Structural equation modeling was used to test the hypothesis that parental
distress would mediate the relations between parental lifetime alcohol and
physical health problems and child behavior problems. Participants were 182
alcohol-involved families and 83 matched controls with 3- to 5-year-old bi
ological sons. Results show that sons of parents vith alcohol and physical
health problems are at elevated risk for behavior problems, partly related
to the increased levels of distress their parents are experiencing.