Parent/child transactional processes predictive of resilience or vulnerability to "substance abuse disorders"

Subst Use Misuse. 2004 Apr;39(5):671-98. doi: 10.1081/ja-120034011.


This article discusses implications of a theoretical model of resilience--the Resilience Framework, including the impact of parent/child transactional processes in moderating or mediating a child's biological or environmental risks and later substance misuse. Research is presented on behavioral and emotional precursors of substance abuse disorders in children of substance users. Detrimental processes within dysfunctional family environments are presented followed by a listing of strategies for increasing resilience in youth by improving family dynamics. The value in elucidating these interactive processes is to increase our understanding of ways to reduce the impact of risk factors. Prevention providers should use these strategies as benchmarks for selecting or developing effective family-focused prevention programs. Resources are presented for finding effective family interventions as well as an example of a family intervention based on resilience principles, namely the Strengthening Families Program. Recommendations are made for future research and better dissemination of evidence-based family interventions.

MeSH terms

  • Adaptation, Psychological*
  • Adult
  • Antisocial Personality Disorder / psychology
  • Child
  • Communication*
  • Environment*
  • Female
  • Humans
  • Intergenerational Relations
  • Interpersonal Relations
  • Male
  • Mothers / psychology
  • Parent-Child Relations*
  • Parenting
  • Prospective Studies
  • Risk Factors
  • Substance-Related Disorders / diagnosis
  • Substance-Related Disorders / epidemiology*
  • Substance-Related Disorders / prevention & control