This study examined the association between paternal alcoholism and 12-month infant temperament and 18-month behavior problems. The role of associated parental psychopathology and maternal drinking in exacerbating risk for maladaptive behavioral outcomes was also examined. Participants were 213 families (102 control families, 94 paternal alcoholic families, and 17 families with alcoholic fathers and heavy drinking mothers) who were assessed when their child was 12 months old and reassessed again when their child was 18 months old. Infants of alcoholics displayed marginally more stubborn/persistent temperaments at 12 months of age, but significantly more internalizing problems at 18 months. Analyses suggested that internalizing problems in the infants of alcoholics could be attributed to the paternal depression concomitant with paternal alcoholism. In addition, an interaction was observed, indicating that paternal alcohol problems predicted 18-month externalizing problems among families with low maternal depression, but not among families with high maternal depression. Children of depressed mothers exhibited uniformly higher externalizing scores, but were not further impacted by paternal alcohol problems. However, children of nondepressed mothers were adversely affected by fathers' drinking as reflected by higher externalizing behavior scores. The results highlight the necessity of addressing the overall contextual risks that occur with paternal alcoholism in studies of the development of children in alcoholic families.For more than 2 decades, research has documented the increased risk for maladaptive developmental outcomes among children of alcoholics. For example, the risk for future alcohol and substance use problems has been shown in studies of young adults (e.g., Finn, Sharkansky, Viken, West, Sandy, & Bufferd, 1997;Sher, Walitzer, Wood, & Brent, 1991). Higher levels of depression and anxiety and lower levels of self esteem have also been reported among adult children of alcoholics (Belliveau & Stoppard, 1995;Domenico & Windle, 1993). Studies of older and younger adolescents (Johnson, Leonard, & Jacob, 1989;Weinberg, Dielman, Mandell, & Shope, 1994) have also demonstrated that these children are at an increased risk for problems in emotional and behavioral adaptation. Lynskey, Fergusson, and Horwood (1994) interviewed a birth cohort of New Zealand children at age 15, and reported higher rates of psychiatric disorders among the offspring of alcoholics relative to offspring of nonalcoholics. Moreover, these differences, though reduced, remained significant after controlling for a variety of confounding factors. Similarly, Chassin, Rogosch, and Barrera Direct correspondence to: Kenneth E. Leonard, 1021 Main Street, Buffalo, NY 14203; phone: (716) 887-2509; fax: (716) 887-2510; email: E-mail: leonard@ria.org.
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Author ManuscriptInfant Ment Health J. Author manuscript; available in PMC 2009 May 11.
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