Preventing Problems Among Children of Substance Abusers

预防药物滥用者的子女出现问题

• 批准号: 7029639
• 负责人: CATHERINE STANGER
• 金额: $ 12.3万
• 依托单位: UNIV OF ARKANSAS FOR MED SCIS
• 依托单位国家: 美国
• 财政年份: 2005
• 资助国家: 美国
• 起止时间: 2005-08-01 至 2008-02-28
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7029639
• 关键词: aggression; behavior modification; behavior prediction; behavior test; behavioral /social science research tag; child behavior disorders; clinical research; conduct disorder; data collection methodology /evaluation; disease /disorder prevention /control; family structure /dynamics; human therapy evaluation; interview; juvenile delinquency; longitudinal human study; outcomes research; parent offspring interaction; psychopathology; psychotherapy; social behavior disorders; substance abuse related disorder; training

DESCRIPTION (provided by applicant): The aim of this R21 project is to develop and pilot test an intervention to improve parenting and family communication skills among substance-abusing parents, thereby reducing the risk of poor outcomes among their children. Children of substance abusers are at risk for conduct problems. Parent training is effective in reducing children's conduct problems, but parental substance abuse predicts poor outcomes in parent training trials. These findings suggest that parent training alone is less effective for substance abusing parents and that innovative strategies will be necessary for this population. This project will extend findings from Dr. Stanger's current epidemiologic research indicating that relations between parental substance abuse and children's outcomes are mediated by parental psychopathology, family conflict, and parenting problems. We will develop a new intervention integrating Webster-Stratton's empirically validated parenting treatment for conduct problems with an incentive-based, contingency-management intervention for substance dependent parents. We hypothesize that incentives will enhance compliance with the parenting intervention (daily monitoring of parenting and children's behavior, completion of between-group homework assignments) and increase treatment strength and retention (number of sessions attended, number of families completing treatment). Forty mothers with substance abuse histories and their partners will be randomly assigned to either: (1) behavioral parent training plus contingency management, or (2) parent training without contingency management. PTI and PT groups will be randomly assigned to receive either immediate or delayed treatment. Primary outcome measures will include: positive and negative parenting, family problems, and children's aggressive and delinquent behavior. We will also assess important mediators of treatment outcome, including parent substance use and psychopathology. An innovative telephone computer assisted interview system will collect daily ratings of parenting and children's aggressive and delinquent behavior in order to test the impact of daily variations in parenting on children's conduct problems. This study will provide an initial test of the efficacy of an innovative multicomponent intervention targeting parenting in a high-risk sample of substance abusing parents. Findings will advance understanding of developmental psychopathology by linking epidemiologic research on relations between parenting and children's problems to intervention research.

描述（由申请人提供）：该R21项目的目的是开发和试点测试一种干预措施，以提高滥用药物的父母之间的育儿和家庭沟通技巧，从而降低了孩子中不良结果的风险。滥用药物的孩子有行为问题的风险。父母培训有效地减少了儿童的行为问题，但是父母的药物滥用预测父母培训试验的结果不佳。这些发现表明，单独的父母培训对滥用父母的物质效果较小，并且对该人群的创新策略将是必要的。该项目将从Stanger博士当前的流行病学研究中扩展发现，表明父母滥用和儿童的结果之间的关系是由父母的心理病理学，家庭冲突和育儿问题介导的。我们将开发一项新的干预措施，通过针对依赖物质的父母进行基于激励的，应急管理干预措施，整合Webster-Stratton经验验证的行为问题的育儿治疗。我们假设激励措施将增强对育儿干预（每天监测育儿和儿童行为，完成组间家庭作业的监测），并提高治疗强度和保留率（参加会议的数量，完成治疗的家庭数量）。 有40位具有滥用药物历史的母亲及其伴侣将被随机分配给：（1）行为父母培训加上应急管理，或（2）没有应急管理的父母培训。 PTI和PT组将随机分配以立即接受或延迟治疗。主要结果指标将包括：正面和负育儿，家庭问题以及儿童的侵略性和违法行为。我们还将评估重要的治疗结果介体，包括父母药物使用和心理病理学。创新的电话计算机辅助访谈系统将每天收集育儿和儿童的侵略性和拖欠行为的评分，以测试日常变异对育儿对儿童行为问题的影响。这项研究将对靶向育儿的创新性多组分干预措施在滥用物质的高风险样本中的有效性。发现将通过将育儿与儿童问题之间关系的流行病学研究与干预研究联系起来，从而提高人们对发展心理病理的理解。