Lowell Amanda F, Peacock-Chambers Elizabeth, Zayde Amanda, DeCoste Cindy L, McMahon Thomas J, Suchman Nancy E
Yale Child Study Center, Yale School of Medicine, 230 South Frontage Road, New Haven, CT 06520 USA.
Department of Pediatrics, University of Massachusetts Medical School-Baystate, Springfield, MA USA.
Curr Addict Rep. 2021;8(4):605-615. doi: 10.1007/s40429-021-00389-1. Epub 2021 Jul 15.
Mothers with substance use disorders are often referred for parenting support, though commonly available programs may miss the mark for families impacted by addiction. This may be related to a lack of attention to children's emotional needs, mothers' histories of adversity, and the neurobiological differences seen in mothers with addictions. We review the implications of addiction, adversity, and attachment for parenting interventions. We then describe Mothering from the Inside Out (MIO), an evidence-based parenting intervention designed specifically for mothers with addictions.
Evidence from clinical trials suggests that MIO improves outcomes for two generations: both mothers with addictions and their children. Recent trials demonstrate that MIO may be delivered effectively by community-based clinicians and may be beneficial for parents with other chronic stressors.
Addressing addiction, adversity, and attachment simultaneously may have a positive synergistic effect. Future research should study the implementation of MIO in real-world settings and examine the impact of MIO on maternal neurobiology.
患有物质使用障碍的母亲常常被转介接受育儿支持，尽管常见的项目可能无法满足受成瘾影响家庭的需求。这可能与对儿童情感需求、母亲的逆境经历以及成瘾母亲中存在的神经生物学差异缺乏关注有关。我们回顾成瘾、逆境和依恋对育儿干预的影响。然后我们描述“由内而外做母亲”（MIO），这是一种专门为成瘾母亲设计的循证育儿干预措施。
临床试验证据表明，MIO改善了两代人的结局：成瘾母亲及其子女。最近的试验表明，社区临床医生可以有效地实施MIO，并且可能对有其他慢性应激源的父母有益。
同时解决成瘾、逆境和依恋问题可能会产生积极的协同效应。未来的研究应该在现实环境中研究MIO的实施情况，并研究MIO对母亲神经生物学的影响。
