Kelley S J
College of Health and Human Sciences, Georgia State University, Atlanta, USA.
J Soc Pediatr Nurs. 1998 Jul-Sep;3(3):103-10. doi: 10.1111/j.1744-6155.1998.tb00215.x.
To examine parenting stress and coping behaviors in substance-abusing and non-substance-abusing mothers.
A comparative descriptive design.
Pediatric primary care clinic.
Low-income, predominantly African-American mothers (N = 60) of young children recruited from a pediatric primary care clinic. Thirty mothers were known substance abusers and 30 had no known history of substance abuse.
Parenting Stress Index/Short Form (PSI/SF) and Child Protective Service (CPS) validation of abuse or neglect.
Substance-abusing mothers scored significantly higher than comparison mothers on total stress and the three subscales of the PSI/SF: parent-child dysfunctional interaction, difficult child, and parental distress. Forty-seven percent of substance-abusing mothers scored in the clinical range on total stress compared with only 3.3% of non-substance-abusing mothers. Proportionately more substance-abusing mothers than comparisons demonstrated maladaptive parenting behaviours as evidenced by CPS-confirmed abuse or neglect of their youngest child.
Substance-abusing mothers of young children are at increased risk for increased levels of stress and maladaptive coping behaviors. Substance-abusing mothers need support and monitoring in the parenting role and referrals to substance-abuse and parenting programs.
研究滥用药物和未滥用药物的母亲的育儿压力及应对行为。
比较性描述设计。
儿科初级保健诊所。
从儿科初级保健诊所招募的低收入、主要为非裔美国儿童的母亲（N = 60）。30位母亲为已知的药物滥用者，30位无药物滥用史。
育儿压力指数/简表（PSI/SF）以及儿童保护服务（CPS）对虐待或忽视行为的确认。
滥用药物的母亲在总压力以及PSI/SF的三个分量表上的得分显著高于对照母亲：亲子功能失调互动、难养型儿童和父母苦恼。47%滥用药物的母亲在总压力方面得分处于临床范围，相比之下，未滥用药物的母亲中只有3.3%得分如此。与对照组相比，滥用药物的母亲中因CPS确认对其最小的孩子有虐待或忽视行为而表现出适应不良育儿行为的比例更高。
幼儿的滥用药物母亲面临压力水平升高和适应不良应对行为增加的风险。滥用药物的母亲在育儿角色方面需要支持和监督，并应转介至药物滥用和育儿项目。
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