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，以提高药物滥用父母的养育和家庭沟通技巧，从而降低孩子不良后果的风险。药物滥用者的孩子面临品行问题的风险。家长培训可以有效减少儿童的行为问题，但家长药物滥用预示着家长培训试验的结果不佳。这些发现表明，单独进行家长培训对于滥用药物的父母来说效果较差，因此针对这一人群需要创新策略。该项目将扩展斯坦格博士目前的流行病学研究结果，表明父母药物滥用与儿童结局之间的关系是由父母精神病理学、家庭冲突和养育问题介导的。我们将开发一种新的干预措施，将韦伯斯特-斯特拉顿针对行为问题的经经验验证的育儿治疗与针对物质依赖父母的基于激励的应急管理干预措施相结合。我们假设激励措施将提高对育儿干预的依从性（每日监测育儿和儿童的行为、完成组间作业）并提高治疗强度和保留率（参加的课程数量、完成治疗的家庭数量）。 四十名有药物滥用史的母亲及其伴侣将被随机分配到：（1）行为父母培训加应急管理，或（2）不带应急管理的父母培训。 PTI 和 PT 组将被随机分配接受立即或延迟治疗。主要结果指标包括：积极和消极的养育方式、家庭问题以及儿童的攻击性和犯罪行为。我们还将评估治疗结果的重要调节因素，包括母体物质使用和精神病理学。创新的电话计算机辅助访谈系统将收集每日对养育方式以及儿童攻击性和犯罪行为的评分，以测试日常养育方式的变化对儿童行为问题的影响。这项研究将对针对药物滥用父母高风险样本的养育方式的创新多成分干预措施的有效性进行初步测试。研究结果将通过将关于养育和儿童问题之间关系的流行病学研究与干预研究联系起来，增进对发展精神病理学的理解。