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 . 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
Total pages 15
Place of publication London, United Kingdom
Publisher Sage Publications
Collection year 2018
Language eng
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
Q-Index Status Provisional Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Critical review of research, literature review, critical commentary
Collections: HERDC Pre-Audit
School of Psychology Publications
 
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