Child abuse potential in parents with histories of substance use disorder

Ammerman, Robert T.; Kolko, David J.; Kirisci, Levent; Blackson, Timothy C.; Dawes, Michael A.

doi:10.1016/s0145-2134(99)00089-7

Cited by 171 publications

(92 citation statements)

References 31 publications

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“…The single most critical domain was the mother's risk for maltreating behaviors, a serious problem among addicted parents (Ammerman, Kolko, Kirisci, Blackson, & Dawes, 1999;Dore & Doris, 1998;Dunn et al, 2002;Rogosch, Cicchetti, Shields, & Toth, 1995); this was assessed via the women's own reports and also by children's reports for children over 7 years of age. Also assessed were women's positive parenting behaviors in terms of the affective quality of the relationship: involvement and communication with their children.…”

Section: The Pilot Studymentioning

confidence: 99%

Relational Psychotherapy Mothers' Group: A randomized clinical trial for substance abusing mothers

Luthar

Suchman

Altomare

2007

Develop. Psychopathol.

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The purpose of this study was to ascertain the effectiveness of the Relational Psychotherapy Mothers' Group (RPMG), a supportive parenting group intervention for substance abusing women. Sixty mothers receiving RPMG were compared to 67 women receiving recovery training (RT); both treatments supplemented treatment in the methadone clinics. At the end of the 6-month treatment period, RPMG mothers showed marginally significant improvement on child maltreatment (selfreported) and cocaine abuse based on urinalyses when compared with RT mothers; notably, children of RPMG mothers reported significantly greater improvement in emotional adjustment and depression than children of RT mothers. At 6 months follow-up, however, treatment gains were no longer apparent. Overall, the findings suggest that whereas supportive parenting interventions for substance abusing women do have some preventive potential, abrupt cessation of the therapeutic program could have deleterious consequences.

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Section: The Pilot Studymentioning

confidence: 99%

Relational Psychotherapy Mothers' Group: A randomized clinical trial for substance abusing mothers

Luthar

Suchman

Altomare

2007

Develop. Psychopathol.

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“…[12][13][14][15][16][17][18] It is unclear whether the effects of psychiatric disorders are explained, in whole or in part, by SUDs that often co-occur. 10,13,19,20 Adolescent mothers are also disproportionately victims of childhood abuse or neglect, 21 which in and of itself, often predicts future maltreatment of offspring. [22][23][24][25][26][27] Another factor is poor preparation for transition to motherhood, such as lack of knowledge about child development, negative attitudes toward the fetus, negative self-image about bodily changes of pregnancy and child-bearing, and negative feelings about one's own mother.…”

mentioning

confidence: 99%

Physical Child Abuse Potential in Adolescent Girls: Associations with Psychopathology, Maltreatment, and Attitudes toward Child-Bearing

et al. 2014

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Objective: Adolescent mothers are at increased risk of mistreating their children. Intervening before they become pregnant would be an ideal primary prevention strategy. Our goal was to determine whether psychopathology, exposure to maltreatment, preparedness for child-bearing, substance use disorders (SUDs), IQ, race, and socioeconomic status were associated with the potential for child abuse in nonpregnant adolescent girls. Method:The Child Abuse Potential Inventory (CAPI) was administered to 195 nonpregnant girls (aged 15 to 16 years; 54% African American) recruited from the community. Psychiatric diagnoses from a structured interview were used to form 4 groups: conduct disorder (CD), internalizing disorders (INTs; that is, depressive disorder, anxiety disorder, or both), CD + INTs, or no disorder. Exposure to maltreatment was assessed with the Childhood Trauma Questionnaire, and the Childbearing Attitudes Questionnaire measured maternal readiness.Results: CAPI scores were positively correlated with all types of psychopathology, previous exposure to maltreatment, and negative attitudes toward child-bearing. IQ, SUDs, and demographic factors were not associated. Factors associated with child abuse potential interacted in complex ways, but the abuse potential of CD girls was high, regardless of other potentially protective factors. Conclusions:Our study demonstrates that adolescent girls who have CD or INT are at higher risk of perpetrating physical child abuse when they have children. However, the core features of CD may put this group at a particularly high risk, even in the context of possible protective factors. Treatment providers should consider pre-pregnant counselling about healthy mothering behaviours to girls with CD. W W WPotentiel de maltraitance physique dans l'enfance chez des adolescentes : associations à la psychopathologie, à la maltraitance et aux attitudes envers la procréation Objectif : Les mères adolescentes sont à risque accru de maltraiter leurs enfants. Une intervention avant qu'elles ne soient enceintes serait une stratégie idéale de première prévention. Notre but était de déterminer si la psychopathologie, l'exposition à la maltraitance, la préparation à la procréation, les troubles liés à l'utilisation d'une substance (TUS), le QI, la race, et le statut socioéconomique étaient associés au potentiel de maltraitance dans l'enfance chez les adolescentes non enceintes.

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“…First, substance abuse cuts across all of the ecological domains noted: as a child characteristic (via substance abuse by a minor child), as a family factor (via parental use), and as a neighborhood/societal factor (via distribution and use in a particular child's wider environment). Second, associations between substance abuse and violence, both within (Ammerman, Kolko, Kirisci, Blackson, & Dawes, 1999;Chaffin, Kelleher, & Hollenberg, 1996) and outside the home (McCoy, Messiah, & Yu, 2001;Vermeiren, SchwabStone, Deboutte, Leckman, & Ruchkin, 2003), have been demonstrated. Third, the presence of efficacious protocols for the prevention and treatment of substance abuse (e.g., Miller & Wilbourne, 2002;Trudeau, Spoth, Lillehoj, Redmond, & Wickrama, 2003) suggests that if substance abuse is a key risk factor for violence exposure, it may be a reasonable target for prevention efforts.…”

mentioning

confidence: 99%

The association between caregiver substance abuse and self-reported violence exposure among young urban children

et al. 2006

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This study examined the relative importance of caregiver substance abuse as a correlate of child-reported exposure to violence. A total of 407 female African-American primary caregivers and their children age 6 to 7 were evaluated. The association between child report of violence and exposure to substance abuse by others (both within and outside the home) was considered after controlling for variance accounted for by child characteristics, caregiver characteristics, home environment, and neighborhood environment (including neighborhood crime). Caregiver alcohol abuse, children's witnessing of drug use in the home, and children's witnessing of drug deals all explained significant additional variance in violence exposure. These findings suggest that for early elementary-age children, meaningful prevention of violence exposure may be possible via addressing their exposure to substance abuse in their home and community.

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Child abuse potential in parents with histories of substance use disorder

Cited by 171 publications

References 31 publications

Relational Psychotherapy Mothers' Group: A randomized clinical trial for substance abusing mothers

Relational Psychotherapy Mothers' Group: A randomized clinical trial for substance abusing mothers

Physical Child Abuse Potential in Adolescent Girls: Associations with Psychopathology, Maltreatment, and Attitudes toward Child-Bearing

The association between caregiver substance abuse and self-reported violence exposure among young urban children

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