Effects of integrated programs for substance-involved mothers on infant and child development outcomes: A systematic review and meta-analysis.

IF 2.1 3区 心理学 Q3 PSYCHOLOGY, DEVELOPMENTAL
Sophie Barriault, Mary Motz, Lamia Firasta, Hannah McDowell, Patrick R Labelle, Nancy Poole, Nicole Racine
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引用次数: 0

Abstract

Maternal substance use is a pressing public health issue that confers risk for maternal health, the parent-infant relationship, and child development. Integrated interventions that jointly address maternal substance use and child development have shown promise for enhancing child outcomes. No research to date has focused exclusively on the outcomes of young children or examined potential moderators of the effect sizes of integrated programs. This review evaluates the pooled effect of integrated interventions for substance-involved mothers on the developmental outcomes of their children. A comprehensive search strategy was conducted in seven databases (APA PsycINFO, CINAHL, Cochrane CENTRAL, Embase, MEDLINE, Sociological Abstracts, Web of Science) from January 2011 and May 2023. Studies were included if they reported on an intervention with at least one substance use treatment and one parenting or child treatment service for substance-involved mothers of children under 6 years of age. A total of 21 studies met inclusion criteria, and 14 nonoverlapping studies reported on effect sizes with a pooled effect size of SMD = .470 (95% CI = .35, .59). There was a trend toward treatment duration being a significant moderator (p = .08). Additional high-quality studies are needed to demonstrate the long-term impact of these interventions.

药物成瘾母亲综合项目对婴儿和儿童发展结果的影响:一项系统回顾和荟萃分析。
孕产妇药物使用是一个紧迫的公共卫生问题,给孕产妇健康、亲子关系和儿童发育带来风险。联合解决孕产妇药物使用和儿童发展问题的综合干预措施已显示出改善儿童成果的希望。到目前为止,还没有研究专门关注幼儿的结果,也没有研究综合项目效应大小的潜在调节因素。这篇综述评估了物质相关母亲的综合干预对其孩子发育结果的综合影响。从2011年1月到2023年5月,对7个数据库(APA PsycINFO, CINAHL, Cochrane CENTRAL, Embase, MEDLINE, Sociological Abstracts, Web of Science)进行了全面的检索策略。如果研究报告至少有一种药物使用治疗和一种针对6岁以下儿童的药物使用母亲的育儿或儿童治疗服务的干预措施,则纳入研究。共有21项研究符合纳入标准,14项非重叠研究报告了效应量,合并效应量SMD = 0.470 (95% CI = 0.35, 0.59)。治疗时间是显著的调节因素(p = .08)。需要更多的高质量研究来证明这些干预措施的长期影响。
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来源期刊
Infant Mental Health Journal
Infant Mental Health Journal PSYCHOLOGY, DEVELOPMENTAL-
CiteScore
4.10
自引率
8.30%
发文量
69
期刊介绍: The Infant Mental Health Journal (IMHJ) is the official publication of the World Association for Infant Mental Health (WAIMH) and the Michigan Association for Infant Mental Health (MI-AIMH) and is copyrighted by MI-AIMH. The Infant Mental Health Journal publishes peer-reviewed research articles, literature reviews, program descriptions/evaluations, theoretical/conceptual papers and brief reports (clinical case studies and novel pilot studies) that focus on early social and emotional development and characteristics that influence social-emotional development from relationship-based perspectives. Examples of such influences include attachment relationships, early relationship development, caregiver-infant interactions, infant and early childhood mental health services, contextual and cultural influences on infant/toddler/child and family development, including parental/caregiver psychosocial characteristics and attachment history, prenatal experiences, and biological characteristics in interaction with relational environments that promote optimal social-emotional development or place it at higher risk. Research published in IMHJ focuses on the prenatal-age 5 period and employs relationship-based perspectives in key research questions and interpretation and implications of findings.
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