Moreland Angela D, Hubel Grace S, Goodrum Nada M, Stevens Anne E
Medical University of South Carolina, 67 President Street-2 South, Charleston, SC 29425, USA.
Department of Psychology, College of Charleston, Charleston, SC, USA.
J Child Fam Stud. 2023 May;32(5):1483-1494. doi: 10.1007/s10826-023-02572-6. Epub 2023 Apr 14.
Posttraumatic stress disorder (PTSD) is a common problem among women with substance use concerns. Further, both PTSD and substance use are related to increased risk for conduct problems among women's children. Research has not examined how PTSD and substance use concurrently relate to conduct problems when they are comorbid. This exploratory study examines a path model explaining the relationship of maternal PTSD, substance use severity, and children's conduct problems, when accounting for the role of parenting practices. Participants were 99 mothers (mean age = 31.11 years, children's mean age = 7.06 years) who were seeking treatment services for substance use. Analyses examined independent variables of self-report measures of frequency of use prior to treatment for 10 substances; PTSD; positive parenting; and parental involvement. The outcome variable examined was maternal report of child conduct problems. Bivariate results showed that maternal PTSD symptoms and substance use severity were both positively and significantly related to child conduct problems. Further, positive parenting was negatively and significantly related to child conduct problems. In a multivariate model, PTSD and positive parenting remained significant predictors of child conduct problems, while substance use severity and parental involvement were not significantly related to child conduct problems. Findings indicate a need for comprehensive services capable of assessing and addressing PTSD among mothers seeking substance use treatment. This type of comprehensive treatment could be especially important for promoting the well-being of children and mental health for mothers with substance use problems and, consequently, for the dyad mother-child and families.
创伤后应激障碍（PTSD）在有物质使用问题的女性中是一个常见问题。此外，PTSD和物质使用都与女性子女出现行为问题的风险增加有关。当PTSD和物质使用共病时，研究尚未考察它们与行为问题同时存在的关联。这项探索性研究考察了一个路径模型，该模型解释了母亲的PTSD、物质使用严重程度与儿童行为问题之间的关系，同时考虑了养育方式的作用。参与者为99名母亲（平均年龄 = 31.11岁，孩子平均年龄 = 7.06岁），她们正在寻求物质使用方面的治疗服务。分析考察了治疗前10种物质使用频率的自我报告测量指标的自变量；PTSD；积极养育；以及父母参与度。所考察的结果变量是母亲对孩子行为问题的报告。双变量结果显示，母亲的PTSD症状和物质使用严重程度均与孩子的行为问题呈显著正相关。此外，积极养育与孩子的行为问题呈显著负相关。在多变量模型中，PTSD和积极养育仍然是孩子行为问题的显著预测因素，而物质使用严重程度和父母参与度与孩子的行为问题无显著关联。研究结果表明，需要提供能够评估和解决寻求物质使用治疗的母亲中PTSD问题的综合服务。这种综合治疗对于促进有物质使用问题的母亲及其子女的幸福以及心理健康，进而对于母婴二元组和家庭来说可能尤为重要。
