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A Parenting and Self-Care Intervention for Substance-Using Mothers: Promoting Resilience Among Israeli and Palestinian People

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Mental Health and Addiction Care in the Middle East

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Abstract

This chapter addresses the important and overlooked issue of parenting skills among adults with serious illness often brought on by unsafe drug injection and sexual activity. The problem exists in the Middle East region and served as a focal point for Israeli Regional Alcohol and Drug Abuse Research (RADAR) Center—Ben-Gurion University and Substance Abuse Research Center (SARC) Palestinian leadership to promote a common response to the condition. The regional intervention strategy is derived from a pilot study to assess the effects of a new intervention for mothers living with HIV/AIDS (MLH) entitled “IMAGE” (Improving Mothers’ parenting Abilities, Growth, and Effectiveness). The intervention, based on Fisher and Fisher’s IMB Model (Psychological Bulletin 111(3), 455–474, 1992), focuses on improving parenting behaviors and self-care skills of MLH and thus having an impact on child outcomes including depression, self-concept, and the parent–child relationship. It showed significant effects of the intervention for improving parenting practices for mothers. The intervention also improved, to a lesser extent, self-care skills of the mothers. Child behavior problems were reduced, and child self-concept was improved. Regarding family outcomes, the intervention showed improvements in the parent–child relationship and parent–child communication. Based on the model reported in this chapter, the model was deemed highly valuable to the prevailing conditions in the region—specially, among Israeli and Palestinian mothers with chronic illnesses such as diabetes, high blood pressure, obesity, and other infectious diseases living with conditions resulting from ongoing conflict.

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References

  • AIDS.gov. (2015). The global HIV/AIDS epidemic. Retrieved from https://www.aids.gov/hiv-aids-basics/hiv-aids-101/global-statistics/

  • Anderson, L. S. (2008). Predictors of parenting stress in a diverse sample of parents of early adolescents in high-risk communities. Nursing Research, 57(5), 340–350.

    Article  PubMed  PubMed Central  Google Scholar 

  • Anderson, E. S., Wagstaff, D. A., Heckman, T. G., Winett, R. A., Roffman, R. A., Solomon, L. J., et al. (2006). Information-motivation-behavioral skills (IMB) model: Testing direct and mediated treatment effects on condom use among women in low-income housing. Annals of Behavioral Medicine, 31(1), 70–79.

    Article  PubMed  Google Scholar 

  • Armistead, L., Tannenbaum, L., Forehand, R., Morse, E., & Morse, P. (2001). Disclosing HIV status: Are mothers telling their children? Journal of Pediatric Psychology, 26(1), 11–20.

    Article  PubMed  Google Scholar 

  • Aronowitz, T., & Munzert, T. (2006). An expansion and modification of the information, motivation and behavioral skills model: Implications from a study with African American girls and their mothers. Issues in Comprehensive Pediatric Nursing, 29(2), 89–101.

    Article  PubMed  Google Scholar 

  • Aronowitz, T., Rennells, R. E., & Todd, E. (2005). Heterosocial behaviors in early adolescent African American girls: The role of mother-daughter relationships. Journal of Family Nursing, 11(1), 122–139.

    Article  PubMed  Google Scholar 

  • Asander, A., Belfrage, E., Pehrson, P., Lindstein, T., & Bjorkman, A. (2004). HIV infected African families living in Stockholm, Sweden: Their social network, level of disclosure and knowledge of HIV. International Journal of Social Welfare, 13(1), 77–88.

    Article  Google Scholar 

  • Ashery, R. S., Robertson, E. B., Kumpfer, K. L. (1998). Drug abuse prevention through family interventions (NIDA Research Monograph No. 177). Washington, DC: U.S. Government Printing Office.

    Google Scholar 

  • Bauman, L. J., Camacho, S., Silver, E. J., Hudis, J., & Draimin, B. (2002). Behavioral problems in school-aged children of mothers with HIV/AIDS. Clinical Child Psychology & Psychiatry, 7(1), 39–54.

    Article  Google Scholar 

  • Bauman, L. J., Silver, E. J., Draimin, B. H., & Hudis, J. (2007). Children of mothers with HIV/AIDS: Unmet needs for mental health services. Pediatrics, 120(5), e1141–e1147.

    Article  PubMed  Google Scholar 

  • Baumrind, D. (1967). Child-care practices anteceding three patterns of preschool behavior. Genetic Psychology Monographs, 75(1), 43–88.

    Article  PubMed  Google Scholar 

  • Bhana, D. (2009). How much do young children know about HIV/AIDS? Early Child Development and Care, 180(8), 1079–1092.

    Article  Google Scholar 

  • Bogart, L. M., Cowgill, B. O., Kennedy, D. P., Ryan, G. W., Elijah, J., Murphy, D. A. et al. (2009). How parental HIV affects children (Document Number: RB-9372). Santa Monica, CA: RAND Corporation.

    Google Scholar 

  • Brackis-Cott, E., Mellins, C. A., Dolezal, C., & Spiegel, D. (2007). The mental health risk of mothers and children: The role of maternal HIV infection. Journal of Early Adolescence, 27(1), 67–89.

    Article  Google Scholar 

  • Bryan, A. D., Fisher, J. D., & Benziger, T. J. (2001). Determinants of HIV risk behavior among Indian truck drivers. Social Science and Medicine, 53(11), 1413–1426.

    Article  PubMed  Google Scholar 

  • Catz, S. L., Gore-Felton, C., & McClure, J. B. (2002). Psychological distress among minority and low-income women living with HIV. Behavioral Medicine, 28(2), 53–59.

    Article  PubMed  Google Scholar 

  • Cederfjall, C., Langius-Eklof, A., Lidman, K., & Wredling, R. (2002). Self-reported adherence to antiretroviral treatment and degree of sense of coherence in a group of HIV-infected patients. AIDS Patient Care and STDs, 16(12), 609–616.

    Article  PubMed  Google Scholar 

  • Centers for Disease Control and Prevention (CDC). (2009). Parent training programs insight for practitioners. Retrieved from http://www.cdc.gov/violenceprevention/pdf/parent_training_brief-a.pdf

  • Conners, N. A., Bradley, R. H., Mansell, L. W., Liu, J. Y., Roberts, T. J., Burgdorf, K., et al. (2004). Children of mothers with serious substance abuse problems: An accumulation of risks. The American Journal of Drug and Alcohol Abuse, 30(1), 85–100.

    Article  PubMed  Google Scholar 

  • Cowgill, B. O., Beckett, M. K., Corona, R., Elliott, M. N., Zhou, A. J., & Schuster, M. A. (2007). Children of HIV-infected parents: Custody status in a nationally representative sample. Pediatrics, 120(3), e494–e503.

    Article  PubMed  Google Scholar 

  • Dorsey, S., Klein, K., Forehand, R., & Family Health Project Research Group. (1999). Parenting self-efficacy of HIV-infected mothers: The role of social support. Journal of Marriage and Family, 61(2), 295–305.

    Article  Google Scholar 

  • Fisher, J. D., & Fisher, W. A. (1992). Changing AIDS risk behavior. Psychological Bulletin, 111(3), 455–474.

    Article  PubMed  Google Scholar 

  • Fisher, J. D., Fisher, W. A., Amico, R., & Harman, J. J. (2006). An information-motivation-behavioral skills model of adherence to antiretroviral therapy. Health Psychology, 25(4), 462–473.

    Article  PubMed  Google Scholar 

  • Fisher, J. D., Fisher, W. A., Misovich, S. J., Kimble, D. L., & Malloy, T. E. (1996). Changing AIDS risk behavior: Effects of an intervention emphasizing AIDS risk reduction information, motivation, and behavioral skills in a college student population. Health Psychology, 15(2), 114–123.

    Article  PubMed  Google Scholar 

  • Forehand, R., Steele, R., Armistead, L., Morse, E., Simon, P., & Clark, L. (1998). The Family Health Project: Psychosocial adjustment of children whose mothers are HIV infected. Journal of Consulting and Clinical Psychology, 66(3), 513–520.

    Article  PubMed  Google Scholar 

  • Forsyth, B. W., Damour, L., Nagler, S., & Adnopoz, J. (1996). The psychological effects of parental human immunodeficiency virus infection on uninfected children. Archives of Pediatrics and Adolescent Medicine, 150(10), 1015–1020.

    Article  PubMed  Google Scholar 

  • Foster, G. (2006). Children who live in communities affected by AIDS. Lancet, 367(9511), 700–701.

    Article  PubMed  Google Scholar 

  • Grella, C. E., & Rodriguez, L. (2011). Motivation for treatment among women offenders in prison-based treatment and longitudinal outcomes among those who participate in community aftercare. Journal of Psychoactive Drugs, 43(s1), 58–67.

    Article  Google Scholar 

  • Grella, C. E., Scott, C. K., Foss, M. A., Joshi, V., & Hser, Y.-I. (2003). Gender differences in drug treatment outcomes among participants in the Chicago Target Cities Study. Evaluation and Program Planning, 26(3), 297–310.

    Article  Google Scholar 

  • Holt, R., Court, P., Vedhara, K., Nott, K. H., Holmes, J., & Snow, M. H. (1998). The role of disclosure in coping with HIV infection. AIDS Care, 10(1), 49–60.

    Article  PubMed  Google Scholar 

  • Hough, E. S., Brumitt, G., Templin, T., Saltz, E., & Mood, D. (2003). A model of mother-child coping and adjustment to HIV. Social Science & Medicine, 56(3), 643–655.

    Article  Google Scholar 

  • Icenhower, K. (2013). Family-based recovery: The SHIELDS for families “Exodus” programme. In A. L. O’Neil & J. Lucas (Eds.), DAWN drugs and alcohol women network: Promoting a gender responsive approach to addiction (pp. 379–384). Turin, Italy: United Nations Interregional Crime and Justice Research Institute.

    Google Scholar 

  • Kalichman, S., DiMarco, M., Austin, J., Luke, W., & DiFonzo, K. (2003). Stress, social support, and HIV–status disclosure to family and friends among HIV–positive men and women. Journal of Behavioral Medicine, 26(4), 315–333.

    Article  PubMed  Google Scholar 

  • Kalichman, S. C., Simbayi, L. C., Cain, D., Jooste, S., Skinner, D., & Cherry, C. (2006). Generalizing a model of health behaviour change and AIDS stigma for use with sexually transmitted infection clinic patients in Cape Town, South Africa. AIDS Care, 18(3), 178–182.

    Article  PubMed  Google Scholar 

  • Kaminski, J. W., Valle, L. A., Filene, J. H., & Boyle, C. L. (2008). A meta-analytic review of components associated with parent training program effectiveness. Journal of Abnormal Child Psychology, 36(4), 567–589.

    Article  PubMed  Google Scholar 

  • King, E., De Silva, M., Stein, A., Patel, V. (2009). Interventions for improving the psychosocial well-being of children affected by HIV and AIDS. Cochrane Database of Systematic Reviews, 15(2), Article Number CD006733.

    Google Scholar 

  • Klitzman, R. L., Kirshenbaum, S. B., Dodge, B., Remien, R. H., Ehrhardt, A. A., Johnson, M. O., et al. (2004). Intricacies and inter-relationships between HIV disclosure and HAART: A qualitative study. AIDS Care, 16(5), 628–640.

    Article  PubMed  Google Scholar 

  • Kotchick, B. A., Forehand, R., Brody, G., Armistead, L., Simon, P., Morse, E., et al. (1997). The impact of maternal HIV-infection on parenting in inner-city African American families. Journal of Family Psychology, 11(4), 447–461.

    Article  Google Scholar 

  • Krauss, B. J., Letteney, S., De Baets, A. J., Baggaley, R., & Okero, F. A. (2013). Caregiver’s HIV disclosure to children 12 years and under: A review and analysis of the evidence. AIDS Care, 25(4), 415–429.

    Article  PubMed  Google Scholar 

  • Lundgren, L. M., Schilling, R. F., Fitzgerald, T., Davis, K., & Amodeo, M. (2003). Parental status of women injection drug users and entry to methadone maintenance. Substance Use & Misuse, 38(8), 1109–1131.

    Article  Google Scholar 

  • McKee, L., Jones, D. J., Roland, E., Coffelt, N., Rakow, A., & Forehand, R. (2007). Maternal HIV/AIDS and depressive symptoms among inner-city African American youth: The role of maternal depressive symptoms, mother-child relationship quality, and child coping. American Journal of Orthopsychiatry, 77(2), 259–266.

    Article  PubMed  Google Scholar 

  • Misovich, S. J., Martinez, T., Fisher, J. D., Bryan, A., & Catapano, N. (2003). Predicting breast self-examination: A test of the information-motivation-behavioral skills model. Journal of Applied Social Psychology, 33(4), 775–790.

    Article  Google Scholar 

  • Mistry, R., Stevens, G. D., Sareen, H., De Vogli, R., & Halfon, N. (2007). Parenting-related stressors and self-reported mental health of mothers with young children. American Journal of Public Health, 97(7), 1261–1268.

    Article  PubMed  PubMed Central  Google Scholar 

  • Murphy, D. A., Roberts, K. J., & Hoffman, D. (2006). Young children’s reactions to mothers’ disclosure of maternal HIV+ serostatus. Journal of Child and Family Studies, 15(1), 39–56.

    Google Scholar 

  • Murphy, D. A. (2008). HIV-positive mothers’ disclosure of their serostatus to their young children: A review. Clinical Child Psychology and Psychiatry, 13(1), 105–122.

    Article  PubMed  PubMed Central  Google Scholar 

  • Murphy, D. A., Armistead, L., Payne, D. L., Marelich, W. D., Herbeck, D. M. (2016). Pilot trial of a parenting and self-care intervention for HIV-positive mothers: The IMAGE program. AIDS Care. Advance online publication. doi:10.1080/09540121.2016.1204416

    Google Scholar 

  • Murphy, D. A., Armistead, L., Marelich, W. D., Payne, D. L., & Herbeck, D. M. (2011). Pilot trial of a disclosure intervention for HIV+ mothers: The TRACK program. Journal of Consulting and Clinical Psychology, 79(2), 203–214.

    Article  PubMed  PubMed Central  Google Scholar 

  • Murphy, D. A., Armistead, L., Marelich, W. D., & Herbeck, D. M. (2015). Parenting deficits of mothers living with HIV/AIDS who have young children. Vulnerable Children and Youth Studies, 10(1), 41–54.

    Article  PubMed  Google Scholar 

  • Murphy, D. A., Greenwell, L., Mouttapa, M., Brecht, M. L., & Schuster, M. A. (2006). Physical health of mothers with HIV/AIDS and the mental health of their children. Journal of Developmental and Behavioral Pediatrics, 27(5), 386–395.

    Article  PubMed  PubMed Central  Google Scholar 

  • Murphy, D. A., Greenwell, L., Resell, J., Brecht, M.-L., & Schuster, M. A. (2008). Early and middle adolescents’ autonomy development: Impact of maternal HIV/AIDS. Clinical Child Psychology and Psychiatry, 13(2), 253–276.

    Article  PubMed  PubMed Central  Google Scholar 

  • Murphy, D. A., Greenwell, L., & Hoffman, D. (2002). Factors associated with antiretroviral adherence among HIV-infected women with children. Women & Health, 36(1), 97–111.

    Article  Google Scholar 

  • Murphy, D. A., & Marelich, W. D. (2008). Resiliency in young children whose mothers are living with HIV/AIDS. AIDS Care, 20(3), 284–291.

    Article  PubMed  PubMed Central  Google Scholar 

  • Murphy, D. A., Marelich, W. D., Armistead, L., Herbeck, D. M., & Payne, D. L. (2010). Anxiety/Stress among mothers living with HIV: Effects on parenting skills & child outcomes. AIDS Care, 22(12), 1449–1458.

    Article  PubMed  PubMed Central  Google Scholar 

  • Murphy, D. A., Marelich, W. D., Dello Stritto, M. E., Swendeman, D., & Witkin, A. (2002). Mothers living with HIV/AIDS: Mental, physical, and family functioning. AIDS Care, 14(5), 633–644.

    Article  PubMed  Google Scholar 

  • Murphy, D. A., Marelich, W. D., Graham, J., & Payne, D. L. (2015). Children affected by maternal HIV/AIDS: Feasibility and acceptability trial of the Children United with Buddies (CUB) intervention. Clinical Child Psychology and Psychiatry, 20(1), 117–133. doi:10.1177/1359104513499357

    Article  PubMed  Google Scholar 

  • Murphy, D. A., Marelich, W. D., Herbeck, D. M., & Payne, D. L. (2009). Family routines and parental monitoring as protective factors among early/middle adolescents affected by maternal HIV/AIDS. Child Development, 80(6), 1676–1691.

    Article  PubMed  PubMed Central  Google Scholar 

  • Murphy, D. A., Marelich, W. D., Lanza, H. I., & Herbeck, D. M. (2012). Effects of maternal HIV on children’s psychosocial adjustment with peers and with their mother. Vulnerable Children & Youth Studies, 7(4), 357–370.

    Article  Google Scholar 

  • Murphy, D. A., Marelich, W. D., & Herbeck, D. M. (2012). Impact of maternal HIV health: A 12-year study of children in the parents and children coping together project. Journal of Adolescent Health, 51(4), 313–318.

    Article  PubMed  PubMed Central  Google Scholar 

  • Murphy, D. A., Roberts, K. J., & Hoffman, D. (2006). Young children’s reactions to mothers’ disclosure of maternal HIV+ serostatus. Journal of Child and Family Studies, 15(1), 39–56.

    Article  Google Scholar 

  • Murphy, D. A., Steers, W. N., & Dello Stritto, M. E. (2001). Maternal disclosure of mother’s HIV serostatus to their young children. Journal of Family Psychology, 15(3), 441–450.

    Article  PubMed  Google Scholar 

  • Reyland, S. A., McMahon, T. J., Higgins-Delessandro, A., & Luthar, S. S. (2002). Inner-city children living with an HIV-Seropositive mother: Parent-child relationships, perception of social support, and psychological disturbance. Journal of Child & Family Studies, 11(3), 313–329.

    Article  Google Scholar 

  • Richter, L. (2004). The impact of HIV/AIDS on the development of children. In R. Pharoah (Ed.) A generation at risk? HIV/AIDS, vulnerable children and security in southern Africa (pp. 9–31). Monograph No. 109. Pretoria, South Africa: Institute for Security Studies.

    Google Scholar 

  • Richter, L., Foster, G., & Sherr, L. (2006). Where the heart is: Meeting the psychosocial needs of young children in the context of HIV/AIDS. The Hague, The Netherlands: Bernard van Leer Foundation.

    Google Scholar 

  • Richter, L. M., Sheer, L., Adato, M., Belsey, M., Chandan, U., Desmond, C., et al. (2009). Strengthening families to support children affected by HIV and AIDS. AIDS Care, 21(s1), 3–12.

    Article  PubMed  PubMed Central  Google Scholar 

  • Romer, G., Barkmann, C., Schulte-Markwort, M., Thomalla, G., & Riedesser, P. (2002). Children of somatically ill parents: A methodological review. Clinical Child Psychology & Psychiatry, 7(1), 17–38.

    Article  Google Scholar 

  • Russell, K. S., & Rauch, P. K. (2012). Parenting with cancer I: Developmental perspective, communication, and coping. Advances in Experimental Medicine and Biology, 732, 131–140.

    Article  PubMed  Google Scholar 

  • Serovich, J. M. (2001). A test of two HIV disclosure theories. AIDS Education and Prevention, 13, 355–364.

    Article  PubMed  PubMed Central  Google Scholar 

  • Simoni, J., Demas, P., Mason, H., Drossman, J., & Davis, M. (2000). HIV disclosure among women of African descent: Associations with coping, social support, and psychological adaptation. AIDS and Behavior, 4(2), 147–158.

    Article  Google Scholar 

  • Starace, F., Massa, A., Amico, K. R., & Fisher, J. D. (2006). Adherence to antiretroviral therapy: An empirical test of the information-motivation-behavioral skills model. Health Psychology, 25(2), 153–162.

    Article  PubMed  Google Scholar 

  • Steinberg, L. (1987). Familial factors in delinquency: A developmental perspective. Journal of Adolescent Research, 2(3), 255–268.

    Article  Google Scholar 

  • Tompkins, T. L. (2007). Parentification and maternal HIV infection: Beneficial role or pathological burden? Journal of Child and Family Studies, 16(1), 108–118.

    Article  Google Scholar 

  • Tompkins, T. L., Henker, B., Whalen, C. K., Axelrod, J., & Comer, L. K. (1999). Motherhood in the context of HIV infection: Reading between the numbers. Cultural Diversity & Ethnic Minority Psychology, 5(3), 197–208.

    Article  Google Scholar 

  • Tompkins, T. L., & Wyatt, G. E. (2008). Child psychosocial adjustment and parenting in families affected by maternal HIV/AIDS. Journal of Child and Family Studies, 17(6), 823–838.

    Article  Google Scholar 

  • World Health Organization. (2015). Number of people (all ages) living with HIV. Retrieved from http://www.who.int/gho/hiv/epidemic_status/cases_all_text/en/

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Murphy, D.A. (2016). A Parenting and Self-Care Intervention for Substance-Using Mothers: Promoting Resilience Among Israeli and Palestinian People. In: Isralowitz, R., Findley, P. (eds) Mental Health and Addiction Care in the Middle East. Advances in Mental Health and Addiction. Springer, Cham. https://doi.org/10.1007/978-3-319-41556-7_5

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