“A good mother”: Impact of motherhood identity on women's substance use and engagement in treatment across the lifespan

Adams, Zoë; Ginapp, Callie M.; Price, Carolina; Qin, Yilu; Madden, Lynn M.; Yonkers, Kimberly A.; Meyer, Jaimie P.

doi:10.1016/j.jsat.2021.108474

Cited by 39 publications

(27 citation statements)

References 47 publications

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“…Regarding addictions, few previous studies have evaluated the specific role of motherhood. They have suggested that motherhood may be a motivating factor in recovering from substance use disorder, although it may also be a barrier due to fear of possible negative consequences, such as the loss of custody of their child [ 11 , 12 ]. However, this aspect has not been extensively studied in behavioral addictions.…”

Section: Introductionmentioning

confidence: 99%

Motherhood and Treatment Outcome in Female Patients with Compulsive Buying–Shopping Disorder

Mestre‐Bach

Granero

Casalé-Salayet³

et al. 2022

IJERPH

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Motherhood has been proposed as an internal facilitating factor for the recovery of women with mental disorders. However, at the same time, there are significant barriers that may be interfering with the access and adherence to treatment for these women. The present longitudinal study aimed to deepen the sociodemographic and clinical profile of women with children and compulsive buying–shopping disorder (CBSD), and to explore the association between motherhood and response to treatment. The total sample included 77 women with a diagnosis of CBSD (n = 49 mothers) who received cognitive behavioral therapy (CBT) for 12 weeks. No association between psychopathology and motherhood was observed. The group of mothers reported an older age of onset of the CBSD, a lower amount of money spent per compulsive-buying episode, and a higher likelihood of family support for the CBSD. Moreover, this group showed lower risk of relapse. The findings support the theoretical proposal that considers motherhood as an internal facilitating factor for recovery and treatment adherence of mothers with addictions.

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Section: Introductionmentioning

confidence: 99%

Motherhood and Treatment Outcome in Female Patients with Compulsive Buying–Shopping Disorder

Mestre‐Bach

Granero

Casalé-Salayet³

et al. 2022

IJERPH

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“…Unfortunately, our ability to interview clients was curtailed by the pandemic. However, previous studies on pregnant and postpartum women suggest that many of the concerns raised in this study, such as fears of CPS involvement and concerns about confidentiality, would be shared by pregnant people [86,87]. The use of convenience sampling may have limited the sample to those more predisposed to be supportive of the e-SBI-HV.…”

Section: Strengths and Limitationsmentioning

confidence: 88%

“…The theme of children as a primary motivator for mothers to access SU treatment and reduce their use has been documented in other studies [86,87]. However, despite being highly motivated, the pervasive stigma around SU in pregnant people and mothers and fear of child removal often prevent mothers from accessing the necessary help for SU [86]. Distrust of formal systems of care has been documented among pregnant and postpartum women who use substances [87].…”

Section: Principal Findingsmentioning

confidence: 96%

Development of an Electronic Screening and Brief Intervention to Address Perinatal Substance Use in Home Visiting: Qualitative User-Centered Approach

et al. 2022

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Background Perinatal substance use (SU) is prevalent during pregnancy and the postpartum period and may increase the risks to maternal and child health. Many pregnant and postpartum women do not seek treatment for SU because of fear of child removal. Home visiting (HV), a voluntary supportive program for high-risk families during the perinatal period, is a promising avenue for addressing unmet SU needs. Confidential delivery of screening and brief intervention (BI) for SU via computers has demonstrated high user satisfaction among pregnant and postpartum women as well as efficacy in reducing perinatal SU. This study describes the development of the electronic screening and BI for HV (e–SBI-HV), a digital screening and BI program that is adapted from an existing electronic screening and BI (e-SBI) for perinatal SU and tailored to the HV context. Objective This study aimed to describe the user-centered intervention development process that informed the adaptation of the original e-SBI into the e–SBI-HV, present specific themes extracted from the user-centered design process that directly informed the e–SBI-HV prototype and describe the e–SBI-HV prototype. Methods Adaptation of the original e-SBI into the e–SBI-HV followed a user-centered design process that included 2 phases of interviews with home visitors and clients. The first phase focused on adaptation and the second phase focused on refinement. Themes were extracted from the interviews using inductive coding methods and systematically used to inform e–SBI-HV adaptations. Participants included 17 home visitors and 7 clients across 3 Healthy Families America programs in New Jersey. Results The e–SBI-HV is based on an existing e-SBI for perinatal SU that includes screening participants for SU followed by a brief motivational intervention. On the basis of the themes extracted from the user-centered design process, the original e-SBI was adapted to address population-specific motivating factors, address co-occurring problems, address concerns about confidentiality, acknowledge fear of child protective services, capitalize on the home visitor–client relationship, and provide information about SU treatment while acknowledging that many clients prefer not to access the formal treatment system. The full e–SBI-HV prototype included 2 digital intervention sessions and home visitor facilitation protocols. Conclusions This study describes a user-centered approach for adapting an existing e-SBI for SU for use in the HV context. Despite the described challenges, home visitors and clients generally reacted favorably to the e–SBI-HV, noting that it has the potential to fill a significant gap in HV services. If proven effective, the e–SBI-HV could provide a way for clients to receive help with SU within HV, while maintaining their privacy and avoiding the overburdening of home visitors. The next step in this study would be to test the feasibility and preliminary efficacy of the e–SBI-HV.

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“…Although motherhood and caring for children are often described as a critical motivating factor for seeking treatment and reducing substance use [ 42 , 155 ], mothers are also more likely to conceal their substance use and avoid seeking help because of fears of losing their children [ 156 , 157 ]. Loss of child custody may also lead to relapse in mothers because of the stress and trauma of child removal [ 158 , 159 ]. Given these complex relationships, assessing variables related to the mother’s role, such as maternal self-efficacy, is critical for the appropriate tailoring of interventions.…”

Section: Discussionmentioning

confidence: 99%

Adaptive Text Messaging for Postpartum Risky Drinking: Conceptual Model and Protocol for an Ecological Momentary Assessment Study

Dauber¹,

Beacham²,

Hammond³

et al. 2022

JMIR Res Protoc

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Background Risky drinking is prevalent among women of childbearing age. Although many women reduce their drinking during pregnancy, more than half return to prepregnancy levels during the early postpartum period. Risky drinking in new mothers may be associated with negative child and maternal health outcomes; however, new mothers are unlikely to seek treatment for risky drinking because of stigma and fear of child protective service involvement. SMS text messaging is a promising approach for reaching non–treatment-seeking new mothers at risk because of risky drinking. SMS text messaging interventions (TMIs) are empirically supported for alcohol use, but a tailored intervention for new mothers does not exist. This study aims to fill this gap by developing a just-in-time adaptive TMI for postpartum risky drinking. Objective The objectives of this paper are to present a preliminary conceptual model of postpartum risky drinking and describe the protocol for conducting an ecological momentary assessment (EMA) study with new mothers to inform the refinement of the conceptual model and development of the TMI. Methods This paper presents a preliminary conceptual model of postpartum risky drinking based on the motivational model of alcohol use, social cognitive theory, and temporal self-regulation theory. The model proposes three primary intervention targets: motivation, self-efficacy, and self-regulation. Theoretical and empirical literature in support of the conceptual model is described. The paper also describes procedures for a study that will collect EMA data from 30 participants recruited via social media and the perinatal Central Intake system of New Jersey. Following the baseline assessment, EMA surveys will be sent 5 times per day for 14 days. The assessment instruments and data analysis procedures are described. Results Recruitment is scheduled to begin in January 2022 and is anticipated to conclude in March 2022. Study results are estimated to be published in July 2022. Conclusions The study findings will enhance our understanding of daily and momentary fluctuations in risk and protective factors for risky drinking during the early postpartum period. The findings will be used to refine the conceptual model and inform the development of the TMI. The next steps for this work include the development of intervention components via an iterative participatory design process and testing of the resulting intervention in a pilot microrandomized trial. International Registered Report Identifier (IRRID) PRR1-10.2196/36849

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“A good mother”: Impact of motherhood identity on women's substance use and engagement in treatment across the lifespan

Cited by 39 publications

References 47 publications

Motherhood and Treatment Outcome in Female Patients with Compulsive Buying–Shopping Disorder

Motherhood and Treatment Outcome in Female Patients with Compulsive Buying–Shopping Disorder

Development of an Electronic Screening and Brief Intervention to Address Perinatal Substance Use in Home Visiting: Qualitative User-Centered Approach

Adaptive Text Messaging for Postpartum Risky Drinking: Conceptual Model and Protocol for an Ecological Momentary Assessment Study

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