Factors contributing to level and type of child welfare involvement following prenatal substance exposure: A scoping review

Peddireddy, Snigdha; Austin, Anna E.; Gottfredson, Nisha C.

doi:10.1016/j.chiabu.2022.105484

Cited by 4 publications

(1 citation statement)

References 40 publications

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“…[20][21][22][23] While pregnant people may consider reducing use of substances during the perinatal period, 24,25 strong stigma hampers access to treatment including concerns of being reported to child protective services, and this stigma is worse in people of color and those experiencing lower socioeconomic status. [26][27][28][29][30][31] Further, the importance of these research questions is paramount given the closing of the gender gap in substance use, lower access to treatment in women, racial, ethnic, and socioeconomic disparities, 32,33 lack of funding for substance use treatment, and the consequent (due to underfunding) lack of high-quality integrated programs for mothers and their infants despite encouraging clinical trial results of such interventions. [34][35][36][37][38] To summarize, in perinatal people with more severe maltreatment experiences and early substance use initiation, these stunted socioemotional growth trajectories lead to increased risks for two generations (parent and offspring), negatively impacting parental, dyadic, and infant socioemotional development.…”

Section: Introductionmentioning

confidence: 99%

Maternal Childhood Maltreatment, Internal Working Models, and Perinatal Substance Use: Is There a Role for Hyperkatifeia? A Systematic Review

et al. 2023

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The parent-infant relationship is critical for socioemotional development and is adversely impacted by perinatal substance use. This systematic review posits that the mechanisms underlying these risks to mother-infant relationships center on 3 primary processes: (1) mothers’ childhood maltreatment experiences; (2) attachment styles and consequent internal working models of interpersonal relationships; and (3) perinatal substance use. Further, the review considers the role of hyperkatifeia, or hypersensitivity to negative affect which occurs when people with substance use disorders are not using substances, and which drives the negative reinforcement in addiction. The authors performed a systematic review of articles (published 2000-2022) related to these constructs and their impact on mother-infant relationships and offspring outcomes, including original clinical research articles addressing relationships between these constructs, and excluding case studies, reviews, non-human animal studies, intervention studies, studies with fewer than 30% female-sex participants, clinical guidelines, studies limited to obstetric outcomes, mechanistic/biological studies, and studies with methodological issues precluding interpretation. Overall 1844 articles were screened, 377 were selected for full text review, and data were extracted from 157 articles. Results revealed strong relationships between mothers’ childhood maltreatment experiences, less optimal internal working models, and increased risk for perinatal substance use, and importantly, all of these predictors interacted with hyperkatifeia and exerted a marked impact on mother-infant relationships with less data available on offspring outcomes. These data strongly support the need for future studies addressing the additive impact of maternal childhood maltreatment experiences, suboptimal internal working models, and perinatal substance use, with hyperkatifeia as a potential moderator, and their interacting effects on mother-infant socioemotional outcomes.

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