Objectives of this study were to ascertain risk and protective factors in the adjustment of 78
school-age and teenage offspring of opioid- and cocaine-abusing mothers. Using a multimethod,
multiinformant approach, child outcomes were operationalized via lifetime psychiatric diagnoses
and everyday social competence (each based on both mother and child reports), and dimensional
assessments of symptoms (mother report). Risk/protective factors examined included the
child sociodemographic attributes of gender, age, and ethnicity, aspects of maternal
psychopathology, and both mother's and children's cognitive functioning. Results
revealed that greater child maladjustment was linked with increasing age, Caucasian (as opposed
to African American) ethnicity, severity of maternal psychiatric disturbance, higher maternal
cognitive abilities (among African Americans) and lower child cognitive abilities (among
Caucasians). Limitations of the study are discussed, as are implications of findings for future
research.