scholarly journals Emotional Availability in Samples of Mothers at High Risk for Depression and With Substance Use Disorder

2019 ◽  
Vol 10 ◽  
Author(s):  
Alessandra Frigerio ◽  
Alessio Porreca ◽  
Alessandra Simonelli ◽  
Sarah Nazzari
Author(s):  
Margaret H. Lloyd Sieger

Children in foster care due to parental substance use disorder are at high risk for delayed permanency. Understudied is the effect of foster care factors on these children’s exits from care. This study analyzed 10 years of federal child welfare data to understand the effect of foster care placement, provider, and support factors for this vulnerable group. Results revealed that several foster care variables influenced time to, and likelihood of, permanency for children with substance-related removals. Foster care setting, foster parent age and race, and several types of federal supports affected permanency trajectories. Children in homes receiving more federal supports were less likely to achieve permanency, suggesting the insufficiency of these supports to counteract the effects of socioeconomic risk on permanency.


2020 ◽  
Vol 64 (3) ◽  
pp. 547-558
Author(s):  
Archana Viswanath ◽  
Antje M. Barreveld ◽  
Matthew Fortino

2019 ◽  
Vol 13 ◽  
pp. 117822181986618
Author(s):  
Hanne H Brorson ◽  
Espen Ajo Arnevik ◽  
Kim Rand

Background and Aims: There is an urgent need for tools allowing therapists to identify patients at risk of dropout. The OQ-Analyst, an increasingly popular computer-based system, is used to track patient progress and predict dropout. However, we have been unable to find empirical documentation regarding the ability of OQ-Analyst to predict dropout. The aim of the present study was to perform the first direct test of the ability of the OQ-Analyst to predict dropout. Design: Patients were consecutively enlisted in a naturalistic, prospective, longitudinal clinical trial. As interventions based on feedback from the OQ-Analyst could alter the outcome and potentially render the prediction wrong, feedback was withheld from patients and therapists. Setting: The study was carried out during 2011–2013 in an inpatient substance use disorder clinic in Oslo, Norway. Participants: Patients aged 18 to 28 years who met criteria for a principal diagnosis of mental or behavioural disorder due to psychoactive substance use (ICD 10; F10.2–F19.2). Measurements: Red signal (predictions of high risk) from the Norwegian version of the OQ-Analyst were compared with dropouts identified using patient medical records as the standard for predictive accuracy. Findings: A total of 40 patients completed 647 OQ assessments resulting in 46 red signals. There were 27 observed dropouts, only one of which followed after a red signal. Patients indicated by the OQ-Analyst as being at high risk of dropping out were no more likely to do so than those indicated as being at low risk. Random intercept logistic regression predicting dropout from a red signal was statistically nonsignificant. Bayes factor supports no association. Conclusions: The study does not support the predictive ability of the OQ-Analyst for the present patient population. In the absence of empirical evidence of predictive ability, it may be better not to assume such ability.


2005 ◽  
Vol 19 (2) ◽  
pp. 123-130 ◽  
Author(s):  
Miguel E. Habeych ◽  
Robert J. Sclabassi ◽  
Prophete J. Charles ◽  
Levent Kirisci ◽  
Ralph E. Tarter

2020 ◽  
Vol 55 (5) ◽  
pp. 574-580
Author(s):  
Martin Kåberg ◽  
Simon B. Larsson ◽  
Anna Jerkeman ◽  
Anders Nystedt ◽  
Ann-Sofi Duberg ◽  
...  

2012 ◽  
Vol 142 (1-3) ◽  
pp. 57-64 ◽  
Author(s):  
Anne Duffy ◽  
Julie Horrocks ◽  
Robert Milin ◽  
Sarah Doucette ◽  
Greg Persson ◽  
...  

2018 ◽  
Vol 2018 ◽  
pp. 1-11 ◽  
Author(s):  
Alessio Porreca ◽  
Zeynep Biringen ◽  
Micol Parolin ◽  
Hannah Saunders ◽  
Giulia Ballarotto ◽  
...  

Parental Substance Use Disorder (SUD) constitutes a high-risk condition for parent-child interactions and child development. Empirical evidence indicates high rates of psychopathology and neuropsychological impairments in individuals with SUD. Despite research indicating that parenting skills are related to psychological well-being and cognitive/neuropsychological functioning, prior studies have not examined the associations between these areas of parental functioning and the quality of parent-child interactions in the context of SUD. Aim(s). The present study adopts an integrated perspective to investigate the way in which maternal neuropsychological functioning and psychopathology are associated with mother-child emotional availability (EA), in the context of parental Substance Use Disorder. Methods. Twenty-nine mothers with SUD were assessed in interaction with their children, as well as with respect to their neuropsychological functioning and psychopathology. Results. In this group, high rates of maternal neuropsychological impairments and psychopathology, as well as generally low levels of EA, were uncovered. Regression analyses showed that maternal neuropsychological functioning was significantly associated with mother-child EA, specifically sensitivity; the role of maternal psychopathology, however, was only marginally significant. Conclusion. In the context of SUD, maternal neuropsychological impairments are significantly associated with mother-child EA. Clinical implications of the findings are discussed.


2013 ◽  
Vol 25 (3) ◽  
pp. 309-314 ◽  
Author(s):  
Elizabeth Osuch ◽  
Evelyn Vingilis ◽  
Erin Ross ◽  
Christeen Forster ◽  
Carolyn Summerhurst

Abstract Cannabis use is common in youth and there is evidence that the co-occurrence of cannabis use (and other substance use) with mental illnesses predicts poorer outcomes, including suicide. The main purposes of this study were to: (i) identify rates of cannabis use and substance use disorder risk, and (ii) predictors for cannabis use among youth seeking help for mood and/or anxiety concerns in a sample population prescreened to exclude primary substance use disorders; and (iii) to determine if there was an association between cannabis use and functional impairment in this sample. We investigated substance use risk as well as hypothesized predictors of cannabis use and functional impairment including demographic characteristics, socioeconomic status, trait coping style, age of onset of several risk behaviors, current use of common addictive substances, level of functional impairment, and current psychiatric symptom severity. Results showed that approximately half of the participants were at moderate to high risk for a substance use disorder, and just over 4% appeared to have a primary substance use disorder. They also suggested an association between cannabis use and gender (male), age of first cannabis use, recent cigarette use, and functional impairment. Independently, functional impairment was predicted by inattentive coping style, depression severity, and total cannabis use score. These results confirm a high risk for addictive disorders and an association between cannabis use and functional impairment in this sample. These results support the need for substance use treatment programs to optimize care wherever youth with primary mood and/or anxiety concerns are seen.


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