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Quality of Caregiving in Mothers With Illicit Substance Use: A Systematic Review and Meta-analysis.


ABSTRACT:

Background

The quality of caregiving in mothers with substance abuse problems appears to be compromised. However, divergent findings, methodological variability, and sample characteristics point to the need for research synthesis.

Methods

A comprehensive systematic search was undertaken. Studies were eligible if they (1) compared substance-misusing mothers with non-substance-misusing mothers, (2) involved children from birth to 3 years, and (3) maternal sensitivity and child responsiveness were measured using observational methodology.

Results

A global meta-analysis for maternal sensitivity (n = 24 studies) and child responsiveness (n = 16 studies) on 3433 mother-infant dyads yielded significant population effect sizes and significant heterogeneity. Subgroup analyses found reduced heterogeneity when the meta-analysis was conducted on studies where groups were matched on key demographic characteristics; although the effect size was small, it was still significant for maternal sensitivity but not child responsiveness.

Conclusions

Compromised quality of caregiving is found in high-risk, substance-misusing mothers, emphasising the importance of early intervention that draws from attachment-based interventions.

SUBMITTER: Hatzis D 

PROVIDER: S-EPMC5398331 | biostudies-literature | 2017

REPOSITORIES: biostudies-literature

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Quality of Caregiving in Mothers With Illicit Substance Use: A Systematic Review and Meta-analysis.

Hatzis Denise D   Dawe Sharon S   Harnett Paul P   Barlow Jane J  

Substance abuse : research and treatment 20170314


<h4>Background</h4>The quality of caregiving in mothers with substance abuse problems appears to be compromised. However, divergent findings, methodological variability, and sample characteristics point to the need for research synthesis.<h4>Methods</h4>A comprehensive systematic search was undertaken. Studies were eligible if they (1) compared substance-misusing mothers with non-substance-misusing mothers, (2) involved children from birth to 3 years, and (3) maternal sensitivity and child respo  ...[more]

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