Risk factors for the development of emotional and behavioural problems in children born to drug-dependent mothers
- 242 Downloads
The study of biological and psychosocial risk factors for the development of emotional and behavioural problems in children of drug-dependent mothers.
In a sample of 52 children and drug-dependent mothers participating in a residential intervention programme emotional and behavioural problems were studied in the children by use of the Child Behaviour Checklist (CBCL). The Symptom-Checklist Revised (SCL-90-R) served to assess mental problems in the mother. Drug exposure during pregnancy, various psychosocial risk factors due to the drug-career, and educational status of the mother were assessed by maternal interview. A brief assessment of intelligence of the mother was included.
Among the various biological and psychosocial risk factors, maternal mental health problems, maternal educational status, and a small number of close social relationships correlated significantly with child outcome variables. Multiple regression analyses identified maternal mental health factors as the main predictors of child behaviour.
Assisting drug-dependent mothers in overcoming the psychosocial sequelae of drug abuse implies also assistance to the children in terms of prevention of emotional and behavioural problems.
Keywordsdrug abuse mothers behaviour problems
The author would like to thank all the participating mothers and children of the present study and the two teams of the supporting residential treatment centres, particularly Elisabeth Frei on behalf of “Die Alternative” and Verena Schäfer on behalf of “Sozialtherapeutische Gemeinschaft Ruedli”.
- 2.Achenbach TM (1991) Manual for the child behavior checklist/4–18 and 1991 profile. University of Vermont Department of Psychiatry, Burlington, VermontGoogle Scholar
- 3.Achenbach TM (1992) Manual for the child behavior checklist/2–3 and 1992 profile. University of Vermont, Department of Psychiatrie, BurlingtonGoogle Scholar
- 9.Cubas de M, Field TF (1993) Children of methadone-dependent women: develop-mental outcomes. Am J Orthopsychiatry 63:266–276Google Scholar
- 11.Derogatis LR (1977) SCL-90-R, administration, scoring and procedures manual-I for the R(evised) version. Johns Hopkins University School of Medicince, EigendruckGoogle Scholar
- 15.Lester BM, Freier K, LaGasse L (1995) Prenatal cocaine exposure and child outcome: what do we really know? In: Lewis M, Bendersky M (eds) Mothers, babies and cocaine. Lawrence Erlbaum Associates, Hilsdale, N.J., pp 19–40Google Scholar
- 19.Oswald WD, Roth E (1978) Der Zahlen-Verbindungstest (ZVT. Ein sprachfreier Intelligenz-Schnell-Test. Hogrefe, GöttingenGoogle Scholar
- 21.Richardson GA (1998) A longitudinal study of development. In: Harvey JA, Kosofsky BE (eds) Cocaine: effects on the developing brain. The New York Academy of Sciences, New York, pp 144–152Google Scholar
- 26.Steinhausen HC, Blattmann B, Pfund F (in press) Developmental outcome in children with intrauterine exposure to substances. European Addiction ResearchGoogle Scholar
- 27.van Baar AL (1999) Children of drug-addictd parents. In: Steinhausen HC, Verhulst F (eds) Risks and outcomes in developmental psychopathology. University Press, Oxford, pp 64–84Google Scholar