Early development of opioid‐exposed infants born to mothers in buprenorphine‐replacement therapy

Salo, Sara; Politi, Johanna; Tupola, Sarimari; Biringen, Zeynep; Kalland, Mirjam; Halmesmäki, Erja; Kahila, Hanna; Kivitie‐Kallio, Satu

doi:10.1080/02646830903219109

Cited by 44 publications

(56 citation statements)

References 48 publications

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“…Drug‐abusing mothers have been found to show lower general EA with their 2‐ to 5‐month‐old infants than do demographically matched nonabusers (Fraser, Harris‐Britt, Thakkallapalli, Kurtz‐Costes, & Martin, 2010). They also are less sensitive in perceiving and responding to their infants' interactive signals (Fraser et al, 2010; Mayes et al, 1995; Rodning, Beckwith, & Howard, 1991; Salo et al, 2010) and in showing positive emotional expressiveness (Burns, Chetnik, Burns, & Clarke, 1991, 1997; Pajulo, Savonlahti, Sourander, Ahlqvist et al, 2001). Difficulties in structuring and guiding the child also are common (Blackwell, Lockman & Kaiser, 1999; Pajulo, Savonlahti, Sourander, Ahlqvist et al, 2001; Salo et al, 2010).…”

Section: Maternal Drug Abuse and Eamentioning

confidence: 99%

“…They also are less sensitive in perceiving and responding to their infants' interactive signals (Fraser et al, 2010; Mayes et al, 1995; Rodning, Beckwith, & Howard, 1991; Salo et al, 2010) and in showing positive emotional expressiveness (Burns, Chetnik, Burns, & Clarke, 1991, 1997; Pajulo, Savonlahti, Sourander, Ahlqvist et al, 2001). Difficulties in structuring and guiding the child also are common (Blackwell, Lockman & Kaiser, 1999; Pajulo, Savonlahti, Sourander, Ahlqvist et al, 2001; Salo et al, 2010). High intrusiveness and hostility are suggested to be especially characteristic for the mother–infant interaction among drug‐abusing mothers (A.L.…”

Section: Maternal Drug Abuse and Eamentioning

confidence: 99%

“…High intrusiveness and hostility are suggested to be especially characteristic for the mother–infant interaction among drug‐abusing mothers (A.L. Johnson et al, 2002; Rodning et al, 1991; Salo et al, 2009; Salo et al, 2010), and they also are the features considered the most detrimental to the child development (Lyons‐Ruth, Connell, Zoll, & Stahl, 1987; Miller, Smyth, & Mudar, 1999; Swanson, Beckwith, & Howard, 2000).…”

Section: Maternal Drug Abuse and Eamentioning

confidence: 99%

“…Maternal depression is by itself associated with an increased risk for mother–infant interaction problems (for a review, see C.T. Beck, 1995), even though maternal drug abuse seems to have an even more devastating effect than does maternal depression alone (Salo et al, 2010). Depression also is generally associated with more negative representations of the self and significant others (A.T. Beck, 1967), even though research evidence on drug‐abusing mothers is still lacking on this issue.…”

Section: Mechanisms Of Riskmentioning

confidence: 99%

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Maternal representations and emotional availability among drug‐abusing and nonusing mothers and their infants

Flykt

Punamäki

Belt

et al. 2012

Infant Mental Health Journal

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Both negative and idealized maternal prenatal representations may constitute a risk for mother-infant interaction. This study analyzed the role of maternal prenatal representations and pre- to postnatal representational change in predicting mother-infant emotional availability (EA) among 51 drug-abusing mothers and their infants who participated in either psychodynamic group therapy (PGT) or received psychosocial support (PSS) and among 50 nonusing comparison dyads. Maternal representations of her child, the child's father, her own mother, self-as-mother, and self-as-woman were measured during pregnancy and at 4 and 12 months' postpartum with the Interview of Maternal Representations (M. Ammaniti et al., 1992; M. Ammaniti, R. Tambelli, & P. Perucchini, 1998). EA was measured with the Emotional Availability Scales, fourth edition (Z. Biringen, 2008) at 4 and 12 months. The results showed that drug-abusing mothers had more negative prenatal representations of the self-as-woman and of the child's father. Postnatally, PSS mothers tended to first idealize their child, but later to experience disillusionment of idealization. Both negative and idealized prenatal representations of the self-as-mother predicted mother-infant EA problems, but only among the PGT mothers. For all mothers, negative representational change was detrimental for the mother-infant EA whereas for drug-abusing mothers, also increasing idealization from the prenatal period to the postnatal period was harmful. Clinicians working with drug-abusing mothers should aim at supporting the development of a realistically positive view of motherhood.

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Section: Maternal Drug Abuse and Eamentioning

confidence: 99%

Section: Maternal Drug Abuse and Eamentioning

confidence: 99%

Section: Maternal Drug Abuse and Eamentioning

confidence: 99%

Section: Mechanisms Of Riskmentioning

confidence: 99%

See 2 more Smart Citations

Maternal representations and emotional availability among drug‐abusing and nonusing mothers and their infants

Flykt

Punamäki

Belt

et al. 2012

Infant Mental Health Journal

Self Cite

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“…In addition, research has shown that prenatal methadone and buprenorphine exposure can reduce striatal acetylcholine content [13], which plays a crucial role for attentional functions [14]. During infancy, it has been reported that children prenatally exposed to OMT are less attentive, have shorter attention spans, are less responsive to objects, and less goal directed compared to nonexposed controls, supporting the idea that prenatal methadone or buprenorphine can potentially affect attention [15,16,17,18]. It is still largely unclear whether these effects are caused directly by prenatal OMT exposure, or whether other factors, such as concomitant drug use (e.g.…”

Section: Omt and Attentionmentioning

confidence: 88%

Visual Selective Attention Is Impaired in Children Prenatally Exposed to Opioid Agonist Medication

Konijnenberg

Melinder

2014

Eur Addict Res

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Aims: To examine whether prenatal exposure to opioid agonist medication is associated with visual selective attention and general attention problems in early childhood. Method: Twenty-two children (mean age = 52.17 months, SD = 1.81) prenatally exposed to methadone, 9 children (mean age = 52.41 months, SD = 1.42) prenatally exposed to buprenorphine and 25 nonexposed comparison children (mean age = 51.44 months, SD = 1.31) were tested. Visual selective attention was measured with a Tobii 1750 Eye Tracker using a spatial negative priming paradigm. Attention problems were measured using the Child Behavior Checklist. Results: The comparison group demonstrated a larger spatial negative priming effect (mean = 23.50, SD = 45.50) than the exposed group [mean = -6.84, SD = 86.39, F(1,50) = 5.91, p = 0.019, η² = 0.11]. No difference in reported attention problems was found [F(1,51) = 1.63, p = 0.21, η² = 0.03]. Neonatal abstinence syndrome and prenatal exposure to marijuana were found to predict slower saccade latencies in the exposed group (b = 54.55, SE = 23.56, p = 0.03 and b = 88.86, SE = 32.07, p = 0.01, respectively). Conclusion: Although exposed children did not appear to have attention deficits in daily life, lower performance on the SNP task indicates subtle alteration in the attention system.

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Cognitive Outcomes of Young Children After Prenatal Exposure to Medications for Opioid Use Disorder

et al. 2020

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IMPORTANCE The number of children with prenatal opioid exposure to medication for addiction treatment (MAT) with methadone and buprenorphine for maternal opioid use disorder is increasing, but the associations of this exposure with cognitive outcomes are not well understood. OBJECTIVE To examine the strength and consistency of findings in the medical literature regarding the association of prenatal exposure to MAT with early childhood cognitive development, particularly when accounting for variables outside MAT exposure.

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Early development of opioid‐exposed infants born to mothers in buprenorphine‐replacement therapy

Cited by 44 publications

References 48 publications

Maternal representations and emotional availability among drug‐abusing and nonusing mothers and their infants

Maternal representations and emotional availability among drug‐abusing and nonusing mothers and their infants

Visual Selective Attention Is Impaired in Children Prenatally Exposed to Opioid Agonist Medication

Cognitive Outcomes of Young Children After Prenatal Exposure to Medications for Opioid Use Disorder

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