalizing behaviors. Four parallel mediators were examined: child-reported exposure to violence, child-reported parental monitoring, parent-reported harsh physical discipline, and parent-reported emotional maltreatment. The strongest models for both parental alcohol and drug use to internalizing and externalizing behaviors were single-mediator models through emotional maltreatment. Results suggest emotional maltreatment is a crucial intervention target for families with substance use disorders. Parenting interventions must also strengthen parent-child relationships in order to be effective at improving child outcomes.
本研究探讨了中介作用在从父母物质使用到儿童出现内化和外化行为这一过程中的作用。利用《全国儿童和青少年福利调查II》，选取了18个月至17岁、在儿童福利调查后仍留在家里的儿童的随机半样本（即分半法，n = 1633），以检验从父母自我报告的酒精和药物使用到父母分别报告的儿童内化和外化行为的直接和中介路径。研究了四个平行中介变量：儿童报告的暴力暴露、儿童报告的父母监督、父母报告的严厉体罚以及父母报告的情感虐待。父母酒精和药物使用与内化和外化行为的最强模型均为通过情感虐待的单中介模型。结果表明，情感虐待是患有物质使用障碍家庭的关键干预目标。育儿干预还必须加强亲子关系，才能有效改善儿童的结果。
