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Published on: July 13, 2014
TEMPERAMENT AND BEHAVIORAL PROBLEMS AMONG INFANTS IN ALCOHOLIC FAMILIES
Ellen Peterson Edwards1, Kenneth E Leonard, Rina DAS Eiden
1Research Institute on Addictions, Buffalo, New York.
Insights
Paternal alcoholism is linked to infant temperament issues and later behavior problems. Associated parental depression significantly contributes to these negative outcomes in children.
Area of Science:
- Child Development
- Psychopathology
- Addiction Studies
Background:
- Paternal alcoholism presents risks for child behavioral development.
- Parental psychopathology and maternal drinking can exacerbate these risks.
- Understanding these complex interactions is crucial for early intervention.
Purpose of the Study:
- To examine the association between paternal alcoholism and infant temperament and behavior problems.
- To investigate the role of parental psychopathology and maternal drinking in modifying these risks.
- To identify specific pathways through which paternal alcoholism impacts child development.
Main Methods:
- Longitudinal study of 213 families with assessments at 12 and 18 months postpartum.
- Comparison of control families, paternal alcoholic families, and families with both paternal alcoholism and maternal heavy drinking.
- Statistical analyses to assess temperament and behavior problem associations, controlling for confounding factors.
Main Results:
- Infants of alcoholics showed more persistent temperaments at 12 months and internalizing problems at 18 months.
- Internalizing problems were linked to paternal depression alongside paternal alcoholism.
- Paternal alcohol problems predicted externalizing problems in children of non-depressed mothers, but not in children of depressed mothers.
Conclusions:
- Paternal alcoholism poses significant risks for infant temperament and behavior.
- Paternal depression is a key mediator of internalizing problems in children of alcoholics.
- Maternal depression status influences the impact of paternal alcoholism on externalizing behaviors.
- Comprehensive assessment of family context is vital when studying children of alcoholic parents.
Abstract:
This study examined the association between paternal alcoholism and 12-month infant temperament and 18-month behavior problems. The role of associated parental psychopathology and maternal drinking in exacerbating risk for maladaptive behavioral outcomes was also examined. Participants were 213 families (102 control families, 94 paternal alcoholic families, and 17 families with alcoholic fathers and heavy drinking mothers) who were assessed when their child was 12 months old and reassessed again when their child was 18 months old. Infants of alcoholics displayed marginally more stubborn/persistent temperaments at 12 months of age, but significantly more internalizing problems at 18 months. Analyses suggested that internalizing problems in the infants of alcoholics could be attributed to the paternal depression concomitant with paternal alcoholism. In addition, an interaction was observed, indicating that paternal alcohol problems predicted 18-month externalizing problems among families with low maternal depression, but not among families with high maternal depression. Children of depressed mothers exhibited uniformly higher externalizing scores, but were not further impacted by paternal alcohol problems. However, children of nondepressed mothers were adversely affected by fathers' drinking as reflected by higher externalizing behavior scores. The results highlight the necessity of addressing the overall contextual risks that occur with paternal alcoholism in studies of the development of children in alcoholic families.
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