Adolescent Mental Health in the Context of Parental Substance Use Disorder
<p><strong>Background</strong><strong>:</strong> This study analyzed the intergenerational impact of parental substance use disorder (SUD) on internalizing and externalizing symptoms and attachment disturbances in adolescents to inform targeted prevention models. A mixed-methods, cross-sectional ex...
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| Formato: | Capítulo de libro |
| Lenguaje: | inglés |
| Publicado: |
IntechOpen
2026
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| Materias: | |
| Acceso en línea: | https://www.intechopen.com/chapters/1253751 |
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| Sumario: | <p><strong>Background</strong><strong>:</strong> This study analyzed the intergenerational impact of parental substance use disorder (SUD) on internalizing and externalizing symptoms and attachment disturbances in adolescents to inform targeted prevention models. A mixed-methods, cross-sectional ex post facto design was conducted with 40 adolescents aged 11–18 (M = 15.08, SD = 2.01; 50% female), divided equally into an experimental group exposed to parental SUD and a control group. Results indicated that adolescents exposed to parental SUD exhibited significantly higher levels of internalizing (depression, anxiety) and externalizing psychopathology (aggressiveness, school maladjustment), alongside an increased risk of early alcohol and cannabis initiation. Furthermore, mediation analyses revealed distinct etiopathogenic pathways. Depressive symptoms were mediated by emotional neglect and caregiving system disruption, characterized as relational trauma. In contrast, anxiety and addictive behaviors stemmed directly from household instability and observational learning, independent of attachment trauma. Ultimately, psychopathology in adolescents exposed to parental SUD arises from divergent mechanisms involving both relational trauma and learning–instability paradigms. These findings underscore the clinical necessity of targeted preventive interventions focused on enhancing adaptive coping strategies and fostering resilience in this vulnerable population.</p> |
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| ISBN: | 978-1-80632-027-1 |
| DOI: | 10.5772/intechopen.1017596 |