Counseling issues related to maternal substance abuse and subsequent sudden infant death syndrome in offspring

Gaines, Judith; Kandall, Stephen R.

doi:10.1007/bf00756506

Cited by 5 publications

(2 citation statements)

References 9 publications

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“…The widespread use of illegal substances and alcohol represents an enormous cost to the United States, both socially and personally. Drug and alcohol use has been linked to psychiatric illness (Konasznay et al, 1993), suicide (Allebeck & Allgulander, 1990), violent and property crime (Harrison & Gfroerer, 1992; Leukfield, 1985; McBride & McCoy, 1982; Tuchfeld, Clayton, & Logan, 1982), increased risk of infant mortality (Gains & Kandall, 1992), and negative consequences in other areas of users’ lives (Jessor, Donovan, & Costa, 1991).…”

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confidence: 99%

Predicting alcohol and drug use in early adulthood: The role of internalizing and externalizing behavior problems in early adolescence.

Steele¹,

Forehand²,

Armistead³

et al. 1995

American Journal of Orthopsychiatry

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Unique and interactive internalizing and externalizing behavior problems in adolescence were examined in relationship to drug and alcohol use in young adulthood. Results indicated that higher externalizing scores in adolescence predicted more alcohol use in young adulthood for both males and females and also predicted more marijuana and hard drug use for males. Lower internalizing scores were found to predict more marijuana and hard drug use in young adulthood for boys, but not for girls.

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mentioning

confidence: 99%

Predicting alcohol and drug use in early adulthood: The role of internalizing and externalizing behavior problems in early adolescence.

Steele¹,

Forehand²,

Armistead³

et al. 1995

American Journal of Orthopsychiatry

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“…One study of SIDS in families with substance abuse highlighted that modifiable risk factors can be interpreted as causal mechanisms increasing parental feelings of guilt. 16 Given that previous practice was to reassure parents to prevent self-blame, there is the possibility that sharing detailed information with parents could be harmful, potentially inducing self-blame and guilt which are associated with more severe and prolonged grief reactions. 7 17 …”

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confidence: 99%

Parental understanding and self-blame following sudden infant death: a mixed-methods study of bereaved parents' and professionals' experiences

2016

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ObjectivesImprovements in our understanding of the role of modifiable risk factors for sudden infant death syndrome (SIDS) mean that previous reassurance to parents that these deaths were unpreventable may no longer be appropriate. This study aimed to learn of bereaved parents' and healthcare professionals' experiences of understanding causes of death following detailed sudden unexpected death in infancy (SUDI) investigations. The research questions were: How do bereaved parents understand the cause of death and risk factors identified during detailed investigation following a sudden unexpected infant death? What is the association between bereaved parents' mental health and this understanding? What are healthcare professionals' experiences of sharing such information with families?DesignThis was a mixed-methods study using a Framework Approach.SettingSpecialist paediatric services.ParticipantsBereaved parents were recruited following detailed multiagency SUDI investigations; 21/113 eligible families and 27 professionals participated giving theoretical saturation of data.Data collectionWe analysed case records from all agencies, interviewed professionals and invited parents to complete the Hospital Anxiety and Depression Scale (HADS) and questionnaires or in-depth interviews.ResultsNearly all bereaved parents were able to understand the cause of death and several SIDS parents had a good understanding of the relevant modifiable risk factors even when these related directly to their actions. Paediatricians worried that discussing risk factors with parents would result in parental self-blame and some deliberately avoided these discussions. Over half the families did not mention blame or blamed no one. The cause of death of the infants of these families varied. 3/21 mothers expressed overwhelming feelings of self-blame and had clinically significant scores on HADS.ConclusionsBereaved parents want detailed information about their child's death. Our study suggests parents want health professionals to explain the role of risk factors in SIDS. We found no evidence that sharing this information is a direct cause of parental self-blame.

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Grief in a biography of losses: Meaning-making in hard drug users’ grief narratives on drug-related death

2018

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Counseling issues related to maternal substance abuse and subsequent sudden infant death syndrome in offspring

Cited by 5 publications

References 9 publications

Predicting alcohol and drug use in early adulthood: The role of internalizing and externalizing behavior problems in early adolescence.

Predicting alcohol and drug use in early adulthood: The role of internalizing and externalizing behavior problems in early adolescence.

Parental understanding and self-blame following sudden infant death: a mixed-methods study of bereaved parents' and professionals' experiences

Grief in a biography of losses: Meaning-making in hard drug users’ grief narratives on drug-related death

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