Document Detail


Maternal self concept as a provider and cessation of substance use during pregnancy.
MedLine Citation:
PMID:  22575401     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: Maternal substance use during pregnancy is a common modifiable risk factor for poor birth outcomes, and is associated with long term psychological risks to offspring. As self concept is known to affect substance use behaviors in non-pregnant women, we hypothesized that self concept as a provider may be particularly salient to cessation of use during pregnancy. To isolate psychological processes specific to pregnancy from those associated with the transition to parenthood, we examined birth mothers who made adoption placements participating in the Early Growth and Development Study.
METHODS: We obtained lifetime and pregnancy substance use history and psychological measures at 3 to 4months postpartum from 693 women recruited from the Northwest, Southwest, and Mid-Atlantic regions of the United States. Life history calendar and computer-assisted personal interviewing methods were used to minimize reporting bias. Using logistic regression, we assessed the association of self concept as an adequate provider with cessation of substance use during pregnancy, controlling for sociodemographic variables, depressive symptoms experienced during pregnancy, past year antisocial behaviors, family history of substance abuse, timing of pregnancy recognition, timing of initiation of prenatal care, and emotional adjustment to the adoption decision.
RESULTS: More positive self-concept as an adequate provider was independently associated with cessation of substance use and earlier initiation of prenatal care during pregnancy [OR=1.223; 95% C.I. (1.005-1.489); B(SE)=.201(.100)]. Familial substance abuse, depressive symptoms, and antisocial behaviors during pregnancy, were also independent predictors, and more strongly associated with cessation [OR=.531; 95% C.I. (.375-.751); B(SE)=-.634 (.178)], [OR. 940; 95% C.I. (.906-.975); B(SE)=-.062 (.019)], [OR=.961; 95% C.I. (.927-.996); B(SE)=-.040 (.018)].
CONCLUSIONS: Enhancing maternal identity as a provider for the fetus during pregnancy, along with treatment of depression, may improve motivation to stop substance use.
Authors:
Suena H Massey; Jenae M Neiderhiser; Daniel S Shaw; Leslie D Leve; Jody M Ganiban; David Reiss
Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't     Date:  2012-04-18
Journal Detail:
Title:  Addictive behaviors     Volume:  37     ISSN:  1873-6327     ISO Abbreviation:  Addict Behav     Publication Date:  2012 Aug 
Date Detail:
Created Date:  2012-05-22     Completed Date:  2012-09-07     Revised Date:  2013-08-14    
Medline Journal Info:
Nlm Unique ID:  7603486     Medline TA:  Addict Behav     Country:  England    
Other Details:
Languages:  eng     Pagination:  956-61     Citation Subset:  IM    
Copyright Information:
Copyright © 2012 Elsevier Ltd. All rights reserved.
Affiliation:
Department of Psychiatry and Behavioral Sciences, George Washington University School of Medicine and Health Sciences, 2150 Pennsylvania Avenue NW, Washington, DC 20037, USA. smassey@mfa.gwu.edu
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MeSH Terms
Descriptor/Qualifier:
Adult
Cross-Sectional Studies
Female
Humans
Pregnancy / psychology*
Pregnancy Complications / psychology*,  rehabilitation
Prospective Studies
Risk Factors
Self Concept*
Substance-Related Disorders / psychology*,  rehabilitation
United States
Young Adult
Grant Support
ID/Acronym/Agency:
R01 DA020585/DA/NIDA NIH HHS; R01 DA020585/DA/NIDA NIH HHS; R01 HD042608/HD/NICHD NIH HHS; R01 HD042608/HD/NICHD NIH HHS
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