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Cited by 97Child Abuse and TraumaChild Welfare and AdoptionIntimate Partner and Family Violence

Does parental substance use always engender risk for children? Comparing incidence rate ratios of abusive and neglectful behaviors across substance use behavior patterns

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Kepple, Nancy J.·2018·Child Abuse & Neglect
DOI 10.1016/j.chiabu.2017.09.015
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Abstract

Parental substance use disorder (SUD) is associated with an added risk for child abuse and neglect, but less is understood about how a range of parental use behaviors is associated with differential maltreatment frequencies. This study used the National Survey of Child and Adolescent Well-Being (NSCAW I) to create categories for parental substance use behaviors that are conceptually associated with varying levels of substance-related impairments. The study sample was composed of 2100 parents of children ages 2-17 years from Wave 4 data collection. Weighted negative binomial regression models assessed the relationship between substance use behavior patterns and maltreatment frequencies by type. Behavior patterns defined by some form of past year substance use were associated with a higher frequency of physical or emotional abuse compared to non-users. In contrast, only past year SUD was associated with a higher frequency of neglect compared to other categories. In sum, the relationship between substance use and maltreatment frequencies differed for abuse and neglect, suggesting different pathways may be underlying these observed relationships.

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  • Children raised in environments where substance abuse is prevalent are at increased risk of developing psychological, emotional, and behavioral problems.

    “children raised in environments where substance abuse is prevalent are at an increased risk of developing psychological, emotional, and behavioral problems”

    From How Parental Substance Abuse Affects Family Functioning and Child Psychological Health (2024) · cites this paper as Kepple, 2018

  • Intergenerational transmission of substance abuse is influenced not solely by genetic predispositions but also by environmental and psychosocial factors, including parental modeling and absence of nurturing care.

    “This intergenerational transmission is not solely due to genetic predispositions but is also influenced by environmental and psychosocial factors, including parental modeling and the absence of nurturing care”

    From How Parental Substance Abuse Affects Family Functioning and Child Psychological Health (2024) · cites this paper as Kepple, 2018

  • Children of substance-abusing parents are more likely to develop mental health disorders such as depression, anxiety, and PTSD due to the chaotic and unpredictable environment.

    “these children are more likely to develop mental health disorders, such as depression, anxiety, and post-traumatic stress disorder (PTSD), due to the chaotic and unpredictable environment in which they grow up”

    From How Parental Substance Abuse Affects Family Functioning and Child Psychological Health (2024) · cites this paper as Kepple, 2018

  • Children of substance-abusing parents are more likely to develop substance use disorders themselves in adulthood.

    “children of substance-abusing parents are more likely to develop substance use disorders themselves in adulthood”

    From How Parental Substance Abuse Affects Family Functioning and Child Psychological Health (2024) · cites this paper as Kepple, 2018

  • The lack of emotional support in households with substance abuse can create a void that children attempt to fill through unhealthy behaviors such as substance abuse, risky sexual behaviors, and other forms of self-destructive behavior.

    “the lack of emotional support in these households can create a void that children attempt to fill through unhealthy behaviors such as substance abuse, risky sexual behaviors, and other forms of self-destructive behavior”

    From How Parental Substance Abuse Affects Family Functioning and Child Psychological Health (2024) · cites this paper as Kepple, 2018

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Authors
Kepple, N. J.
Affiliations
University of Kansas (US)
Corresponding author
Kepple, Nancy J.
ORCID
Kepple, Nancy J.
Venue
Child Abuse & Neglect
Publisher
Elsevier BV
Published
2018-02
Volume
76
Pages
44-55
ISSN
0145-2134 (ISSN-L)
DOI
10.1016/j.chiabu.2017.09.015
OpenAlex
W2761124568
Cited by
95
References
65
Citations by year
2026: 10 · 2025: 15 · 2024: 7 · 2023: 8 · 2022: 13 · 2021: 11 · 2020: 8 · 2019: 21 · 2018: 1 · 2017: 1
FWCI
10.51
Type
journal article
Language
en
Open access
Licence
Locations
  • Child Abuse & Neglect (publishedVersion)
  • PubMed (publishedVersion)
  • KU ScholarWorks (University of Kansas) (submittedVersion, other-oa)
Funders
Ruth L. Kirschstein NRSA Pre-Doctoral (5T32-DA-727219)
Topics
  • Social Sciences › Psychology › Clinical Psychology › Child Abuse and Trauma
  • Social Sciences › Safety Research › Child Welfare and Adoption
  • Social Sciences › Health › Intimate Partner and Family Violence
Keywords
parental substance use, child abuse, child neglect, substance use disorders, physical abuse, emotional abuse, neglect, child and adolescent well-being
MeSH terms
Adolescent, Adult, Aged, Alcohol Drinking, Child, Child Abuse, Child Welfare, Child, Preschool, Female, Humans, Male, Middle Aged, Parents, Risk Factors, Incidence, Child of Impaired Parents, Substance-Related Disorders, Young Adult

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