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dc.contributor.authorBaldwin, Laurence
dc.date.accessioned2017-08-24T14:50:14Z
dc.date.available2017-08-24T14:50:14Z
dc.date.issued1999
dc.identifier.citationBaldwin, L. (1999). Children of parents with substance abuse disorders had higher rates of conduct disorder and substance use. Evidence-Based Nursing, 2 (2), pp.53.
dc.identifier.other10.1136/ebn.2.2.53
dc.identifier.urihttp://hdl.handle.net/20.500.12904/5449
dc.description.abstract[commentary on Merikangas KR, Dierker LC, Szatmari P. Psychopathology among offspring of parents with substance abuse and/or anxiety disorders: A high-risk study. J CHILD PSYCHOL PSYCHIAT 1998 Jul;39:711-20]Question: Are parental substance abuse and anxiety disorders risk factors for psychopathology in offspring? Design: Cohort study. Setting: New Haven, Connecticut USA. Participants: 192 children (mean age 12 y, 51% boys) of 123 white parents (mean age 39 y). There were 77 children of 52 parents with substance abuse disorders, 58 children of 36 parents with anxiety disorders, and 57 children of 35 parents with no history of psychiatric disorders (control group parents). Parents were recruited from alcohol, drug, anxiety, and general treatment settings or by a random procedure. Exclusion criteria were organic mental impairment, schizoaffective disorder, or schizophrenia. Assessment of risk factors: Both parents of each child were independently interviewed for substance abuse and anxiety disorders using the Schedule for Affective Disorders and Schizophrenia, modified to include criteria from the Diagnostic and Statistical Manual of Mental Disorders 3rd edition, revised. Main outcome measures: Diagnoses of psychiatric disorders (modified Kiddie-Schedule for Affective Disorders and Schizophrenia) were assigned by a blinded psychologist who conducted interviews with the child and with the mother. Data on social adjustment and overall functioning (Child Global Assessment Scale, CGAS), smoking (>/=1-2 times/wk), drug use (>/= 1 time), and alcohol use (>/= 1 time) were also collected. Main results: The table summarises the results. No group differences existed for anxiety or affective disorders in children. Children of parents with substance abuse disorders had higher rates of conduct disorder than children of parents with anxiety disorders or with no psychiatric history, and lower overall functioning scores than children of parents with no psychiatric history (p < 0.01). Children of parents with substance abuse disorders and children of parents with anxiety disorders had higher rates of smoking than children of parents with no psychiatric history. Rate of drug use was highest in children of parents with substance abuse disorders, lower in children of parents with anxiety disorders, and lowest in children of control group parents; and a similar non-significant trend was shown for the rate of alcohol use. Conclusion: Children of parents with substance abuse disorders had higher rates of conduct disorder, smoking, and drug use and lower overall functioning than children of parents with no history of psychiatric disorders.
dc.description.urihttp://ebn.bmj.com/content/2/2/53.full
dc.subjectParents
dc.subjectConduct disorder
dc.subjectSubstance-related disorders
dc.titleChildren of parents with substance abuse disorders had higher rates of conduct disorder and substance use
dc.typeArticle


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