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Trauma in childhood and adolescence and impaired executive functions are associated with uncertain reflective functioning in mothers with substance use disorder

AIMS: Impairments in reflective functioning are known to have adverse effects on the ability to display sensitive parenting as a caregiver. Several factors are associated with impairments in reflective functioning, such as impaired executive functioning and experienced trauma. We investigated how th...

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Autores principales: Kristiansen, Vidar Roald, Handeland, Tore Bergby, Lau, Bjørn, Søderstrøm, Kerstin, Håkansson, Ulrika, Øie, Merete Glenne
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7244921/
https://www.ncbi.nlm.nih.gov/pubmed/32467834
http://dx.doi.org/10.1016/j.abrep.2019.100245
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author Kristiansen, Vidar Roald
Handeland, Tore Bergby
Lau, Bjørn
Søderstrøm, Kerstin
Håkansson, Ulrika
Øie, Merete Glenne
author_facet Kristiansen, Vidar Roald
Handeland, Tore Bergby
Lau, Bjørn
Søderstrøm, Kerstin
Håkansson, Ulrika
Øie, Merete Glenne
author_sort Kristiansen, Vidar Roald
collection PubMed
description AIMS: Impairments in reflective functioning are known to have adverse effects on the ability to display sensitive parenting as a caregiver. Several factors are associated with impairments in reflective functioning, such as impaired executive functioning and experienced trauma. We investigated how these factors contribute to an impaired reflective functioning style, such as pathological certain or uncertain reflective functioning. Extreme scores on these two subscales reflect two kinds of impairments in reflective functioning. We assessed executive functions, reflective functioning, and trauma in 43 mothers diagnosed with substance use disorders (SUD). METHODS: Certain or uncertain reflective functioning were assessed using the Reflective Functioning Questionnaire 8 (RFQ-8). Executive functions and trauma were assessed by administering various questionnaires, interviews and neuropsychological tests. RESULTS: High uncertain reflective functioning was more than six times as common (odds ratio) in mothers reporting high amounts of trauma in childhood and adolescence compared with mothers reporting low amounts of trauma. Impaired executive functions were also significantly associated with high uncertain reflective functioning. Certain reflective functioning did, however, not show any significant associations. CONCLUSION: When the SUD mothers give information about relational trauma in childhood and adolescence, it might therefore be worth investigating and addressing the potential tendency to have an uncertain reflective functioning style.
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spelling pubmed-72449212020-05-27 Trauma in childhood and adolescence and impaired executive functions are associated with uncertain reflective functioning in mothers with substance use disorder Kristiansen, Vidar Roald Handeland, Tore Bergby Lau, Bjørn Søderstrøm, Kerstin Håkansson, Ulrika Øie, Merete Glenne Addict Behav Rep Research paper AIMS: Impairments in reflective functioning are known to have adverse effects on the ability to display sensitive parenting as a caregiver. Several factors are associated with impairments in reflective functioning, such as impaired executive functioning and experienced trauma. We investigated how these factors contribute to an impaired reflective functioning style, such as pathological certain or uncertain reflective functioning. Extreme scores on these two subscales reflect two kinds of impairments in reflective functioning. We assessed executive functions, reflective functioning, and trauma in 43 mothers diagnosed with substance use disorders (SUD). METHODS: Certain or uncertain reflective functioning were assessed using the Reflective Functioning Questionnaire 8 (RFQ-8). Executive functions and trauma were assessed by administering various questionnaires, interviews and neuropsychological tests. RESULTS: High uncertain reflective functioning was more than six times as common (odds ratio) in mothers reporting high amounts of trauma in childhood and adolescence compared with mothers reporting low amounts of trauma. Impaired executive functions were also significantly associated with high uncertain reflective functioning. Certain reflective functioning did, however, not show any significant associations. CONCLUSION: When the SUD mothers give information about relational trauma in childhood and adolescence, it might therefore be worth investigating and addressing the potential tendency to have an uncertain reflective functioning style. Elsevier 2019-12-30 /pmc/articles/PMC7244921/ /pubmed/32467834 http://dx.doi.org/10.1016/j.abrep.2019.100245 Text en © 2019 The Authors http://creativecommons.org/licenses/by/4.0/ This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Research paper
Kristiansen, Vidar Roald
Handeland, Tore Bergby
Lau, Bjørn
Søderstrøm, Kerstin
Håkansson, Ulrika
Øie, Merete Glenne
Trauma in childhood and adolescence and impaired executive functions are associated with uncertain reflective functioning in mothers with substance use disorder
title Trauma in childhood and adolescence and impaired executive functions are associated with uncertain reflective functioning in mothers with substance use disorder
title_full Trauma in childhood and adolescence and impaired executive functions are associated with uncertain reflective functioning in mothers with substance use disorder
title_fullStr Trauma in childhood and adolescence and impaired executive functions are associated with uncertain reflective functioning in mothers with substance use disorder
title_full_unstemmed Trauma in childhood and adolescence and impaired executive functions are associated with uncertain reflective functioning in mothers with substance use disorder
title_short Trauma in childhood and adolescence and impaired executive functions are associated with uncertain reflective functioning in mothers with substance use disorder
title_sort trauma in childhood and adolescence and impaired executive functions are associated with uncertain reflective functioning in mothers with substance use disorder
topic Research paper
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7244921/
https://www.ncbi.nlm.nih.gov/pubmed/32467834
http://dx.doi.org/10.1016/j.abrep.2019.100245
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