Profiles of behavior change constructs for reducing alcohol use in women at risk of an alcohol-exposed pregnancy.

Sternberg, Kirk von; DiClemente, Carlo C.; Velasquez, Mary M.

doi:10.1037/adb0000417

Cited by 5 publications

(5 citation statements)

References 57 publications

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“… 11 Their main goal was to improve their sense of well-being or even as a quick reward. 12 , 13 Thus, reducing or quitting smoking can cause a reduction of depressive symptoms. 13 Furthermore, the majority of women seem reluctant to abstain from smoking permanently after childbirth.…”

Section: Introductionmentioning

confidence: 99%

Smoking Patterns and Anxiety Factors Among Women Expressing Perinatal Depression

Anastasopoulou

Bonotis

Hatzoglou

et al. 2022

Women's Health Reports

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Background: Relationships among perinatal depression occurring a number of weeks before and after childbirth and smoking have been identified. Depression may lead to the inability to abstain from smoking during pregnancy. Objectives: This study aims to determine factors affecting smoking during pregnancy revealing potential relationships between depression and smoking patterns during and after pregnancy. Methods: A total of 206 mothers participated in the study. Data were collected through self-reporting as respondents were asked to answer questionnaires during the 12th week of pregnancy, during the 30th week of pregnancy, after childbirth, and during the period after pregnancy. Relationships between smoking behavior, sociodemographic variables, and feelings of perinatal depression were examined using chi-square test and binary logistic regression analysis. A follow-up investigation has been conducted after 2 years revealing the percentage of women returning to their smoking habits. Results: Smokers before ( B = 0.568; p = 0.026) and during pregnancy ( B = 1.238; p = 0.009) were more likely to express depression before childbirth. Average daily cigarette consumption before ( B = 1.110; p = 0.001) and during pregnancy ( B = 1.167; p = 0.002) was associated with depression during pregnancy. Women who smoked during pregnancy reported significantly more depressive symptoms after pregnancy ( B = 1.757; p = 0.005) compared with nonsmokers and smokers who abstained during pregnancy. Average daily cigarette consumption during pregnancy ( B = 1.402; p = 0.002) affects the expression of depression after pregnancy. Women who smoked before pregnancy ( B = 0.568; p = 0.025) and their average daily cigarette consumption before pregnancy ( B = 1.465; p = 0.025) were highly associated with the inability to abstain from smoking during pregnancy. However, the knowledge of risks of maternal smoking during pregnancy ( B = −1.110; p = 0.001) and medical consult on abstaining ( B = −1.238; p = 0.009) reinforced the maternal attempt to quit smoking. The follow-up investigation revealed an elevated amount of women returning to previous smoking patterns. Discussion: Perinatal depression is associated with smoking patterns during pregnancy. Assessment of depression and smoking is needed throughout perinatal period to support the health of women.

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Section: Introductionmentioning

confidence: 99%

Smoking Patterns and Anxiety Factors Among Women Expressing Perinatal Depression

Anastasopoulou

Bonotis

Hatzoglou

et al. 2022

Women's Health Reports

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“…Finally, it is worth noting that a great number of studies addressing substance use with RCTs also consider other aspects of the well-being of pregnant women, such as family cohabitation, employment integration, and accessibility to healthcare resources. However, they do not report measures of psychopathology; hence, it cannot be considered that they address dual pathology [38,47,52,57,58,67,68,76,79,85,88,90].…”

Section: Resultsmentioning

confidence: 99%

The Elephant in the Room: A Systematic Review of the Application and Effects of Psychological Treatments for Pregnant Women with Dual Pathology (Mental Health and Substance-Related Disorders)

Caro-Cañizares,

López Carpintero,

Carmona-Camacho

2024

IJERPH

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Purpose: Maternal mental health and substance use, referred to as dual pathology, represent significant concerns associated with adverse pregnancy and birth outcomes, a prevalence higher than commonly anticipated. Nonetheless, a notable dearth exists ofevidence-based treatment protocols tailored for pregnant women with dual pathology. Methods: A systematic review, adhering to the PRISMA methodology, was conducted. Results: Out of the 57 identified papers deemed potentially relevant, only 2were ultimately included. Given the limited number of studies assessing the efficacy of psychological interventions utilizing randomized controlled trials (RCTs) for both mental health and substance misuse, and considering the diverse objectives and measures employed, definitive conclusions regarding the effectiveness of psychological interventions in this domain prove challenging. Conclusions: Maternal mental health appears to be the proverbial “elephant in the room”. The development of specialized and integrated interventions stands as an imperative to effectively address this pressing issue. As elucidated in the present review, these interventions ought to be grounded in empirical evidence. Furthermore, it is essential that such interventions undergo rigorous evaluation through RCTs to ascertain their efficacy levels. Ultimately, the provision of these interventions by psychology/psychiatric professionals, both within clinical practice and the RCTs themselves, is recommended to facilitate the generalizability of the results to specialized settings.

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“…Although many studies could be described to some extent as replication studies, in the case that research questions are addressed that are similar to previous studies, we performed a cursory search of direct mentions of the word “replication” (without year restriction) appearing in the journal Psychology of Addictive Behaviors , which in July 2020 yielded 21 results. Of these articles, one study tested a within-subject replication using an animal model of alcohol self-administration (Cook et al, 2020), five studies reported measurement replications in new samples (Alterman et al, 1998; Isenhart & Silversmith, 1996; Jones et al, 2014; Lee & Leeson, 2015; Pantalon et al, 2002), one used data from the Relapse Replication and Extension Project (Tonigan et al, 2017), five studies mentioned the importance of replication in future work (Hernández-López et al, 2009; Miller et al, 2017; Schüz et al, 2016; Stanger et al, 2020; Von Sternberg et al, 2018), and nine studies reported the results of replication efforts. Seven of these nine studies interpreted their results as replicating or partially replicating previous findings using either subjective assessment or consistency of statistical significance, though the method for determining replication was not always made explicit.…”

Section: How Do We Define Replication? Subjective Assessment Replicab...mentioning

confidence: 99%

Examining replicability in addictions research: How to assess and ways forward.

Pearson¹,

Schwebel²,

Richards³

et al. 2022

Psychology of Addictive Behaviors

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Objective: The high rate of statistically significant findings in the sciences that do not replicate in a new sample has been described as a “replication crisis.” Few replication attempts have been conducted in studies of alcohol use disorder (AUD), and the best method for determining whether a finding replicates has not been explored. The goal of the current study was to conduct direct replications within a multisite AUD-randomized controlled trial and to test a range of replication metrics. Method: We used data from a large AUD clinical trial (Project Matching Alcoholism Treatments and Client Heterogeneity [Project MATCH], n = 1,726) to simulate direct replication attempts. We examined associations between drinking intensity and negative alcohol-related consequences (Model 1), sex differences in drinking intensity (Model 2), and reductions in drinking following treatment (Model 3). We treated each of the 11 data collection sites as unique studies such that each subsample was treated as an “original” study, and the remaining 10 subsamples were viewed as “replication” studies. Replicability metrics included the consistency of statistical significance, overlapping confidence intervals, and consistency of the direction of the effect. We also tested effect replication and heterogeneity using meta-analysis. Results: We observed between 0% and 100% replicability across the replicability metrics depending on which subsample was treated as the “original” study. Meta-analyses indicated results were more similar across subsamples with no significant heterogeneity for Models 1 and 2. Conclusions: We recommend researchers focus on effect sizes and use meta-analysis to evaluate the level of replicability. We also encourage direct replication attempts and sharing of data and code to facilitate direct replication.

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Profiles of behavior change constructs for reducing alcohol use in women at risk of an alcohol-exposed pregnancy.

Cited by 5 publications

References 57 publications

Smoking Patterns and Anxiety Factors Among Women Expressing Perinatal Depression

Smoking Patterns and Anxiety Factors Among Women Expressing Perinatal Depression

The Elephant in the Room: A Systematic Review of the Application and Effects of Psychological Treatments for Pregnant Women with Dual Pathology (Mental Health and Substance-Related Disorders)

Examining replicability in addictions research: How to assess and ways forward.

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