Emotional Availability, Neuropsychological Functioning, and Psychopathology: The Context of Parental Substance Use Disorder
Open accessAbstract
Parental Substance Use Disorder (SUD) constitutes a high-risk condition for parent-child interactions and child development. Empirical evidence indicates high rates of psychopathology and neuropsychological impairments in individuals with SUD. Despite research indicating that parenting skills are related to psychological well-being and cognitive/neuropsychological functioning, prior studies have not examined the associations between these areas of parental functioning and the quality of parent-child interactions in the context of SUD. Aim(s). The present study adopts an integrated perspective to investigate the way in which maternal neuropsychological functioning and psychopathology are associated with mother-child emotional availability (EA), in the context of parental Substance Use Disorder. Methods. Twenty-nine mothers with SUD were assessed in interaction with their children, as well as with respect to their neuropsychological functioning and psychopathology. Results. In this group, high rates of maternal neuropsychological impairments and psychopathology, as well as generally low levels of EA, were uncovered. Regression analyses showed that maternal neuropsychological functioning was significantly associated with mother-child EA, specifically sensitivity; the role of maternal psychopathology, however, was only marginally significant. Conclusion. In the context of SUD, maternal neuropsychological impairments are significantly associated with mother-child EA. Clinical implications of the findings are discussed.
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
In mothers with substance use disorders, anxious-insecure attachment patterns may lead to difficulties when interacting with their children.
“In particular in mothers with SUDs, anxious-insecure attachment patterns (45, 46) may lead to difficulties when interacting with their children (e.g., inconsistency in the ability to perceive and respond to babies’ signals) (47).”
From Mothering, Substance Use Disorders and Intergenerational Trauma Transmission: An Attachment-Based Perspective (2019) · cites this paper as [47]
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
The self-check needs the paper’s full text.
Cites
Cohen, J. (1992) · Current Directions in Psychological Science · doi:10.1111/1467-8721.ep10768783 · Cited by 5,870 · see citing works
Do multiple outcome measures require p-value adjustment?
Feise, R. J. (2002) · BMC Medical Research Methodology · doi:10.1186/1471-2288-2-8 · Cited by 1,299 · see citing works
Snyder, H. R., Miyake, A., & Hankin, B. L. (2015) · Frontiers in Psychology · doi:10.3389/fpsyg.2015.00328 · Cited by 946 · cited 1× · see citing works
“We included variables of both psychopathology and neuropsychological functioning based on the extant literature highlighting significant associations between these two domains [70].”
MethodLai, H. M. X., Cleary, M., Sitharthan, T., & Hunt, G. E. (2015) · Drug and Alcohol Dependence · doi:10.1016/j.drugalcdep.2015.05.031 · Cited by 941 · see citing works
Conway, K. P., Compton, W., Stinson, F. S., & Grant, B. F. (2006) · The Journal of Clinical Psychiatry · doi:10.4088/jcp.v67n0211 · Cited by 934 · cited 1× · see citing works
“Individuals with SUD often report symptoms in additional areas of psychopathology, suggesting that there is significant comorbidity of substance use with other areas of dysfunction [31, 32].”
BackgroundThe comorbidity of depression and substance use disorders
Swendsen, J. (2000) · Clinical Psychology Review · doi:10.1016/s0272-7358(99)00026-4 · Cited by 632 · see citing works
Emotional availability: Conceptualization and research findings.
Biringen, Z. (2000) · American Journal of Orthopsychiatry · doi:10.1037/h0087711 · Cited by 338 · cited 1× · see citing works
“Parenting behaviors are guided both by one’s past experiences as a child and by actual experiences with the baby, which are observed during everyday interactions [5].”
BackgroundSelf-citationSuchman, N. E., DeCoste, C., Castiglioni, N., McMahon, T. J., Rounsaville, B., & Mayes, L. (2010) · Attachment & Human Development · doi:10.1080/14616734.2010.501983 · Cited by 218 · see citing works
Trait impulsivity and prefrontal gray matter reductions in cocaine dependent individuals
Moreno-López, L., Catena, A., Fernández-Serrano, M. J., Delgado-Rico, E., Stamatakis, E. A., Pérez-García, M., & Verdejo-García, A. (2012) · Drug and Alcohol Dependence · doi:10.1016/j.drugalcdep.2012.02.012 · Cited by 203 · see citing works
Rutherford, H. J. V., Williams, S. K., Moy, S., Mayes, L. C., & Johns, J. M. (2011) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2011.00037 · Cited by 140 · see citing works
Berlin, L. J., Shanahan, M., & Appleyard Carmody, K. (2014) · Infant Mental Health Journal · doi:10.1002/imhj.21427 · Cited by 67 · see citing works
Flagged first, then by citations
Research works printed but not linked: 54
- [1]Ainsworth M. D. S. Maternal sensitivity scales Journal of Power Sources 1969 6 1379 1388
- [2]Biringen Z. Robinson J. Emotional availability in mother‐child interactions: a reconceptualization for Research American Journal of Orthopsychiatry 1991 61 2 258 271 10.1037/h0079238 2-s2.0-0025896433 2048641 · DOI
- [6]Belsky J. The determinants of parenting: a process model. Child Development 1984 55 1 83 96 2-s2.0-0021383026 10.1111/j.1467-8624.1984.tb00275.x 6705636 · DOI
- [7]Murray L. Fearon P. Cooper P. Identifying Perinatal Depression and Anxiety 2015 Chichester, UK John Wiley Sons, Ltd
- [8]Nicol-Harper R. Harvey A. G. Stein A. Interactions between mothers and infants: Impact of maternal anxiety Infant Behavior & Development 2007 30 1 161 167 2-s2.0-33846827342 10.1016/j.infbeh.2006.08.005 17292789 PMC2791845 · DOI
- [9]Bridgett D. J. Gartstein M. A. Putnam S. P. Emerging effortful control in toddlerhood: The role of infant orienting/regulation, maternal effortful control, and maternal time spent in caregiving activities Infant Behavior & Development 2011 34 1 189 199 2-s2.0-79451473829 10.1016/j.infbeh.2010.12.008 21186061 · DOI
- [10]Deater-Deckard K. Sewell M. D. Petrill S. A. Thompson L. A. Maternal working memory and reactive negativity in parenting Psychological Science 2010 21 1 75 79 2-s2.0-77951275852 10.1177/0956797609354073 20424026 PMC2861800 · DOI
- [11]Pennington B. F. Ozonoff S. Executive functions and developmental psychopathology Journal of Child Psychology and Psychiatry 1996 37 1 51 87 10.1111/j.1469-7610.1996.tb01380.x 2-s2.0-0029996407 8655658 · DOI · Paper page
- [12]Miller E. K. Cohen J. D. An integrative theory of prefrontal cortex function Annual Review of Neuroscience 2001 24 167 202 2-s2.0-0034928713 10.1146/annurev.neuro.24.1.167 11283309 · DOI · Paper page
- [13]Bridgett D. J. Burt N. M. Edwards E. S. Deater-Deckard K. Intergenerational transmission of self-regulation: A multidisciplinary review and integrative conceptual framework Psychological Bulletin 2015 141 3 602 654 2-s2.0-84927150978 10.1037/a0038662 25938878 PMC4422221 · DOI
- [14]Crandall A. Deater-Deckard K. Riley A. W. Maternal emotion and cognitive control capacities and parenting: A conceptual framework Developmental Review 2015 36 105 126 2-s2.0-84929958374 10.1016/j.dr.2015.01.004 26028796 PMC4445866 · DOI
- [15]Chico E. Gonzalez A. Ali N. Steiner M. Fleming A. S. Executive function and mothering: Challenges faced by teenage mothers Developmental Psychobiology 2014 56 5 1027 1035 2-s2.0-84901696771 10.1002/dev.21185 24523069 · DOI
- [16]Gonzalez A. Jenkins J. M. Steiner M. Fleming A. S. Maternal early life experiences and parenting: The mediating role of cortisol and executive function Journal of the American Academy of Child and Adolescent Psychiatry 2012 51 7 673 682 2-s2.0-84862647767 10.1016/j.jaac.2012.04.003 22721590 · DOI · Paper page
- [17]Dvir Y. Ford J. D. Hill M. Frazier J. A. Childhood maltreatment, emotional dysregulation, and psychiatric comorbidities Harvard Review of Psychiatry 2014 22 3 149 161 2-s2.0-84902169068 10.1097/HRP.0000000000000014 24704784 PMC4091823 · DOI · Paper page
- [18]Rutherford H. J. V. Booth C. R. Crowley M. J. Mayes L. C. Investigating the relationship between working memory and emotion regulation in mothers Journal of Cognitive Psychology 2016 28 1 52 59 2-s2.0-84952714374 10.1080/20445911.2015.1075542 · DOI
- [19]Eiden R. D. Stevens A. Schuetze P. Dombkowski L. E. Conceptual model for maternal behavior among polydrug cocaine-using mothers: the role of postnatal cocaine use and maternal depression. Psychology of addictive behaviors: journal of the Society of Psychologists in Addictive Behaviors 2006 20 1 1 10 2-s2.0-33646100538 10.1037/0893-164X.20.1.1 16536660 PMC3092295 · DOI
- [20]Parolin M. Simonelli A. Attachment theory and maternal drug addiction: The contribution to parenting interventions Frontiers in Psychiatry 2016 7, article no. 152 2-s2.0-84988835167 10.3389/fpsyt.2016.00152 PMC5004230 27625612 · DOI
- [21]Porreca A. De Palo F. Simonelli A. Capra N. Attachment representations and early interactions in drug addicted mothers: A case study of four women with distinct adult attachment interview classifications Frontiers in Psychology 2016 7, article no. 346 2-s2.0-84963692165 10.3389/fpsyg.2016.00346 PMC4793774 27014153 · DOI
- [22]Scaife V. H. Maternal and paternal drug misuse and outcomes for children: Identifying risk and protective factors Children & Society 2008 22 1 53 62 2-s2.0-36949010103 10.1111/j.1099-0860.2007.00093.x · DOI
- [24]Kim S. Iyengar U. Mayes L. C. Potenza M. N. Rutherford H. J. V. Strathearn L. Mothers with substance addictions show reduced reward responses when viewing their own infant's face Human Brain Mapping 2017 38 11 5421 5439 2-s2.0-85037986646 10.1002/hbm.23731 28746733 PMC5763911 · DOI · Paper page
- [25]Mayes L. C. Feldman R. Granger R. H. Haynes O. M. Bornstein M. H. Schottenfeld R. The effects of polydrug use with and without cocaine on mother-infant interaction at 3 and 6 months Infant Behavior & Development 1997 20 4 489 502 2-s2.0-0031256784 10.1016/S0163-6383(97)90038-2 · DOI · Paper page
- [26]Swanson K. Beckwith L. Howard J. Intrusive caregiving and quality of attachment in prenatally drug-exposed toddlers and their primary caregivers Attachment & Human Development 2000 2 2 130 148 2-s2.0-0034279032 10.1080/14616730050085527 11707907 · DOI
- [27]Pajulo M. Savonlahti E. Sourander A. Ahlqvist S. Helenius H. Piha J. An early report on the mother-baby interactive capacity of substance-abusing mothers Journal of Substance Abuse Treatment 2001 20 2 143 151 2-s2.0-0035067487 10.1016/S0740-5472(00)00161-6 11306217 · DOI
- [28]Salo S. Kivistö K. Korja R. Emotional availability, parental self-efficacy beliefs, and child development in caregiver-child relationships with buprenorphine-exposed 3-year-olds Parenting: Science and Practice 2009 9 3-4 244 259 2-s2.0-70450055981 10.1080/15295190902844563 · DOI
- [29]Jacobson S. W. Jacobson J. L. Sokol R. J. Martier S. S. Chiodo L. M. New evidence for neurobehavioral effects of in utero cocaine exposure Journal of Pediatrics 1996 129 4 581 590 2-s2.0-0030357714 10.1016/S0022-3476(96)70124-5 8859266 · DOI
- [30]Tronick E. Z. Weinberg M. K. Seifer R. Cocaine exposure is associated with subtle compromises of infants' and mothers' social-emotional behavior and dyadic features of their interaction in the face-to-face still-face paradigm Developmental Psychology 2005 41 5 711 722 2-s2.0-25844471500 10.1037/0012-1649.41.5.711 16173869 · DOI
- [35]Salloum I. M. Brown E. S. Management of comorbid bipolar disorder and substance use disorders American Journal of Drug and Alcohol Abuse 2017 43 4 366 376 2-s2.0-85020452794 10.1080/00952990.2017.1292279 28301219 · DOI
- [36]El-Bassel N. Gilbert L. Witte S. Wu E. Chang M. Intimate partner violence and HIV among drug-involved women: Contexts linking these Two epidemics-challenges and implications for prevention and treatment Substance Use & Misuse 2011 46 2-3 295 306 2-s2.0-79951575227 10.3109/10826084.2011.523296 21303249 · DOI
- [37]Dixon L. J. Lee A. A. Gratz K. L. Tull M. T. Anxiety sensitivity and sleep disturbance: Investigating associations among patients with co-occurring anxiety and substance use disorders Journal of Anxiety Disorders 2018 53 9 15 2-s2.0-85032905380 10.1016/j.janxdis.2017.10.009 29127882 · DOI · Paper page
- [38]Anagnostopoulos A. Ledergerber B. Jaccard R. Frequency of and risk factors for depression among participants in the swiss HIV Cohort Study (SHCS) PLoS ONE 2015 10 10 2-s2.0-84949431867 10.1371/journal.pone.0140943 e0140943 PMC4619594 26492488 · DOI
- [39]McEvoy P. M. Shand F. The effect of comorbid substance use disorders on treatment outcome for anxiety disorders Journal of Anxiety Disorders 2008 22 6 1087 1098 2-s2.0-46249098885 10.1016/j.janxdis.2007.11.007 18164585 · DOI · Paper page
- [40]Schellekens A. F. A. de Jong C. A. J. Buitelaar J. K. Verkes R. J. Co-morbid anxiety disorders predict early relapse after inpatient alcohol treatment European Psychiatry 2015 30 1 128 136 2-s2.0-84921022801 10.1016/j.eurpsy.2013.08.006 24630346 · DOI
- [41]Hser Y.-I. Lanza H. I. Li L. Kahn E. Evans E. Schulte M. Maternal Mental Health and Children’s Internalizing and Externalizing Behaviors: Beyond Maternal Substance Use Disorders Journal of Civil Structural Health Monitoring 2015 5 1 638 648 2-s2.0-84923699741 10.1007/s10826-013-9874-3 PMC4349431 25750503 · DOI
- [42]Brand M. Roth-Bauer M. Driessen M. Markowitsch H. J. Executive functions and risky decision-making in patients with opiate dependence Drug and Alcohol Dependence 2008 97 1-2 64 72 2-s2.0-46649115678 10.1016/j.drugalcdep.2008.03.017 18485620 · DOI
- [43]Schmidt T. P. Pennington D. L. Cardoos S. L. Durazzo T. C. Meyerhoff D. J. Neurocognition and inhibitory control in polysubstance use disorders: Comparison with alcohol use disorders and changes with abstinence Journal of Clinical and Experimental Neuropsychology 2017 39 1 22 34 2-s2.0-84989873821 10.1080/13803395.2016.1196165 27690739 PMC5225274 · DOI
- [46]Bernier A. Carlson S. M. Whipple N. From external regulation to self-regulation: Early parenting precursors of young children's executive functioning Child Development 2010 81 1 326 339 2-s2.0-76749112135 10.1111/j.1467-8624.2009.01397.x 20331670 · DOI · Paper page
- [47]Deater-Deckard K. Sturge-Apple M. L. Introduction to the special section: Mind and matter: New insights on the role of parental cognitive and neurobiological functioning in process models of parenting Journal of Family Psychology 2017 31 1 5 7 2-s2.0-85011634335 10.1037/fam0000300 28165279 · DOI
- [48]Cuevas K. Deater-Deckard K. Kim-Spoon J. Wang Z. Morasch K. C. Bell M. A. A longitudinal intergenerational analysis of executive functions during early childhood British Journal of Developmental Psychology 2014 32 1 50 64 2-s2.0-84894287465 10.1111/bjdp.12021 25284715 PMC4187223 · DOI
- [49]Håkansson U. Halsa A. Söderström K. Skårderud F. Øie M. G. Keeping mind in mind: Mentalizing and executive functioning in substance-abusing infant mothers: Effect on dyadic relationship and infant outcome Substance Abuse: Research and Treatment 2015 9 93 98 2-s2.0-84960404354 10.4137/SART.S23502 26819554 PMC4720184 · DOI
- [50]Håkansson U. Söderström K. Watten R. Skårderud F. Øie M. G. Parental reflective functioning and executive functioning in mothers with substance use disorder Attachment & Human Development 2017 1 27 2-s2.0-85033478220 10.1080/14616734.2017.1398764 29105598 · DOI · Paper page
- [53]Biringen Z. Derscheid D. Vliegen N. Closson L. Easterbrooks M. A. Emotional availability (EA): Theoretical background, empirical research using the EA Scales, and clinical applications Developmental Review 2014 34 2 114 167 2-s2.0-84899981293 10.1016/j.dr.2014.01.002 · DOI
- [54]Biringen Z. Easterbrooks M. A. Emotional availability: Concept, research, and window on developmental psychopathology Development and Psychopathology 2012 24 1 1 8 2-s2.0-84856633677 10.1017/S0954579411000617 22292989 · DOI
- [55]Saunders H. Kraus A. Barone L. Biringen Z. Emotional availability: Theory, research, and intervention Frontiers in Psychology 2015 6, article no. 1069 2-s2.0-84951854392 10.3389/fpsyg.2015.01069 PMC4516809 26283996 · DOI
- [56]Flykt M. Punamäki R.-L. Belt R. Maternal representations and emotional availability among drug-abusing and nonusing mothers and their infants Infant Mental Health Journal 2012 33 2 123 138 2-s2.0-84858249404 10.1002/imhj.21313 28520099 · DOI
- [57]Salo S. Politi J. Tupola S. Early development of opioid-exposed infants born to mothers in buprenorphine-replacement therapy Journal of Reproductive and Infant Psychology 2010 28 2 161 179 2-s2.0-77952016052 10.1080/02646830903219109 · DOI
- [58]Trapolini T. Ungerer J. McMahon C. Maternal depression: Relations with maternal caregiving representations and emotional availability during the preschool years Attachment & Human Development 2008 10 1 73 90 2-s2.0-41449084296 10.1080/14616730801900712 18351495 · DOI
- [59]Licata M. Kristen S. Sodian B. Mother-Child Interaction as a Cradle of Theory of Mind: The Role of Maternal Emotional Availability Social Development 2016 25 1 139 156 2-s2.0-84954376067 10.1111/sode.12131 · DOI
- [62]Derogatis L. SCL-90-R: Symtom Checklist-90-R: Administration, scoring, and procedures manual 1975 NCS Pearson
- [68]Hojat M. Xu G. A Visitor's Guide to Effect Sizes – Statistical Significance Versus Practical (Clinical) Importance of Research Findings Advances in Health Sciences Education 2004 9 3 241 249 10.1023/B:AHSE.0000038173.00909.f6 15316274 · DOI
- [69]Biringen Z. Damon J. Grigg W. Emotional availability: Differential predictions to infant attachment and kindergarten adjustment based on observation time and context Infant Mental Health Journal 2005 26 4 295 308 2-s2.0-33644632014 10.1002/imhj.20054 28682448 · DOI
- [72]Patrick S. W. Schumacher R. E. Horbar J. D. Improving care for neonatal abstinence syndrome Pediatrics 2016 137 5 2-s2.0-84969772298 10.1542/peds.2015-3835 e20153835 PMC4845877 27244809 · DOI
- [73]Parolin M. Simonelli A. Mapelli D. Sacco M. Cristofalo P. Parental substance abuse as an early traumatic event. Preliminary findings on neuropsychological and personality functioning in young drug addicts exposed to drugs early Frontiers in Psychology 2016 7, article no. 887 2-s2.0-84975263148 10.3389/fpsyg.2016.00887 PMC4909766 27378983 · DOI
- [74]De Palo F. Capra N. Simonelli A. Salcuni S. Di Riso D. Parenting quality in drug-addicted mothers in a therapeutic mother—child community: the contribution of attachment and personality assessment Frontiers in Psychology 2014 5 10.3389/fpsyg.2014.01009 PMC4160036 25309481 · DOI · Paper page
- [78]Killeen L. A. Teti D. M. Mothers' frontal EEG asymmetry in response to infant emotion states and mother-infant emotional availability, emotional experience, and internalizing symptoms Development and Psychopathology 2012 24 1 9 21 2-s2.0-84856626261 10.1017/S0954579411000629 22292990 · DOI
Cited by
Sorted by citations
Meulewaeter, F., De Pauw, S. S. W., & Vanderplasschen, W. (2019) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2019.00728 · Cited by 70 · see citing works
- Authors
- Porreca, A., Biringen, Z., Parolin, M., Saunders, H., Ballarotto, G., & Simonelli, A.
- Affiliations
- University of Padua (IT)
- Colorado School of Public Health (US)
- Sapienza University of Rome (IT)
- Corresponding author
- Porreca, Alessio
- Venue
- BioMed Research International
- Publisher
- Wiley
- Published
- 2018
- Volume
- 2018
- Pages
- 1-11
- ISSN
- 1110-7243 (ISSN-L)
- 2314-6133
- 2314-6141
- PMC
- PMC5985126
- OpenAlex
- W2804086368
- Cited by
- 37
- References
- 11
- Citations by year
- 2026: 2 · 2025: 4 · 2024: 7 · 2023: 3 · 2022: 10 · 2021: 6 · 2020: 1 · 2019: 3 · 2018: 1
- FWCI
- 3.23
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Locations
- BioMed Research International (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- IRIS Research product catalog (Sapienza University of Rome) (submittedVersion, other-oa)
- Padua Research Archive (University of Padova) (submittedVersion)
- Padua Research Archive (University of Padova) (submittedVersion, cc-by)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
- Social Sciences › Psychology › Social Psychology › Attachment and Relationship Dynamics
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Keywords
- parental substance use disorder, maternal substance use, emotional availability, mother-child interaction, maternal sensitivity, maternal psychopathology, child development, parenting skills
- MeSH terms
- Adult, Child, Preschool, Female, Humans, Infant, Male, Maternal Behavior, Mother-Child Relations, Mothers, Parenting, Substance-Related Disorders
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review