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Cited by 22Attachment and Relationship DynamicsPsychoanalysis and Psychopathology ResearchSubstance Abuse Treatment and Outcomes

Parenting quality in drug-addicted mothers in a therapeutic mother–child community: the contribution of attachment and personality assessment

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De Palo, Francesca, Capra, Nicoletta, Simonelli, Alessandra, Salcuni, Silvia, Di Riso, Daniela·2014·Frontiers in Psychology
DOI 10.3389/fpsyg.2014.01009PMC PMC4160036
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Abstract

Growing evidence shows that attachment is a key risk factor for the diagnosis and treatment of clinical diseases in Axis I, such as drug addiction. Recent literature regarding attachment, psychiatric pathology, and drug addiction demonstrates that there is a clear prevalence of insecure attachment patterns in clinical and drug addicted subjects. Specifically, some authors emphasize that the anxious-insecure attachment pattern is prevalent among drug-addicted women with double diagnosis (Fonagy et al., 1996). The construct of attachment as a risk factor in clinical samples of drug-addicted mothers needs to be studied more in depth though. The present explorative study focused on the evaluation of parenting quality in a therapeutic mother-child community using attachment and personality assessment tools able to outline drug-addicted mothers' profiles. This study involved 30 drug addicted mothers, inpatients of a therapeutic community (TC). Attachment representations were assessed via the Adult Attachment Interview; personality diagnosis and symptomatic profiles were performed using the Structured Clinical Interview of the DSM-IV (SCID-II) and the Symptom Check List-90-R (SCL-90-R), respectively. Both instruments were administered during the first six months of residence in a TC. Results confirmed the prevalence of insecure attachment representations (90%), with a high presence of U patterns, prevalently scored for dangerous and/or not protective experiences in infanthood. Very high values (>5) were found for some experience scales (i.e., neglect and rejection scales). Data also showed very low values (1-3) in metacognitive monitoring, coherence of transcript and coherence of mind scales. Patients' different profiles (U vs. E vs. Ds) were linked to SCID-II diagnosis, providing insightful indications both for treatment planning and intervention on parenting functions and for deciding if to start foster care or adoption proceedings for children.

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Authors
De Palo, F., Capra, N., Simonelli, A., Salcuni, S., & Di Riso, D.
Affiliations
University of Padua (IT)
Corresponding author
Salcuni, Silvia
ORCID
Venue
Frontiers in Psychology
Publisher
Frontiers Media SA
Published
2014-09-10
Volume
5
Pages
1009-1009
ISSN
1664-1078 (ISSN-L)
DOI
10.3389/fpsyg.2014.01009
PMC
PMC4160036
OpenAlex
W2164700189
Cited by
22
References
4
Citations by year
2024: 1 · 2023: 1 · 2022: 1 · 2021: 3 · 2020: 1 · 2019: 4 · 2018: 1 · 2016: 6 · 2015: 4
FWCI
4.95
Type
journal article
Language
en
Open access
Licence
cc-by
Locations
  • Frontiers in Psychology (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)
  • Padua Research Archive (University of Padova) (submittedVersion, cc-by)
Topics
  • Social Sciences › Psychology › Social Psychology › Attachment and Relationship Dynamics
  • Social Sciences › Psychology › Clinical Psychology › Psychoanalysis and Psychopathology Research
  • Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
Keywords
parenting quality, insecure attachment, therapeutic communities, attachment representations, personality assessment, maternal substance use, Adult Attachment Interview

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