Adverse and adaptive childhood experiences are associated with parental reflective functioning in mothers with substance use disorder

Autor: UIrika Håkansson, Kerstin Söderström, Finn Skårderud, Reidulf G. Watten, Merete Glenne Øie
Rok vydání: 2018
Předmět:
Adult
Adolescent
Substance-Related Disorders
media_common.quotation_subject
Mothers
Neglect
Interviews as Topic
03 medical and health sciences
0302 clinical medicine
Child Rearing
Surveys and Questionnaires
Adaptation
Psychological
Developmental and Educational Psychology
medicine
Humans
0501 psychology and cognitive sciences
Early childhood
Child Abuse
Psychological abuse
Child
Qualitative Research
media_common
05 social sciences
medicine.disease
Executive functions
Mental health
digestive system diseases
Substance abuse
Psychiatry and Mental health
Sexual abuse
Pediatrics
Perinatology and Child Health
Female
Adaptive experiences
Aversive experiences
Emotional abuse
Executive functioning
Parental reflective functioning
Substance use disorder
Psychology
030217 neurology & neurosurgery
050104 developmental & child psychology
Clinical psychology
Zdroj: International Journal of Child Abuse & Neglect
ISSN: 1873-7757
0145-2134
Popis: Mothers with a substance use disorder (SUD) are at risk for maladaptive parenting practices, and have heightened likelihood of having experienced childhood adversity themselves. In addition, parental reflective functioning (PRF), a capacity underlying sensitive caregiving, is often low in mothers with SUD. This study examines the relationship between PRF and aversive (emotional, physical, sexual abuse and neglect) and adaptive (safety and competence) experiences, in different developmental phases (early childhood, latency, and adolescence) in mothers with a SUD. A sample of 43 mothers with small children were interviewed with the Parental Developmental Interview to assess PRF, and they completed the Traumatic Antecedents Questionnaire regarding aversive and adaptive experiences. In addition, we used the Hopkins Symptoms Checklist-10 to control for mental health status and a battery of neuropsychological tests to control for executive functions. Results indicated that adaptive experiences in early childhood were positively related to PRF, and that experience of emotional abuse was negatively related to PRF. When separating the group of mothers in two sub-groups based on PRF level, results showed that mothers with negative to low PRF had significantly more experiences of adversities in early childhood and latency, and significantly less adaptive experiences in early childhood, latency and adolescence, compared to mothers with moderate to high PRF. In addition, mothers with adequate to high PRF reported experiencing significantly more types of adaptive experiences, and significantly less adversities compared to mothers with negative to low PRF. Results are discussed in relation to developmental trauma, resilience, epistemic trust and mistrust. The project received financial support from The Research Council of Norway (NFR), grant number 213079/H10 and from Innlandet Hospital Trust.
Databáze: OpenAIRE
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