Evidence map›Paper›PMID 40824227›Full record

ArticleThe Journal of adolescent health : official publication of the Society for Adolescent Medicine2025

Parental Opioid Misuse and Adolescent-Reported Positive Parenting Behaviors: An Analysis of Parent-Child Dyads From the National Survey on Drug Use and Health.

Elizabeth Troutman Adams, Jason Williams, Lori-Ann Palen, Feker Wondimagegnehu, Elvira Elek, Jessica Duncan Cance

Abstract read
In one paragraph

Article in The Journal of adolescent health : official publication of the Society for Adolescent Medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Family functioning and adolescent risk perception of opioid misuse: A cross-sectional study.Journal of family psychology : JFP : journal of the Division of Family Psychology of the American Psychological Association (Division 43) · 2026
    Article
  2. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Elizabeth Troutman AdamsCommunication Practice Area, RTI International, Research Triangle Park, North Carolina. Electronic address: etroutmanadams@rti.org.
Jason WilliamsHealth Practice Area, RTI International, Research Triangle Park, North Carolina.
Lori-Ann PalenData Soapbox, LLC, Cary, North Carolina.
Feker WondimagegnehuHealth Practice Area, RTI International, Research Triangle Park, North Carolina.
Elvira ElekHealth Practice Area, RTI International, Research Triangle Park, North Carolina.
Jessica Duncan CanceHealth Practice Area, RTI International, Research Triangle Park, North Carolina.

Funding

HEAL Initiative: Coordinating Center to Support NIDA Preventing Opioid Use Disorder in Older Adolescents and Young AdultsU24DA050182 · NIDA · RESEARCH TRIANGLE INSTITUTE · PI GRAHAM, PHILLIP W · 2019 to 2025
$11.6M
NCIPC CDC HHS U01 CE003482NIDA NIH HHS U24 DA050182
6 · The paper itself

Abstract

purposePast studies emphasize positive associations between parental opioid misuse and adverse outcomes for children and families yet neglect to understand whether opioid misuse interferes with positive parenting behaviors, such as checking on homework or engaging in serious discussions with an adolescent child.

methodWe analyzed data collected from parent-adolescent dyads (N = 24,900) surveyed for the 2014-2019 National Survey on Drug Use and Health, specifically examining relationships between parents' past-year opioid misuse or heroin use and adolescent-reported parenting behaviors.

resultsFor both mother-child and father-child dyads, parent-reported opioid misuse was significantly associated with only one of 10 positive parenting behaviors. Mothers who reported misusing opioids helped with homework less often (p = .04) and fathers who reported misusing opioids had less frequent engagement in serious conversations with their adolescent children (p = .04). Having longer conversations with children about substance use was positively associated with mother-reported opioid misuse (p = .013), mother-reported heroin use (p < .001), and father-reported heroin use (p < .001). DISCUSSION: These data provide insight into existing deficits and strengths of parents who have misused opioids in the past and present opportunities to intervene in the family unit to disrupt cycles of intergenerational substance misuse. Our findings reframe positive parenting as an attainable goal for parents who have misused opioids and inform the development of interventions designed to address distinct deficits experienced in mothers and fathers.

Indexed as

Opioid-Related DisordersParent-Child RelationsParentingParentsAdolescentAdultChildFemaleHealth SurveysHumansMaleMiddle AgedUnited StatesOpioid misuseOpioidsOpioid use disorderParent-child communicationPositive parentingSubstance use preventionYouth/adolescents

Identifiers

PMID40824227
PMCPMC12492465

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.