The role of family and parenting styles in the development of substance abuse Erika Klara
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Transcript of The role of family and parenting styles in the development of substance abuse Erika Klara
Running head: FAMILY FACTORS, PARENTING STYLE AND SUBSTANCE ABUSE1
THE ROLE OF FAMILY FACTORS AND PARENTING STYLE IN THE DEVELOPMENT
OF SUBSTANCE ABUSE
Erika Klara
Palo Alto University
FAMILY FACTORS, PARENTING STYLE AND SUBSTANCE ABUSE 2
Abstract
It seems that myriad intermediate processes have been implicated
in the early onset of substance abuse among youth. Some of the
family factors include family cohesiveness, parenting style,
parenting monitoring, communication, parent-child affiliation and
other bio-psycho-social and cultural normative factors. Two
categories of parenting practices have been associated with drug
use during adolescence, namely parental monitoring and
expressions of parental warmth. Parental practices such as
behavioral control and parent’s responsiveness are related to
adolescent self-disclosure and parental knowledge which predicts
adolescent’s substance use.
There is a clear relationship between parental styles and
psychological well-being especially in the case of authoritative
parenting style (Henry & Glendinning, 1995 in Garcia 2013). Some
studies suggest that there is some degree of inconsistency when
we take into account ethnicity, culture and socioeconomic status.
In certain Asian cultures or in high risk neighborhoods the
authoritarian parenting styles are more protective. In Spain
FAMILY FACTORS, PARENTING STYLE AND SUBSTANCE ABUSE 3
Garcia (2010) found that the optimal parenting style was
indulgent. This parental style was associated with less substance
use in children and adolescents. Family influences do not occur
in a vacuum. There are other determinants on drug use and
addiction including intrapersonal factors, peer influence and
wider cultural and community and environmental factors such as
cultural values, media influences, advertising and others. These
factors cannot be ignored when we are making a comprehensive
assessment.
FAMILY FACTORS, PARENTING STYLE AND SUBSTANCE ABUSE 4
THE ROLE OF FAMILY FACTORS AND PARENTING STYLE IN THE DEVELOPMENT
OF SUBSTANCE ABUSE
Substance abuse is influenced by a complex interacting
network of sociological, psychological and biological factors
(Barnes, 1977; Campbell 1983 in Kampfe & Denton 1994). There is
a significant relationship between teenage substance abuse and
certain family characteristics. According to research the family
plays a key role in both inducing risk and encouraging and
promoting protection and resilience against substance abuse.
Recent data from the Department of Health and Human Sciences
indicate that approximately 20 million people of the total
population aged 12 years or more in the USA, and nearly 12 % of
young people aged 12-17 are current users of illicit drugs.
Substance abuse is a major problem among adolescents today. One
out every six teenagers suffers from chemical dependency (Thorne
& DeBlassie, 1985).
FAMILY FACTORS, PARENTING STYLE AND SUBSTANCE ABUSE 5
Family involvement and family bonding
The research literature assigns a pivotal role to the family
in the development or prevention of all delinquent behaviors
(Repetti R, Taylor S, Seeman T, 2002 in Velleman & Copello 2005).
Quality of parenting has been found to interact with such
variables as psychological well-being, life stress and social
support in predicting general antisocial behavior as well as
substance use and misuse (Velleman R & Copello A. 2005). The
family plays a role in inappropriate socialization. Research has
found that early antisocial behavior is a strong predictor of
later substance abuse (National Institute on Drug Abuse, McEvory
& Robbins 1990 in Velleman & Copello, 2005).
There have been many findings of statistically significant
associations between drug and alcohol use and particular
relational processes within the family. Because these are
correlations causal relationships cannot be determined. Social
factors that affect early development within the family such as
chaotic home environment, ineffective parenting and lack of
mutual attachment have been shown to be crucial indicators of
FAMILY FACTORS, PARENTING STYLE AND SUBSTANCE ABUSE 6
substance abuse risk (Clark et.al, Olsson &Repetti et al. in
Velleman & Copello, 2005). There is evidence that parent use of a
specific substance is the most powerful influence on adolescent
initiation into use of that substance.
According to Velleman and Copello there are seven areas in
which the family context could influence a teen’s substance abuse
behavior. These family factors are: family atmosphere, family
relations versus family structure, family cohesion, family
communication, parental modeling of behavior, family management,
parental supervision and parent/peer influences. Family
atmosphere is a second broad category that may influence
adolescent substance abuse.
Adolescents who abuse drugs frequently report poor family
environments (Adler, Lotecka, 1993 in Van Ryzin & Fosco 2007).
Family atmosphere includes family composition, family interaction
and discrepancies in family perceptions of each other. Addicts
describe their family environment as hostile (Pandina, Streit,
Halstead & Pascale, 1974 in Fosco 2007), lacking love, lacking
family cohesiveness, having a sense of alienation (Tolone &
FAMILY FACTORS, PARENTING STYLE AND SUBSTANCE ABUSE 7
Dermott, 1975; Adler & Lotecka1973; Wechsler and Thum, 1973 in
Fosco 2007). Some addicts reported that the parents were self-
centered and non-supportive (Wilborn, 1983 in Huber & Catalano
2012).
Researchers have found that the parents of addicts viewed
parenting as a job that requires suffering and sacrifice. These
parents frequently report a lack of confidence in raising their
children (Rees, Wilborn, 1983; Blum et al. 1976 in Jackson &
Hecht, 2000). Many parents of addicts assumed a permissive
attitude while others have found them to practice excessive
control (Hecht, 2000).
According to research relational aspects of families
(cohesion, discipline, and communication) seem to have a greater
influence than structural aspects (single parent, family size,
birth order etc) on forming drug-related behaviors (Velleman &
Templeton & Copell0, 2005). Children in single parent families,
stepfamilies and in foster care were more likely to be offered
and use drugs, while little difference by gender or SES was noted
(Coleman & Young 1999 in Capello Velleman & Capello, 2005).
FAMILY FACTORS, PARENTING STYLE AND SUBSTANCE ABUSE 8
But according to research family cohesion is more important
than family structure. The closeness of the parent child bond has
been found to be a protective factor against drug use both
directly and indirectly through choosing non-drug using friends
(Andrews K. 1997 in Velleman & Capello, 2005). In addition family
bonding has a relatively strong positive association with
educational commitment, and adolescents with a higher educational
commitment tend to drink less often (Copello, 2007). There is
strong evidence in the research literature to the fact that low
family cohesion predisposes teens towards deviant behavior,
especially that which is modeled in the home, and that parents in
low cohesive families do not have enough influence to control
their children (Doherty & Allen J. 2002 in Copello, 2005).
Family communication
The quality of the parent-youth relationship has been linked to
decreased risk for substance abuse in adolescence. There is
strong evidence in the literature that relationship quality with
parents remains a robust predictor of youth delinquent behavior.
According to the literature youth who have a strong relationship
FAMILY FACTORS, PARENTING STYLE AND SUBSTANCE ABUSE 9
with their parents are more likely to disclose and turn to their
parents for advice and information (Allen & Land, 1999; Brody,
Moore & Geli, 1994). Although the relationship with both parents
is important, the maternal influence is slightly more influential
than the paternal relationship (Oliva and Parra, 2004 in Moreno &
Garcia, 2013). Therefore negligent mothers are more damaging to
adolescents than negligent fathers (Simons and Conger, 2007 in
Moreno & Garcia, 2013).
One thing is sure: good parent-child relationships are
protective factors against substance use (Hair et. al, 2009;
Ramos et al. 2011 in Moreno & Garcia, 2013). A low level of
communication between parent and child, poorly defined and
poorly-communicated expectations, excessively severe and
inconsistent discipline, and high levels of negative interaction
or family conflict have all been found predictive of increased
risk of substance use (Hawkins and Haggerty, 1995 in Costello
2005). Too much scolding and criticism has been linked to
delinquency and substance use (Ary and Harris 1997, in Valdeman
and Costello, 2005).
FAMILY FACTORS, PARENTING STYLE AND SUBSTANCE ABUSE 10
Regular communication of parental warmth and affection,
support for child competencies, presentation of clear prosocial
expectations, monitoring of children and consistent and moderate
discipline is a protective factor against substance abuse
(Valdemann, 2005). Not surprisingly affectionate parents who
properly promote the autonomy of their adolescent children have
been shown to be associated with lower levels of drug use (Parra
and Oliva 2007 in Garcia, 2013).
Research shows that parents who lack effective family
management skills are less well-equipped to protect their
children from negative peer pressure (Wilson et.al, 2001). Both
excessively authoritarian and permissive parenting has been found
to be associated with an earlier onset of drug and alcohol use
(Baumrind 1995, in Valdemann and Costello, 2005). A lack of
consistency or structure and a tendency to vacillate between
over-permissiveness and physical or verbal violence have been
observed clinically in the parents of drug abusers (Avery 1997 in
Costello, 2005). Parents who are responsive, demanding and
FAMILY FACTORS, PARENTING STYLE AND SUBSTANCE ABUSE 11
provide a sense of self-efficacy, tend to have offspring who are
less likely to engage in substance use.
Family management and parental supervision
Family management is a multidimensional construct that
incorporates parental monitoring, discipline practices,
behavioral control and reward system that the family uses to
reinforce good behavior. Studies linked poor family functioning
and poor family management to substance use and addiction (Engels
et al. 2005). Researchers who explore risk and protective factors
related to substance use stress the importance of the social
context. Some of the key aspects of this context are interactions
within the family, such as parental monitoring and parent- child
relationship quality (Nelson, & Bullock, 2004 in Van Ryzin &
Fosco, 2012).
Ineffective parental monitoring is linked with increased
association with deviant peers. Results from a number of studies
demonstrate that parental supervision or monitoring of children
FAMILY FACTORS, PARENTING STYLE AND SUBSTANCE ABUSE 12
can prevent or delay onset of drug use. Delay in onset may reduce
the risk of more serious involvement (Robbins 1998 in Van Rysin &
Fosco, 2012). The influence of parental supervision may be direct
in that it keeps children away from drugs, or indirect in that it
reduces a child’s contact with drug taking peers (Steinberg L &
Fletcher, 2010 in Van Ryzin & G. Fosco 2012).
Young people who spent more time with their family were less
likely to have tried illicit drugs (Sweeting & West, 1996 in
Fosco, 2012). Parental monitoring is associated with lower
substance use by adolescents (Laird et al. 2004; Parra and Oliva
2006 in Garcia 2013). Another key protective factor from illicit
drug use is parental knowledge (Head, 2002 in Oliva & Garcia,
2013). Parental knowledge is gained through monitoring and
solicitation. Parents who listen to their children with an open
mind when they speak and avoid reacting negatively, make is more
likely that their children will use more self-disclosure (Hayes &
Tilton, 2003 in Garcia 2013). Parental knowledge allows parents
to be informed about the lives of their children. Parental
knowledge is protective if parents use this knowledge.
FAMILY FACTORS, PARENTING STYLE AND SUBSTANCE ABUSE 13
Research shows that adolescent disclosure to parents in the
number one protective factor against substance use in adolescence
(Hayes et al. 2003, 2005; Weaver et.al 2010 in Garcia 2013). When
adolescents use self-disclosure parents are more likely to trust
them to make the right decisions (Marshall et. al 2005 in Garcia
2013). Research shows that the parenting style in adolescents’
friends’ homes plays a pivotal role in the development of
substance use. This can be more influential especially when the
teen has negligent parents at home.
Parenting styles and parent child interaction
Baumrind (1977), Maccoby and Martin (1983) analyzed parental
behavior through dimensions such as parental warmth, acceptance,
involvement, parental control or strictness. Familial variables
that can affect child outcomes are all considered within the
interactions between the parent and the child. Such variables
are: parental dispositions and other personality factors, marital
and sibling influences, sociocultural context in which the family
FAMILY FACTORS, PARENTING STYLE AND SUBSTANCE ABUSE 14
lives. According to the literature the parent-child interaction
is characterized by two major parenting dimensions. These are
nurturance expressed by warmth and support and control expressed
by supervision and discipline. Most of the time inadequate
parenting is characterized by lack of affection, high levels of
criticism and hostility, inconsistent discipline and inconsistent
child supervision, lack of involvement and the parent’s self-
centeredness. This parenting style provides the foundation for
the development of an aggressive, antisocial behavior pattern in
the child (Maccoby 1990 in Denton & Kampfe 1994).
Research shows that authoritative parents who are warm and
responsive that provide in the same time firm control and
realistic expectations is the optimal parenting style because it
has been consistently associated with optimum behavioral outcomes
in children. Maccoby and Martin (1991) proposed a four typology
model in which they define four types of parenting styles:
authoritative (responsive and demanding), neglectful (neither
FAMILY FACTORS, PARENTING STYLE AND SUBSTANCE ABUSE 15
responsive nor demanding), indulgent (responsive but not
demanding) and authoritarian (demanding but nor responsive).
Lamborn et al. (1991) and Steinberg et al. (1994) made a
global investigation of these parenting styles and confirmed that
the authoritative parenting style is the optimal parenting style
and it is associated with optimum youth outcomes. An
authoritative parent can be defined as somebody who is demanding
but sensitive or responsive the child’s needs. This type of
parent listens with an open mind without being over reactive, has
an open style of communication and applies flexible parenting
rules. Authoritarian parents apply rigid rules and sometimes
severely punish the child or non-compliance.
Research revealed that the parental style traditionally
associated with substance use is neglectful. These parents are
indifferent to the child’s needs, have no limit setting, and fail
to provide warmth and affect to their children. This style is
considered a risk factor for drug use in adolescence (Garcia &
Gracia 2009, Steinberg & Dornbusch, 1991 in Garcia 2013). Studies
FAMILY FACTORS, PARENTING STYLE AND SUBSTANCE ABUSE 16
show that indulgent parenting is as much as harmful as neglectful
parenting (Garcia 2013).
Interestingly studies with ethnic minority group were unable
to confirm the idea that authoritative parenting is the most
optimal of all parenting styles (Chao, 1994, Nurmi 2000,
Schwartz, 2003 in Garcia 2009). Some research in Middle East and
Asian societies suggested that authoritarian parenting was an
adequate parenting strategy. Quoss and Zhao (1998) found that
authoritarian parenting- not authoritative- predicted
satisfaction with the parent-child relationship (Garcia, 2009).
It seems that the optimal parenting style is culture-bound.
In white middle class families authoritative parenting is a
protective factor. However in the case of poor ethnic minority
families with low SES who live in dangerous neighborhoods
authoritarian parenting can be a protective factor against drug
use (Cook, Elder & Sameroff, 1999 in Garcia 2009). Children of
divorce or children who experience the negative consequences of
family disruption seem to be especially prone detrimental social
FAMILY FACTORS, PARENTING STYLE AND SUBSTANCE ABUSE 17
and behavioral outcomes including substance abuse (McLanahan,
1991 in Garcia 2009). Single parent youth are more emotionally
deprived and are more susceptible to negative peer influences
than youth from dual parent families (Camara 2008).
Parental Psychological Stress
Parents suffering from mental illness such as depression or
anxiety generally have fewer effective parenting practices than
other parents (Herman & Stahl et al. 2008 in Lemieux & Bertrand
2013). In addition research shows that parents who suffer from
depression or other mental illness are more likely to self-
medicate and use illicit drugs or alcohol. As a result they
transmit inappropriate behavior models for their children.
Research shows that children of such parents have more behavioral
problems including substance abuse problems (Weismann et al.
2006).
On a final note it is important to note that family
influences do not occur in a vacuum. There are other determinants
FAMILY FACTORS, PARENTING STYLE AND SUBSTANCE ABUSE 18
on drug use and addiction including intrapersonal factors, peer
influence and wider cultural and community and environmental
factors such as cultural values, media influences, advertising
and others. These factors cannot be ignored when we are making a
comprehensive assessment.
FAMILY FACTORS, PARENTING STYLE AND SUBSTANCE ABUSE 19
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