Journal of Family Violence

, Volume 30, Issue 7, pp 899–910 | Cite as

The Comorbid and Individual Impacts of Maternal Depression and Substance Dependence on Parenting and Child Behavior Problems

Original Article


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.


Child 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.


  1. Achenbach, T. M. (1991). Manual for the child behavior checklist: 4–18 and 1991 profile. Burlington: University of Vermont, Department of Psychiatry.Google Scholar
  2. Achenbach, T. M. (1992). Manual for the child behavior checklist: 2–3 and 1992 profile. Burlington: University of Vermont, Department of Psychiatry.Google Scholar
  3. Andrews, G., & Peters, L. (1998). The psychometric properties of the composite international diagnostic interview. Social Psychiatry and Psychiatric Epidemiology, 33(2), 80–88.CrossRefPubMedGoogle Scholar
  4. Berger, L. M., Slack, K. S., Waldfogel, J., & Bruch, S. K. (2010). Caseworker-perceived caregiver substance abuse and child protective services outcomes. Child Maltreatment, 15(3), 199–210.PubMedCentralCrossRefPubMedGoogle Scholar
  5. Besinger, B. A., Garland, A. F., Litrownik, A. J., & Landsverk, J. A. (1999). Caregiver substance abuse among maltreated children placed in out-of-home care. Child Welfare, 78(2), 221–239.PubMedGoogle Scholar
  6. Burns, B. J., Phillips, S. D., Wagner, H. R., Barth, R. P., Kolko, D. J., Campbell, Y., & Landsverk, J. (2004). Mental health need and access to mental health services by youths involved with child welfare: a national survey. Journal of the American Academy of Child and Adolescent Psychiatry, 43(8), 960–970.CrossRefPubMedGoogle Scholar
  7. Chaffin, M., Kelleher, K., & Hollenberg, J. (1996). Onset of physical abuse and neglect: psychiatric, substance abuse, and social risk factors from prospective community data. Child Abuse & Neglect, 20, 191–203.CrossRefGoogle Scholar
  8. Chandy, J. M., Blum, R. W., & Resnick, M. D. (1996). History of sexual abuse and parental alcohol misuse: risk, outcomes and protective factors in adolescents. Child and Adolescent Social Work Journal, 13(5), 411–432.CrossRefGoogle Scholar
  9. Chedgzsey Smith-McKeever, T., Falconnier, L., & Gao, W. (2011). African American and white mothers’ substance abuse, depression, and criminality as risk factors for child behavior problems. Families in Society, 92(1), 63–68.Google Scholar
  10. Davis, L. L., Rush, J. A., Wisniewski, S. R., Rice, K., Cassano, P., Jewell, M. E., & McGrath, P. J. (2005). Substance use disorder comorbidity in major depressive disorder: an exploratory analysis of the sequenced treatment alternatives to relieve depression cohort. Comprehensive Psychiatry, 46(2), 81–89.CrossRefPubMedGoogle Scholar
  11. Diggle, P. J., Heagerty, P., Liang, K. Y., & Zeger, S. L. (2002). Analysis of longitudinal data (2nd ed.). New York: Oxford University Press.Google Scholar
  12. Dolan, M., Smith, K., Casanueva, C., & Ringeisen, H. (2011). NSCAW II baseline report: Introduction to NSCAW II. OPRE Report #2011-27a. Washington: Office of Planning, Research and Evaluation, Administration for Children and Families, U.S. Department of Health and Human Services.Google Scholar
  13. Hill, S. Y., Tessner, K. D., & McDermott, M. D. (2011). Psychopathology in offspring from families of alcohol dependent female probands: a prospective study. Journal of Psychiatric Research, 45(3), 285–294.PubMedCentralCrossRefPubMedGoogle Scholar
  14. Jones, L. (2004). The prevalence and characteristics of substance abusers in a child protective service sample. Journal of Social Work Practice in the Addictions, 4(2), 33–50.CrossRefGoogle Scholar
  15. Kessler, R. C., Andrews, G., Mroczek, D., Ustun, T. B., & Wittchen, H.-U. (1998). The world health organization Composite International Diagnostic Interview Short Form (CIDI-SF). International Journal of Methods in Psychiatric Research, 7(4), 171–185.CrossRefGoogle Scholar
  16. Kessler, R. C., Chiu, W. T., Demler, O., & Walters, E. E. (2005). Prevalence, severity, and comorbidity of twelve-month DSM-IV disorders in the National Comorbidity Survey Replication (NCS-R). Archives of General Psychiatry, 62, 617–627.PubMedCentralCrossRefPubMedGoogle Scholar
  17. Kim-Cohen, J., Moffitt, T. E., Taylor, A., Pawlby, S. J., & Caspi, A. (2005). Maternal depression and children’s antisocial behavior. Archives of General Psychiatry, 62, 173–181.CrossRefPubMedGoogle Scholar
  18. Manly, J. T., Cicchetti, D., & Barnett, D. (1994). The impact of subtype, frequency, chronicity, and severity of child maltreatment on social competence and behavior problems. Development and Psychopathology, 6, 121–143.CrossRefGoogle Scholar
  19. Mustillo, S. A., Dorsey, S., Conover, K., & Burns, B. J. (2011). Parental depression and child outcomes: the mediating effects of abuse and neglect. Journal of Marriage and Family, 73, 164–180.CrossRefGoogle Scholar
  20. National Data Archive on Child Abuse and Neglect. (2006). National Survey of Child and Adolescent Well-Being (NSCAW): Combined waves 1–4 data file user’s manual restricted release version. Ithaca: Author.Google Scholar
  21. Oliveros, A., & Kaufman, J. (2011). Addressing substance abuse treatment needs of parents involved with the child welfare system. Child Welfare, 90(1), 25–41.PubMedCentralPubMedGoogle Scholar
  22. Osborne, C., & Berger, L. M. (2009). Parental substance abuse and child well-being: a consideration of parents’ gender and co-residence. Journal of Family Issues, 30(3), 341–370.CrossRefGoogle Scholar
  23. Osterling, K. L., & Austin, M. J. (2008). Substance abuse interventions for parents involved in the child welfare system: evidence and implications. Journal of Evidence-Based Social Work, 5(1/2), 157–189.CrossRefPubMedGoogle Scholar
  24. Semidei, J., Radel, L. F., & Nolan, C. (2001). Substance abuse and child welfare: clear linkages and promising responses. Child Welfare, 80(2), 109–128.PubMedGoogle Scholar
  25. Sood, B., Delaney-Black, V., Covington, C., Nordstrom-Klee, B., Ager, J., Templin, T., & Sokol, R. J. (2006). Prenatal alcohol exposure and childhood behavior at age 6 to 7 years: I. dose–response effect. Pediatrics, 108(2), e34.CrossRefGoogle Scholar
  26. Straus, M. A., Hamby, S. L., Finkelhor, D., Moore, D. W., & Runyan, D. (1998). Identification of child maltreatment with the parent–child conflict tactics scale: development and psychometric data for a national sample of American parents. Child Abuse & Neglect, 22(4), 249–270.CrossRefGoogle Scholar
  27. U.S. Department of Health and Human Services, Administration on Children, Youth, and Families 1 (US DHHS ACF). (2005). National Survey of Child and Adolescent Well-being (NSCAW): CPS sample component wave 1 data analysis report. Washington: U.S. Government Printing Office.Google Scholar
  28. U.S. Government Accounting Office. (1998). Foster care: Agencies face challenges securing stable homes for children of substance abusers (GAO/HEHS-98-182). Washington: Author.Google Scholar
  29. Ustun, B., Compton, W., Mager, D., Babor, T., Baiyewu, O., Chatterji, S., & Sartorius, N. (1997). WHO study on the reliability and validity of the alcohol and drug use disorder instruments: overview of methods and results. Drug and Alcohol Dependence, 47, 161–169.CrossRefPubMedGoogle Scholar
  30. Vanderploeg, J. J., Connell, C. M., Caron, C., Saunders, L., Katz, K. H., & Tebes, J. K. (2007). The impact of parental alcohol or drug removals on foster care placement experiences: a matched comparison group study. Child Maltreatment, 12(2), 125–136.PubMedCentralCrossRefPubMedGoogle Scholar
  31. Zuckerman, B. S., & Beardslee, W. R. (1987). Maternal depression: a concern for pediatricians. Pediatrics, 79(1), 110–117.PubMedGoogle Scholar

Copyright information

© Springer Science+Business Media New York 2015

Authors and Affiliations

  1. 1.College of Social Work, DeSaussure CollegeUniversity of South CarolinaColumbiaUSA
  2. 2.George Warren Brown School of Social WorkWashington University in St. LouisSt. LouisUSA

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