Existential Well-Being, Drug Abuse, and Parenting Stress in African American Women

  • Dorian A. Lamis
  • Lindsey M. West
  • Natasha Mehta
  • Claire Lisco
  • Nicholas Tarantino
  • Christina Wilson
  • Nadine J. Kaslow
Article

Abstract

The current study examined the influence of existential well-being and drug abuse on parenting stress in a sample of low-income African American women (n = 152). Whereas existential well-being served as a protective factor against all three forms of parenting stress measured (parental distress, difficult child, and parent–child dysfunctional interaction), drug abuse was a risk factor for all three. Existential well-being was also inversely related to drug abuse. A path analysis was conducted to further elucidate the cross-sectional associations among these variables. A positive, indirect effect of existential well-being on two of the three components of parenting stress, parental distress and perceived child behavior problems, but not the third, parent–child relationship quality, through level of drug abuse was found in support of partial meditation. Clinical implications regarding enhancing and using existential well-being as a culturally-relevant coping mechanism for African American caregivers are considered, and the etiological mechanisms of parenting stress are discussed.

Keywords

African American Spirituality Existential well-being Parenting Drug abuse 

Notes

Acknowledgments

These data are drawn from a study funded by Centers for Disease Control and Prevention Grant R49/CCR419767-0, titled “Domestic Violence and Child Maltreatment in Black Families,” awarded to Nadine J. Kaslow.

References

  1. Abidin, R. R. (1995). Parenting stress index (3rd ed.). Odessa: Psychological Assessment Resources.Google Scholar
  2. Anthony, L. G., Anthony, B. J., Glanville, D. N., Naiman, D. Q., Waanders, C., & Shaffer, S. (2005). The relationships between parenting stress, parenting behaviors and preschoolers’ social competence and behavior problems in the classroom. Infant and Child Development, 14, 133–154. doi: 10.1002/icd.385.CrossRefGoogle Scholar
  3. Beauboeuf-Lafontant, T. (2009). Behind the mask of the strong black woman: Voice and the embodiment of a costly performance. Philadelphia: Temple University.Google Scholar
  4. Belsky, J. (1984). The determinants of parenting: a process model. Child Development, 55, 83–96. doi: 10.2307/1129836.PubMedCrossRefGoogle Scholar
  5. 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, 199–210. doi: 10.1177/1077559510368305.PubMedCrossRefPubMedCentralGoogle Scholar
  6. Brewer, J. A., Sinha, R., Chen, J. A., Michalsen, R. N., Babuscio, T. A., Nich, C., et al. (2009). Mindfulness training and stress reactivity in substance abuse: results from a randomized, controlled stage 1 pilot study. Substance Abuse, 30, 306–317. doi: 10.1080/08897070903250241.PubMedCrossRefPubMedCentralGoogle Scholar
  7. Brome, D., Owens, M., Allen, K., & Vevaina, T. (2000). An examination of spirituality among African American women in recovery from substance abuse. Journal of Black Psychology, 26, 470–486. doi: 10.1177/0095798400026004008.CrossRefGoogle Scholar
  8. Cain, D. S. (2007). The effects of religiousness on parenting stress and practices in the African American family. Families in Society: The Journal of Contemporary Human Services, 88, 263–272. doi: 10.1606/1044-3894.3624.CrossRefGoogle Scholar
  9. Chung, K.-M., Ebesutani, C., Bang, H. M., Kim, J., Chorpita, B. F., Weisz, J. R., et al. (2013). Parenting stress and child behavior problems among clinic-referred youth: cross-cultural differences across the US and Korea. Child Psychiatry and Human Development, 44, 460–468. doi: 10.1007/s10578-012-0340-z.PubMedCrossRefGoogle Scholar
  10. Collins, P. H. (2000). Black feminist thought: Knowledge, consciousness, and the politics of empowerment. New York: Routledge.Google Scholar
  11. Cooper, C. E., McLanahan, S. S., Meadows, S. O., & Brooks-Gunn, J. (2009). Family structure transitions and maternal parenting stress. Journal of Marriage and Family, 71, 558–574. doi: 10.1111/j.1741-3737.2009.00619.x.PubMedCrossRefPubMedCentralGoogle Scholar
  12. Crnic, K. A., Gaze, C., & Hoffman, C. (2005). Cumulative parenting stress across the preschool period: relations to maternal parenting and child behaviour at age 5. Infant and Child Development, 14, 117–132. doi: 10.1002/icd.384.CrossRefGoogle Scholar
  13. Curtis-Boles, H., & Jenkins-Monroe, V. (2000). Substance abuse in African American women. Journal of Black Psychology, 26, 450–569. doi: 10.1177/0095798400026004007.CrossRefGoogle Scholar
  14. Dalmida, S. G., Holstad, M., Dilorio, C., & Laderman, G. (2011). Spiritual well-being and health-related quality of life among African–American women with HIV/AIDS. Applied Research in Quality of Life, 6, 139–157. doi: 10.1007/s11482-010-9122-6.PubMedCrossRefPubMedCentralGoogle Scholar
  15. Deater-Deckard, K., & Scarr, S. (1996). Parenting stress among dual-earner mothers and fathers: Are there gender differences? Journal of Family Psychology, 10, 45–59. doi: 10.1037/0893-3200.10.1.45.CrossRefGoogle Scholar
  16. Douglas, A. N., Jiminez, S., Lin, H., & Frisman, L. K. (2008). Ethnic differences in the effects of spiritual well-being on long-term psychological and behavioral outcomes within a sample of homeless women. Cultural Diversity and Ethnic Minority Psychology, 14, 344–352. doi: 10.1037/1099-9809.14.4.344.PubMedCrossRefGoogle Scholar
  17. Dutton, M. A., Mitchell, B., & Haywood, Y. (1996). The emergency department as a violence prevention center. Journal of the American Medical Women’s Association, 51, 92–96. Retrieved from http://www.amwa-doc.org/page3-55/JWMWAArchives.PubMedGoogle Scholar
  18. Estes, A., Munson, J., Dawson, G., Koehler, E., Zhou, X.-H., & Abbott, R. D. (2009). Parenting stress and psychological functioning among mothers of preschool children with autism and developmental delay. Autism, 13, 375–387. doi: 10.1177/1362361309105658.PubMedCrossRefGoogle Scholar
  19. Folstein, M. F., Folstein, S. E., McHugh, P. R., & Fanjiang, G. (2001). Mini-mental state examination. Odessa: Psychological Assessment Resources.Google Scholar
  20. Franco, L. M., Pottick, K. J., & Huang, C. (2010). Early parenthood in a community context: neighborhood conditions, race-ethnicity, and parenting stress. Journal of Community Psychology, 38, 574–590. doi: 10.1002/jcop.20382.CrossRefGoogle Scholar
  21. Gabalda, M. K., Broth, M. R., Thompson, M. P., & Kaslow, N. J. (2009). Children’s emotional abuse and relational functioning: social support and internalizing symptoms as moderators. Journal of Child & Adolescent Trauma, 2, 179–197. doi: 10.1080/19361520903120228.CrossRefGoogle Scholar
  22. Gabalda, M. K., Thompson, M. P., & Kaslow, N. J. (2010). Risk and protective factors for psychological adjustment among low-income, African American children. Journal of Family Issues, 423–444. doi:  10.1177/0192513X09348488.
  23. Gavin, D. R., Ross, H. E., & Skinner, H. A. (1989). Diagnostic validity of the Drug Abuse Screening Test in the assessment of DSM-III drug disorders. British Journal of Addictions, 84, 301–307. doi: 10.1111/j.1360-0443.1989.tb03463.x.CrossRefGoogle Scholar
  24. Gow, A. J., Watson, R., Whiteman, M., & Deary, I. J. (2011). A stairway to heaven? Structure of the religious involvement inventory and spiritual well-being scale. Journal of Religion and Health, 50, 5–19. doi: 10.1007/s10943-010-9375-2.PubMedCrossRefGoogle Scholar
  25. Haber, J. R., Grant, J., Jacob, T., Koenig, L., & Heath, A. C. (2012). Alcohol milestones, risk factors, and religion/spirituality in young adult women. Journal of Studies on Alcohol and Drugs, 73, 34–43. Retrieved from www.jsad.com.PubMedPubMedCentralGoogle Scholar
  26. Hakvoort, E. M., Bos, H. M., Van Balen, F., & Hermanns, J. (2012). Spillover between mothers’ postdivorce relationships: the mediating role of parenting stress. Personal Relationships, 19, 247–254. doi: 10.1111/j.1475-6811.2011.01351.x.CrossRefGoogle Scholar
  27. Hammermeister, J., & Peterson, M. (2001). Does spirituality make a difference? Psychosocial and health-related characteristics of spiritual well-being. American Journal of Health Education, 32, 293–297. doi: 10.1080/19325037.2001.10603485.CrossRefGoogle Scholar
  28. Heron, S. L., Thompson, M. P., Jackson, E. B., & Kaslow, N. J. (2003). Do responses to an intimate partner violence screen predict scores on a comprehensive measure of intimate partner violence in low-income Black women? Annals of Emergency Medicine, 42, 483–491. doi: 10.1067/S0196-0644(03)00718-2.PubMedCrossRefGoogle Scholar
  29. Hines, P. M., & Boyd-Franklin, N. (2005). African American families. In M. McGoldrick, J. Giordano, & N. Garcia-Preto (Eds.), Ethnicity and family therapy (3rd ed., pp. 87–100). New York: Guilford.Google Scholar
  30. Hull, J. G. (1981). A self-awareness model of the causes and effects of alcohol consumption. Journal of Abnormal Psychology, 90, 586–600. doi: 10.1037/0021-843X.90.6.586.PubMedCrossRefGoogle Scholar
  31. Huth-Bocks, A. C., & Hughes, H. M. (2008). Parenting stress, parenting behavior, and children’s adjustment in families experiencing intimate partner violence. Journal of Family Violence, 23, 243–251. doi: 10.1007/s10896-007-9148-1.CrossRefGoogle Scholar
  32. Jones, C. D., & Shorter-Gooden, K. (2003). Shifting: The double lives of Black women in America. New York: HarperCollins Publishers.Google Scholar
  33. Kaslow, N. J., & Thompson, M. P. (2008). Associations of child maltreatment and intimate partner violence with low SES, African American children’s psychological adjustment. Child Abuse and Neglect, 32, 888–896. doi: 10.1016/j.chiabu.2007.09.012.PubMedCrossRefGoogle Scholar
  34. Kaslow, N. J., Thompson, M. P., Okun, A., Price, A., Young, S., Bender, M., et al. (2002). Risk and protective factors for suicidal behavior in abused African American women. Journal of Consulting and Clinical Psychology, 70, 311–319. doi: 10.1037/0022-006X.70.2.311.PubMedCrossRefGoogle Scholar
  35. Lamis, D. A., Wilson, C. K., Shahane, A. A., & Kaslow, N. J. (2014a). Mediators of the childhood emotional abuse-hopelessness association in African American women. Child Abuse and Neglect. Advanced online publication. doi: 10.1016/j.chiabu.2013.11.006.
  36. Lamis, D. A., Wilson, C. K., Tarantino, N., Lansford, J. E., & Kaslow, N. J. (2014b). Neighborhood disorder, spiritual well-being, and parenting stress in African American women. Journal of Family Psychology. Advanced online publication. doi: 10.1037/a0036373.
  37. Larrieu, J. A., Heller, S. S., Smyke, A. T., & Zeanah, C. H. (2008). Predictors of permanent loss of custody for mothers of infants and toddlers in foster care. Infant Mental Health Journal, 29, 48–60. doi: 10.1002/imhj.20165.CrossRefGoogle Scholar
  38. Leigh, B., & Milgrom, J. (2008). Risk factors fo antenatal depression, postnatal depression, and parenting stress. BMC Psychiatry, 8. doi:  10.1186/1471-244X-8-24.
  39. Leigh, J., Bowen, S., & Marlatt, G. A. (2005). Spirituality, mindfulness, and substance abuse. Addictive Behaviors, 30, 1335–1341. doi: 10.1016/j.addbeh.2005.01.010.PubMedCrossRefGoogle Scholar
  40. Little, R. J., & Rubin, D. B. (2002). Statistical analysis with missing data (2nd ed.). New York: John Wiley and Sons.CrossRefGoogle Scholar
  41. MacKinnon, D. P. (2008). Introduction to statistical mediation analysis. Mahwah: N.J. Earlbaum.Google Scholar
  42. MacKinnon, D. P., Krull, J. L., & Lockwood, C. M. (2000). Equivalence of the mediation, confounding and suppression effect. Prevention Science, 1, 173–181. doi: 10.1023/A:1026595011371.PubMedCrossRefPubMedCentralGoogle Scholar
  43. Maselko, J., Gilman, S. E., & Buka, S. L. (2009). Religious service attendance and spiritual well-being are differentially associated with risk of major depression. Psychological Medicine, 39, 1009–1017. doi: 10.1017/S0033291708004418.PubMedCrossRefPubMedCentralGoogle Scholar
  44. Mattis, J. J. (2000). African American women’s definitions of spirituality and religiosity. Journal of Black Psychology, 26, 101–122. doi: 10.1177/0095798400026001006.CrossRefGoogle Scholar
  45. Mattis, J. J. (2001). A relational framework for the study of religiosity and spirituality in the lives of African Americans. Journal of Community Psychology, 29, 519–539. doi: 10.1002/jcop.1034.CrossRefGoogle Scholar
  46. Mattis, J. (2002). Religion and spirituality in the meaning making and coping experiences of African American women: a qualitative analysis. Psychology of Women Quarterly, 26, 309–321. doi: 10.1111/1471-6402.t01-2-00070.CrossRefGoogle Scholar
  47. Mihaljević, S., Vuksan-Ćusa, B., Marčinko, D., Koić, E., Kušević, Z., & Jakovljević, M. (2011). Spiritual well-being, cortisol, and suicidality in Croatian war veterans suffering from PTSD. Journal of Religion and Health, 50, 464–473. doi: 10.1007/s10943-010-9383-2.PubMedCrossRefGoogle Scholar
  48. Miller, W. R. (1998). Researching the spiritual dimensions of alcohol and other drug problems. Addiction, 93, 979–990. doi: 10.1046/j.1360-0443.1998.9379793.x.PubMedCrossRefGoogle Scholar
  49. Mitchell, M. D., Hargrove, G. L., Collins, M. H., Thompson, M. P., Reddick, T. L., & Kaslow, N. J. (2006). Coping variables that mediate the relation between intimate partner violence and mental health outcomes among low-income, African American women. Journal of Clinical Psychology, 62, 1503–1520. doi: 10.1002/jclp.20305.PubMedCrossRefGoogle Scholar
  50. Musil, C. M. (1998). Health, stress, coping, and social support in grandmother caregivers. Health Care for Women International, 19, 441–445. doi: 10.1080/073993398246205.PubMedCrossRefGoogle Scholar
  51. Muthen, L. K., & Muthen, B. O. (1998–2012). Mplus 7.0 [Computer software]. Los Angeles: Author.Google Scholar
  52. Nair, P., Schuler, M. E., Black, M. M., Kettinger, L., & Harrington, D. (2003). Cummulative environmental risk in substance abusing women: early intervention, parenting stress, child abuse potential and child development. Child Abuse & Neglect, 27, 997–1017. doi: 10.1016/S0145-2134(03)00169-8.CrossRefGoogle Scholar
  53. Nomaguchi, K., & House, A. N. (2013). Racial-ethnic disparities in maternal parenting stress: the role of structural disadvantages and parenting values. Journal of Health and Social Behavior, 54, 386–404. doi: 10.1177/0022146513498511.PubMedCrossRefGoogle Scholar
  54. Owen, A. E., Thompson, M. P., & Kaslow, N. J. (2006). The mediating role of parenting stress in the relation between intimate partner violence (IPV) and child adjustment. Journal of Family Psychology, 20, 505–513. doi: 10.1037/0893-3200.20.3.505.PubMedCrossRefGoogle Scholar
  55. Owen, A. E., Thompson, M. P., Mitchell, M. D., Kennebrew, S. Y., Paranjape, A., Reddick, T. L., et al. (2008). Perceived social support as a mediator of the link between witnessing intimate partner violence and child adjustment. Journal of Family Violence, 23, 221–230. doi: 10.1007/s10896-007-9145-4.CrossRefGoogle Scholar
  56. Owen, A. E., Thompson, M. P., Shaffer, A., Jackson, E. B., & Kaslow, N. J. (2009). Family variables that mediate the relation between intimate partner violence (IPV) and child adjustment. Journal of Family Violence, 24, 433–445. doi: 10.1007/s10896-009-9239-2.CrossRefGoogle Scholar
  57. Paloutzian, R. E., & Ellison, C. W. (1991). Manual for the spiritual well-being scale. Navack: Life Advance.Google Scholar
  58. Paranjape, A., & Kaslow, N. J. (2010). Family violence exposure and health outcomes among older African American women: Do spirituality and social support play protective roles. Journal of Women’s Health, 19, 1899–1904. doi: 10.1089/jwh.2009.1845.PubMedCrossRefPubMedCentralGoogle Scholar
  59. Parkes, A., Sweeting, H., & Wight, D. (2013). OP43 explaining high parenting stress in the Growing Up in Scotland study for mothers with both high and low educational levels: the role of employment and social support for parenting. Journal of Epidemiology in Community Health, 67, A22. doi: 10.1136/jech-2013-203126.43.CrossRefGoogle Scholar
  60. Pearl, J. (2012). The causal mediation formula—a guide to the assessment of pathways and mechanisms. Prevention Science, 13, 426–436. doi: 10.1007/s11121-011-0270-1.PubMedCrossRefGoogle Scholar
  61. Reitman, D., Currier, R. O., Hupp, S. D. A., Rhode, P. C., Murphy, M. A., & O’Callaghan, P. M. (2001). Psychometric characteristics of the parenting scale in a Head Start population. Journal of Clinical Child Psychology, 30, 514–524. doi: 10.1207/S15374424JCCP3004_08.PubMedCrossRefGoogle Scholar
  62. Renner, L. M., & Boel-Studt, S. (2013). The relation between intimate partner violence, parenting stress, and child behavior problems. Journal of Family Violence, 28, 201–212. doi: 10.1007/s10896-012-9477-6.CrossRefGoogle Scholar
  63. Roemer, L., & Orsillo, S. M. (2009). Mindfulness- and acceptance- based behavioral therapies in practice. New York: Guilford Press.Google Scholar
  64. Ross, M. E. T., & Aday, L. A. (2006). Stress and coping in African American grandparents who are raising their grandchildren. Journal of Family Issues, 27, 912–932. doi: 10.1177/0192513X06287167.CrossRefGoogle Scholar
  65. Skinner, H. (1983). The drug abuse screening test. Addictive Behaviors, 7, 363–371. doi: 10.1016/0306-4603(82)90005-3.CrossRefGoogle Scholar
  66. Skinner, H. A., & Sheu, W. J. (1982). Reliability of alcohol use indices: the lifetime drinking history and the MAST. Journal of Studies on Alcohol, 43, 1157–1170.PubMedGoogle Scholar
  67. Small, E., & Kohl, P. L. (2012). African American caregivers and substance abuse in child welfare: identification of multiple risk profiles. Journal of Family Violence, 27, 415–426. doi: 10.1007/s10896-012-9442-4.PubMedCrossRefPubMedCentralGoogle Scholar
  68. Staley, D., & El-Guebaly, N. (1990). Psychometric properties of the Drug Abuse Screening Test in a psychiatric patient population. Addictive Behavior, 15, 256–257. doi: 10.1016/0306-4603(90)90068-9.CrossRefGoogle Scholar
  69. Staton, M., Webster, J. M., Hitler, M. L., Rostosky, S., & Leukefeld, C. (2003). An exploratory examination of spiritual well-being, religiosity, and drug use among incarcerated men. Journal of Social Work Practice in the Addictions, 3, 87–103. doi: 10.1300/J160v03n03_06.CrossRefGoogle Scholar
  70. Staton-Tindall, M., Duvall, J., Stevens-Watkins, D., & Oser, C. B. (2013). The roles of spirituality in the relationship between traumatic life events, mental health, and drug use among African American women from one southern state. Substance Use & Misuse, 48, 1246–1257. doi: 10.3109/10826084.2013.799023.CrossRefGoogle Scholar
  71. Taliaferro, L. A., Rienzo, B. A., Pigg, R. M., Jr., Miller, M. B., & Dodd, V. J. (2009). Spiritual well-being and suicidal ideation among college students. Journal of American College Health, 58, 83–90. doi: 10.3200/jach.58.1.83-90.PubMedCrossRefGoogle Scholar
  72. 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, 125–136. doi: 10.1177/1077559507299292.PubMedCrossRefPubMedCentralGoogle Scholar
  73. West, L. M., Davis, T. A., Thompson, M. P., & Kaslow, N. J. (2011). “Let me count the ways:” fostering reasons for living among low-income, suicidal, African American women. Suicide and Life-Threatening Behavior, 41, 491–500. doi: 10.1111/j.1943-278X.2011.00045.x.PubMedCrossRefGoogle Scholar
  74. Williams, M., Parker, R., Baker, D., Parikh, N., Pitkin, K., Coates, W., et al. (1995). Inadequate functional health literacy among patients at two public hospitals. JAMA, 274, 1677–1682. doi: 10.1001/jama.274.21.1677.PubMedCrossRefGoogle Scholar
  75. Zhang, H., Neelarambam, K., Schwenke, T., Rhodes, M. N., Pittman, D., & Kaslow, N. J. (2013). Mediators of a culturally-sensitive intervention for suicidal African American women. Journal of Clinical Psychology in Medical Settings, 20, 401–414. doi: 10.1007/s10880-013-9373-0.PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media New York 2014

Authors and Affiliations

  • Dorian A. Lamis
    • 1
  • Lindsey M. West
    • 2
  • Natasha Mehta
    • 3
  • Claire Lisco
    • 3
  • Nicholas Tarantino
    • 3
  • Christina Wilson
    • 4
  • Nadine J. Kaslow
    • 1
  1. 1.Department of Psychiatry and Behavioral SciencesEmory University School of MedicineAtlantaUSA
  2. 2.Department of PsychologyGeorgia Regents UniversityAugustaUSA
  3. 3.Department of PsychologyGeorgia State UniversityAtlantaUSA
  4. 4.Atlanta VA Medical CenterDecaturUSA

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