Conceptual model for maternal behavior among polydrug cocaine-using mothers: The role of postnatal cocaine use and maternal depression.

Eiden, Rina D.; Stevens, Arianne; Schuetze, Pamela; Dombkowski, Laura E.

doi:10.1037/0893-164x.20.1.1

Cited by 33 publications

(37 citation statements)

References 54 publications

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“…At the behavioral level, such motivation can be demonstrated in preclinical models using the same procedures borrowed from the addiction field namely, conditioned place preference (Mattson et al, 2001), operant conditioning bar-pressing procedures (Wilsoncraft, 1968) and choice tasks (Mattson et al, 2001). The association between social attachment and addiction is further supported by extensive clinical literature on poor couple (Ghitza et al, 2007) and parental (Coyer, 2003; Eiden et al, 2006) functioning in individuals afflicted with substance use disorders. Hence, addiction entails taking over motivational and emotional systems by switching evolutionary programmed and normatively sensitized incentive targets (e.g., sexual attractions and maternal care) for the ones bearing absolutely no benefits for an individual.…”

Section: 4 Social Attachment and Addiction: Shared Neurobiology Anmentioning

confidence: 91%

Pain and suicidality: Insights from reward and addiction neuroscience

Elman

Borsook

Volkow

2013

Progress in Neurobiology

184

147

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Suicidality is exceedingly prevalent in pain patients. Although the pathophysiology of this link remains unclear, it may be potentially related to the partial congruence of physical and emotional pain systems. The latter system’s role in suicide is also conspicuous during setbacks and losses sustained in the context of social attachments. Here we propose a model based on the neural pathways mediating reward and anti-reward (i.e., allostatic adjustment to recurrent activation of the reward circuitry); both are relevant etiologic factors in pain, suicide and social attachments. A comprehensive literature search on neurobiology of pain and suicidality was performed. The collected articles were critically reviewed and relevant data were extracted and summarized within four key areas: (1) physical and emotional pain, (2) emotional pain and social attachments, (3) pain-and suicide-related alterations of the reward and anti-reward circuits as compared to addiction, which is the premier probe for dysfunction of these circuits and (4) mechanistically informed treatments of co-occurring pain and suicidality. Pain-, stress- and analgesic drugs-induced opponent and proponent states of the mesolimbic dopaminergic pathways may render reward and anti-reward systems vulnerable to sensitization, cross-sensitization and aberrant learning of contents and contexts associated with suicidal acts and behaviors. These findings suggest that pain patients exhibit alterations in the brain circuits mediating reward (depressed function) and anti-reward (sensitized function) that may affect their proclivity for suicide and support pain and suicidality classification among other “reward deficiency syndromes” and a new proposal for “enhanced anti-reward syndromes”. We suggest that interventions aimed at restoring the balance between the reward and anti-reward networks in patients with chronic pain may help decreasing their suicide risk.

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Section: 4 Social Attachment and Addiction: Shared Neurobiology Anmentioning

confidence: 91%

Pain and suicidality: Insights from reward and addiction neuroscience

Elman

Borsook

Volkow

2013

Progress in Neurobiology

184

147

View full text Add to dashboard Cite

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“…In an intervention study, Schuler et al 11 found that ongoing maternal cocaine and/or heroin use and rigid parenting attitudes predicted decreased maternal competence during mother-child play interactions at 18 months postpartum. In another study, Eiden et al 1 revealed that continued cocaine use postpartum among mothers with depression and/or anxiety was a significant predictor of greater maternal insensitivity and negative parenting behaviors during feeding interactions with their 4- to 6-week old infants.…”

Section: Introductionmentioning

confidence: 99%

“…Mothers who use cocaine while pregnant have a tendency to abuse additional substances including alcohol, marijuana, and tobacco, 1 and many continue to use drugs after delivery. These mothers typically reside in high-risk environments characterized by low-income communities, inadequate nutrition, ongoing familial substance use, homelessness and minimal social support.…”

Section: Introductionmentioning

confidence: 99%

“…1,4–6 Tronick et al 7 revealed that mothers who used cocaine during pregnancy exhibited more negative engagement behaviors and affective states inconsistent with their infants more frequently than mothers of non-exposed infants during a play and still-face interaction. Additionally, prenatally cocaine-exposed infants displayed increased levels of social monitoring compared to non-exposed infants.…”

Section: Introductionmentioning

confidence: 99%

“…1,3,10 Studies demonstrate that mothers with both substance abuse and psychopathology are less able to understand and respond sensitively to their infants’ cues compared to mothers with substance abuse alone. 3,10 The presence of severe paranoid and depressive symptoms among substance-using mothers not only negatively impacts the quality of parenting but is also associated with decreased functioning among prenatally substance-exposed infants.…”

Section: Introductionmentioning

confidence: 99%

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Longitudinal Effects of Prenatal Cocaine Use on Mother-Child Interactions at Ages 3 and 5 Years

Mansoor¹,

Morrow²,

Accornero³

et al. 2012

Journal of Developmental &Amp; Behavioral Pediatrics

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Objective To assess the effect of maternal prenatal and past-year cocaine use on mother-child interactions across the preschool years. Methods The sample is drawn from the Miami Prenatal Cocaine Study (MPCS), a longitudinal follow-up of prenatal cocaine exposure (PCE) in a large cohort of African-American infants prospectively enrolled at birth. Analyses are based on the 366 children (168 PCE and 198 NCE) in the care of their biological mothers and with completed mother-child interaction measures at the 3- and/or 5-year assessments. Videotaped interactions were coded using a modified Egeland Teaching Task scheme. GLM/GEE models were used to evaluate the effect of PCE on the overall quality of maternal-child interaction, measured by the Egeland total score at both study visits, and on the individual Egeland subscales at the 5-year visit, while adjusting for other suspected influences on interactions. Results PCE dyads demonstrated less optimal overall mother-child interactions compared to NCE dyads. The estimated PCE-associated difference did not shift appreciably with statistical adjustment for child sex, child age at exam or other birth covariates. PCE dyads with past-year maternal cocaine use had significantly lower Egeland summary scores compared to children with neither exposure. In subscale analyses, PCE was most strongly associated with greater maternal intrusiveness and boundary dissolution at the 5-year visit. Conclusions Prenatal and past-year maternal cocaine use appear to be associated with poorer quality in mother-child interaction during early childhood. These dynamics should be considered when examining the association between prenatal cocaine exposure and child cognitive, behavioral, and academic outcomes.

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Physiological responses to social and cognitive challenges in 8‐year olds with a history of prenatal cocaine exposure

Kable

Coles

Lynch

et al. 2008

Developmental Psychobiology

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Cocaine-exposed infants have been found to have altered arousal responses but little is known about such responses in later childhood. Physiological responses to stressors were used to assess the arousal modulation of school-aged, cocaine-exposed children (n = 73) and two contrast groups, socioeconomically-matched controls (n = 58) and children with behavioral disturbance (n = 35). The behaviorally disturbed group had the highest heart rate across conditions but demonstrated a pattern of hyporesponsiveness to the stressors. They had the smallest decrement in skin conductance response at baseline and the least recovery of skin conductance response following exposure to stressors. Cocaine-exposed children demonstrated greater acceleratory responses to the stressors as indexed by their skin conductance level and were intermediate between the socioeconomically-matched controls and children with behavioral disturbance in recovery of skin conductance response following stressors. Altered arousal responses associated with prenatal cocaine exposure persisted into middle childhood but were different from those found in behaviorally disturbed children.

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Conceptual model for maternal behavior among polydrug cocaine-using mothers: The role of postnatal cocaine use and maternal depression.

Cited by 33 publications

References 54 publications

Pain and suicidality: Insights from reward and addiction neuroscience

Pain and suicidality: Insights from reward and addiction neuroscience

Longitudinal Effects of Prenatal Cocaine Use on Mother-Child Interactions at Ages 3 and 5 Years

Physiological responses to social and cognitive challenges in 8‐year olds with a history of prenatal cocaine exposure

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