Reflective functioning in mothers with addictions: Differential relationships involving family history of mental illness and substance use

Parental reflective functioning (RF) is often cited as an important domain in which mothers with addictions struggle in their roles as parents, though the links between addiction and RF remain unclear. Exposure to attachment trauma associated with parental mental illness and substance use is commonl...

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Main Authors: Amanda F. Lowell, Tal Yatziv, Elizabeth Peacock-Chambers, Amanda Zayde, Cindy DeCoste, Nancy Suchman, Thomas J. McMahon
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-10-01
Series:Frontiers in Psychology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fpsyg.2022.911069/full
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author Amanda F. Lowell
Tal Yatziv
Elizabeth Peacock-Chambers
Amanda Zayde
Amanda Zayde
Cindy DeCoste
Nancy Suchman
Nancy Suchman
Thomas J. McMahon
Thomas J. McMahon
author_facet Amanda F. Lowell
Tal Yatziv
Elizabeth Peacock-Chambers
Amanda Zayde
Amanda Zayde
Cindy DeCoste
Nancy Suchman
Nancy Suchman
Thomas J. McMahon
Thomas J. McMahon
author_sort Amanda F. Lowell
collection DOAJ
description Parental reflective functioning (RF) is often cited as an important domain in which mothers with addictions struggle in their roles as parents, though the links between addiction and RF remain unclear. Exposure to attachment trauma associated with parental mental illness and substance use is commonly associated with both addiction and lower RF. We thus examined how family history of parental mental illness and substance use may relate to the RF of mothers with addictions. One hundred ninety-four mothers in outpatient substance use treatment completed the Parent Development Interview and provided information about whether their mothers and fathers experienced mental illness or problems with substance use. Univariate ANOVAs revealed an interaction between family history of maternal mental illness and maternal substance use. Among mothers with a history of maternal substance use, those with a history of maternal mental illness had higher RF than those who had no history of maternal mental illness. Among mothers who did not report a family history of maternal mental illness, mothers who had a family history of maternal substance use exhibited significantly lower RF than mothers with no family history of maternal substance use. Exposure to paternal mental illness or substance use was not associated with mothers’ RF. These findings highlight the importance of disentangling the contributions of attachment trauma to mothers’ RF and utilizing interventions that support mothers’ capacity to reflect about how their early experiences of being cared for by a mother with a mental illness or addiction may impact their current caregiving behaviors.
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spelling doaj.art-c49caf3d9b534ffe938d5e1935920b3b2022-12-22T04:31:47ZengFrontiers Media S.A.Frontiers in Psychology1664-10782022-10-011310.3389/fpsyg.2022.911069911069Reflective functioning in mothers with addictions: Differential relationships involving family history of mental illness and substance useAmanda F. Lowell0Tal Yatziv1Elizabeth Peacock-Chambers2Amanda Zayde3Amanda Zayde4Cindy DeCoste5Nancy Suchman6Nancy Suchman7Thomas J. McMahon8Thomas J. McMahon9Child Study Center, School of Medicine, Yale University, New Haven, CT, United StatesChild Study Center, School of Medicine, Yale University, New Haven, CT, United StatesDepartment of Pediatrics, University of Massachusetts Chan Medical School-Baystate, Springfield, MA, United StatesMontefiore Medical Center, Bronx, NY, United StatesAlbert Einstein College of Medicine, New York, NY, United StatesDepartment of Psychiatry, School of Medicine, Yale University, New Haven, CT, United StatesChild Study Center, School of Medicine, Yale University, New Haven, CT, United StatesDepartment of Psychiatry, School of Medicine, Yale University, New Haven, CT, United StatesChild Study Center, School of Medicine, Yale University, New Haven, CT, United StatesDepartment of Psychiatry, School of Medicine, Yale University, New Haven, CT, United StatesParental reflective functioning (RF) is often cited as an important domain in which mothers with addictions struggle in their roles as parents, though the links between addiction and RF remain unclear. Exposure to attachment trauma associated with parental mental illness and substance use is commonly associated with both addiction and lower RF. We thus examined how family history of parental mental illness and substance use may relate to the RF of mothers with addictions. One hundred ninety-four mothers in outpatient substance use treatment completed the Parent Development Interview and provided information about whether their mothers and fathers experienced mental illness or problems with substance use. Univariate ANOVAs revealed an interaction between family history of maternal mental illness and maternal substance use. Among mothers with a history of maternal substance use, those with a history of maternal mental illness had higher RF than those who had no history of maternal mental illness. Among mothers who did not report a family history of maternal mental illness, mothers who had a family history of maternal substance use exhibited significantly lower RF than mothers with no family history of maternal substance use. Exposure to paternal mental illness or substance use was not associated with mothers’ RF. These findings highlight the importance of disentangling the contributions of attachment trauma to mothers’ RF and utilizing interventions that support mothers’ capacity to reflect about how their early experiences of being cared for by a mother with a mental illness or addiction may impact their current caregiving behaviors.https://www.frontiersin.org/articles/10.3389/fpsyg.2022.911069/fullmaternal addictionreflective functioningfamily historyattachment traumaearly adversity
spellingShingle Amanda F. Lowell
Tal Yatziv
Elizabeth Peacock-Chambers
Amanda Zayde
Amanda Zayde
Cindy DeCoste
Nancy Suchman
Nancy Suchman
Thomas J. McMahon
Thomas J. McMahon
Reflective functioning in mothers with addictions: Differential relationships involving family history of mental illness and substance use
Frontiers in Psychology
maternal addiction
reflective functioning
family history
attachment trauma
early adversity
title Reflective functioning in mothers with addictions: Differential relationships involving family history of mental illness and substance use
title_full Reflective functioning in mothers with addictions: Differential relationships involving family history of mental illness and substance use
title_fullStr Reflective functioning in mothers with addictions: Differential relationships involving family history of mental illness and substance use
title_full_unstemmed Reflective functioning in mothers with addictions: Differential relationships involving family history of mental illness and substance use
title_short Reflective functioning in mothers with addictions: Differential relationships involving family history of mental illness and substance use
title_sort reflective functioning in mothers with addictions differential relationships involving family history of mental illness and substance use
topic maternal addiction
reflective functioning
family history
attachment trauma
early adversity
url https://www.frontiersin.org/articles/10.3389/fpsyg.2022.911069/full
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