Denise Hatzis1, Sharon Dawe1,2, Paul Harnett3, Jane Barlow4. 1. School of Applied Psychology, Griffith University, Mt Gravatt, QLD, Australia. 2. Australian Centre for Child Protection, University of South Australia, Adelaide, SA, South Australia. 3. School of Psychology, The University of Queensland, St Lucia, QLD, Australia. 4. Department of Social Policy and Intervention, University of Oxford, Oxford, UK.
Abstract
BACKGROUND: The quality of caregiving in mothers with substance abuse problems appears to be compromised. However, divergent findings, methodological variability, and sample characteristics point to the need for research synthesis. METHODS: A comprehensive systematic search was undertaken. Studies were eligible if they (1) compared substance-misusing mothers with non-substance-misusing mothers, (2) involved children from birth to 3 years, and (3) maternal sensitivity and child responsiveness were measured using observational methodology. RESULTS: A global meta-analysis for maternal sensitivity (n = 24 studies) and child responsiveness (n = 16 studies) on 3433 mother-infant dyads yielded significant population effect sizes and significant heterogeneity. Subgroup analyses found reduced heterogeneity when the meta-analysis was conducted on studies where groups were matched on key demographic characteristics; although the effect size was small, it was still significant for maternal sensitivity but not child responsiveness. CONCLUSIONS: Compromised quality of caregiving is found in high-risk, substance-misusing mothers, emphasising the importance of early intervention that draws from attachment-based interventions.
BACKGROUND: The quality of caregiving in mothers with substance abuse problems appears to be compromised. However, divergent findings, methodological variability, and sample characteristics point to the need for research synthesis. METHODS: A comprehensive systematic search was undertaken. Studies were eligible if they (1) compared substance-misusing mothers with non-substance-misusing mothers, (2) involved children from birth to 3 years, and (3) maternal sensitivity and child responsiveness were measured using observational methodology. RESULTS: A global meta-analysis for maternal sensitivity (n = 24 studies) and child responsiveness (n = 16 studies) on 3433 mother-infant dyads yielded significant population effect sizes and significant heterogeneity. Subgroup analyses found reduced heterogeneity when the meta-analysis was conducted on studies where groups were matched on key demographic characteristics; although the effect size was small, it was still significant for maternal sensitivity but not child responsiveness. CONCLUSIONS: Compromised quality of caregiving is found in high-risk, substance-misusing mothers, emphasising the importance of early intervention that draws from attachment-based interventions.
Entities:
Keywords:
Caregiving; abuse; dependence; mothers; substance; women
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