Longitudinal relations between parental drinking problems, family functioning, and child adjustment

Keller, PEGGY S.; Cummings, E. Mark; Davies, Patrick T.; Mitchell, Patricia M.

doi:10.1017/s0954579408000096

Cited by 131Child and Adolescent Psychosocial and Emotional DevelopmentSubstance Abuse Treatment and OutcomesFamily Dynamics and Relationships

Longitudinal relations between parental drinking problems, family functioning, and child adjustment

Keller, PEGGY S., Cummings, E. Mark, Davies, Patrick T., Mitchell, Patricia M.·2008·Development and Psychopathology

DOI 10.1017/s0954579408000096

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Abstract

Relations between maternal and paternal problem drinking symptoms and destructive marital conflict, parenting problems, and children's internalizing and externalizing problems were investigated. Participants were community families with a child in kindergarten who completed questionnaire measures at baseline (N=235), 1 year later (N=227), and 2 years later (N=215). Structural equation modeling revealed that paternal problem drinking at Time 1 was associated with greater destructive marital conflict 1 year later. In turn, destructive marital conflict was related to decreased parental warmth and increased parental psychological control; these parenting problems were associated with greater child internalizing and externalizing problems at the third time point. Further analyses revealed that the indirect effects of paternal drinking on children's adjustment were significant, and that relations remained even after including autoregressive effects. Findings are discussed in terms of family process models for relations between parental drinking and child adjustment problems.

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Both parent and youth family conflict differences between lower and higher risk families are strongly significant (p < 0.0001), and in the direction one would anticipate based on other work.
“Both of these differences are strongly significant (p < 0.0001), and in the direction one would anticipate based on a good deal of other work (e.g., Loukas et al., 2003; Keller et al., 2008; Marsiglia et al., 2009).”
From Assessment of culture and environment in the Adolescent Brain and Cognitive Development Study: Rationale, description of measures, and early data (2018) · cites this paper as Keller et al., 2008

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Early trajectories of interparental conflict and externalizing problems as predictors of social competence in preadolescence
Kouros, C., Cummings, E. M., & Davies, P. T. (2010) · Development and Psychopathology · doi:10.1017/s0954579410000258 · Cited by 113 · see citing works
Identifying and Determining the Symptom Severity Associated With Polyvictimization Among Psychiatrically Impaired Children in the Outpatient Setting
Ford, J. D., Wasser, T. D., & Connor, D. F. (2011) · Child Maltreatment · doi:10.1177/1077559511406109 · Cited by 111 · see citing works
Parental problem drinking and adolescent externalizing behaviors: The mediating role of family functioning
Finan, L. J., Schulz, J., Gordon, M. S., & Ohannessian, C. M. (2015) · Journal of Adolescence · doi:10.1016/j.adolescence.2015.05.001 · Cited by 101 · see citing works
Maternal personality and psychopathology as determinants of parenting behavior: A quantitative integration of two parenting literatures.
McCabe, J. E. (2013) · Psychological Bulletin · doi:10.1037/a0034835 · Cited by 91 · see citing works
Fathering in family context and child adjustment: A longitudinal analysis.
Schacht, P. M., Cummings, E. M., & Davies, P. T. (2009) · Journal of Family Psychology · doi:10.1037/a0016741 · Cited by 88 · see citing works
An upbringing with substance-abusing parents: Experiences of parentification and dysfunctional communication
Tedgård, E., Råstam, M., & Wirtberg, I. (2019) · Nordic Studies on Alcohol and Drugs · doi:10.1177/1455072518814308 · Cited by 86 · see citing works
The effect of the severity of parental alcohol abuse on mental and behavioural disorders in children
Raitasalo, K., Holmila, M. J., Jääskeläinen, M., & Santalahti, P. (2018) · European Child & Adolescent Psychiatry · doi:10.1007/s00787-018-1253-6 · Cited by 82 · see citing works
Parental substance abuse and risks to children’s safety, health and psychological development
Raitasalo, K., & Holmila, M. J. (2016) · Drugs Education Prevention and Policy · doi:10.1080/09687637.2016.1232371 · Cited by 66 · see citing works
Parental Problem Drinking and Adolescent Psychosocial Adjustment: The Mediating Role of Adolescent–Parent Communication
Ohannessian, C. M. (2012) · Journal of Research on Adolescence · doi:10.1111/j.1532-7795.2012.00791.x · Cited by 60 · see citing works
“The assessment of parental alcoholism in this manner is consistent with recent research (Keller et al., 2008; Krueger et al., 2004) that suggests that the severity of parental drinking should be taken into account when examining COA adjustment.”
Result
Pathways to Parental Knowledge: The Role of Family Process and Family Structure
Padilla‐Walker, L. M., Harper, J. M., & Bean, R. A. (2010) · The Journal of Early Adolescence · doi:10.1177/0272431610366246 · Cited by 50 · see citing works
Psychosocial adversity
Jenkins, J. M., Madigan, S. L., & Arseneault, L. (2015) · Wiley eBooks · doi:10.1002/9781118381953.ch26 · Cited by 46 · see citing works
Relations Between Parent Psychopathology, Family Functioning, and Adolescent Problems In Substance-Abusing Families: Disaggregating the Effects of Parent Gender
Burstein, M., Stanger, C., & Dumenci, L. (2012) · Child Psychiatry & Human Development · doi:10.1007/s10578-012-0288-z · Cited by 41 · see citing works
“Given the high propensity of males to display anger and physical aggression when affected by substances [58], some work has suggested that maternal substance use may cause less overt family distress than paternal substance use [21, 59].”
A Conceptual Model Predicting Internalizing Problems in Middle Childhood Among Children of Alcoholic and Nonalcoholic Fathers: The Role of Marital Aggression
Eiden, R. D., Molnar, D. S., Colder, C. R., Edwards, E. P., & Leonard, K. E. (2009) · Journal of Studies on Alcohol and Drugs · doi:10.15288/jsad.2009.70.741 · Cited by 41 · see citing works
Emotional Regulation in Adolescent Substance Use Disorders: Rethinking Risk
Siegel, J. P. (2014) · Journal of Child & Adolescent Substance Abuse · doi:10.1080/1067828x.2012.761169 · Cited by 40 · see citing works
Maternal heavy alcohol use and toddler behavior problems: a fixed effects regression analysis
Knudsen, A. K., Ystrøm, E., Skogen, J. C., & Torgersen, L. (2015) · European Child & Adolescent Psychiatry · doi:10.1007/s00787-015-0677-5 · Cited by 38 · see citing works
“Studies that have included the role of maternal heavy alcohol use have examined this in addition to heavy paternal alcohol use [11–13, 15], with equivocal findings in regard to whether maternal heavy alcohol use further increases the risk of adverse child outcomes.”
BackgroundInfluential
Longitudinal relations between marital aggression and alcohol problems.
Keller, P. S., El‐Sheikh, M., Keiley, M. K., & Liao, P. (2009) · Psychology of Addictive Behaviors · doi:10.1037/a0013459 · Cited by 38 · see citing works
Parental alcohol consumption and adult children's educational attainment
Mangiavacchi, L., & Piccoli, L. (2017) · Economics & Human Biology · doi:10.1016/j.ehb.2017.12.006 · Cited by 38 · see citing works
Family functioning and adolescent alcohol use: A moderated mediation analysis
Ohannessian, C. M., Flannery, K. M., Simpson, E. G., & Russell, B. S. (2016) · Journal of Adolescence · doi:10.1016/j.adolescence.2016.02.009 · Cited by 35 · see citing works
Self‐concept as a mechanism through which parental psychological control impairs empathy development from adolescence to emerging adulthood
Choe, S. Y., Lee, J. O., & Read, S. J. (2019) · Social Development · doi:10.1111/sode.12431 · Cited by 34 · see citing works
Alcoholism, associated risk factors, and harsh parenting among fathers: Examining the role of marital aggression
Finger, B., Kachadourian, L. K., Molnar, D. S., Eiden, R. D., Edwards, E. P., & Leonard, K. E. (2010) · Addictive Behaviors · doi:10.1016/j.addbeh.2009.12.029 · Cited by 33 · see citing works
Undergraduates’ Perceptions of Parental Relationship-Oriented Guilt Induction Versus Harsh Psychological Control
Rudy, D., Carlo, G., Lambert, M. C., & Awong, T. (2014) · Journal of Cross-Cultural Psychology · doi:10.1177/0022022114532354 · Cited by 32 · see citing works
“…of studies have assessed the construct of psychological control solely with items that reflect relationship-oriented guilt induction that emphasize children’s obligations to their parents (Aunola & Nurmi, 2004, 2005; Keller et al., 2008; Kernis et al., 2000; Rodgers, 1999; Rudy & Halgunseth, 2005).”
Background
The Impact of Parenting Styles on Adolescent Alcohol Use: The TRAILS Study
Leenke Visser, A., de Winter, A. F., Vollebergh, W., Verhulst, F. C., & Reijneveld, S. A. (2012) · European Addiction Research · doi:10.1159/000342558 · Cited by 32 · see citing works
Longitudinal Effects of Stressful Life Events on Problematic Smartphone Use and the Mediating Roles of Mental Health Problems in Chinese Undergraduate Students
Zhao, C., Ding, N., Yang, X., Xu, H., Lai, X., Tu, X., Lv, Y., Xu, D., & Zhang, G. (2021) · Frontiers in Public Health · doi:10.3389/fpubh.2021.752210 · Cited by 28 · see citing works
“Undergraduate students are faced with academic, lifestyle, and interpersonal pressures; thus, reducing the frequency and severity of stressful life events faced by undergraduate students early on could help to reduce future mental health problems (27, 29, 30, 34, 39).”
Background
Substance‐dependent women becoming mothers: breaking the cycle of adverse childhood experiences
Wiig, E. M., Haugland, B. S. M., Halsa, A., & Myhra, S. M. (2014) · Child & Family Social Work · doi:10.1111/cfs.12190 · Cited by 27 · see citing works
“This is in accordance with findings from earlier studies on the relationship between parental substance abuse and adverse childhood experiences (Keller et al. 2008; Felitti & Anda 2010).”
BackgroundResultInfluential
Physical and relational aggression in young children: the role of mother–child interactional synchrony
Ambrose, H., & Menna, R. (2012) · Early Child Development and Care · doi:10.1080/03004430.2012.669756 · Cited by 26 · see citing works
The extent and nature of family alcohol and drug use: findings from the belfast youth development study
Percy, A., Thornton, M., & McCrystal, P. (2008) · Child Abuse Review · doi:10.1002/car.1046 · Cited by 26 · see citing works
Maternal pre-pregnancy risk drinking and toddler behavior problems: the Norwegian Mother and Child Cohort Study
Knudsen, A. K., Skogen, J. C., Ystrøm, E., Sivertsen, B., Tell, G. S., & Torgersen, L. (2014) · European Child & Adolescent Psychiatry · doi:10.1007/s00787-014-0588-x · Cited by 26 · see citing works
“Thus, pre-pregnancy risk drinking behavior may be a predictor of child maladjustment independent of whether the mother ceases or continues her risk drinking behavior, through its association with other, potentially more pervasive risk factors for child maladjustment [11, 19, 20].”
Background
Prevalence and patterns of problematic alcohol use among Australian parents
Maloney, E. A., Hutchinson, D. M., Burns, L., & Mattick, R. P. (2010) · Australian and New Zealand Journal of Public Health · doi:10.1111/j.1753-6405.2010.00596.x · Cited by 26 · see citing works
“Alcohol use disorders among parents have consistently been linked to negative outcomes for children and family life, adversely affecting the home environment, parenting skills and parentchild relationships, raising levels of hostility, conflict and violence.(1-7) Additionally, the longer-term impacts of parental alcoh…”
Background
Parental alcohol use and risk of behavioral and emotional problems in offspring
Mahedy, L., Hammerton, G., Teyhan, A., Edwards, A. C., Kendler, K. S., Moore, S., Hickman, M., Macleod, J., & Heron, J. (2017) · PLoS ONE · doi:10.1371/journal.pone.0178862 · Cited by 25 · see citing works
Integration of Parenting Skills Education and Interventions in Addiction Treatment
Arria, A. M., Mericle, A. A., Rallo, D., Moe, J., White, W. L., Winters, K. C., & O'Connor, G. (2012) · Journal of Addiction Medicine · doi:10.1097/adm.0b013e318270f7b0 · Cited by 24 · see citing works
“…al., 2002), decreased levels of monitoring and supervision (Chassin et al., 1993), parent-child conflict (El-Sheikh and Flanagan, 2001), perception of less parental warmth (Barnow et al., 2002), inconsistent discipline (Dishion et al., 1999), and destructive marital conflict (Keller et al., 2008).”
Background
Parental Problem Drinking, Marital Aggression, and Child Emotional Insecurity: A Longitudinal Investigation
Keller, P. S., Gilbert, L. R., Koss, K. J., Cummings, E. M., & Davies, P. T. (2011) · Journal of Studies on Alcohol and Drugs · doi:10.15288/jsad.2011.72.711 · Cited by 23 · see citing works
The Effect of Family Factors on Intense Alcohol Use among European Adolescents: A Multilevel Analysis
Kask, K., Markina, A., & Podaná, Z. (2013) · Psychiatry Journal · doi:10.1155/2013/250215 · Cited by 23 · see citing works
“Parental problematic alcohol use may disrupt normal social processes within the family, leading to increased levels of family disruption, family and marital conflict, financial strain, family alcohol and drug use, inadequate parenting practices, and poorer outcomes for children [46–51].”
Background
A multiple baseline study of a brief alcohol reduction and family engagement intervention for fathers in Kenya.
Giusto, A. M., Green, E. P., Simmons, R., Ayuku, D., Patel, P., & Puffer, E. S. (2020) · Journal of Consulting and Clinical Psychology · doi:10.1037/ccp0000559 · Cited by 25 · see citing works
Paternal alcoholism, negative parenting, and the mediating role of marital satisfaction
Kachadourian, L. K., Eiden, R. D., & Leonard, K. E. (2009) · Addictive Behaviors · doi:10.1016/j.addbeh.2009.05.003 · Cited by 20 · see citing works
“Another limitation of the Keller et al. (2008) study is that it did not control for parents' co-occurring psychopathology, in particular depressive symptomatology, which is known to be positively associated with parental alcoholism (e.g., Eiden & Leonard, 2000; Homish, Leonard, & Kearns-Bodkin,…”
Background
Prevalence of Adverse Childhood Experiences (ACEs) among young adults of Kashmir
Dar, A. A., Deb, S., Malik, M. H., Khan, W., Haroon, A. P., Ahsan, A., Jahan, F., Sumaiya, B., Bhat, S. Y., Dhamodharan, M., et al. (2022) · Child Abuse & Neglect · doi:10.1016/j.chiabu.2022.105876 · Cited by 19 · see citing works
Longitudinal Predictors of Alcohol‐Related Harms During the Transition to Adulthood
Little, K., Hawkins, M. T., Sanson, A. V., O’Connor, M., Toumbourou, J. W., Smart, D., & Vassallo, S. (2013) · Australian Psychologist · doi:10.1111/j.1742-9544.2012.00095.x · Cited by 17 · see citing works
The impact of alcohol use disorders on family life: A review of the empirical literature.
Hutchinson, D. M., Mattick, R. P., Braunstein, D., Maloney, E. A., & Wilson, J. (2014) · Deakin Research Online (Deakin University) · Cited by 17 · see citing works
Three-variable systems: An integrative moderation and mediation framework for developmental psychopathology
Goldstein, B. L., Finsaas, M. C., Olino, T. M., Kotov, R., Grasso, D. J., & Klein, D. N. (2021) · Development and Psychopathology · doi:10.1017/s0954579421000493 · Cited by 16 · see citing works
Parental problem drinking and children’s sleep: The role of ethnicity and socioeconomic status.
Kelly, R. J., & El‐Sheikh, M. (2016) · Journal of Family Psychology · doi:10.1037/fam0000209 · Cited by 16 · see citing works
“Study findings are consistent with others that have found fathers’ problem drinking to have a more deleterious influence on children’s development (Keller et al., 2008).”
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
“opportunities for learning appropriate self-regulatory skills, therefore leaving children vulnerable to the development of externalizing difficulties across the lifespan (Keller et al. 2008; Ohannessian 2012).”
Drug Courts and the Facilitation of Turning Points
Messer, S., Patten, R., & Candela, K. (2016) · Contemporary Drug Problems · doi:10.1177/0091450916632545 · Cited by 15 · see citing works
Familienfunktionalität und familiäre Beziehungen im Perspektivenvergleich
Wiegand‐Grefe, S., Alberts, J., Petermann, F., & Plaß, A. (2016) · Kindheit und Entwicklung · doi:10.1026/0942-5403/a000192 · Cited by 14 · see citing works
Modeling Trajectories of Adolescent‐Perceived Family Conflict: Effects of Marital Dissatisfaction and Parental Alcoholism
Rothenberg, W. A., Hussong, A. M., & Chassin, L. (2016) · Journal of Research on Adolescence · doi:10.1111/jora.12259 · Cited by 14 · see citing works
“…between partners prospectively predict higher marital dissatisfaction scores across a 2-year period (Homish & Leonard, 2007), and that parental problem drinking prospectively predicts marital dysfunction one year later, even after controlling for earlier martial dysfunction (Keller et al., 2008).”
Background
Reciprocal Relations Between Parental Problem Drinking and Children's Sleep: The Role of Socioeconomic Adversity
Kelly, R. J., & El‐Sheikh, M. (2018) · Child Development · doi:10.1111/cdev.13074 · Cited by 14 · see citing works
“Of available findings, some have indicated that men’s PD compromises children’s development to a greater degree (Guttmannova et al., 2016; Keller et al., 2008), including in relation to sleep problems (Kelly & El-Sheikh, 2016).”
Background
Parental alcohol use, parenting, and child on‐time development
Guttmannova, K., Hemphill, S. A., Bailey, J. A., Hartigan, L. A., Small, C. M., & Hawkins, J. D. (2016) · Infant and Child Development · doi:10.1002/icd.2013 · Cited by 14 · see citing works
“While mothers' and fathers' drinking behavior (e.g., Eiden et al., 2002; Keller et al., 2005) and their parenting skills (e.g., Eiden et al., 2002, Keller et al., 2008) have been shown to be positively related, these relationships are not perfect.”
BackgroundMethod
Lifetime and intergenerational experiences of homelessness in Australia
Flatau, P., Conroy, E., Spooner, C., Edwards, R., Eardley, T., & Forbes, C. (2013) · UWA Profiles and Research Repository (UWA) · Cited by 14 · see citing works
Rescue the child or treat the adult? Understandings among professionals in dual treatment of substance-use disorders and parenting
Wiig, E. M., Halsa, A., Bramness, J. G., Myra, S. M., & Haugland, B. S. M. (2018) · Nordic Studies on Alcohol and Drugs · doi:10.1177/1455072518773615 · Cited by 12 · see citing works
“More generally, dysfunctional parenting has been found to affect child outcome in families with parental SUD (Anda et al., 2006; Keller, Cummings, Davies, & Mitchell, 2008).”
Growing Up in Ireland
McNamara, E., Murray, A., & Williams, J. M. (2019) · Longitudinal and Life Course Studies · doi:10.1332/175795919x15699445254797 · Cited by 12 · see citing works
Disorders of cognitive and emotional development in children of mothers with substance abuse and psychiatric disorders
Ranta, J., & Raitasalo, K. (2015) · Nordic Studies on Alcohol and Drugs · doi:10.1515/nsad-2015-0056 · Cited by 11 · see citing works
“These results are in line with those of pre- vious studies on the relationship between maternal substance abuse and mental health problems and psychiatric disorders in children (Jacob & Windle, 2000; Pulkkinen, 2006; Keller & Cummings, 2008; Pitkänen, Kokko, Lyyra, & Pulkkinen, 2008).”
BackgroundResult
Stress-Induced Drinking in Parents of Boys with Attention-Deficit-Hyperactivity Disorder: Heterogeneous Groups in an Experimental Study of Adult-Child Interactions
Kashdan, T. B., Adams, L. M., Kleiman, E. M., Pelham, W. E., & Lang, A. R. (2013) · Research on Child and Adolescent Psychopathology · doi:10.1007/s10802-013-9735-y · Cited by 10 · see citing works
Interventions to build resilience in children of problem drinkers
McLaughlin, A., Macdonald, G. M., Livingstone, N., & McCann, M. (2014) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd011237 · Cited by 10 · see citing works
Childhood adversity increases risk of psychotic experiences in patients with substance use disorder
Bórquez, I., Núñez, J. V., Dupré, S., Undurraga, E. A., Crossley, N. A., & Undurraga, J. P. (2022) · Psychiatry Research · doi:10.1016/j.psychres.2022.114733 · Cited by 9 · see citing works
Problemas Psicológicos e Psicodinâmicos de crianças e adolescentes obesos: relato de pesquisa
Andrade, T. D. M., de Moraes, D. E. B., & Ancona-Lopez, F. (2014) · Psicologia Ciência e Profissão · doi:10.1590/s1414-98932014000100010 · Cited by 9 · see citing works
Self-reported aggressive and antisocial behaviors in Moroccan high school students
Zouini, B., Senhaji, M., & Kerekes, N. (2019) · Psihologija · doi:10.2298/psi181225001z · Cited by 9 · see citing works
Teen Dating Violence in a High-Risk Sample: The Protective Role of Maternal Acceptance
Livingston, J. A., Lessard, J., Casey, M., Leonard, K. E., & Eiden, R. D. (2019) · Journal of Interpersonal Violence · doi:10.1177/0886260519880165 · Cited by 8 · see citing works
“Paternal drinking problems tend to be more common and more severe than maternal drinking, and when mothers do have alcohol problems, it is usually in conjunction with father’s alcohol problems, making it difficult to tease out the unique effects of mother’s alcohol problems on child outcomes (Edwards, Eiden, & Leonard…”
BackgroundInfluential
The Unique Effects of Parental Alcohol and Affective Disorders, Parenting, and Parental Negative Affect on Adolescent Maladjustment
Haller, M. M., & Chassin, L. (2011) · Merrill-palmer Quarterly · doi:10.1353/mpq.2011.0014 · Cited by 9 · see citing works
Parental Problem Drinking is Associated with Children’s Adrenocortical Reactivity to Stress
Keller, P. S., Granger, D. A., Tyler, J., Gilbert, L. R., Haak, E. A., & Bi, S. (2015) · Journal of Child and Family Studies · doi:10.1007/s10826-015-0118-6 · Cited by 8 · see citing works
Comparing policies for children of parents attending hospital emergency departments after intimate partner violence, substance abuse or suicide attempt
van Konijnenburg, E. M. M. H., Diderich, H. M., Teeuw, A. H., Velderman, M. K., Oudesluys‐Murphy, A. M., van der Lee, J. H., Biezeveld, M. H., Brilleslijper‐Kater, S. N., Edelenbos, E., Flapper, B. C. T., et al. (2015) · Child Abuse & Neglect · doi:10.1016/j.chiabu.2015.11.012 · Cited by 9 · see citing works
A LONGITUDINAL EXAMINATION OF TODDLERS’ BEHAVIORAL CUES AS A FUNCTION OF SUBSTANCE-ABUSING MOTHERS’ DISENGAGEMENT
Rasmussen, H. F., Borelli, J. L., DeCoste, C. L., & Suchman, N. E. (2016) · Infant Mental Health Journal · doi:10.1002/imhj.21552 · Cited by 8 · see citing works
“…factors related to in utero exposure to substances, there also is clear evidence that environmental factors (i.e., parenting) play an important role in determining child outcomes (Chassin, Curran, Hussong, & Colder, 1996; Keller, Cummings, & Davies, 2005; Keller et al., 2008; Mayes & Truman, 2002).”
Background
School Adjustment and Substance Use in Early Adolescent Boys: Association With Paternal Alcoholism With and Without Dad in the Home
Carbonneau, R., Vitaro, F., & Tremblay, R. E. (2017) · The Journal of Early Adolescence · doi:10.1177/0272431617708054 · Cited by 8 · see citing works
Longitudinal Associations Between Life Events, Hope, Life Satisfaction, Happiness, and Depressive Symptoms
Arslan, G., Jarden, A., Yıldırım, M., Jarden, R., & Silapurem, L. (2025) · Cognitive Therapy and Research · doi:10.1007/s10608-025-10630-0 · Cited by 7 · see citing works
The physical and developmental outcomes of children whose mothers are substance abusers: Analysis of associated factors and the impact of early intervention
Cheng, A. W.-F., Chan, H. B., Ip, L. S., Wan, K. K.-Y., Yu, E. L. M., Chiu, W. K., Chung, P. H., & Yeoh, E. (2022) · Frontiers in Pediatrics · doi:10.3389/fped.2022.1004890 · Cited by 7 · see citing works
Recreational gamblers with and without parental addiction
Schreiber, L. R. N., Odlaug, B. L., & Grant, J. E. (2012) · Psychiatry Research · doi:10.1016/j.psychres.2011.12.019 · Cited by 7 · see citing works
“King et al. (2010) reported similar results in a sample of 581 college students, finding that parental gambling problems predicted student gambling problems.”
BackgroundResult
Buffering the negative effects of maternal alcohol problems on child behavior.
Conners‐Burrow, N. A., McKelvey, L. M., Pemberton, J. R., Mesman, G. R., Holmes, K. J., & Bradley, R. H. (2015) · Journal of Family Psychology · doi:10.1037/fam0000121 · Cited by 7 · see citing works
Psychosocial problems of children whose parents visit the emergency department due to intimate partner violence, substance abuse or a suicide attempt
van Konijnenburg, E. M. M. H., van der Lee, J. H., Teeuw, A. H., Lindeboom, R., Brilleslijper‐Kater, S. N., Sieswerda‐Hoogendoorn, T., van Goudoever, J. B., Lindauer, R., & on behalf of the aftERcare‐group (2016) · Child Care Health and Development · doi:10.1111/cch.12419 · Cited by 7 · see citing works
“Other risk factors for child maltreatment include parental substance (Chassin et al. 1999; Walsh et al. 2003; Dunn et al. 2002; Keller et al. 2008; Kuperman et al. 1999; Chaffin et al. 1996) and psychiatric problems of parents, such as maternal depression (Walsh et al. 2002; Chaffin et al. 1996;…”
Background
Using latent transition analysis to evaluate the impact of perceived threats on emotional and behavioral development
Conley, M. I., Dinc, E. N., Xiang, Z., & Baskin-sommers, A. R. (2024) · Child Development · doi:10.1111/cdev.14138 · Cited by 7 · see citing works
“…research showing that adolescents perceive family conflict to be higher in families with parental mental health and substance use problems, low inter-adult relationship satisfaction, and family member legal system involvement (Aaron & Dallaire, 2010; Keller et al., 2008; Rothenberg et al., 2017).”
Background
Changes in, and factors associated with family functioning: results of four cross-sectional household surveys from 2011 to 2017 in Hong Kong
Lo, C. K. M., Chen, Q., Chen, M., Chan, K. L., & Ip, P. (2024) · BMC Public Health · doi:10.1186/s12889-024-17643-6 · Cited by 11 · see citing works
“In the study of children and adolescents, there has been mounting evidence supporting the relationship between family functioning and various outcomes such as children and youth’s substance use [6], internalizing and externalizing behaviors [7, 8], depression [9], and risk of maltreatment [10].”
Background
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
“Of note, assessing alcohol use continuously is in line with research (e.g., Helzer et al., 2006; Keller et al., 2008; Krueger et al., 2004) that has indicated that the severity of parental drinking should be considered when examining youth psychosocial adjustment.”
The interactive effect of paternal problem drinking and maternal problem drinking on adolescent internalizing problems
Ohannessian, C. M. (2015) · Addictive Behaviors · doi:10.1016/j.addbeh.2015.06.011 · Cited by 6 · see citing works
Intergeneration Transmission of Violence in Forensic Patients With a Diagnosis of Schizophrenia and Psychosis: Was Parental Alcoholic Abuse a Significant Factor?
Petrovic, M., & Stevović, L. I. (2021) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2021.765279 · Cited by 5 · see citing works
“Additionally, they more often experience behavioral problems and have a tendency to develop a mental disorder later in adolescence and adulthood (10).”
Background
Parenting in the Context of Addiction Recovery: Critical Research Questions
White, W. L., Arria, A. M., & Moe, J. (2011) · Cited by 5 · see citing works
Fatherhood, Substance Use, and Early Child Development
McMahon, T. J. (2020) · Springer eBooks · doi:10.1007/978-3-030-51027-5_36 · Cited by 5 · see citing works
The Development of the Role Identification Scale for Adult Children of Alcoholic Fathers
Suneel, I., Mahmood, Z., & Saleem, S. (2014) · Cited by 5 · see citing works
Status of the Children of Fishing Community of Southern India: an Empirical Study
Dhamodharan, M., Sunny, A. M., & Deb, S. (2021) · International Journal on Child Maltreatment Research Policy and Practice · doi:10.1007/s42448-021-00099-1 · Cited by 4 · see citing works
Sex differences in alcohol use patterns and related harms: A mixed-methods, cross-sectional study of men and women in northern Tanzania
McNee, M., Badrinarayanan, N., Strand, E., Rocha, T. A. H., Peter, T. A., Sawe, Y., Tupetz, A., França, D. G., Boshe, J., Vissoci, J. R. N., et al. (2024) · PLOS Global Public Health · doi:10.1371/journal.pgph.0003942 · Cited by 4 · see citing works
Fortalezas externas y consumo de alcohol en adolescecentes
Palos, P. A., Sánchez-Xicoténcatl, C. O., Demetrio, N. M., González-González, A., & Ocampo, D. B. (2014) · Psicología Iberoamericana · doi:10.48102/pi.v23i2.115 · Cited by 4 · see citing works
Perceptions of problem-drinker patients’ family members about their own hazardous-drinking behaviours in Chinese general hospitals: a qualitative study
Lin, C.-C., Tsai, Y., Yeh, W., Kao, J., & Chen, C.-Y. (2017) · BMC Psychiatry · doi:10.1186/s12888-017-1348-5 · Cited by 4 · see citing works
“Moreover, the link between parental problem drinking and children’s maladjustment is well established [3].”
Background
Parental Problem Drinking and Maladaptive Personality Features in Children: The Role of Marital Conflict
Keller, P. S., Widiger, T. A., & El‐Sheikh, M. (2022) · Child Psychiatry & Human Development · doi:10.1007/s10578-022-01340-9 · Cited by 4 · see citing works
“Even in community samples, symptoms of problem drinking are related to increases in destructive conflict over time, which plays an important role in associations between PPD and mental health issues in children [30, 31].”
Background
Mental Health Symptoms and Parenting Among Father-Only and Dual Substance Use Disorder Couples
Kelley, M. L., Bravo, A. J., Braitman, A. L., Price, R. A., & White, T. D. (2016) · Journal of Family Issues · doi:10.1177/0192513x16680014 · Cited by 4 · see citing works
“, 2015; Keller, Cummings, Davies, & Mitchell, 2008), more use of psychological control with children (Keller et al., 2008), and less knowledge of their children (Bountress, Chassin, & Lemery-Chalfant, 2017).”
Background
Trajectory-based methods in clinical psychology: A person centred narrative approach
O’Connor, K. P., Robert, M., Pérodeau, G., & Séguin, M. (2015) · New Ideas in Psychology · doi:10.1016/j.newideapsych.2015.06.001 · Cited by 4 · see citing works
Play Therapy for Children of Alcoholics
Jacobus‐Kantor, L., & Emshoff, J. G. (2010) · Wiley eBooks · doi:10.1002/9781118269701.ch16 · Cited by 4 · see citing works
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
“Prospective investigations in middle childhood have, for example, showcased that parental alcohol use led to elevated marital conflict which in turn led to maladaptive parenting behaviors, such as decreased parental warmth (Keller et al., 2005, 2008).”
Moralentwicklung
Siegler, R. S., Eisenberg, N., DeLoache, J. S., & Saffran, J. R. (2016) · Springer eBooks · doi:10.1007/978-3-662-47028-2_14 · Cited by 3 · see citing works
Association between Parent-Reported Executive Functions and Self-Reported Emotional Problems among Adolescent Offspring of Fathers with Alcohol-Dependence
Nattala, P., Kishore, M. T., Murthy, P., Christopher, R., Veerabathini, J. S., & Sumegha, S. (2022) · Journal of Neurosciences in Rural Practice · doi:10.1055/s-0042-1745820 · Cited by 3 · see citing works
“9 A community-based longitudinal study by Keller et al 14 yielded results similar to the previous studies.”
Perceived Pubertal Timing and Deviant Peer Processes Predicting Substance Use Initiation: The Moderating Role of Impulsiveness
Wasserman, A. M., Karns‐Wright, T. E., Mathias, C. W., MOON, T., Hill‐Kapturczak, N., & Dougherty, D. M. (2023) · The Journal of Early Adolescence · doi:10.1177/02724316231204369 · Cited by 3 · see citing works
“Parents with a substance use disorder may be unable to adapt their parenting to meet the needs of their child (Keller et al., 2008); for example, increase monitoring efforts to reduce the likelihood that their child af ﬁ liates with deviant peers.”
Associations of Passive Drinking with Perceived Health Status, Mental Health, and Family Wellbeing in Hong Kong Chinese Adolescents: A Cross-Sectional Study
Chau, S. L., Wu, Y. S., Wang, M. P., & Ho, S. Y. (2023) · Adolescents · doi:10.3390/adolescents3010013 · Cited by 3 · see citing works
“Parents drinking in front of their children at home had a higher risk of physical assault and sexual abuse on family members compared with non-drinking parents and was associated with poorer family relations [13,14].”
Background
The Effects of Family Factors on Alcohol Consumption in Three East-European Countries
Markina, A., & Kask, K. (2013) · Journal of Contemporary Criminal Justice · doi:10.1177/1043986212470886 · Cited by 3 · see citing works
Hazardous drinking problems in family members of problem-drinker patients in Chinese general hospitals
Tsai, Y., Chen, C.-Y., Lin, Y., Tsai, M., & Weng, C. (2012) · General Hospital Psychiatry · doi:10.1016/j.genhosppsych.2012.06.003 · Cited by 3 · see citing works
“Moreover, the link between parental problem drinking and children's maladjustment is well established [10].”
Background
Children's reports of deficient parenting and the prediction of concurrent and disruptive behavior problems
Taber-Thomas, S. (2013) · doi:10.17077/etd.m8aac5is · Cited by 3 · see citing works
“Of note, only 15% of the sample scored in the borderline or clinically significant range on the CBCL Aggressive Behavior subscale, which is lower than what has been reported in other community samples (e.g., Keller et al., 2008).”
Result
Adoptive family contexts of adolescent and adult adjustment: Dyadic and systemic approaches.
Hogan, C. M., Grotevant, H. D., & Wang, D. (2023) · Journal of Family Psychology · doi:10.1037/fam0001170 · Cited by 2 · see citing works
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
Parental alcohol use and the level of child protection response in Australia (2012–21)
Smit, K., Rintala, J., Riordan, B. C., Lee, K. S., & Laslett, A. (2024) · Addiction · doi:10.1111/add.16677 · Cited by 2 · see citing works
Developmental Perspectives on the Treatment of Childhood Conduct Problems
Hawes, D. J. (2011) · Pragmatic Case Studies in Psychotherapy · doi:10.14713/pcsp.v7i3.1099 · Cited by 2 · see citing works

The role of marital discord and parenting in relations between parental problem drinking and child adjustment
Keller, P. S., Cummings, E. M., & Davies, P. T. (2005) · Journal of Child Psychology and Psychiatry · doi:10.1111/j.1469-7610.2004.00399.x · Cited by 62 · see citing works
Parenting and Marital Functioning as Possible Mediators between Parental Problem Drinking and Child Adjustment
Keller, P. S. (2022) · Figshare · doi:10.7274/xs55m903800
Parental problem drinking and children’s adjustment: family conflict and parental depression as mediators and moderators of risk
El-Sheikh, M., & Flanagan, E. (2001) · Journal of Abnormal Child Psychology · doi:10.1023/a:1010447503252 · Cited by 109 · see citing works
The interactive effect of paternal problem drinking and maternal problem drinking on adolescent internalizing problems
Ohannessian, C. M. (2015) · Addictive Behaviors · doi:10.1016/j.addbeh.2015.06.011 · Cited by 6 · see citing works
Factors mediating problem drinking and mothers' personal adjustment.
Dumka, L. E., & Roosa, M. W. (1993) · Journal of Family Psychology · doi:10.1037/0893-3200.7.3.333 · Cited by 12 · see citing works

Authors: Keller, P. S., Cummings, E. M., Davies, P. T., & Mitchell, P. M.
Affiliations: University of Notre Dame (US)
University of Rochester (US)
Corresponding author: Cummings, E. Mark
ORCID: Keller, PEGGY S.
Cummings, E. Mark
Davies, Patrick T.
Venue: Development and Psychopathology
Publisher: Cambridge University Press (CUP)
Published: 2008
Volume: 20
Issue: 1
Pages: 195-212
ISSN: 0954-5794 (ISSN-L)
1469-2198
DOI: 10.1017/s0954579408000096
OpenAlex: W2134066676
Cited by: 131
References: 99
Citations by year: 2026: 5 · 2025: 2 · 2024: 6 · 2023: 6 · 2022: 6 · 2021: 8 · 2020: 4 · 2019: 5 · 2018: 5 · 2017: 6 · 2016: 13 · 2015: 13 · 2014: 11 · 2013: 9 · 2012: 13
FWCI: 6.70
Type: journal article
Language: en
Open access: closed
Licence: www.cambridge.org/core/terms (unspecified, 22 d)
Locations: Development and Psychopathology (publishedVersion)
PubMed (publishedVersion)
Topics: Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
Social Sciences › Demography › Family Dynamics and Relationships
Keywords: parental alcoholism, paternal alcohol use, maternal alcohol use, parenting challenges, parental warmth, psychological control, child internalizing problems, child externalizing problems, child adjustment, family functioning, kindergarten children, longitudinal associations
MeSH terms: Aggression, Alcoholism, Anxiety, Child, Child Behavior Disorders, Child, Preschool, Depression, Father-Child Relations, Female, Humans, Internal-External Control, Longitudinal Studies, Male, Mother-Child Relations, Parent-Child Relations, Personality Assessment, Personality Development, Surveys and Questionnaires, Sex Factors, Social Adjustment, Socialization, Models, Statistical, Comorbidity, Child of Impaired Parents, Parenting, Family Conflict

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Longitudinal relations between parental drinking problems, family functioning, and child adjustment

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