A Systematic Review of Research on Children of Alcoholics: Their Inherent Resilience and Vulnerability

Park, Sihyun; Schepp, Karen G.

doi:10.1007/s10826-014-9930-7

Cited by 162Substance Abuse Treatment and OutcomesChild Abuse and TraumaChild Welfare and Adoption

A Systematic Review of Research on Children of Alcoholics: Their Inherent Resilience and Vulnerability

Park, Sihyun, Schepp, Karen G.·2015·Journal of Child and Family Studies

DOI 10.1007/s10826-014-9930-7

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A multitude of studies investigating adolescent children of problem-drinking parents report increasing problems when COA reach their adolescence.
“a multitude of studies investigating the adolescent children of problem-drinking parents report increasing problems when COA reach their adolescence (Chassin et al., 1999; Hussong et al., 2008; Park & Schepp, 2015).”
From “I Feel It In My Heart When My Parents Fight”: Experiences of 7–9-Year-Old Children of Alcoholics (2018) · cites this paper as Park & Schepp, 2015
Children who grow up in families with parental alcohol problems are at risk of several psychological, behavioral, cognitive, and social problems.
“Decades of research have revealed that children who grow up in families with parental alcohol problems are at risk of several psychological, behavioral, cognitive, and social problems (Brunnberg, Eriksson, & Tinnfält, 2007; Christensen & Bilenberg, 2000; Park & Schepp, 2015).”
From “I Feel It In My Heart When My Parents Fight”: Experiences of 7–9-Year-Old Children of Alcoholics (2018) · cites this paper as Park & Schepp, 2015
Studies among COA have focused on toddlers, preschoolers and adolescents, but less on children in middle to late childhood.
“Studies among COA have focused on toddlers, preschoolers and adolescents, but less on children in middle to late childhood.”
From “I Feel It In My Heart When My Parents Fight”: Experiences of 7–9-Year-Old Children of Alcoholics (2018) · cites this paper as Park & Schepp, 2015
COA are exposed to biological (genetic) as well as environmental (caregiver-related) risk factors for several social, familial, and behavioral problems.
“The literature indicates that COA are exposed to biological (genetic) as well as environmental (caregiver-related) risk factors for several social, familial, and behavioral problems (Edwards, Eiden, & Leonard, 2006; Park & Schepp, 2015).”
From “I Feel It In My Heart When My Parents Fight”: Experiences of 7–9-Year-Old Children of Alcoholics (2018) · cites this paper as Park & Schepp, 2015
The developmental period from 7 to 9 years is crucial for child development in terms of both self-regulation and external behavior.
“The developmental period from 7 to 9 years is crucial for child development in terms of both self-regulation and external behavior (Park & Schepp, 2015).”
From “I Feel It In My Heart When My Parents Fight”: Experiences of 7–9-Year-Old Children of Alcoholics (2018) · cites this paper as Park & Schepp, 2015

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Renbarger, R., Padgett, R. N., Cowden, R. G., Govender, K., Yilmaz, M., Scott, L. M., Makhnach, A. V., Novotný, J., Nugent, G., Rosenbaum, L., et al. (2020) · Journal of Research on Adolescence · doi:10.1111/jora.12569 · Cited by 30 · see citing works
The Secondary Harms of Parental Substance Use on Children’s Educational Outcomes: A Review
Lowthian, E. (2022) · Journal of Child & Adolescent Trauma · doi:10.1007/s40653-021-00433-2 · Cited by 29 · see citing works
Child and Parent Outcomes in the London Family Drug and Alcohol Court Five Years On: Building on International Evidence
Harwin, J., Alrouh, B., Broadhurst, K., McQuarrie, T., Golding, L., & Ryan, M. (2018) · International Journal of Law Policy and the Family · doi:10.1093/lawfam/eby006 · Cited by 27 · see citing works
Work addiction and social functioning: A systematic review and five meta-analyses
Kenyhercz, V., Mervó, B., Lehel, N., Demetrovics, Z., & Kun, B. (2024) · PLoS ONE · doi:10.1371/journal.pone.0303563 · Cited by 26 · see citing works
Influence of Parental Alcohol Dependence Symptoms and Parenting on Adolescent Risky Drinking and Conduct Problems: A Family Systems Perspective
Su, J., Kuo, S. I., Alıev, F., Guy, M. C., Derlan, C. L., Edenberg, H. J., Nürnberger, J. I., Kramer, J., Bucholz, K. K., Salvatore, J. E., et al. (2018) · Alcoholism Clinical and Experimental Research · doi:10.1111/acer.13827 · Cited by 26 · see citing works
Substance abuse in parents and subsequent risk of offspring psychiatric morbidity in late adolescence and early adulthood: A longitudinal analysis of siblings and their parents
Martikainen, P., Korhonen, K., Moustgaard, H., Aaltonen, M., & Remes, H. (2018) · Social Science & Medicine · doi:10.1016/j.socscimed.2018.09.060 · Cited by 24 · see citing works
Binge drinking and family history of alcoholism are associated with an altered developmental trajectory of impulsive choice across adolescence
Jones, S. A., Steele, J. S., & Nagel, B. J. (2017) · Addiction · doi:10.1111/add.13823 · Cited by 24 · see citing works
Fathers’ alcohol consumption and risk of substance-related disorders in offspring
Thor, S., Hemmingsson, T., Danielsson, A., & Landberg, J. (2022) · Drug and Alcohol Dependence · doi:10.1016/j.drugalcdep.2022.109354 · Cited by 23 · see citing works
Is the association between maternal alcohol consumption in pregnancy and pre‐school child behavioural and emotional problems causal? Multiple approaches for controlling unmeasured confounding
Lund, I. O., Eilertsen, E. M., Gjerde, L. C., Røysamb, E., Wood, M. E., Reichborn‐Kjennerud, T., & Ystrøm, E. (2019) · Addiction · doi:10.1111/add.14573 · Cited by 20 · see citing works
Frontostriatal Resting State Functional Connectivity in Resilient and Non-Resilient Adolescents with a Family History of Alcohol Use Disorder
Martz, M. E., Cope, L. M., Hardee, J. E., Brislin, S. J., Weigard, A. S., Zucker, R. A., & Heitzeg, M. M. (2019) · Journal of Child and Adolescent Psychopharmacology · doi:10.1089/cap.2018.0169 · Cited by 19 · see citing works
The role of parent and offspring sex on risk for externalizing psychopathology in offspring with parental alcohol use disorder: a national Swedish study
Long, E. C., Lönn, S. L., Sundquist, J., Sundquist, K., & Kendler, K. S. (2018) · Social Psychiatry and Psychiatric Epidemiology · doi:10.1007/s00127-018-1563-5 · Cited by 19 · see citing works
Family climate in children living with parents who harmfully consume alcohol
Iacopetti, C., Londi, I., Patussi, V., & Cosci, F. (2021) · Clinical Psychology & Psychotherapy · doi:10.1002/cpp.2562 · Cited by 18 · see citing works
A new preventive intervention for children of substance‐abusing parents: Results of a randomized controlled trial
Bröning, S., Sack, P., Haevelmann, A., Wartberg, L., Moesgen, D., Klein, M. C., & Thomasius, R. (2019) · Child & Family Social Work · doi:10.1111/cfs.12634 · Cited by 18 · see citing works
Children’s experiences of the role of the other parent when one parent has addiction problems
Alexanderson, K., & Näsman, E. (2016) · Drugs Education Prevention and Policy · doi:10.1080/09687637.2016.1218824 · Cited by 17 · see citing works
Emotion regulation and resilience in parent–adolescent interactions among families of harmful versus non-harmful parental alcohol use
Haverfield, M. C., & Theiss, J. A. (2019) · Journal of Applied Communication Research · doi:10.1080/00909882.2019.1704827 · Cited by 16 · see citing works
Parental Problem Drinking and Emerging Adult Problem Behavior: The Moderating Role of Parental Support
Finan, L. J., Simpson, E. G., Schulz, J., & Ohannessian, C. M. (2017) · Journal of Child and Family Studies · doi:10.1007/s10826-017-0953-8 · Cited by 16 · see citing works
The Influence of Parental Alcoholism on Parent–Adolescent Relationships From Adolescence Into Emerging Adulthood: A Qualitative Inquiry
Bickelhaupt, S. E., Lohman, B. J., & Neppl, T. K. (2019) · Emerging Adulthood · doi:10.1177/2167696818824186 · Cited by 15 · see citing works
A study of resilience among young adult children of alcoholics in Southern India
Hebbani, S., Ruben, J. P., Selvam, S., & Krishnamachari, S. (2020) · Journal of Addictive Diseases · doi:10.1080/10550887.2020.1765716 · Cited by 15 · see citing works
Parents’ drinking, childhood hangover? Parental alcohol use, subjective health complaints and perceived stress among Swedish adolescents aged 10–18 years
Wahlström, J., Magnusson, C., Låftman, S. B., & Svensson, J. (2023) · BMC Public Health · doi:10.1186/s12889-023-15097-w · Cited by 15 · see citing works
“I Feel It In My Heart When My Parents Fight”: Experiences of 7–9-Year-Old Children of Alcoholics
Tinnfält, A., Fröding, K., Larsson, M., & Dalal, K. (2018) · Child and Adolescent Social Work Journal · doi:10.1007/s10560-018-0544-6 · Cited by 14 · see citing works
“Decades of research have revealed that children who grow up in families with parental alcohol problems are at risk of several psychological, behavioral, cognitive, and social problems (Brunnberg, Eriksson, & Tinnfält, 2007; Christensen & Bilenberg, 2000; Park & Schepp, 2015).”
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Modeling Trajectories of Adolescent‐Perceived Family Conflict: Effects of Marital Dissatisfaction and Parental Alcoholism
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Problematic familial alcohol use and adolescent outcomes: Do associations differ by parental education?
Wahlström, J., Magnusson, C., Svensson, J., & Låftman, S. B. (2023) · Nordic Studies on Alcohol and Drugs · doi:10.1177/14550725231157152 · Cited by 13 · see citing works
An online self-directed program combining community reinforcement approach and family training and parenting training for concerned significant others sharing a child with a person with problematic alcohol consumption: A randomized controlled trial
Siljeholm, O., Lindner, P., Johansson, M., & Hammarberg, A. (2022) · Addiction Science & Clinical Practice · doi:10.1186/s13722-022-00332-3 · Cited by 12 · see citing works
Alcohol-Attributable Medical Costs in Commercially Insured and Medicaid Populations
Ozluk, P., Cobb, R., Sylwestrzak, G., Raina, D., & Bailly, E. (2022) · AJPM Focus · doi:10.1016/j.focus.2022.100036 · Cited by 12 · see citing works
Neurophysiological Correlates and Differential Drug Response in Subjects With a Family History of an Alcohol Use Disorder
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Profiles of Resilience among Children Exposed to Non-Maltreatment Adverse Childhood Experiences
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Pathways to Youth Behavior: The Role of Genetic, Neural, and Behavioral Markers
Trucco, E. M., Cope, L. M., Burmeister, M., Zucker, R. A., & Heitzeg, M. M. (2018) · Journal of Research on Adolescence · doi:10.1111/jora.12341 · Cited by 11 · see citing works
Impacts of alcohol consumption by mothers and fathers, parental monitoring, adolescent disclosure and novelty-seeking behaviour on the likelihood of alcohol use and inebriation among adolescents
Berglund, K. J., Boson, K., Wennberg, P., & Gerdner, A. (2022) · International Journal of Adolescence and Youth · doi:10.1080/02673843.2022.2156298 · Cited by 10 · see citing works
Family History: An Opportunity to Disrupt Transmission of Behavioral Health Problems
ZUCKERMAN, B. S., & Wong, S. L. (2019) · PEDIATRICS · doi:10.1542/peds.2018-3383 · Cited by 10 · see citing works
Stigma and Young People Whose Parents Use Substances
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Resilience in children of parents with mental illness, alcohol or substance misuse—An integrative review
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Are emotional symptoms and depression among young people with parental alcohol problems modified by socioeconomic position?
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Risk of somatic disease and mortality in individuals of parents with alcohol use disorder: a register‐based cohort study
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Psychosocial, pharmacological, and legal interventions for improving the psychosocial outcomes of children with substance misusing parents: A systematic review
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Formal and Informal Help‐Seeking by Australian Parents who Misuse Alcohol
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Children of Parents With Opioid Use Disorder
Ahern, N. R., Mechling, B., Palumbo, R., & Woodard, E. K. (2020) · Journal of Psychosocial Nursing and Mental Health Services · doi:10.3928/02793695-20201203-03 · Cited by 7 · see citing works
A Family Problem: The Effects of Parental Alcohol on Children
Aslan, H. S. (2021) · Nesne Psikoloji Dergisi · doi:10.7816/nesne-09-19-10 · Cited by 7 · see citing works
Psychological resources as predictors of emotional and behavioral issues in young University students
Heredia, M. E. R., Guzmán, I. M. N. G. N., & Pardo, X. M. (2021) · Interacciones Revista de Avances en Psicología · doi:10.24016/2021.v7.228 · Cited by 7 · see citing works
Identifying Protective Factors for Adult Children of Alcoholics
Goeke, J. (2017) · SOPHIA (St. Catherine University) · Cited by 7 · see citing works
Sympathy and misery in families with drinking problems
Järvinen, M., & Bloch, C. (2016) · Acta Sociologica · doi:10.1177/0001699316652210 · Cited by 7 · see citing works
PROTOCOL: Psychosocial, pharmacological and legal interventions for improving the psychosocial outcomes of children with substance misusing parents
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The Impact of Alcoholism on Family and Children
Erdim, L. (2019) · Archives of Health Science and Research · doi:10.17681/hsp.415645 · Cited by 6 · see citing works
Elucidating the Links Between Mother and Father Alcohol Use Disorder and Adolescent Externalizing Psychopathology: A Test of Transmission Specificity Within Competing Factor Structures and Genetic and Environmental Liabilities
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Parent problem drinking trajectory classes predict anxiety in adolescence and emerging adulthood
Ohannessian, C. M., & Vannucci, A. (2022) · Journal of Affective Disorders · doi:10.1016/j.jad.2022.04.104 · Cited by 6 · see citing works
A shift in focus: Mothers’ descriptions of sharing a child with a co-parent with unhealthy alcohol use after participating in a support program
Siljeholm, O., & Ekström, V. (2023) · Addiction Science & Clinical Practice · doi:10.1186/s13722-023-00369-y · Cited by 6 · see citing works
Childhood with a relative's excessive alcohol use, and own drinking in adult years
Ólafsdóttir, J., & Marinósson, S. S. (2021) · Nordic Studies on Alcohol and Drugs · doi:10.1177/14550725211050747 · Cited by 6 · see citing works
Maternal alcohol use disorders and depression in emerging adulthood: Examining the relevance of social ties, childhood adversity, and socioeconomic status
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Academic performance and delinquent and aggressive behaviors among children with substance using mothers
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The Associations between Risky Psychosocial Environment, Substance Addiction Severity and Imprisonment: A Swedish Registry Study
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The interactive effect of paternal problem drinking and maternal problem drinking on adolescent internalizing problems
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Adult offspring's experiences of living with a parent with an alcohol misuse problem
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The attachment adaptation process model: Developing attachment security after experiencing addiction in the family
Coffman, E., Swank, J. M., & Bayne, H. B. (2023) · Family Relations · doi:10.1111/fare.12920 · Cited by 5 · see citing works
Air Force Morale, Welfare, and Recreation Programs and Services: Contribution to Airman and Family Resilience and Readiness
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Alcohol Use and Parental Socialization of Emotion in a Population-Based Sample
Amundsen, V. R., Gjesmoe, A., Andreassen, E., Bølstad, E., Severinsen, Y., Viana, K. M. P., Bjørk, R. F., Nygaard, E., Bekkhus, M., & Tsotsi, S. (2025) · Parenting · doi:10.1080/15295192.2025.2465988 · Cited by 4 · see citing works
Associations between pre-adolescents’ cognitive responses to alcohol-related cues, maternal drinking, and direct exposure to alcohol
Forestell, C. A., Dickter, C. L., & Collier-Spruel, L. A. (2021) · Alcohol · doi:10.1016/j.alcohol.2021.06.003 · Cited by 4 · see citing works
The Role of Psychological Resilience and Family Dysfunction in the Relationship Between Parental Behavioural Addictions and Adult Mental Health
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Impact of Abuse on Mental Health and Happiness Among Students: Mediating Role of Family Environment
Aneesh Kumar, P., Deb, S., & Bhagyalakshmi, K. C. (2023) · Journal of Indian Association for Child and Adolescent Mental Health · doi:10.1177/09731342231217075 · Cited by 4 · see citing works
Associations between a risky psychosocial childhood and recurrent addiction compulsory care as adult
Grahn, R., Padyab, M., & Lundgren, L. M. (2019) · Nordic Studies on Alcohol and Drugs · doi:10.1177/1455072519882785 · Cited by 4 · see citing works
Perceived problematic alcohol use in the family and adolescents’ stress-related complaints: examining the buffering role of the school’s degree of student focus as rated by its teachers
Låftman, S. B., Magnusson, C., Olsson, G., Wahlström, J., & Modin, B. E. (2023) · BMC Public Health · doi:10.1186/s12889-023-16505-x · Cited by 4 · see citing works
Alcohol and cannabis use among rural university students: A quantitative analysis of barriers to care, student resilience, and school climate
Bower, E., Ramsey, E., & Seiler, S. J. (2023) · Journal of American College Health · doi:10.1080/07448481.2023.2272198 · Cited by 4 · see citing works
An Integrative Literature Review of Resilience in Adult Children of Alcoholics: Focusing on Operational Definitions and Moderators
Kim, H. K., & 義治, 康. (2019) · Journal of Korean Academy of Psychiatric and Mental Health Nursing · doi:10.12934/jkpmhn.2019.28.1.50 · Cited by 4 · see citing works
Veränderungen des Rauschtrinkens bei Jugendlichen und jungen Erwachsenen in Deutschland in Abhängigkeit von Bildungsniveau und Migrationshintergrund
Orth, B., & Merkel, C. (2021) · Bundesgesundheitsblatt - Gesundheitsforschung - Gesundheitsschutz · doi:10.1007/s00103-021-03332-x · Cited by 4 · see citing works
Mediation pathways for reduced substance use among parents in South Africa: a randomized controlled trial
Massarwi, A. A., Cluver, L. D., Meinck, F., Doubt, J., Lachman, J. M., Shenderovich, Y., & Green, O. (2021) · BMC Public Health · doi:10.1186/s12889-021-11651-6 · Cited by 4 · see citing works
NONHUMAN SYSTEMS AS A SOURCE OF INTERACTIONAL RESILIENCE AMONG UNIVERSITY STUDENTS RAISED BY ALCOHOL-ABUSING CAREGIVERS IN LESOTHO
Mushonga, S., & van Breda, A. D. P. (2021) · Social Work/Maatskaplike Werk · doi:10.15270/57-4-967 · Cited by 4 · see citing works
Problematic parental substance use, childhood family structures and adverse outcomes in young adulthood
Frederiksen, K. S., Hesse, M., & Pedersen, M. U. (2023) · Nordic Studies on Alcohol and Drugs · doi:10.1177/14550725221143177 · Cited by 4 · see citing works
Harms to women and children from men’s alcohol use: An evidence review and directions for policy
Laslett, A., Ramsoomar, L., Karriker‐Jaffe, K. J., Hopkins, C., Graham, K., Blackburn, N., Walker, M. J., Haugland, S. H., Tamutienė, I., Room, R., et al. (2025) · doi:10.3768/rtipress.2025.op.0098.2509 · Cited by 4 · see citing works
Parental Alcohol Intoxication, Adverse Childhood Experiences, and Negative Psychological Reactions to Childhood Adversities: Cross-Sectional and Prospective Data from the Population‑Based HUNT Study
Haugland, S. H., Carvalho, B., Strandheim, A., & Stea, T. H. (2024) · Journal of Child & Adolescent Trauma · doi:10.1007/s40653-024-00651-4 · Cited by 3 · see citing works
Behind Closed Doors: The Hidden Realities of Indian Children Living With Alcohol-Dependent Parents
Joseph, A. P., & Babu, A. (2024) · Cureus · doi:10.7759/cureus.62989 · Cited by 3 · see citing works
Mothering in the context of fathers’ problematic alcohol use
Ekström, V., & Johansson, M. (2020) · European Journal of Social Work · doi:10.1080/13691457.2020.1793105 · Cited by 3 · see citing works
Transitions to Adulthood of ‘At Risk’ Young Men: New Analysis from Two Norwegian Qualitative Longitudinal Studies
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Process of Building Resilience in Adult Children of Alcoholics: A Grounded Theory Approach
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A Grounded Theory Study on the Academic Performance of Female Adolescents in the Context of Family Alcohol Addiction
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The Association of Family-Related Adversity With Fighting in Adolescents: Does Hopelessness Mediate This Association?
Macková, J., Veselská, Z. D., Gecková, A. M., Jansen, D. E. M. C., van Dijk, J. P., & Reijneveld, S. A. (2021) · International Journal of Public Health · doi:10.3389/ijph.2021.607199 · Cited by 3 · see citing works
Resource Factors Allowing People with Alcohol-addicted Parents to Overcome Their Negative Emotions: A Latent Variable Model and Content Analysis
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A longitudinal, multimethod study of children’s early emerging maladaptive personality traits: Stress sensitivity as a protective factor
Kotelnikova, Y., Mackrell, S. V. M., Clark, L. A., & Hayden, E. P. (2023) · Journal of Research in Personality · doi:10.1016/j.jrp.2023.104448 · Cited by 2 · see citing works
Prospective Associations between Childhood Exposure to Living with Adult Alcohol Misuse and Major Depressive Disorder in Adulthood: The Role of Child Maltreatment
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Family Protective Factors and Child Behavioral Health in Families Affected by Parental Substance Use Disorder and Child Maltreatment
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Impact on AFMs: Relationship
Sarno, M. D., Madeddu, F., & Pierro, R. D. (2025) · Sustainable development goals series · doi:10.1007/978-3-031-82583-5_6 · Cited by 1 · see citing works
Do Coping Strategies Modify the Association Between Experiencing Parental Alcohol Misuse and Symptoms of Depression, Anxiety and Alcohol Consumption? A Case–Control Study Among Young People From Deprived Urban Areas in Latin America
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Family-Based Intervention for Substance Using Parents: Experiences and Resource Use
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Parental Substance Use
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Identitätsentwicklung und Bewältigung weiterer Entwicklungsaufgaben bei Kindern alkoholkranker Eltern im Übergang zum Erwachsenenalter
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Familial Predictors of Alcohol and Drug Use-Related Problems Among Middle-Aged and Older Adults
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Psychiatric Approach toward Children of Alcoholics(COAs)
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Children of alcoholics: an update
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The Risk and Resistance Factors Influencing the Propensity Toward Alcoholism Among Children of Alcoholics: An Integrative Review of the Literature
Pierce, M. (2018) · Digital Commons-DePaul (DePaul University)

Authors: Park, S., & Schepp, K. G.
Affiliations: University of Washington (US)
Corresponding author: Park, Sihyun
ORCID: Park, Sihyun
Venue: Journal of Child and Family Studies
Publisher: Springer Science and Business Media LLC
Published: 2014-02-27
Volume: 24
Issue: 5
Pages: 1222-1231
ISSN: 1062-1024 (ISSN-L)
1573-2843
DOI: 10.1007/s10826-014-9930-7
OpenAlex: W2075332588
Cited by: 162
References: 80
Citations by year: 2026: 8 · 2025: 17 · 2024: 12 · 2023: 18 · 2022: 18 · 2021: 20 · 2020: 11 · 2019: 21 · 2018: 13 · 2017: 8 · 2016: 9 · 2015: 5 · 2014: 1 · 2012: 1
FWCI: 1.01
Type: journal article
Language: en
Open access: closed
Licence: www.springer.com/tdm (tdm)
Locations: Journal of Child and Family Studies (publishedVersion)
Topics: Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
Social Sciences › Psychology › Clinical Psychology › Child Abuse and Trauma
Social Sciences › Safety Research › Child Welfare and Adoption
Keywords: children of alcoholics, parental alcoholism, resilience, vulnerability, risk factors, protective factors, biological factors, depression, anxiety, suicidal ideation, substance abuse, interpersonal problems, child development, prevention interventions

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A Systematic Review of Research on Children of Alcoholics: Their Inherent Resilience and Vulnerability

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