The Comorbid and Individual Impacts of Maternal Depression and Substance Dependence on Parenting and Child Behavior Problems
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Maternal depression, substance dependence, and the comorbidity of these conditions are highly prevalent risk factors among families involved with Child Protective Services (CPS). Data from the National Survey of Child and Adolescent Well-Being I (NSCAW I) were analyzed to examine the influence of maternal substance dependence, depression, and comorbidity on parenting and child behavior over 36-months among children reported to CPS who remained in the home at all waves. Although neglect and child behavior problems were highest for mothers with comorbidity at baseline, mothers with substance dependence had the poorest self-reported parenting and child behavior problems over time. Results indicate a need for intensive targeted services to address the complex needs of CPS-involved mothers with substance dependence and their in-home children.
KeywordsChild welfare Comorbid conditions Maternal depression Maternal substance dependence Child behavior problems Parenting Child abuse and neglect
Research reported in this publication was supported by the National Institute on Drug Abuse under Award Numbers F31DA034442 (K. Seay, PI) and 5T32DA015035 and by the National Institute of Mental Health (RO3MH082203; P. Kohl, PI). Dr. Seay has support from a Doris Duke Fellowship and a Fahs-Beck Doctoral Dissertation Grant. The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health.
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