Parental Illicit Drug Use and Family Life: Reports From Those Who Sought Help

Family histories of abuse and neglect are common among persons with substance addictions. Clearly such family backgrounds impact on future lifestyle choices. How this early life experience then impacts on the substance user as a parent and on their children has not been considered in the literature in any detail. Clients of local community drug services were invited to participate in a study evaluating the family life of parents who were dependent on illicit substances. Fifteen parents participated in a qualitative, longitudinal study about their family life, treatment and drug of choice. Four aspects of parental perception of family life were examined: the perceived impact of the family of origin on the parent drug user, self‐perception, the impact of parental illicit drug use on the family environment, the impact of parental illicit drug use on children. For parents struggling with a substance addiction, it would seem that recovery has much to do with differentiation and gaining a sense of agency.     

Evaluation of what parents know about their children's drug use and how they perceive the most common family risk factors

Research on family risk factors for addictive behaviors in young people has not paid a great deal of attention to parents' knowledge of their children's addictive behaviors and of the family risk factors that affect such behaviors. The aim of this work is to compare knowledge about these two aspects in two groups of parents that differ regarding their children's declared drug use. The research was carried out with a sample of 309 schoolchildren and their families, divided into two groups: one of 154 families with children defined as non-Drug Users and another of 155 families with children defined as Drug Users. The results show that parents with children who consume drugs tend to strongly underestimate their children's use. Moreover, they overestimate the control they exercise over them and appear to be more familiarized with the use of drugs, if we compare them with parents of non-Drug Users. It is suggested that these results may be relevant for the planning of strategies that increase motivation in families with drug-risk children to participate in prevention programs.     

Social Capital and Adolescent Substance Use: The Role of Family,School, and Neighborhood Contexts

This study assesses the link between social capital factors of norm‐setting social arenas including family, school, and neighborhood and adolescent substance use measured by cigarette smoking, alcohol consumption, and illicit drug use among a sample of adolescents in California. The key messages of this study are that socialization processes at different life domains, in varying degrees, are associated with adolescent substance use behavior. Compared with school and neighborhood contexts, family is the most influential setting that should be primarily targeted for youth substance use prevention. Among different aspects of within‐family social resources, parental monitoring seems to be the most protective of adolescent substance use. Study implications on family‐based interventions are discussed.     

Risk Factors,Parental Communication,Self and Peers’ Beliefs as Predictors of Condom Use Among Female Adolescents Attending Family Planning Clinics

This study examined the impact of risk factors, self and peers’ beliefs, and parental communication on condom use among 290 female adolescents who attended family planning clinics. The major findings showed that in addition to risk factors, self and peer beliefs about condom use and parental communication about birth control predicted actual condom use. Implications for social workers about the importance of encouraging communication between adolescents and their parents are discussed.     

The Effect of Male Delinquency on Mothers and Fathers: A Heuristic Study

This paper addresses some of the lacunas extant in the empirical literature on adolescents. The focus rests on studying the impact of juvenile delinquency not on adolescents, but on their parents. From an interactional perspective, adolescents are denned as proactive social actors who contribute to the quality of their family lives. A multisample, multimethod study of delinquents'parents is conducted and finds that parents are highly affected by their children's delinquency; this effect is particularly strong for mothers compared to fathers. Difficult adolescent behaviors and delinquency lead to a series of complications and stressors in parental lives. Research questions are suggested that target a broad range of variables and themes.     

Substance Use Among Rural African American Adolescents: Identifying Risk and Protective Factors

Substance use continues to be a significant problem among youth in our society, particularly in rural communities. The purpose of the current study was to identify the possible risk and protective factors that may be affecting the rates of alcohol and illegal drug use among a population of African American adolescents living in a rural, southern community. The following were identified as possible risk factors: (1) Being an older adolescent (15 years of age or older); (2) Spending afternoons after school with friends; (3) Having friends or family members who use alcohol or illegal drugs; (4) Being raised by non-family members; and (5) Having plans to enter military after high school. The following characteristics were associated with less alcohol and illegal drug use, and were identified as possible protective factors: (1) Being raised by parent(s) or other family members; (2) Spending afternoons after school with parents; (3) Having parents who talk to youth about dangers of drug and alcohol use; (4) Having parents who disapprove of their child using drugs or alcohol; (5) Being involved in extra-curricular church-related activities; and (6) Having plans to work, or attend college or technical school after high school. Characteristics that have been associated with drug and alcohol in previous research that were not associated with use in the current study include: (1) Being male; (2) Peer pressure to use alcohol or illegal drugs; (3) Grades in school; and (4) Involvement in extra-curricular activities. Implications for developing effective community programs aimed at reducing substance use among our youth are discussed.     

Profiles of the parents of adolescent CSA perpetrators attending a voluntary outpatient treatment programme in Ireland

A group of 22 parents of adolescent sexual offenders (PASO) was compared with a group of 19 normal controls (NC) and 10 clinical controls (CC) on demographic, developmental, personal adjustment and family environment variables. The assessment protocol included the General Health Questionnaire‐12, the Culture‐Free Self‐Esteem Inventory, the Child Behaviour Checklist, the Family Assessment Device, the Parent Satisfaction Scale and the Multidimensional Scale of Perceived Social Support. Compared with clinical and normal controls, more parents in the PASO group reported that they had been arrested or charged for a criminal offence; had personally experienced child abuse; and more of their adolescents had experienced child abuse, with emotional abuse being the most common form of abuse for both parents and adolescents. Compared with clinical and normal controls, more adolescents of parents in the PASO group had witnessed parental drug or alcohol abuse and had been placed in care outside their home. While parents in the PASO group did not differ from clinical or normal controls in terms of personal adjustment, their adolescents had significantly more internalizing behaviour problems than normal controls, whereas adolescents of parents in the clinical control group had significantly more externalizing behaviour problems than normal controls. Compared with normal controls, parents in both the PASO and clinical control groups reported more difficulties with general family functioning, roles, affective responsiveness, affective involvement and behaviour control and lower levels of parental satisfaction. However, the groups did not differ significantly in their levels of perceived social support. Copyright © 2003 John Wiley & Sons, Ltd.     

Marital Conflict and Children's Emotional Security in the Context of Parental Depression

Evidence has emerged for emotional security as an explanatory variable linking marital conflict to children's adjustment. Further evidence suggests parental psychopathology is a key factor in child development. To advance understanding of the pathways by which these family risk factors impact children's development, the mediational role of emotional security for children with parents who have potentially clinical levels of depression compared to children whose parents have lower levels of symptomatology was examined (i.e., moderated mediation). Participants included 297 families assessed annually for 3 years. Paternal depression moderated pathways, such that marital conflict was associated with greater child emotional insecurity 2 years later in the context of paternal depression. Testing alternative pathways, emotional insecurity mediated relations between maternal depression and externalizing problems.     

Violence Exposure and Drug Use in Central American Youth: Family Cohesion and Parental Monitoring as Protective Factors

Associations between witnessing serious violence and drug use, and the protective influences of family cohesion and parental monitoring, were investigated among 9,840 adolescents (50.5% female, M age=15.29 years, SD=1.76) living in Panama and Costa Rica. After accounting for demographics and parental and sibling substance use, witnessing serious violence was associated with greater drunkenness, tobacco use, number of illicit drugs used, and problems with drugs and alcohol. In every analysis, exposure to violence was associated with more drug use, while family cohesion and parental monitoring attenuated risk. Further, family cohesion and parental monitoring exerted a protective‐stabilizing effect on number of illicit drugs used and on problems with drugs and alcohol. There were few interactions with age. Implications for prevention are discussed.     

Binge drinking in adolescence – social stratification and the collectivity of drinking cultures

Research investigating what shapes young people’s drinking habits is of great importance. This study aimed to analyse the relation between close social networks and adolescents’ drinking habits and the extent to which close social networks may explain differences in binge drinking among social groups. Data from the ‘Stockholm Survey 2012’ were analysed. The Stockholm Survey was a census survey administered to students in academic years 9 and 11, with a response rate of 76%. Ordered logit models were used to estimate relations between the frequency of binge drinking and the independent variables. Parental educational level is associated with adolescent binge drinking, as students with more highly educated parents are more frequent binge drinkers. Parents’ willingness to offer their teenagers alcohol and peers’ drinking habits are also associated with adolescent binge drinking, with a more permissive parental attitude and a prevalence of drinking among peers increasing the risk. Both parents’ willingness to provide alcohol and peers’ drinking habits may statistically explain a large portion of the observed differences in adolescent drinking by parental education. Close social networks are an important factor influencing adolescent binge drinking, and they may explain a large portion of the differences between social groups.     

Two-year follow-up of a social-cognitive intervention to prevent substance use.

This study presents two-year follow-up results of the Adolescent Decision-Making Program initially implemented when students were in their sixth grade. The intervention was found to maintain a positive effect on mean tobacco use, but no differences were observed for mean alcohol, marijuana, or hard drug use. In a test of the differential effectiveness of the intervention, program students living with married parents reported lower mean tobacco use than control students living with married parents and program and control students living with single parents. Logistic regression analyses examining the proportion of users at follow-up revealed a negative program effect for alcohol and no differences for the other substances. Subsequent attrition analyses strongly suggested that the positive effect for tobacco use at follow-up was most likely even stronger, and that the negative effect for alcohol was spurious. The importance of examining both program and attrition effects when evaluating the impact of longitudinal preventive interventions was emphasized, and the need to consider alternative models to guide the conceptualization and evaluation of adolescent substance use prevention programs was discussed.     

Parents' Attitudes and Knowledge Regarding Gambling Among Youths

This study evaluates attitudes and knowledge of parents regarding gambling behaviors among youths, aged 5 to 17 years. Telephone interviews were conducted among 279 randomly selected parents (32% fathers and 68% mothers) in the Quebec City region. Results indicate that parents overestimate the age of children's first wagers and underestimate the probability that their own child has already gambled. Most parents (86%) believe that the availability of gambling for youths should be reduced and that schools should include prevention programs concerning problem gambling. Results also show that parents fail to associate excessive gambling with poor grades or with alcohol and drug use. Finally, 84% of the parents reported that they would accept buying lottery tickets for their child. These results suggest that prevention programs for excessive gambling among children should include information for parents.     

Parenting practices as potential mechanisms for child adjustment following mass trauma

Trauma research has identified a link between parental adjustment and children's functioning and the sometimes ensuing intergenerational impact of traumatic events. The effects of traumatic events on children have been demonstrated to be mediated through their impact on children's parents. However, until now, little consideration has been given to the separate and more proximal mechanism of parenting practices as potential mediators between children's adjustment and traumatic events. To shed some light in this arena, we review literature on trauma, adversity, and resilience, and discuss how parenting practices may mediate trauma and adverse environmental contexts. Using a social interaction learning perspective (Forgatch & Knutson, 2002; Patterson, 2005), we propose a prevention research framework to examine the role that parenting practices may play in influencing children's adjustment in the wake of trauma exposure. The article concludes by providing a specific model and role for evidence-based parenting interventions for children exposed to mass trauma.     

Exposure to Parent and Peer Alcohol Use and the Risk of Drinking Onset and Escalation Among Adolescents

Although the rate of alcohol use among adolescents has declined, it remains their drug of choice. Parent and peer alcohol use are powerful risk factors for youth alcohol use. However, questions remain about how these factors influence underage drinking. The present study investigates the relationship between exposure to parent or peer alcohol use and two stages of adolescent drinking—onset and escalation—overall and at five age points during adolescence. Participants were 9348 adolescents in Waves I (WI) and II (WII) of the National Longitudinal Study of Adolescent Health, whose parents completed interviews at WI, and who identified themselves as either non-drinkers or experimental drinkers at WI. Reports of WII alcohol use were used to measure onset among WI non-drinkers and escalation among WI experimenters. Risk ratios were calculated to assess the overall impact of exposure to parent or peer alcohol use on onset and escalation, and at five age points (i.e., ≤?13, 14, 15, 16, and ≥?17). Findings show that exposure to either parent or friend alcohol use increased the risk of onset and escalation. Age-based analyses reveal a more nuanced relationship, showing variability in the nature and strength of influence by stage of drinking and by age. This study highlights the relevance of both parent and peer modeling on youth drinking throughout adolescence. Implications in advancing prevention and treatment include parental education about the impact of their own behaviors and the importance of monitoring teens’ friendships.     

Analyzing HIV/AIDS and Alcohol and Other Drug Use as a Social Problem

Most prevention and intervention activities directed toward HIV/AIDS and alcohol and other drug use separately as well as the combining of the two (e.g., those who are both HIV/AIDS and using alcohol and other drugs) comes in the form of specific, individualized therapies without consideration of social influences that may have a greater impact on this population. Approaching this social problem from the narrowed view of individualized, micro solutions disregards the larger social conditions that affect or perhaps even are at the root of the problem. This paper analyzes the social problem of HIV/AIDS and alcohol and other drug abuse using three sociological perspectives—social construction theory, ethnomethodology, and conflict theory—informing the reader of the broader influences accompanying this problem.     

Social skills, competence, and drug refusal efficacy as predictors of adolescent alcohol use

Numerous alcohol and drug abuse prevention trials have included social resistance training as a strategy for reducing early-stage adolescent alcohol use. Evaluations of these trials has shown them to be moderately effective, although the precise impact of the resistance training in comparison to other programmatic features has not been clearly identified. The current study examined the extent to which assertiveness and related social skills, personal competence (perceived cognitive mastery), and refusal efficacy predict alcohol involvement. Males were at greater risk for poor refusal skills and reported higher alcohol involvement. Cross-sectionally, youth characterized by poor social skill development reported lower refusal efficacy, lower grades, poor competence, and more alcohol use. Poor refusal efficacy was associated with more risk-taking, lower grades, less competence, and more alcohol use. Longitudinally, both poor refusal skills and risk-taking were associated with higher alcohol use. High personal competence was associated with lower alcohol use in both the eighth and tenth grades, but had no long-term effects on alcohol use. Findings highlight the close interplay between perceived competence and refusal skill efficacy, both of which should be included as essential components of school-based prevention strategies.     

Risk and protective factors for recent alcohol use among African-American youth

A total of 7488 7th-12th grade African-American students completed a survey assessing factors associated with recent alcohol use. Results indicated that 13.6% used alcohol in the past month. A series of odds ratios revealed that making good grades, participating in school activities, attending church, and having parents/teachers talk about the dangers of alcohol and set/enforce rules regarding alcohol were associated with decreased recent use. Participating in risky behaviors such as getting into trouble, skipping school, and having friends who use alcohol and other drugs was directly related to recent use. Prevention specialists should encourage parents/teachers to engage youth in family, school, and community activities to deter alcohol use. Results may assist youth health professionals in developing prevention programs aimed at African-American youth.     

Nonverbal Maternal Warmth and Children's Locus of Control of Reinforcement

Previous research on antecedents of generalized control expectancies has indicated that parents of children with internal control expectancies express more warmth than parents of children with external control expectancies. However, few studies have utilized observational methodologies and no study has identified a specific mechanism by which parental warmth may contribute to differences in children's control expectancies. In addition, no study has examined whether individual differences in children's behavior are associated with differences in parental warmth. We tested the hypothesis that mothers of internally and externally controlled children would differ in their expression of nonverbal behavioral indicators of warmth. To test the hypothesis, the interactions of 50 second-grade children and their mothers were videotaped. Compared to mothers of externally controlled children, mothers of internally controlled children displayed more smiles, exhibited more positive touches (hugs, pats, rubs), and gazed for longer periods of time toward their child. Analyses of the children's behavior revealed that internally controlled children displayed more smiles and engaged in less off-task behavior than externally controlled children. Results of the current study further clarify the nature of the association between parental warmth and children's generalized control expectancies and suggest nonverbal behavior as a possible mechanism.     

Adolescent drinking in Spain: Family relationship quality,rules, communication,and behaviors

This study examined associations between adolescent alcohol use in Spain and family relationship quality, parental rules, sources of information about substances, and family behaviors. A sample of 565 students in Alicante, Spain completed measures of these constructs. After controlling for age and type of school, family relationship quality explained 3.7% of the variance in adolescents' alcohol use, family rules explained 7.0%, sources of information 2.8%, and parental behaviors 2.6%. A comprehensive model with all unique predictors from these four models explained 10.6% of the variance in adolescents' alcohol use. Within this final model, higher family relationship quality and parents knowing with whom one goes out at night were uniquely and negatively associated with adolescents' alcohol use, but mothers permitting alcohol consumption and fathers' drinking behaviors were positively associated. These findings suggest that the family unit may be ideal for intervening to reduce alcohol use in adolescents in Spain.