Clinical and psychosocial characteristics of substance-dependent pregnant women with and without PTSD

Moylan, Paula L; Jones, Hendrée E.; Haug, Nancy A.; Kissin, Wendy; Svikis, Dace S.

doi:10.1016/s0306-4603(00)00141-6

Cited by 58 publications

(39 citation statements)

References 9 publications

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“…The results of this study showing greater rates of PTSD in women with SI also supports previously reported findings between suicidal ideation and PTSD among pregnant drug dependent women (Tuten, Jones, Tran, & Svikis, 2004;Moylan, Jones, Haug, Kissin, & Svikis, 2001). …”

Section: Discussionsupporting

confidence: 91%

“…For example, substance dependence during pregnancy has been shown to be associated with comorbid mood disorders, homelessness, previous abuse (i.e., physical, sexual, and/or emotional abuse), unemployment, (Kissin, Svikis, Morgan, & Haug, 2001;Jansson, Svikis, Lee, Paluzzi, Rutigliano, & Hackerman, 1996;Finnegan, 1991), childhood sexual trauma, (Hill, Boyd, & Kortge, 2000) and post-traumatic stress disorder (PTSD) (Moylan, Jones, Haug, Kissin, & Svikis, 2001). Although previous studies have examined the relationship between suicidality and substance abuse in pregnant women, none have focused exclusively comparing drug dependent pregnant women with and without suicidal ideation.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Suicidal Ideation Among Drug-Dependent Treatment-Seeking Inner-City Pregnant Women

Copersino

Jones

Tuten

et al. 2008

Journal of Maintenance in the Addictions

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The current retrospective study compared the psychiatric and lifestyle characteristics of two groups of treatment-seeking pregnant, opiate and/or cocaine dependent women admitted to the Center for Addiction and Pregnancy (CAP). Women reporting past and/or current suicidal ideation (SI) (46%; n = 35) were compared to women who did not report thoughts of suicidal ideation (NSI) (54%; n = 41). SI women were more likely to be homeless (p = .020), to report histories of emotional (p = .022), physical (p < 001), sexual abuse (p = .002) and psychiatric treatment (p < . 001), and less likely to be married (p = .024) than NSI women. Psychiatrically, SI women were more likely to have co-morbid current and lifetime disorders than NSI women. These findings highlight the need to identify women with histories of suicidal ideation, recognize the potential relapse risk imposed by emotional distress, and confront these issues in treatment.

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Section: Discussionsupporting

confidence: 91%

Section: Introductionmentioning

confidence: 99%

Suicidal Ideation Among Drug-Dependent Treatment-Seeking Inner-City Pregnant Women

Copersino

Jones

Tuten

et al. 2008

Journal of Maintenance in the Addictions

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“…Taking an initial step in this line of research, we examined a range of SIB in the present study. Consistent with past research (Harned et al, 2006; Moylan et al, 2001), we hypothesized that PTSD would be associated with a history of DSH and suicide attempts, frequency of DSH and suicide attempts, and DSH versatility (i.e., use of multiple methods of DSH; Turner et al, in press). We also hypothesized that sexual assault-related traumas and co-occurring BPD would moderate the relationship between PTSD and SIB, such that the presence of these factors would be associated with a stronger relation between PTSD and SIB.…”

Section: Introductionsupporting

confidence: 52%

“…Patients with SUD have been found to have high rates of PTSD (Brady et al, 2004), suicide attempts (Ullman and Brecklin, 2002; Wunderlich et al, 1998), and DSH (Evren and Evren, 2005; Evren et al, 2006, Evren et al, 2008; Gratz and Tull, 2010a; Zlotnick et al, 1999). Furthermore, evidence suggests that patients with co-occurring PTSD-SUD are at particularly heightened risk for SIB, compared with either diagnosis alone (Harned et al, 2006; Moylan et al, 2001; Najavits et al, 1999). Thus, investigating potential moderators of the PTSD-SIB relation among SUD patients is of particular clinical relevance and public health significance.…”

Section: Introductionmentioning

confidence: 99%

Self-injurious behaviors in posttraumatic stress disorder: An examination of potential moderators

Dixon‐Gordon

Tull

Gratz

2014

Journal of Affective Disorders

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Background Despite increasing evidence for a relation between posttraumatic stress disorder (PTSD) and self-injurious behaviors (SIB), limited research has examined the factors that may moderate the associations between PTSD and both nonsuicidal SIB (deliberate self-harm; DSH) and suicidal SIB (suicide attempts). Nonetheless, research suggests that characteristics of the traumatic event, co-occurring borderline personality disorder (BPD), and emotion dysregulation may influence the relations between PTSD and SIB. Methods Thus, the aim of this study was to examine the moderating role of these factors in the association between PTSD and SIB (including history and frequency of DSH and suicide attempts, and DSH versatility) among a sample of substance use disorder inpatients with (n = 116) and without (n = 130) a history of PTSD. Results Results from stepwise regression analyses indicate that sexual assault-related PTSD predicted suicide attempt frequency and DSH versatility among those with PTSD. Furthermore, results from hierarchical linear and logistic regression analyses suggest that co-occurring BPD moderates the relationship between PTSD and both DSH history and versatility and emotion dysregulation moderates the relationship between PTSD and DSH frequency. Specifically, the relations between PTSD and DSH outcomes were stronger among participants with co-occurring BPD and higher levels of emotion dysregulation. Limitations This study is limited by its reliance on cross-sectional, self-report data. Conclusions Despite limitations, findings suggest distinct risk factors for suicide attempts and DSH, and highlight the importance of examining characteristics of the trauma and associated BPD and emotion dysregulation in assessing risk for SIB in PTSD.

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“…Individuals with comorbid disorders have more family and social problems than individuals with only a single disorder (Peirce et al, 2008). Although substance use and psychiatric symptoms may impact levels of social problems, research shows that social problems also increase subjective distress and may negatively impact both psychiatric and addiction treatment outcomes (Alterman, McLellan, & Shifman, 1993; Moylan, Jones, Haug, Kissin, & Svikis, 2001; Peirce et al, 2008). …”

Section: Introductionmentioning

confidence: 99%

The influence of family and social problems on treatment outcomes of persons with co-occurring substance use disorders and PTSD

Saunders

McLeman

McGovern³

et al. 2015

Journal of Substance Use

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Objective Family and social problems may contribute to negative recovery outcomes in patients with co-occurring substance use and psychiatric disorders, yet few studies have empirically examined this relationship. This study investigates the impact of family and social problems on treatment outcomes among patients with co-occurring substance use and posttraumatic stress disorder (PTSD). Method A secondary analysis was conducted using data collected from a randomized controlled trial of an integrated therapy for patients with co-occurring substance use and PTSD. Substance use, psychiatric symptoms, and social problems were assessed. Longitudinal outcomes were analyzed using generalized estimating equations (GEE) and multiple linear regression. Results At baseline, increased family and social problems were associated with more severe substance use and psychiatric symptoms. Over time, all participants had comparable decreases in substance use and psychiatric problem severity. However, changes in family and social problem severity were predictive of PTSD symptom severity, alcohol use, and psychiatric severity at follow-up. Conclusions For patients with co-occurring substance use and PTSD, family and social problem severity is associated with substance use and psychiatric problem severity at baseline and over time. Targeted treatment for social and family problems may be optimal.

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Clinical and psychosocial characteristics of substance-dependent pregnant women with and without PTSD

Cited by 58 publications

References 9 publications

Suicidal Ideation Among Drug-Dependent Treatment-Seeking Inner-City Pregnant Women

Suicidal Ideation Among Drug-Dependent Treatment-Seeking Inner-City Pregnant Women

Self-injurious behaviors in posttraumatic stress disorder: An examination of potential moderators

The influence of family and social problems on treatment outcomes of persons with co-occurring substance use disorders and PTSD

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