A Review of Recent Findings on Substance Abuse Treatment for Pregnant Women

Howell, Embry; Heiser, Nancy; Harrington, Mary E.

doi:10.1016/s0740-5472(98)00032-4

Cited by 143 publications

(113 citation statements)

References 76 publications

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“…While studies focusing on substance abuse treatment outcomes in pregnant women are included in the supplementary materials, a full review of treatment outcomes among pregnant women is beyond the scope of this report; several recent reviews of this topic exist (Brady and Ashley, 2005;Finkelstein, 1994;Greenfield and Sugarman, 2001;Grella, 1996;Howell et al, 1999). Similarly, studies of gender differences in treatment outcomes among criminal justice populations have been reviewed elsewhere (Langan and Pelissier, 2001;Pelissier, 2004;Pelissier et al, 2003) and are not included in this review.…”

Section: Introductionmentioning

confidence: 99%

Substance abuse treatment entry, retention, and outcome in women: A review of the literature

Greenfield

Brooks

Gordon

et al. 2007

Drug and Alcohol Dependence

890

782

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This paper reviews the literature examining characteristics associated with treatment outcome in women with substance use disorders. A search of the English language literature from 1975 to 2005 using Medline and PsycInfo databases found 280 relevant articles. Ninety percent of the studies investigating gender differences in substance abuse treatment outcomes were published since 1990, and of those, over 40% were published since the year 2000. Only 11.8% of these studies were randomized clinical trials. A convergence of evidence suggests that women with substance use disorders are less likely, over the lifetime, to enter treatment compared to their male counterparts. Once in treatment, however, gender is not a significant predictor of treatment retention, completion, or outcome. Gender-specific predictors of outcome do exist, however, and individual characteristics and treatment approaches can differentially affect outcomes by gender. While women-only treatment is not necessarily more effective than mixed-gender treatment, some greater effectiveness has been demonstrated by treatments that address problems more common to substance-abusing women or that are designed for specific subgroups of this population. There is a need to develop and test effective treatments for specific subgroups such as older women with substance use disorders, as well as those with co-occurring substance use and psychiatric disorders such as eating disorders. Future research on effectiveness and cost-effectiveness of gender-specific versus standard treatments, as well as identification of the characteristics of women and men who can benefit from mixed-gender versus single-gender treatments, would advance the field.

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Section: Introductionmentioning

confidence: 99%

Substance abuse treatment entry, retention, and outcome in women: A review of the literature

Greenfield

Brooks

Gordon

et al. 2007

Drug and Alcohol Dependence

890

782

View full text Add to dashboard Cite

show abstract

“…The question, then, is whether requiring such consent would make patients less likely to avail themselves of prenatal care services. Although relatively few pregnant women overall abuse illicit drugs during pregnancy (prevalence hovers around 5%; see Finch et al, 2001;Howell et al, 1999;Jewell & Russell, 2000;Lester, Boukydis, & Twomey, 2000), substance abuse is an important determinant of prenatal care. Substance abusers are less likely than nonabusers to obtain adequate prenatal care (Poland, Ager, & Olson, 1987), and many drug-using mothers report that guilt and shame over their drug use is the leading reason for their avoidance of prenatal care (Chavkin & Paone, 1991, as cited in Chavkin, 1991.…”

Section: The Effects Of Drug Testing During Pregnancymentioning

confidence: 99%

Pregnancy, drug testing, and the Fourth Amendment: Legal and behavioral implications.

Bornstein¹

2003

Journal of Family Psychology

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In its efforts to protect the health of unborn children, the government is increasingly attempting to regulate pregnant women's conduct. As with other policies affecting pregnant women's autonomy, these policies have constitutional overtones. In Ferguson v. City of Charleston (2001), the Supreme Court struck down a South Carolina hospital's policy of testing pregnant women for cocaine and turning positive results over to law enforcement for prosecution. This article discusses the basis of the decision and its legal and behavioral implications. Although the decision came down on the side of pregnant women's rights, it left unresolved the issue of whether a similar policy could be constructed that would pass constitutional muster. The article concludes with a consideration of the likely effects of, and alternatives to, such a policy.

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“…Embora exista grande variabilidade entre os diferentes estudos, risco aumentado de aborto, gravidez ectópica, prematuridade, baixo ganho de peso, microcefalia, anemia, trombocitopenia e hipertensão são alguns dos problemas clínicos que têm sido relatados (Howell et al, 1999;NIDA, 2000NIDA, ,2002 (Behnke et al, 2001;Zucherman, Frank, 2002).…”

Section: Especificidadeunclassified

“…Problemas no comportamento e aprendizado também podem persistir pelo menos durante a infância (Howell et al, 1999). Como são desconhecidas a freqüência de consumo e a quantidade de álcool que estariam envolvidas nesta síndrome, bem como o papel das carências nutricionais secundárias ao alcoolismo, recomenda-se às gestantes que não bebam neste período (Schuckit, 1991;Nolen-Hoeksema, 2004).…”

Section: Especificidadeunclassified

“…Até cerca de 20 anos atrás, era muito discutida a existência dos denominados "crack babies", que seriam recém-nascidos com alterações neurocomportamentais que durariam de 8 a 10 semanas (Lex, 1994) e que evoluiriam para os "crack kids", ou seja, crianças com prejuízos cognitivos, afetivos e morais (Zucherman, Frank, 2002 Lester et al (2001) (Howell et al, 1999;Becker, Duffy, 2002).…”

Section: Especificidadeunclassified

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Comorbidade entre dependência de substâncias psicoativas e transtornos alimentares: perfil e evolução de mulheres em um tratamento específico para dependência química

Brasiliano¹

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A Review of Recent Findings on Substance Abuse Treatment for Pregnant Women

Cited by 143 publications

References 76 publications

Substance abuse treatment entry, retention, and outcome in women: A review of the literature

Substance abuse treatment entry, retention, and outcome in women: A review of the literature

Pregnancy, drug testing, and the Fourth Amendment: Legal and behavioral implications.

Comorbidade entre dependência de substâncias psicoativas e transtornos alimentares: perfil e evolução de mulheres em um tratamento específico para dependência química

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