Addiction and Depression: Unmet Treatment Needs Among Reproductive Age Women

Martin, Caitlin E.; Scialli, Anna; Terplan, Mishka

doi:10.1007/s10995-020-02904-8

Cited by 12 publications

(10 citation statements)

References 27 publications

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“…One inference that can be drawn based on this observation is that acceptance of depression as a psychiatric disorder has gained traction due to sustained mental health information campaign in the country, and the stigma has been reduced to some extent. One the other hand, a long duration of untreated substance use disorder than the psychiatric disorder suggests that a psychiatric consultation could be a point for discussion about substance use issues (Martin et al , 2020; Rathod et al , 2018), even when the patient does not actively want treatment for the substance use disorder.…”

Section: Discussionmentioning

confidence: 99%

Pathway to care in co-occurring disorder and substance use disorder: an exploratory, cross-sectional study from India

Tripathi¹,

Singh²,

Sarkar³

et al. 2021

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Purpose There is a paucity of comparative literature on pathway to care among patients with co-occurring disorders and those with only substance use disorders. This paper aims to compare the pathways to care among patients with co-occurring disorder and those with only substance use disorders. Design/methodology/approach A cross-sectional observational study was carried out on male treatment seekers at a tertiary care substance use disorder treatment center in India. Participants were recruited in two groups, those with co-occurring psychiatric and substance use disorders and those with only substance use disorders. The two groups were matched for age and socio-economic status. Findings A total of 189 subjects with co-occurring psychiatric and substance use disorders and 197 subjects with substance use disorders only were recruited. Psychiatric services were the most common first point of care. However, a larger proportion of the subjects in the co-occurring disorder group received the first care from faith healers, while a greater proportion received first care from the therapeutic communities in substance use disorder only group. Initial care was sought mostly following suggestion from the family members in both the groups. The time to treatment for substance use disorders did not differ between the two groups, though the treatment seeking for substance use disorder was more delayed than that of psychiatric disorder in the co-occurring disorder group. Research limitations/implications The findings shed light on the pathway of care followed in India and is a matter of further research. Practical implications Expansion of services and dissemination of information about psychiatric disorders and substance use disorders can provide timely care to patients with substance use disorders and co-occurring disorders. Social implications The findings have a social implication as well. More awareness is needed currently in India for timely treatment of dual disorders. Originality/value The paper is an original research by the authors. The data were collected from the participants who reported to the dual diagnosis clinic. The findings are important as they tell us about the current understanding of dual diagnosis by the general public.

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Section: Discussionmentioning

confidence: 99%

Pathway to care in co-occurring disorder and substance use disorder: an exploratory, cross-sectional study from India

Tripathi¹,

Singh²,

Sarkar³

et al. 2021

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“…Statistical techniques are used to determine potential risk factors to predict a miscarriage. The dataset contains presence (1) or absence (0) of Miscarriage (MI) as a risk. Age ( [17,20], ]20,35] and ]35,53]), BMI ( [15,25], ]25,30], ]30,35] and ]35,45]), presence (1) or absence (0) of pathologies including diabetes, hypertension (HT), kidney failure (KF), anemia, infections, and stress.…”

Section: Methodsmentioning

confidence: 99%

“…The dataset contains presence (1) or absence (0) of Miscarriage (MI) as a risk. Age ( [17,20], ]20,35] and ]35,53]), BMI ( [15,25], ]25,30], ]30,35] and ]35,45]), presence (1) or absence (0) of pathologies including diabetes, hypertension (HT), kidney failure (KF), anemia, infections, and stress. The quantity of consumed nutrients is sorted from low to high (1, 2, or 3) including, meat, fish, eggs, dairy products (DP), fruit-vegetables (FV), cereals, sweets, and soft drinks as risk factors.…”

Section: Methodsmentioning

confidence: 99%

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Miscarriage Risk Factors for Pregnant Women: A Cohort Study in Eastern Algeria’s Population

Kalla

Loucif

Yahia

2021

J Obstet Gynecol India

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Background Miscarriage is defined as an adverse and unexpected termination of pregnancy; it is the most frequent pregnancy complication. Here, we aimed to identify the factors predisposing to miscarriage in pregnant women in Eastern Algeria and the effect of the combination of several factors, including maternal Body Mass Index (BMI), maternal age, concomitant pathologies, and nutrients, and to predict the occurrence of miscarriage. Methods A total of 786 pregnant women from Eastern Algeria were interviewed between 2011 and 2015. Association between miscarriage exposure and identified risk factors was assessed using a Generalized Linear Model (GLM), ANOVA test, Multiple Correspondence Analysis (MCA), and Hierarchical Clustering Analysis (HCA). Throughout this study, we sought to find answers, discuss this association, and predict the occurrence of miscarriage. ResultsWe developed a predictive model for miscarriage, and we found that miscarriage was significantly higher for pregnant women aged over 35 years (1.75; 95% CI: 0.75-4.37; p = 0.208), with a high BMI (> 25 kg/m 2 ), (1.88; 95% CI:1.28-2.78; p = 0.001). We have highlighted that miscarriage is strongly associated with hypertension (1.67; 95% CI: 1.16-2.39; p = 0.006), diet rich in meat (0.60; 95% CI: 0.33-1.04; p = 0.075), and moderate in fish (2.32; 95% CI: 1.18-4.58; p = 0.015). Conclusion Our study proved that knowing these risk factors helps to establish predictive models and strategies to prevent tragic pregnancy outcomes and highlights the link between miscarriage and several risk factors; and thus, will allow protecting mother and fetus health.

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“…Behavioral health conditions such as depression, bipolar disorder, and opioid use disorder (OUD), are also common and common in pregnancy. Although medication management for these diseases is also well-established, receipt of care lags; less than half of women with any mental illness receive mental health services [6]. Less than 20% of pregnant women receive any treatment for OUD [7] despite opioid use and use disorder being more common among women than men, with continued rising rates and increasingly affecting pregnancies [8,9].…”

Section: Introductionmentioning

confidence: 99%

Patient and provider knowledge of and attitudes toward medical conditions and medication during pregnancy

Shadowen

Wheeler

Terplan

2021

Addict Sci Clin Pract

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Background Knowledge of medical conditions and their evidence-based medications varies among individuals. This range of knowledge may affect attitudes and influence medical decision-making of both patients and providers. Perceptions may be even more impactful in pregnancy, a timeframe subject to bias, and in diseases that include behavioral symptoms and often carry significant societal stigma, such as opioid use disorder (OUD). We present our findings from a survey assessing participants’ knowledge of three distinct medical conditions (diabetes mellitus, bipolar disorder, and OUD) and how this knowledge affects perceptions of these disease states during pregnancy. Methods Using existing surveys in the literature as a guideline, we designed a cross-sectional survey including multiple-choice questions to evaluate our hypothesis that less knowledge about a medical condition would result in more negative opinions towards that condition and its treatment throughout pregnancy. Participants responded to perception statements using a 5-point Likert scale (1 = “strongly disagree,” 5 = “strongly agree”). Surveys were administered to patients in prenatal care, patients in OUD treatment, medical students, and medical residents within a single institution. Response means were generated and compared using t tests and ANOVA. Results A total of 323 participants completed the survey. There were differences in knowledge between respondent groups and by disease state, with prenatal patients having the least knowledge of all groups about OUD diagnosis (88.5% of prenatal patients answered correctly) and its treatment (91.8% answered correctly). Overall Likert means of all responses demonstrated that participants agreed that new mothers with OUD (mean 4.27, 5 = “strongly agree”) and their babies (4.12) would have challenges that others would not, compared to mothers with bipolar disorder (4.03) and their babies (3.60) as well as mothers with diabetes (3.87) and their babies (3.47), p < .001. Overall, respondents were likely to agree that women with OUD should not try to get pregnant (3.47), whereas they overall disagreed with that statement when it pertained to women with bipolar disorder (2.69, 2 = “disagree”) or diabetes (2.12), p = 0.03. Conclusions With this single-center study, we found that, though there were gaps in knowledge regarding disease and disease treatment during pregnancy, less knowledge was not associated with more negative perceptions of disease and disease treatment during pregnancy. Perceptions were especially negative toward pregnant women with OUD. Increasing awareness of lived experiences of patients with disease, as well as the biases carried by both patients and providers, could improve treatment of chronic diseases and outcomes for patients.

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Addiction and Depression: Unmet Treatment Needs Among Reproductive Age Women

Cited by 12 publications

References 27 publications

Pathway to care in co-occurring disorder and substance use disorder: an exploratory, cross-sectional study from India

Pathway to care in co-occurring disorder and substance use disorder: an exploratory, cross-sectional study from India

Miscarriage Risk Factors for Pregnant Women: A Cohort Study in Eastern Algeria’s Population

Patient and provider knowledge of and attitudes toward medical conditions and medication during pregnancy

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