Department of Criminology and Criminal Justice, The University of Texas at San Antonio, San Antonio, Texas, USA.
Department of Psychology, Colorado State University, Fort Collins, Colorado, USA.
Subst Use Misuse. 2021;56(14):2106-2114. doi: 10.1080/10826084.2021.1972313. Epub 2021 Sep 12.
This study examines the relationship between maternal substance abuse and various aspects of the mother-child relationship in late childhood while accounting for mental health and comorbid substance abuse and mental health among a predominantly racial minority sample. Using 369 mother-child dyads from the Rochester Intergenerational Study (64% Black, 17% Hispanic, and 8% mixed race/ethnicity), multilevel generalized linear models examined the effects of a maternal substance abuse history, a history of clinical depression, and comorbid substance abuse and depression histories on both maternal and child reports of five aspects of the mother-child relationship (i.e. warmth, consistent discipline, maternal knowledge, involvement, and conflict).
A maternal substance abuse history alone was unrelated to each aspect of the mother-child relationship as perceived by the mother or child, with the exception of child perceptions of maternal knowledge of behavior. Alternatively, a history of depression or comorbid histories of substance abuse and depression was negatively related to warmth, consistent discipline, involvement, and conflict but only as perceived by the mother.
This study reinforces the need for integrated treatment programs for women with substance use problems, particularly programs that incorporate mental health and parenting components. Moreover, it highlights specific targets for intervention that can reduce subsequent maternal substance abuse and improve offspring outcomes. The divergence in observed effects across reporter also suggests that future research should use multiple reporters to examine the interpersonal consequences associated maternal substance abuse.
本研究考察了在考虑心理健康以及合并物质滥用和精神健康问题的情况下，母亲物质滥用与儿童后期母子关系各个方面之间的关系。研究使用了罗切斯特代际研究（64%为黑人，17%为西班牙裔，8%为混合种族/民族）中的 369 对母婴对，使用多层次广义线性模型检验了母亲物质滥用史、临床抑郁史以及合并物质滥用和抑郁史对母婴双方报告的母子关系五个方面（即温暖、一致的纪律、母亲的知识、参与度和冲突）的影响。
结果表明，母亲物质滥用史与母亲或儿童对母子关系的各个方面都没有关系，除了儿童对母亲了解行为的感知外。相反，抑郁史或合并物质滥用和抑郁史与温暖、一致的纪律、参与度和冲突有关，但仅与母亲的感知有关。
本研究强调了为有物质使用问题的妇女提供综合治疗方案的必要性，特别是纳入心理健康和育儿内容的方案。此外，它还突出了特定的干预目标，可以减少随后的母亲物质滥用并改善后代的结果。观察到的影响在报告者之间的差异也表明，未来的研究应该使用多个报告者来研究与母亲物质滥用相关的人际后果。
