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Longitudinal relations between parental drinking problems, family functioning, and child adjustment
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 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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“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.”
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Keller, P. S., El‐Sheikh, M., Keiley, M. K., & Liao, P. (2009) · Psychology of Addictive Behaviors · doi:10.1037/a0013459 · Cited by 38
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“…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).”
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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
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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
“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).”
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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
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BackgroundParental 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 28
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“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,…”
BackgroundPrevalence 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 22
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“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).”
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“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).”
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“…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).”
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“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).”
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“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.”
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“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).”
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“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).”
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“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…”
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Parental Problem Drinking is Associated with Children’s Adrenocortical Reactivity to Stress
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“…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).”
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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
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“King et al. (2010) reported similar results in a sample of 581 college students, finding that parental gambling problems predicted student gambling problems.”
BackgroundResultBuffering 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
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“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;…”
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“…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).”
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“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].”
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“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.”
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“Additionally, they more often experience behavioral problems and have a tendency to develop a mental disorder later in adolescence and adulthood (10).”
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White, W. L., Arria, A. M., & Moe, J. (2011) · Cited by 5
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
The Development of the Role Identification Scale for Adult Children of Alcoholic Fathers
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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
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
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
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
“Moreover, the link between parental problem drinking and children’s maladjustment is well established [3].”
BackgroundKeller, P. S., Widiger, T. A., & El‐Sheikh, M. (2022) · Child Psychiatry & Human Development · doi:10.1007/s10578-022-01340-9 · Cited by 6
“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].”
BackgroundMental 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
“, 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).”
BackgroundTrajectory-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
Play Therapy for Children of Alcoholics
Jacobus‐Kantor, L., & Emshoff, J. G. (2010) · Wiley eBooks · doi:10.1002/9781118269701.ch16 · Cited by 4
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
“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).”
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
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
“9 A community-based longitudinal study by Keller et al 14 yielded results similar to the previous studies.”
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
“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.”
Chau, S. L., Wu, Y. S., Wang, M. P., & Ho, S. Y. (2023) · Adolescents · doi:10.3390/adolescents3010013 · Cited by 3
“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].”
BackgroundThe 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
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
“Moreover, the link between parental problem drinking and children's maladjustment is well established [10].”
BackgroundTaber-Thomas, S. (2013) · doi:10.17077/etd.m8aac5is · Cited by 3
“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).”
ResultAdoptive 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
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
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
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
Metadata
- 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
- 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
- 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
- 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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