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Article: Disentangling the effects of exposure to maternal substance misuse and physical abuse and neglect on child behavioral problems

TitleDisentangling the effects of exposure to maternal substance misuse and physical abuse and neglect on child behavioral problems
Authors
Keywordsmaternal substance misuse
child maltreatment
child behavioral problems
sibling
physical abuse
neglect
Issue Date2021
PublisherSage Publications, Inc. The Journal's web site is located at http://www.sagepub.com/journal.aspx?pid=108
Citation
Journal of Interpersonal Violence, 2021, v. 36 n. 17-18, p. 8435-8455 How to Cite?
AbstractThere is inconsistent evidence on the association between prenatal substance exposure and child behavioral problems. Children affected by maternal substance misuse are vulnerable to physical abuse and neglect. Few studies have examined factors contributing to internalizing and externalizing problems in these children. This study, with a focus on children with prenatal substance exposure, investigated whether family characteristics (the duration of maternal substance misuse postpartum or the existence of a sibling) moderated the association between adverse exposure (physical abuse or neglect) and behavior (internalizing or externalizing problems). We recruited 54 Hong Kong Chinese mothers with registered records of substance misuse during pregnancy and their children (2-9 years). Mothers completed questionnaires on drug use patterns during pregnancy and postpartum, abusive and neglectful parenting behaviors in the preceding year, and children’s current behavioral problems. Moderated regression analyses tested whether abusive and neglectful parenting behavior interacted with family characteristics to affect child behavioral problems. The existence of a sibling moderated the relationship between neglect experience and internalizing problems, with a positive relationship observed only among single children (adjusted B [95% confidence interval] = 3.70 [0.98, 6.41], p = .012). The duration of maternal substance misuse postpartum moderated the relationship between physical abuse experience and externalizing problems, with a positive relationship observed only among children of mothers abusing substances beyond the child’s infancy period (adjusted B [95% confidence interval] = 6.86 [2.34, 11.38], p = .008). The results show that the impact of physical abuse and neglect experiences depend on the type of behavior assessed and family and child characteristics. Positive sibling relationship and early detoxification in the mother can foster healthy behavioral development for children exposed prenatally to maternal substance misuse.
Persistent Identifierhttp://hdl.handle.net/10722/289816
ISSN
2020 Impact Factor: 6.144
2020 SCImago Journal Rankings: 0.887
ISI Accession Number ID

 

DC FieldValueLanguage
dc.contributor.authorWong, RS-
dc.contributor.authorTung, KTS-
dc.contributor.authorCheng, AWF-
dc.contributor.authorShiu, YK-
dc.contributor.authorWong, WHS-
dc.contributor.authorTso, WWY-
dc.contributor.authorHo, MSP-
dc.contributor.authorChan, KL-
dc.contributor.authorHo, FKW-
dc.contributor.authorLo, CKM-
dc.contributor.authorChow, CB-
dc.contributor.authorIp, P-
dc.date.accessioned2020-10-22T08:17:52Z-
dc.date.available2020-10-22T08:17:52Z-
dc.date.issued2021-
dc.identifier.citationJournal of Interpersonal Violence, 2021, v. 36 n. 17-18, p. 8435-8455-
dc.identifier.issn0886-2605-
dc.identifier.urihttp://hdl.handle.net/10722/289816-
dc.description.abstractThere is inconsistent evidence on the association between prenatal substance exposure and child behavioral problems. Children affected by maternal substance misuse are vulnerable to physical abuse and neglect. Few studies have examined factors contributing to internalizing and externalizing problems in these children. This study, with a focus on children with prenatal substance exposure, investigated whether family characteristics (the duration of maternal substance misuse postpartum or the existence of a sibling) moderated the association between adverse exposure (physical abuse or neglect) and behavior (internalizing or externalizing problems). We recruited 54 Hong Kong Chinese mothers with registered records of substance misuse during pregnancy and their children (2-9 years). Mothers completed questionnaires on drug use patterns during pregnancy and postpartum, abusive and neglectful parenting behaviors in the preceding year, and children’s current behavioral problems. Moderated regression analyses tested whether abusive and neglectful parenting behavior interacted with family characteristics to affect child behavioral problems. The existence of a sibling moderated the relationship between neglect experience and internalizing problems, with a positive relationship observed only among single children (adjusted B [95% confidence interval] = 3.70 [0.98, 6.41], p = .012). The duration of maternal substance misuse postpartum moderated the relationship between physical abuse experience and externalizing problems, with a positive relationship observed only among children of mothers abusing substances beyond the child’s infancy period (adjusted B [95% confidence interval] = 6.86 [2.34, 11.38], p = .008). The results show that the impact of physical abuse and neglect experiences depend on the type of behavior assessed and family and child characteristics. Positive sibling relationship and early detoxification in the mother can foster healthy behavioral development for children exposed prenatally to maternal substance misuse.-
dc.languageeng-
dc.publisherSage Publications, Inc. The Journal's web site is located at http://www.sagepub.com/journal.aspx?pid=108-
dc.relation.ispartofJournal of Interpersonal Violence-
dc.rightsAuthor(s), Contribution Title, Journal Title (Journal Volume Number and Issue Number) pp. xx-xx. Copyright © [year] (Copyright Holder). DOI: [DOI number].-
dc.subjectmaternal substance misuse-
dc.subjectchild maltreatment-
dc.subjectchild behavioral problems-
dc.subjectsibling-
dc.subjectphysical abuse-
dc.subjectneglect-
dc.titleDisentangling the effects of exposure to maternal substance misuse and physical abuse and neglect on child behavioral problems-
dc.typeArticle-
dc.identifier.emailWong, RS: rosawong@hku.hk-
dc.identifier.emailTung, KTS: ktung@hku.hk-
dc.identifier.emailWong, WHS: whswong@hku.hk-
dc.identifier.emailTso, WWY: wytso@hku.hk-
dc.identifier.emailChow, CB: chowcb@hku.hk-
dc.identifier.emailIp, P: patricip@hku.hk-
dc.identifier.authorityTso, WWY=rp01517-
dc.identifier.authorityIp, P=rp01337-
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.doi10.1177/0886260519849661-
dc.identifier.pmid31130045-
dc.identifier.scopuseid_2-s2.0-85066845534-
dc.identifier.hkuros316068-
dc.identifier.volume36-
dc.identifier.issue17-18-
dc.identifier.spage8435-
dc.identifier.epage8455-
dc.identifier.isiWOS:000702454600024-
dc.publisher.placeUnited States-
dc.identifier.issnl0886-2605-

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