Background

Parental substance use disorder (SUD) is one of the predominant parental risk factors observed for child neglect. Yet, individual risks do not exist in a vacuum.

Objective

This study explored the relative importance of parental substance use behaviors based on the presence of key risk (clinical depression) and protective (social support type) factors.

Participants and setting

The final analytic sample was composed of 3,545 parents of children aged 2–17 years from Wave 4 data collection of the National Survey of Child and Adolescent Well-Being (NSCAW I).

Methods

Weighted negative binomial regression models examined the interactive relationship between parent self-report of past year substance use patterns, clinical depression, and social support type for annual neglect frequencies.

Results

Among parents meeting criteria for clinical depression, only parental SUD was associated with higher annual neglect frequency (compared to harmful/risky use); the presence of tangible supports was associated with lower annual neglect frequency while the presence of social companionship was associated with higher annual neglect frequency. For parents not meeting criteria for clinical depression, the study observed an interactive effect where both harmful/risky use behaviors and meeting criteria for SUD significantly contribute to higher average neglect frequencies compared to no past year use, depending on social companionship level.

Conclusions

In order to mitigate neglect risk among substance-using parents, practitioners should look beyond abstinence to address parents’ underlying cognitive/affecting functioning and social context.

中文翻译：

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检查有和没有临床抑郁症的父母的疏忽行为的独特的物质相关风险概况

背景

父母物质使用障碍（SUD）是观察到儿童忽视的主要父母风险因素之一。然而，个人风险并不存在于真空中。

客观的

本研究基于关键风险（临床抑郁症）和保护性（社会支持类型）因素的存在，探讨了父母物质使用行为的相对重要性。

参与者和设置

最终的分析样本由来自全国儿童和青少年福祉调查 (NSCAW I) 第 4 波数据收集的 2-17 岁儿童的 3,545 名父母组成。

方法

加权负二项式回归模型检查了父母对过去一年物质使用模式的自我报告、临床抑郁症和社会支持类型之间的交互关系，以了解年度忽视频率。

结果

在符合临床抑郁症标准的父母中，只有父母的 SUD 与较高的年度忽视频率相关（与有害/危险使用相比）；有形支持的存在与较低的年度忽视频率有关，而社会陪伴的存在与较高的年度忽视频率有关。对于不符合临床抑郁症标准的父母，该研究观察到了一种互动效应，即有害/危险的使用行为和符合 SUD 标准的情况下，与过去一年不使用抑郁症相比，其平均忽视频率显着增加，具体取决于社会陪伴水平。

结论

为了减轻吸毒父母的忽视风险，从业者应该超越禁欲来解决父母潜在的认知/影响功能和社会背景。