Mothers with substance use disorders (SUDs) typically have trauma histories and psychosocial difficulties that lead to poor social‐emotional functioning and disrupted mother–child relationships. This 12‐month study explored associations of family adverse circumstances and services (case management, therapeutic, and community‐based) received by 57‐mothers with SUDs and their infants (less than 24‐months‐old) with changes in social‐emotional functioning. All mothers were enrolled in a relationship‐based case management program (Parent–Child Assistance Program [PCAP]) that emphasized connecting mothers to appropriate community services. A subset of mothers was additionally provided a trauma‐focused psychotherapeutic intervention (infant–parent psychotherapy [IPP]). Dyads in both treatment groups improved in overall social‐emotional functioning as assessed by the Functional Emotional Assessment Scale (FEAS). A combined‐sample regression analysis revealed that improved FEAS scores were significantly predicted by the number of community services received but not by PCAP case management hours (IPP was not included in this analysis). More adverse circumstances were associated with less improvement in social‐emotional functioning in the children; but among the mothers trauma level did not predict FEAS scores. We also found a moderating effect of trauma: Dyads with relatively more adversity showed a significantly greater association of community services received with improvement in FEAS scores than did those with relatively less adversity.

中文翻译：

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患有吸毒症的母亲及其幼儿的社交情绪功能得到改善的预测者和主持人参加了基于关系的病例管理计划。

患有药物滥用障碍（SUD）的母亲通常具有创伤史和心理社会障碍，导致不良的社会情感功能并破坏母子关系。这项为期12个月的研究探讨了57名患有SUD的母亲及其婴儿（小于24月龄）的家庭不利情况和服务（病例管理，治疗和社区服务）与社会情感功能的变化之间的关系。 。所有母亲都参加了基于关系的病例管理计划（父母-儿童援助计划[PCAP]），该计划强调将母亲与适当的社区服务联系起来。此外，还为一部分母亲提供了针对创伤的心理治疗干预措施（婴儿-父母心理治疗[IPP]）。根据功能情绪评估量表（FEAS）的评估，两个治疗组中的双性恋者的总体社会情绪功能均得到改善。组合样本回归分析显示，获得的社区服务数量显着预测了FEAS得分的提高，但PCAP病例管理时间却没有（FPP病例管理时间未对此进行预测）。不利的情况越多，儿童的社会情感功能改善就越少；但是在母亲中，创伤水平并不能预测FEAS评分。我们还发现了创伤的缓和作用：逆境相对较多的双亲显示，与FACE分数提高相比，获得的社区服务与FEAS分数改善之间的关联明显更大。组合样本回归分析显示，获得的社区服务数量显着预测了FEAS得分的提高，但PCAP病例管理时间却没有（FPP病例管理时间未对此进行预测）。不利的情况越多，儿童的社会情感功能改善就越少；但是母亲的创伤水平并未预测FEAS评分。我们还发现了创伤的缓和作用：逆境相对较多的双亲显示，与FACE分数提高相比，获得的社区服务与FEAS分数改善之间的关联明显更大。组合样本回归分析显示，获得的社区服务数量显着预测了FEAS得分的提高，但PCAP病例管理时间却没有（FPP病例管理时间未对此进行预测）。不利的情况越多，儿童的社会情感功能改善就越少；但是母亲的创伤水平并未预测FEAS评分。我们还发现了创伤的缓和作用：患病率相对较高的双亲比患病率相对较低的双亲在FEAS得分提高方面获得的社区服务的关联性更大。不利的情况越多，儿童的社会情感功能改善就越少；但是母亲的创伤水平并未预测FEAS评分。我们还发现了创伤的缓和作用：逆境相对较多的双亲显示，与FACE分数提高相比，获得的社区服务与FEAS分数改善之间的关联明显更大。不利的情况越多，儿童的社会情感功能改善就越少；但是在母亲中，创伤水平并不能预测FEAS评分。我们还发现了创伤的缓和作用：逆境相对较多的双亲与FACE得分提高相比，社区服务的关联性显着高于逆境相对较少的双亲。