Prevalence of children whose parents have a substance use disorder: Findings from a Swedish general population survey

Raninen, Jonas; Elgán, Tobias H.; Sundin, Erica; Ramstedt, Mats

doi:10.1177/1403494815601525

Cited by 22 publications

(22 citation statements)

References 12 publications

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“…Recent Swedish studies demonstrate that approximately 3–4% of all children under the age of 18 years have experienced a parent's alcohol‐related disorder, using information on hospital discharge diagnoses and survey data with questions covering the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders to identify alcohol‐related disorders . British national surveys indicate that 6% of children aged under 16 years live with an adult who is a dependent drinker, using the Severity of Alcohol Dependence Questionnaire to identify alcohol dependence .…”

Section: Introductionmentioning

confidence: 99%

Parental alcohol‐related disorders and school performance in 16‐year‐olds—a Swedish national cohort study

et al. 2016

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Aims To study the links between parental alcohol-related disorders and offspring school performance and, specifically, whether associations vary by gender of parent or child and whether associations are mediated by other adverse psychosocial circumstances commonly appearing together with parental alcohol problems, such as parental mental health problems or criminal behaviour. Design Register study in a national cohort. Setting Sweden. Participants A total of 740 618 individuals born in Sweden in 1990-96. Measurements Parental hospital admissions for alcohol-related disorders and school performance in their offspring, in the final year of compulsory school at age 15-16 years was analysed in relation to socio-demographic confounders and psychosocial covariates, using linear and logistic regressions.Findings Both mothers' and fathers' alcohol-related hospital admissions were associated with lower Z-scores of grades and national mathematics tests scores. After adjustment for parental education and socio-demographic confounders, beta-coefficients of Z-scores of grades were -0.42 [95% confidence interval (CI) = -0.45, -0.39] and -0.42 (95% CI = -0.43, -0.40), and beta-coefficients of mathematics tests scores were -0.36 (95% CI = -0.39, -0.33) and -0.31 (95% CI = -0.33, -0.29), for mothers' and fathers' alcohol-related disorders, respectively. Adjusted odds ratios (ORs) for not being eligible for secondary school were 1.99 (95% CI = 1.84-2.15) and 2.04 (95% CI = 1.95-2.15) for mothers' and fathers' alcohol-related disorders, respectively. Adjusting the analyses for psychosocial factors in the family almost eradicated the statistical effects of parental alcohol-related disorders on offspring school performance to beta-coefficients of 0.03 to -0.10 and ORs of 0.89-1.15. The effect of a mother's alcohol-related hospital admission on school performance was stronger in girls than in boys, whereas no gender differences were seen for a father's alcohol-related hospital admission. Conclusions In Sweden, alcohol-related disorders in both mothers and fathers are associated with lower school performance in their children at age 15-16 years, with most of the statistical effects being attributed to psychosocial circumstances of the family, such as parental psychiatric disorders, drug use and criminality and receipt of social or child welfare interventions.

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Section: Introductionmentioning

confidence: 99%

Parental alcohol‐related disorders and school performance in 16‐year‐olds—a Swedish national cohort study

et al. 2016

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“…For instance, available international estimates suggest that 8-23% of all children have parents with mental health problems [1,2] while 8-30% grow up with at least one parent having alcohol drinking problems [3][4][5]. Estimates in Sweden are in line with these figures [6][7][8], which puts a large proportion of Swedish children at risk for many acute and long-lasting negative consequences such as poor mental health, substance use problems and poorer academic achievement [9][10][11][12][13][14][15]. For instance, parental mental health problems such as mood and anxiety disorder and depression appear to have a high and long-lasting risk for children to develop own depression, somatic morbidity and higher mortality [16,17], which may also be explained by genetic vulnerability [18].…”

Section: Introductionmentioning

confidence: 87%

Do professionals ask about children when establishing a collaborative individual plan for clients? A cross-sectional study

Elgán

Källmén

2019

Nordic Journal of Psychiatry

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Aim: To examine the extent to which structured action plans, i.e. collaborative individual plans (CIPs), used by professionals within the psychiatric care, substance use treatment services and social services, evaluate if clients have children, and if professionals take actions if clients do have children. According to Swedish law, a CIP should be established when a client is in need of care from more than one branch of the care network. Professionals who meet adult clients have the opportunity to identify children at risk. Including a question in the CIP on whether a client has a child is a good approach to identify children in need of support. Methods: Cross-sectional data from professionals were collected prior to attending a three-day CIP course. A total of 705 individuals (n ¼ 797 invited) responded to the questionnaire. Results: More than 90% reported that they meet clients for whom a CIP should be established, and 52.6% of these (n ¼ 346) were aware of an existing CIP template within their organization. Approximately 30% (n ¼ 203) reported that this template included an item on whether the client has one or more children. Of these, a majority reported ensuring that the children receive adequate care (83.3%, n ¼ 169), and that they follow up on the receipt of such care (62.6%, n ¼ 125). Conclusions: The care network needs to implement CIPs to a higher degree, and CIP templates need to include items about the clients' children to ensure that children at risk are identified and thereby can receive adequate support.

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“…Reasons for the variation in the figures may include how the problem is defined, the methodology of data collection, and cultural differences. In line with this, Swedish estimates have revealed that approximately 5 % of all children have at least one parent with a substance use disorder [ 23 ], while 17–20 % grow up in families where at least one parent has risky alcohol consumption or substance use problems [ 24 – 26 ]. Moreover, about 6 % of all Swedish children have at least one parent who has received inpatient psychiatric care [ 25 ].…”

Section: Introductionmentioning

confidence: 97%

A web-based group course intervention for 15-25-year-olds whose parents have substance use problems or mental illness: study protocol for a randomized controlled trial

et al. 2016

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BackgroundDepending on the definitions used, between 5 and 20 % of all Swedish children grow up with at least one parent suffering from alcohol problems, while 6 % have at least one parent who has received inpatient psychiatric care, conditions that may affect the children negatively. Nine out of ten Swedish municipalities therefore provide support resources, but less than 2 % of these children are reached by such support. Delivering intervention programs via the Internet is a promising strategy. However, web-based programs targeting this at-risk group of children are scarce. We have previously developed a 1.5-h-long web-based self-help program, Alcohol & Coping, which appears to be effective with regards to adolescents’ own alcohol consumption. However, there is a need for a more intense program, and therefore we adapted Kopstoring, a comprehensive Dutch web-based psycho-educative prevention program, to fit the Swedish context. The purpose of the program, which in Swedish has been called Grubbel, is to strengthen protective factors, such as coping skills and psychological well-being, prevent the development of psychological disorders, and reduce alcohol consumption.Methods/designThe aim of the current study is to evaluate the effectiveness of Grubbel, which targets 15–25-year-olds whose parents have substance use problems and/or mental illness. Specific research questions relate to the participants’ own coping strategies, mental health status and substance use. The study was initiated in the spring of 2016 and uses a two-armed RCT design. Participants will be recruited via social media and also through existing agencies that provide support to this target group. The assessment will consist of a baseline measurement (t0) and three follow-ups after six (t1), 12 (t2), and 24 months (t3). Measures include YSR, CES-DC, Ladder of Life, Brief COPE, AUDIT-C, and WHOQOL-BREF.DiscussionStudies have revealed that the majority of children whose parents have substance use or mental health problems are not reached by the existing support. Thus, there is an urgent need to develop, implement, and evaluate novel intervention programs and disseminate successful programs to a broader audience. This study, investigating the effects of a web-based intervention, therefore makes an important contribution to this field of research.Trial registration ISRCTN10099247. Retrospectively registered on August 31, 2016.

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Prevalence of children whose parents have a substance use disorder: Findings from a Swedish general population survey

Abstract: Our results showed that a substantial number of children in Sweden have parents with a SUD and that it is important to consider both alcohol and drugs, when estimating the size of this group. Our findings call for further strategies to support these children and their families.

Cited by 22 publications

References 12 publications

Parental alcohol‐related disorders and school performance in 16‐year‐olds—a Swedish national cohort study

Parental alcohol‐related disorders and school performance in 16‐year‐olds—a Swedish national cohort study

Do professionals ask about children when establishing a collaborative individual plan for clients? A cross-sectional study

A web-based group course intervention for 15-25-year-olds whose parents have substance use problems or mental illness: study protocol for a randomized controlled trial

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