The proposed study will involve a randomized clinical trial of the Relational Parenting Mothers' Group, (RPMG), an intervention designed for opioid abusing women with children less than 14 years of age, which was manualized and pilot tested as part of a Phase I study (P50-DA09241). This intervention was developed in recognition of the substantial psychosocial risks faced by substance abusing mothers and their offspring, and the notable lack of parenting interventions currently available for addicted mothers with children past the infancy years. Based on developmental psychopathology perspectives on resilience, this integrative treatment addresses multiple levels of adversity (individual, community, and family) faced by drug abusing mothers: risks that typically result in negative parenting behaviors and psychosocial distress among the mothers and concomitantly, psychiatric disturbance among their offspring. RPMG is a structured treatment, entailing 24 weekly group sessions of 1 1/2 hours each. Preliminary data collected in the Phase I study have attested to the promise of RPMG in terms of diverse parenting behaviors and psychiatric outcomes among both the mothers and their children, and in the proposed study, we seek to conduct a randomized clinical trial in which RPMG will be compared with Recovery Training (RT; a manualized treatment resembling standard drug counseling). Both RPMG and RT interventions will be offered as supplements to treatment regularly offered at the methadone clinics. Eighty methadon-maintained mothers will be randomized to each of the two treatment conditions, yielding a total sample size of 160. Multiple-method, multiple-informant assessments will be obtained to measure salient outcomes, including reports from the mothers and their children, and from the mothers' clinicians and the children's teachers. The following specific goals will be addressed within this study: (1.) To evaluate the comparative effectiveness of RPMG versus RT in terms of improvements in (a.) mothers' parenting behaviors and attitudes, and their psychiatric disturbance; as well as and (b.) in their children's levels of symptomatology and everyday social competence; (2.) To evaluate the durability of RPMG treatment gains, as well as potentially delayed treatment effects, via follow-up assessments of both mothers and children six months after the active phase of RPMG treatment; and (3.) To examine ways in which specific maternal characteristics relate to treatment success. Guided by previous research, these characteristics will include (a.) intelligence (b.) sensation seeking (c.) ethnicity; and (d.) readiness for treatment.

Agency
National Institute of Health (NIH)
Institute
National Institute on Drug Abuse (NIDA)
Type
Research Project (R01)
Project #
1R01DA011498-01
Application #
2457034
Study Section
Human Development Research Subcommittee (NIDA)
Program Officer
Riddle, Melissa
Project Start
1998-01-01
Project End
2002-11-30
Budget Start
1998-01-01
Budget End
1998-11-30
Support Year
1
Fiscal Year
1998
Total Cost
Indirect Cost
Name
Apt Foundation, Inc.
Department
Type
DUNS #
City
New Haven
State
CT
Country
United States
Zip Code
06511
Naumova, Oksana Yu; Hein, Sascha; Suderman, Matthew et al. (2016) Epigenetic Patterns Modulate the Connection Between Developmental Dynamics of Parenting and Offspring Psychosocial Adjustment. Child Dev 87:98-110
Barbot, Baptiste; Crossman, Elizabeth; Hunter, Scott R et al. (2014) Reciprocal influences between maternal parenting and child adjustment in a high-risk population: a 5-year cross-lagged analysis of bidirectional effects. Am J Orthopsychiatry 84:567-80
Bick, Johanna; Naumova, Oksana; Hunter, Scott et al. (2012) Childhood adversity and DNA methylation of genes involved in the hypothalamus-pituitary-adrenal axis and immune system: whole-genome and candidate-gene associations. Dev Psychopathol 24:1417-25
David, Daryn H; McMahon, Thomas J; Luthar, Suniya L et al. (2012) Sensation seeking, coping with stress, and readiness to engage in therapy: does ego development influence the psychosocial functioning of substance-abusing mothers? Am J Orthopsychiatry 82:231-40
Borelli, Jessica L; Luthar, Suniya S; Suchman, Nancy E (2010) Discrepancies in perceptions of maternal aggression: implications for children of methadone-maintained mothers. Am J Orthopsychiatry 80:412-21
Ansary, Nadia S; Luthar, Suniya S (2009) Distress and academic achievement among adolescents of affluence: a study of externalizing and internalizing problem behaviors and school performance. Dev Psychopathol 21:319-41
Luthar, Suniya S; Sexton, Chris C (2007) Maternal drug abuse versus maternal depression: vulnerability and resilience among school-age and adolescent offspring. Dev Psychopathol 19:205-25
Luthar, Suniya S; Suchman, Nancy E; Altomare, Michelle (2007) Relational Psychotherapy Mothers'Group: a randomized clinical trial for substance abusing mothers. Dev Psychopathol 19:243-61
McMahon, Thomas J; Luthar, Suniya S (2006) Patterns and correlates of substance use among affluent, suburban high school students. J Clin Child Adolesc Psychol 35:72-89
Suchman, Nancy E; McMahon, Thomas J; Zhang, Heping et al. (2006) Substance-abusing mothers and disruptions in child custody: an attachment perspective. J Subst Abuse Treat 30:197-204

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