Quality of caregiving in mothers with illicit substance use: a systematic review and meta-analysis

Hatzis, Denise, Dawe, Sharon, Harnett, Paul and Barlow, Jane (2017) Quality of caregiving in mothers with illicit substance use: a systematic review and meta-analysis. Substance Abuse: Research and Treatment, 11 1178221817694038-1178221817694038. doi:10.1177/1178221817694038


Author Hatzis, Denise
Dawe, Sharon
Harnett, Paul
Barlow, Jane
Title Quality of caregiving in mothers with illicit substance use: a systematic review and meta-analysis
Journal name Substance Abuse: Research and Treatment   Check publisher's open access policy
ISSN 1178-2218
Publication date 2017-03-14
Year available 2017
Sub-type Critical review of research, literature review, critical commentary
DOI 10.1177/1178221817694038
Open Access Status DOI
Volume 11
Start page 1178221817694038
End page 1178221817694038
Total pages 15
Place of publication London, United Kingdom
Publisher Sage Publications
Collection year 2018
Language eng
Abstract 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.
Formatted 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.
Keyword Caregiving
Substance
Abuse
Dependence
Women
Mothers
Q-Index Code C1

Document type: Journal Article
Sub-type: Critical review of research, literature review, critical commentary
Collections: HERDC Pre-Audit
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Created: Tue, 11 Apr 2017, 00:25:16 EST by Web Cron on behalf of School of Psychology