Influence of Caregiver Substance Dependence and Serious Mental Illness on Children’s Mental Health: Moderating Effects of Social Support

This study examined the relationships between caregiver alcohol dependence, drug dependence, and serious mental illness and internalizing and externalizing behaviors and whether these risks were moderated by social support. The study included 3,225 children ages 2–17 and their current caregivers, who participated in the second cohort of the National Survey on Child and Adolescent Well-Being. Regression analysis indicated that caregiver alcohol dependence, serious mental illness, and social support were significantly associated with internalizing behaviors and caregiver serious mental illness and social support were significantly associated with externalizing behaviors. Results indicated that social support moderated the associations between caregiver alcohol dependence and internalizing and caregiver drug dependence and externalizing behaviors. Implications for practice and future research are discussed

Peer and sibling relationships

One of the most important roles of parents is to help their children learn to relate to peers, and find their place in the world of their peers. Siblings are often the child’s first peers in that they are relatively equal in terms of power, and they also typically engage together in play. Positive relationships with both peers and siblings protect children from adversity. However, problematic peer or sibling relating, including bullying or conflict, can have serious consequences for mental health and behavior. Parenting impacts the development of peer and sibling relationships in similar ways. The aim of this chapter is to review research and theory about how parenting affects these relationships. The paths through which parents influence peer and sibling relationships are explored. Evidence of the effectiveness of parenting interventions to improve children’s peer and sibling relationship issues is examined. It is recommended that future research seeks to further differentiate the interplay of genetics and parenting affecting child outcomes, and that intervention trials examine the impact of interventions on both sibling and peer relationships. To date, most school interventions to address bullying and victimization have involved parents only minimally. There is, however, a great deal of evidence that involvement of parents and families is critical in addressing serious problems in peer, as well as sibling, relationships