Abstract
The present study was designed to examine parenting stress, maternal depressive symptoms, and perceived child behavior problems among mothers who used methamphetamine (MA) during pregnancy. Participants were a subsample (n = 212; 75 exposed, 137 comparison) of biological mothers who had continuous custody of their child from birth to 36 months. The subsample was drawn from a larger, ongoing longitudinal study on the effects of prenatal methamphetamine exposure (n = 412; 204 exposed, 208 comparison) (Arria et al in Matern Child Health J 10:293–302 2006). Mothers who used MA during pregnancy reported more parenting stress and more depressive symptoms than a matched comparison group. There were no differences between groups on perceived child behavior problems. In a hierarchical linear model, depressive symptoms, and perceived child behavior problems, but not MA exposure, were statistically significant predictors of parenting stress. Screening for potential parenting problems among mothers with a history of substance abuse is warranted. Parenting interventions targeting depressive symptoms, parenting stress, and child behavior problems are needed for this population.
Similar content being viewed by others
References
Arria AM, Derauf C, LaGasse LL, Grant P, Shah R, Smith L, Haning W et al (2006) Methamphetamine and other substance use during pregnancy: preliminary estimates from the infant development, environment, and lifestyle study. Matern Child Health J 10:293–302
The National Survey on Drug Use and Health (2006) State estimates of past year of methamphetamine use. http://www.oas.samhsa.gov/2k6/stateMeth/stateMeth.htm. Retrieved from 21 Nov 2008
U.S. Department of Health and Human Services (2009) Results from the 2009 National Survey on Drug Use and Health: volume I. summary of national findings. http://www.oas.samhsa.gov/NSDUH/2k9NSDUH/2k9ResultsP.pdf. Retrieved from 14 March 2011
Miotto KA, Suti E, Hernandez MM, Pham PL (2006) Pregnancy and substance abuse. Psychiatric disorders in pregnancy and the postpartum. Humana Press, Totowa, pp 153–178
Vega WA, Kolody B, Hwang J, Noble A (1993) Prevalence and magnitude of perinatal substance exposures in California. New Engl J 329:850–854
Derauf C, Katz AR, Frank DA, Grandinetti A, Easa D (2003) The prevalence of methamphetamine and other drug use during pregnancy in Hawaii. J Drug Issues 33:1001–1016. doi:10.1177/002204260303300411
Dixon SD (1989) Effects of transplacental exposure to cocaine and methamphetamine on the neonate. West J Med 150:436–442
Little BB, Snell LM, Gilstrap LC 3rd (1988) Methamphetamine use during pregnancy: outcome and fetal effects. Obstet Gynecol 72:541–544
Derauf C, LaGasse LL, Smith LM, Grant P, Shah R, Arria A, Huestis M, Haning W, Strauss A, Della Grotta S, Liu J, Lester B (2007) Demographics and psychosocial characteristics of mothers using methamphetamines during pregnancy: preliminary results of the infant development, environment, and lifestyle study. Am J Drug Alcohol Abuse 33:281–289. doi:10.1080/00952990601175029
Smith LM, LaGasse LL, Derauf C, Grant P, Shah R, Arria A, Huestis M, Haning W, Strauss A, Della Grotta S, Liu J, Lester B (2006) The infant development, environment, and lifestyle study: effects of prenatal methamphetamine exposure, polydrug exposure, and poverty on intrauterine growth. Pediatrics 118:1149–1156
Good MM, Solt I, Acuna JG, Rotmensch S, Kim MJ (2010) Methamphetamine use during pregnancy: maternal and neonatal implications. Obstet Gynecol 116:330–334
Kandel DB (1990) Parenting styles, drug use, and children’s adjustment in families of young adults. J Marriage Fam 52:183–196. doi:10.2307/352849
Deater-Deckard K (1998) Parenting stress and child adjustment: some old hypotheses and new questions. Clin Psychol Res Prac 5:314–332
Kelley SJ (1998) Stress and coping behaviors of substance-abusing mothers. J Soc Pediatr Nur 3:103–110. doi:10.1111/j.1744-6155.1998.tb00215.x
Kelley SJ (1992) Parenting stress and child maltreatment in drug-exposed children. Child Abuse Negl 16:317–328. doi:10.1016/0145-2134(92)90042-P
Zacharias J (2001) The impact of parenting stress among substance-abusing mothers on children’s adjustment: the mediating influences of maternal responsiveness, monitoring, and family rituals (Doctoral dissertation, Virginia Commonwealth University, 2001). Dissertation Abstr Int 64, 6
Cornish AM, McMahon CA, Ungerer JA, Barnett B, Kowalenko N, Tennant C (2006) Maternal depression and the experience of parenting in the second postnatal year. J Reprod Infant Psychol 24:121–132. doi:10.1080/02646830600644021
Milgrom J, Ericksen J, McCarthy R, Gemmill AW (2006) Stressful impact of depression on early mother-infant relations. Stress Health 22:229–238. doi:10.1002/smi.1101
Secco ML, Askin D, Yu CT (2006) Factors affecting parenting stress among biologically vulnerable toddlers. Issues Compr Pediatr Nurs 29:131–161
Suchman NE, Luthar SS (2001) The mediating role of parenting stress in methadone-maintained mothers’ parenting. Parent Sci Pract 1:285–315. doi:10.1207/S15327922PAR0104_2
Rounsaville BJ, Kleber HD (1985) Untreated opiate addicts: how do they differ from those seeking treatment? Arch Gen Psychiatry 42:1072–1077
Swendsen JD, Merikangas KR (2000) The comorbidity of depression and substance use disorders. Clin Psychol Rev 20:173–189
Conner KR, Pinquart M, Duberstein PR (2008) Meta-analysis of depression and substance use and impairment among intravenous drug users (IDUs). Addiction 103:524–534
London ED et al (2004) Mood disturbances and regional cerebral metabolic abnormalities in recently abstinent methamphetamine abusers. Arch Gen Psychiatry 61:73–84. doi:10.1001/archpsyc.61.1.73
Paz MS, Smith LM, LaGasse LL, Derauf C, Grant P, Shah R, Arria A, Huestis M, Strauss A, Della Grotta S, Liu J, Lester B (2008) Maternal depression and neurobehavioral in newborns prenatally exposed to methamphetamine. Neurotoxicol Teratol 31:177–182
Semple SJ, Patterson TL, Rant I (2005) Methamphetamine use and depressive symptoms among heterosexual men and women. J Subst Use 10:31–47. doi:10.1080/1465989042000271264
Mash EJ, Johnston C (1983) Parental perceptions of child behavior problems, parenting self-esteem, and mothers’ reported stress in younger and older hyperactive and normal children. J Consult Clin Psychol 51:86–99. doi:10.1037/0022-006X.51.1.86
Thompson R, Oehler JM, Catlett AT, Johndrow DA (1993) Maternal psychological adjustment to the birth of an infant weighing 1,500 grams or less. Infant Behav Dev 16:471–485. doi:10.1016/0163-6383(93)80005-S
Creasey G, Jarvis PA (1994) Relationships between parenting stress and developmental functioning among 2-year-olds. Infant Behav Dev 17:423–429
Webster-Stratton C (1998) Preventing conduct problems in head start children: strengthening parenting competencies. J Consult Clin Psychol 66:715–730. doi:10.1037/0022-006X.66.5.715
Patterson GR (1980) Mothers: the unacknowledged victims. Monogr Soc Res Child 45(5, Serial No. 186)
Johnson CS (2004) Predictors of child functioning among children of substance-using parents (Doctoral dissertation, University of Cincinnati)
Lester BM, Boukydis CFZ, Twomey JE (2000) Maternal substance abuse and child outcome. In: Zeanah CH Jr (ed) Handbook of infant mental health, 2nd edn. Guildford Press, New York, pp 161–175
Banger DM, Sheinkopf SJ, Miller-Loncar C, LaGasse LL, Lester BM, Liu J et al (2009) The effects of parenting stress on child behavior problems in high-risk children with prenatal drug exposure. Child Psychiatry Hum Dev 40:73–84
Accornero VH, Morrow CE, Bandstra ES, Johnson AL, Anthony JC (2002) Behavioral outcome of preschoolers exposed prenatally to cocaine: role of maternal behavioral health. J Pediatr Psychol 27:259–269. doi:10.1093/jpepsy/27.3.259
Accornero VH, Anthony JC, Morrow CE, Xue L, Bandstra ES (2006) Prenatal cocaine exposure: an examination of childhood externalizing and internalizing behavior problems at age 7 years. Soc Psychiatry Psychiatr Epidemiol 15:20–29. doi:10.1016/S0272-7358(98)00100-7
Messinger DS, Bauer CR, Das A, Seifer R, Lester BM, Lagasse L et al (2004) The maternal lifestyle study: cognitive, motor, and behavioral outcomes of cocaine-exposed and opiate-exposed infants through three years of age. Pediatrics 113:1677–1685
Griffith DR, Azuma SD, Chasnoff IJ (1994) Three-year outcome of children exposed prenatally to drugs. J Am Acad Child Adolesc Psychiatry 33:20–27. doi:10.1097/00004583-199401000-00004
Stanger C, Higgens ST, Bicker WK, Eilk R, Grabowksy J, Schmitz J, Amass L et al (1999) Behavioral and emotional problems among children of cocaine- and opiate-dependent parents. J Child Adolesc Psychiatry 38:421–428
Minnes S, Singer LT, Kirchener KL, Short E, Lewis B, Satayathum S, Queh D (2010) The effects of prenatal cocaine exposure on problem behaviors in children 4–10 years. Neurotoxicol Teratol 32:443–451. doi:10.1016/j.ntt.2010.03.005
Beck CT (1999) Maternal depression and child behavior problems: a meta-analysis. J Adv Nurs 29:623–629
Garstein M, Sheeber L (2004) Child behavior problems and maternal symptoms of depression: a mediational model. J Child Adolesc Psychiatr Nurs 17:141–150. doi:10.1111/j.1744-6171.2004.tb00011.x
Cummings EM, Davies PT (1994) Maternal depression and child development. J Child Psychol Psychiatry 35:73–112. doi:10.1111/j.1469-7610.1994.tb01133.x
Goodman S, Gotlib IH (1999) Risk for psychopathology in children of depressed mothers: a developmental model for understanding mechanisms of transmission. Psychol Rev 106:458–490
Lovejoy M, Graczyk P, O’Hare E et al (2000) Maternal depression and parenting behavior: a meta-analytic review. Clin Psychol Rev 20:561–592
Garstein MA, Bridgett DJ, Dishion TJ et al (2009) Depressed mood and maternal report of child behavior problems: another look at the depression-distortion hypothesis. J Appl Dev Psychol 30:149–160
Johnston C, Short K (1993) Depressive symptoms and perceptions of child behavior. J Soc Clin Psychol 12:164–181
Lester BM, Tronick EZ, LaGasse L et al (2002) The maternal lifestyle study: effects of substance exposure during pregnancy on neurodevelopmental outcome in1-month old infants. Pediatrics 110:1182–1192. doi:10.1542/peds.110.6.1182
DellaGrotta S, Lagasse LL, Arria AM et al (2010) Patterns of methamphetamine use during pregnancy: results for the infant development, environment, and lifestyle study. Matern Child Health J 14:519–527. doi:10.1007/s10995-009-0491-0
Shankaran S, Das A, Bauer CR, Bada H, Lester B, Wright LL et al (2004) Association between patterns of maternal substance use and infant birth weight, length, and head circumference. Pediatr 114:226–234
Patrick DL, Cheadle A, Thompson DC, Diehr P, Koepsell T, Kinne S (1994) The validity of self-reported smoking: a review and meta-analysis. Am J Public Health 84:1086–1093
Singer L, Arendt R, Farkas K, Minnes S, Huang J, Yamashita T (1997) Relationship of prenatal cocaine exposure and maternal postpartum psychological distress to child development outcome. Dev Psychopathol 9:473–489
Jacobson SW, Chidodo LM, Sokol RJ, Jacobson JL (2002) Validity of maternal report of prenatal alcohol, cocaine, and smoking in relation to neurobehavioral outcome. Pediatr 109:815–825
Richardson GA, Day NL (1994) Detrimental effects of prenatal cocaine exposure: illusion or relation? J Am Acad Child Adolesc Psychiatry 33:28–34
Richardson GA, Hamel SC, Goldschmidt L, Day NL (1999) Growth of infants prenatally exposed to cocaine/crack: comparison of a prenatal care and no prenatal care sample. Pediatr 104:e18
Beck AT, Steer RA, Brown GK (1996) The Beck Depression Inventory manual, 2nd edn. Psychological Corporation, San Antonio
Dozois DJ, Dobson KS, Ahnberg JL (1998) A psychometric evaluation of the Beck Depression Inventory-II. Psychol Assess 10:83–89. doi:10.1037/1040-3590.10.2.83
Steer RA, Clark DA (1997) Psychometric properties of the Beck Depression Inventory-II with college students. Meas Eval Counsel Dev 10:128–136
Steer RA, Kumar G, Ranieri WF et al (1998) Use of Beck Depression Inventory-II with adolescent psychiatric outpatients. J Psychopathology Behav Assess 20:127–137
Osman A, Downs WR, Barrios FX et al (1997) Factor structure and psychometric properties of The Beck Depression Inventory-II. J Psychopathol Behav Assess 19:359–376
Buckley TC, Parker JD, Heggie J (2001) A psychometric evaluation of the BDI-II in treatment-seeking substance abusers. J Subst Abuse Treat 20:197–204. doi:10.1016/S0740-5472(00)00169-0
Johnson ME, Neal DB, Brems C et al (2006) Depression as measured by the Beck Depression Inventory-II among injecting drug users. Assessment 13:168–177
Abidin R (1992) The determinants of parenting behavior. J Clin Child Psychol 21:407–412
Roggman LA, Moe ST, Hart AD, Forthun LF (1994) Family leisure and social support: relations with parenting stress and psychological well-being in head start parents. Early Child Res Q 9:463–480
Haskett ME, Ahern LS, Ward CS et al (2005) Factor structure and validity of the parenting stress index-short form. J Clin Child Adolesc Psychol 35:302–312. doi:10.1207/s15374424jccp3502_14
Achenbach T (1992) The child behavior checklist/2–3. University of Vermont, Department of Psychiatry, Burlington
Kern JK, West EY, Grannemann BD, Greer TL, Snell LM, Cline LL et al (2004) Reductions in stress and depressive symptoms in mothers of a substance-exposed infants, participating in a psychosocial program. Matern Child Health J 8:127–136
Acknowledgments
Infant Development, Environment, and Lifestyle (IDEAL) study was supported by a grant from the National Institute on Drug Abuse (R01DA014948) and in part by the National Center for Research Resources, Grant No. 3M01 RR 00425 and P20 RR 11091.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Liles, B.D., Newman, E., LaGasse, L.L. et al. Perceived Child Behavior Problems, Parenting Stress, and Maternal Depressive Symptoms Among Prenatal Methamphetamine Users. Child Psychiatry Hum Dev 43, 943–957 (2012). https://doi.org/10.1007/s10578-012-0305-2
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10578-012-0305-2