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Moderation and mediation in the relationship between mothers' or fathers' serious psychological distress and adolescent substance use: findings from a national sample.
J Adolesc Health. 2008 Aug; 43(2):141-50.JA

Abstract

PURPOSE

This study estimated percentages of adolescents living with a mother or father with serious psychological distress (SPD), and examined moderation and mediation of the relationships between mother or father SPD and adolescent substance use.

METHODS

We analyzed data from nationally representative samples of adolescents interviewed with their mothers (n = 4734) and fathers (n = 3176) in the combined 2002 and 2003 National Surveys on Drug Use and Health (NSDUHs).

RESULTS

An estimated 4.1% of adolescents living with their father had a father with SPD during the past year, and 11.5% of adolescents living with their mother had a mother with SPD during this time period. A positive association was found between mothers' SPD and adolescent binge drinking (OR = 1.49, 95% CI = 1.01-2.21), but no association was found between fathers' SPD and adolescent binge drinking. Mothers' SPD was associated with increased risk of binge drinking among adolescents aged 14-15 years (OR = 2.52, 95% CI = 1.38-4.60), and fathers' SPD was associated with lowered risk of binge drinking among black adolescents (OR = .08, 95% CI = .01-.79). A positive association was found between mothers' SPD and adolescent illicit drug use (OR = 1.55, 95% CI = 1.08-2.23), but no association was found between fathers' SPD and adolescent illicit drug use. Mothers' SPD was associated with increased risk of illicit drug use among female adolescents (OR = 2.14, 95% CI = 1.24-3.70) and among adolescents of white ethnicity (OR = 1.78, 95% CI = 1.19, 2.68). Parental involvement partially mediated the relationship between mothers' SPD and daughters' illicit drug use; mothers' SPD was associated with lower levels of parental involvement, which in turn were associated with an increased probability of daughters' illicit drug use.

CONCLUSIONS

Overall, parents' SPD is associated differentially with adolescent substance use depending on the gender of parent and adolescent, adolescent age, race/ethnicity, and substance used. Parental involvement appears to be one mechanism through which mothers' SPD influences daughters' illicit drug use. Future research should further consider the interindividual effects of parents' SPD and associated parenting behaviors on adolescent risk behaviors.

Authors+Show Affiliations

RTI International, Research Triangle Park, North Carolina 27709, USA.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

18639787

Citation

Herman-Stahl, Mindy A., et al. "Moderation and Mediation in the Relationship Between Mothers' or Fathers' Serious Psychological Distress and Adolescent Substance Use: Findings From a National Sample." The Journal of Adolescent Health : Official Publication of the Society for Adolescent Medicine, vol. 43, no. 2, 2008, pp. 141-50.
Herman-Stahl MA, Ashley OS, Penne MA, et al. Moderation and mediation in the relationship between mothers' or fathers' serious psychological distress and adolescent substance use: findings from a national sample. J Adolesc Health. 2008;43(2):141-50.
Herman-Stahl, M. A., Ashley, O. S., Penne, M. A., Bauman, K. E., Williams, J., Sanchez, R. P., Loomis, K. M., Williams, M. S., & Gfroerer, J. C. (2008). Moderation and mediation in the relationship between mothers' or fathers' serious psychological distress and adolescent substance use: findings from a national sample. The Journal of Adolescent Health : Official Publication of the Society for Adolescent Medicine, 43(2), 141-50. https://doi.org/10.1016/j.jadohealth.2008.01.010
Herman-Stahl MA, et al. Moderation and Mediation in the Relationship Between Mothers' or Fathers' Serious Psychological Distress and Adolescent Substance Use: Findings From a National Sample. J Adolesc Health. 2008;43(2):141-50. PubMed PMID: 18639787.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Moderation and mediation in the relationship between mothers' or fathers' serious psychological distress and adolescent substance use: findings from a national sample. AU - Herman-Stahl,Mindy A, AU - Ashley,Olivia Silber, AU - Penne,Michael A, AU - Bauman,Karl E, AU - Williams,Jason, AU - Sanchez,Rebecca P, AU - Loomis,Kellie M, AU - Williams,Megan S, AU - Gfroerer,Joseph C, Y1 - 2008/05/02/ PY - 2007/05/01/received PY - 2008/01/10/revised PY - 2008/01/11/accepted PY - 2008/7/22/pubmed PY - 2008/8/21/medline PY - 2008/7/22/entrez SP - 141 EP - 50 JF - The Journal of adolescent health : official publication of the Society for Adolescent Medicine JO - J Adolesc Health VL - 43 IS - 2 N2 - PURPOSE: This study estimated percentages of adolescents living with a mother or father with serious psychological distress (SPD), and examined moderation and mediation of the relationships between mother or father SPD and adolescent substance use. METHODS: We analyzed data from nationally representative samples of adolescents interviewed with their mothers (n = 4734) and fathers (n = 3176) in the combined 2002 and 2003 National Surveys on Drug Use and Health (NSDUHs). RESULTS: An estimated 4.1% of adolescents living with their father had a father with SPD during the past year, and 11.5% of adolescents living with their mother had a mother with SPD during this time period. A positive association was found between mothers' SPD and adolescent binge drinking (OR = 1.49, 95% CI = 1.01-2.21), but no association was found between fathers' SPD and adolescent binge drinking. Mothers' SPD was associated with increased risk of binge drinking among adolescents aged 14-15 years (OR = 2.52, 95% CI = 1.38-4.60), and fathers' SPD was associated with lowered risk of binge drinking among black adolescents (OR = .08, 95% CI = .01-.79). A positive association was found between mothers' SPD and adolescent illicit drug use (OR = 1.55, 95% CI = 1.08-2.23), but no association was found between fathers' SPD and adolescent illicit drug use. Mothers' SPD was associated with increased risk of illicit drug use among female adolescents (OR = 2.14, 95% CI = 1.24-3.70) and among adolescents of white ethnicity (OR = 1.78, 95% CI = 1.19, 2.68). Parental involvement partially mediated the relationship between mothers' SPD and daughters' illicit drug use; mothers' SPD was associated with lower levels of parental involvement, which in turn were associated with an increased probability of daughters' illicit drug use. CONCLUSIONS: Overall, parents' SPD is associated differentially with adolescent substance use depending on the gender of parent and adolescent, adolescent age, race/ethnicity, and substance used. Parental involvement appears to be one mechanism through which mothers' SPD influences daughters' illicit drug use. Future research should further consider the interindividual effects of parents' SPD and associated parenting behaviors on adolescent risk behaviors. SN - 1879-1972 UR - https://www.unboundmedicine.com/medline/citation/18639787/Moderation_and_mediation_in_the_relationship_between_mothers'_or_fathers'_serious_psychological_distress_and_adolescent_substance_use:_findings_from_a_national_sample_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S1054-139X(08)00111-0 DB - PRIME DP - Unbound Medicine ER -