Role of Parenting Styles in Adolescent Substance Use Cessation: Results from a Brazilian Prospective Study

Benchaya, Mariana Canellas; Moreira, Taís de Campos; Constant, Hilda Maria Rodrigues Moleda; Pereira, Natália Masiero; Freese, Luana; Ferigolo, Maristela; Barros, Helena Maria Tannhauser

doi:10.3390/ijerph16183432

Cited by 24 publications

(19 citation statements)

References 33 publications

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“…This approach to health is more critical for children in critical developmental stages that need full support from their parents [53,54]. In line with our findings, our study expresses the importance of the role of parents [54][55][56]. Depending on their parenting style, children can have differing outcomes in mental health when they are growing up [57,58].…”

Section: Discussionsupporting

confidence: 86%

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Alcohol Consumption Frequency of Parents and Stress Status of Their Children: Korea National Health and Nutrition Examination Survey (2007–2016)

Kim

Chae

Min

et al. 2019

IJERPH

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Background: The effect of stress on mental health has been increasingly acknowledged. Drinking habits are closely inter-related with stress and each affects the other. However, only limited studies addressed the effects of alcohol consumption on family members apart from spouses. The purpose of this study is to better understand the relationship between parent drinking frequency and their children’s self-reported stress. Methods: Data was collected from the Korean National Health and Nutrition Examination Survey (K-NHANES) conducted during 2007–2016. Respondents were divided into three groups: children (n = 3796), maternal (n = 22,418), and paternal (n = 16,437). After merging the children and parents data sets, we identified the final study population of 3017 and performed binary logistic regression. Results: We found that the odds of high stress cognition was 1.58-fold higher for children who have heavy drinking mother (95% CI: 1.14–2.19) and 1.45-fold higher for those who have heavy drinking father (95% CI: 1.06–1.99). In a subgroup analysis, children whose household income level was Q1 and maternal occupation was white collar showed a statistically significant association of high stress with parental drinking frequency. Conclusions: Parental drinking frequency negatively impacts stress in the children of drinkers. We suggest providing support care for children in vulnerable environments to improve their stress levels.

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Section: Discussionsupporting

confidence: 86%

“…The WHO states that well-being can be achieved when mental and physical health are balanced [52]. This approach to health is more critical for children in critical developmental stages that need full support from their parents [53,54]. In line with our findings, our study expresses the importance of the role of parents [54][55][56].…”

Section: Discussionsupporting

confidence: 86%

Alcohol Consumption Frequency of Parents and Stress Status of Their Children: Korea National Health and Nutrition Examination Survey (2007–2016)

Kim

Chae

Min

et al. 2019

IJERPH

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“…This style of parenting, consisting of “hyper-involvement” in children’s activities, has been associated with poor social skills and self-efficacy [ 125 ]. This particular finding is interesting, for recent studies show that indulgent/permissive parenting seems to result in more positive outcomes in youngsters with higher self-esteem and good educational performance [ 11 ], shedding more light on the degree of responsiveness required and also the developmental timeframe for such variation. The social fabric has witnessed changes of the highest magnitude with the drastic measures imposed by multiple countries since the coronavirus (Covid-19) outbreak in 2020 which may seem to favor permissive parenting style as reported by the positive effects on the behavioural traits in Japanese children [ 90 ].…”

Section: Research Gap and Future Directionmentioning

confidence: 91%

“…Neglectful parents fail to set limits and do not provide their children with adequate warmth, rendering them more vulnerable to substance abuse [ 10 ]. A Brazilian prospective study involving 99 adolescents reported 30% and 28% respondents exposed to authoritative and neglectful parenting respectively; with adolescents from the latter having more trouble abstaining from substance abuse [ 11 ]. These findings align with reports from Martínez-Loredo et al [ 80 ] demonstrating a strong link between neglectful parenting and adolescent alcohol abuse with an odds ratio (OR): 2.14; 95% confidence interval (CI): 1.18–3.86 (p = 0.012).…”

Section: Consequential Effects Of Ineffective Parentingmentioning

confidence: 99%

Parenting style and its effect on eating disorders and substance abuse across the young population

Ramsewak¹,

Moty

Putteeraj

et al. 2022

Discov Psychol

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This article attempts to examine the occurrence of two behavioural changes, namely, substance abuse and eating disorders in order of onset mediated by ineffective parenting styles during young age. The four parenting styles and their consequential behavioural adverse effects are taken as the focal point of this study and are synthesized to provide an outlook on the status of ineffective parenting and deviant offspring behaviours. A review of literature was primarily undertaken to examine the characteristic features of ineffective parenting. A causal relationship was then drawn between the onset of behavioural disorders with an emphasis on substance abuse and eating disorders, along the parenting spectrum. We probed into the order and directionality of the offspring behavioural changes against ineffective parenting. The current available data shows the superimposition of the parenting style spectrum on a bell-shaped distribution of behavioural outcomes as exemplified by authoritarian, permissive and neglectful parenting as a prime determinant of several disorders among the young age; parenting styles being at the extremities of the parenting spectrum. The sweet spot of parenting, mainly associated to the authoritative approach, bears the most positive effect on the growing child. The extreme ends of parenting as per the varying degree of responsiveness and demandingness, generally observed in authoritarian and neglectful parenting precipitate concomitant deviant behaviours cascading from one another; intricately linking substance abuse and eating disorders. A number of studies describe the isolated effects of ineffective parenting on the development of substance abuse and eating disorders during the adolescent period. However, the relationship between both eating disorders and substance abuse is underplayed and need to be stressed upon to tailor behaviour-specific targeted therapies and restore the normalcy of these altered behaviours.

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“…In recognition of this empirical support, the Residential Care Consortium released a white paper advocating that residential programs improve parent engagement, particularly prior to and following discharge to the community when disruptions in care are common [ 13 ]. Further research has suggested that adolescent substance use interventions targeting parental monitoring and communication, two key parenting processes that are protective against adolescent substance use [ 14 , 15 ], are associated with better adolescent outcomes than interventions targeting parent education only [ 16 - 18 ].…”

Section: Introductionmentioning

confidence: 99%

Parent SMART (Substance Misuse in Adolescents in Residential Treatment): Protocol of a Randomized Effectiveness Trial of a Technology-Assisted Parenting Intervention

Becker¹,

Helseth²,

Kelly³

et al. 2022

JMIR Res Protoc

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Background Adolescents in residential substance use treatment are at extremely high risk for relapse following discharge to the community. Parenting practices, including parental monitoring and parent-adolescent communication, have been established as key predictors of adolescent substance use outcomes and relapse. However, traditional office-based therapy may not be feasible for parents who face structural and systemic barriers. There is a clear need for effective, accessible, and scalable interventions for parents of adolescents receiving residential substance use treatment. In a prior pilot randomized controlled trial, we tested Parent SMART (Substance Misuse among Adolescents in Residential Treatment)—a technology-assisted parenting intervention informed by extensive formative research—as an adjunct to residential treatment as usual (TAU). Parent SMART demonstrated high feasibility and acceptability, as well as evidence of effectiveness in improving parental monitoring and communication. Objective This protocol paper describes a fully-powered randomized controlled pragmatic effectiveness trial of Parent SMART as an adjunct to residential TAU. We hypothesize that families who receive Parent SMART will demonstrate greater improvements in parenting skills, reductions in adolescent substance use, and reductions in adolescent problem behaviors relative to families that receive residential TAU. We will test the exploratory hypothesis that reductions in adolescent substance use will be partially mediated by improvements in parenting skills. Methods Adolescent-parent dyads (n = 220 dyads; 440 total) will be randomized to either residential TAU only or Parent SMART+TAU. Parents randomized to Parent SMART will receive access to a networking forum, an off-the-shelf computer program called Parenting Wisely, and up to four telehealth coaching calls. Multimethod follow-up assessments consisting of self-reported parent and adolescent measures, a parent-adolescent in vivo interaction task, and 8-panel urine screens will be conducted 6, 12, and 24 weeks postdischarge from residential care. Measures will assess parenting skills, adolescent substance use, and adolescent problem behaviors. Analyses will be conducted using latent change score structural equation modeling. Results The trial was funded in August 2021; ethics approval was obtained in August 2020, prior to funding. Due to concerns with the administrative interface in the pilot trial, the Parent SMART networking forum is currently being rebuilt by a different vendor. The programming is scheduled to be completed by December 2021, with recruitment beginning in February 2022. Conclusions The proposed research has the potential to advance the field by serving a high-need, underserved population during a vital treatment juncture; targeting parenting practices (putative mediators) that have been shown to predict adolescent substance use outcomes; addressing barriers to accessing continuing care; and testing a highly scalable intervention model. Trial Registration ClinicalTrials.gov NCT05169385; https://clinicaltrials.gov/ct2/show/NCT05169385 International Registered Report Identifier (IRRID) PRR1-10.2196/35934

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Role of Parenting Styles in Adolescent Substance Use Cessation: Results from a Brazilian Prospective Study

Cited by 24 publications

References 33 publications

Alcohol Consumption Frequency of Parents and Stress Status of Their Children: Korea National Health and Nutrition Examination Survey (2007–2016)

Alcohol Consumption Frequency of Parents and Stress Status of Their Children: Korea National Health and Nutrition Examination Survey (2007–2016)

Parenting style and its effect on eating disorders and substance abuse across the young population

Parent SMART (Substance Misuse in Adolescents in Residential Treatment): Protocol of a Randomized Effectiveness Trial of a Technology-Assisted Parenting Intervention

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