Abstract

Objective:

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.

Methods:

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).

Results:

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.

Conclusions:

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.

中文翻译：

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母亲药物滥用与儿童晚期的母子关系

摘要

客观的：

本研究探讨了母亲药物滥用与儿童后期母子关系的各个方面之间的关系，同时考虑了主要是少数种族样本中的心理健康以及药物滥用和心理健康。

方法：

使用来自罗切斯特代际研究的 369 名母子对（64% 黑人、17% 西班牙裔和 8% 混合种族/民族），多级广义线性模型检查了母亲药物滥用史、临床抑郁症史和母子关系的五个方面（即温暖、一致的纪律、母性知识、参与和冲突）的母婴共存药物滥用和抑郁史报告。

结果：

母亲滥用药物的历史与母亲或孩子所感知的母子关系的各个方面无关，但孩子对母亲行为知识的看法除外。或者，抑郁症史或药物滥用和抑郁症的共病史与温暖、始终如一的纪律、参与和冲突呈负相关，但仅由母亲感知。

结论：

这项研究强调了为有物质使用问题的女性制定综合治疗计划的必要性，特别是包含心理健康和育儿内容的计划。此外，它强调了干预的具体目标，可以减少随后的母体药物滥用和改善后代的结果。报告者观察到的效果的差异也表明，未来的研究应该使用多个报告者来检查与母体药物滥用相关的人际后果。