Significant Life Events and their Impact on Alcohol and Drug Use: A Qualitative Study

Jessup, Martha A.; Ross, Thekla B.; Jones, Ashley; Satre, Derek D.; Weisner, Constance; Felicia, W.; Mertens, Jennifer R.

doi:10.1080/02791072.2014.962715

Cited by 22 publications

(26 citation statements)

References 52 publications

(53 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In the former case, some succeeded in staying abstinent, but most were fighting against the craving and the temptation to start using again with some relapsing. Causality, of course, could not be demonstrated, but it is well known that life events such as COVID-19 epidemic can lead to relapse (Jessup et al, 2014;McCabe, et al, 2016;Pilowsky, Keyes, Geier, Grant, & Hasin, 2013). Our four patients in a stable recovery managed to stay abstinent.…”

Section: Discussionmentioning

confidence: 73%

Psychological Impact of the Acute COVID-19 Period on Patients With Substance Use Disorders: We Are All in This Together

DeJong

Verhagen²,

Pols

et al. 2020

Basic Clin. Neurosci. J.

View full text Add to dashboard Cite

Coronavirus Disease 2019 (COVID-19) results from Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2). it is now a pandemic that affects us all. For patients referring to the addiction care systems, this pandemic can create additional vulnerabilities. A great deal of effort has made to reorganize the care systems for patients with addiction. Our study focuses on the voice of our patients, on clues to adapt treatment, and on the impact of the pandemic on the therapeutic alliance. Methods: A qualitative design was used to develop a description and understanding of general and clinically relevant aspects of the impact of the COVID-19 pandemic. Fifteen addicted patients (11 under treatment and 4 in recovery) were interviewed by 4 interviewers according to the COREQ (consolidated criteria for reporting qualitative research). Results: COVID-19 has had a serious impact on thoughts, feelings, and behaviors. Interviewees shared their anxieties about their health and the health of their relatives. Frightening thoughts were associated with a range of negative feelings and behaviors, such as stress, anger, avoidance, and isolation. The use of psychoactive substances differed between the patients in treatment with those who are in stable recovery. In the former, all succeeded in staying abstinent. They have experienced that solidarity and connectedness were essential in sustaining their recovery. Those still in treatment were fighting against the temptation to start using again; they felt emotionally isolated and sometimes patronized by health care workers. Conclusion: The elaboration of the interviewees on the therapeutic relationship provides promising clues to optimize that relationship. Remembering this common expression, "we are all in this together", shared decision making could very well be used to shape effective and receptive treatment interventions during the different challenges faced at different stages of the COVID-19 epidemic.

show abstract

Section: Discussionmentioning

confidence: 73%

Psychological Impact of the Acute COVID-19 Period on Patients With Substance Use Disorders: We Are All in This Together

DeJong

Verhagen²,

Pols

et al. 2020

Basic Clin. Neurosci. J.

View full text Add to dashboard Cite

show abstract

“…Qualitative studies have revealed that the expectant mother's willingness to do her best for the unborn child facilitates smoking cessation in pregnancy [40]. In addition, altruistic caregiving has been found to be the most significant life experience promoting abstinence in the context of addictions [41]. In the recent comprehensive review and meta-analysis maternal-fetal attachment was not yet recognized as a predictor of smoking cessation during pregnancy [16].…”

Section: Discussionmentioning

confidence: 99%

The association of maternal-fetal attachment with smoking and smoking cessation during pregnancy in The FinnBrain Birth Cohort Study

Jussila

Pelto

Korja

et al. 2020

BMC Pregnancy Childbirth

View full text Add to dashboard Cite

Background Smoking in pregnancy constitutes a preventable risk factor for fetal/child development and maternal-fetal attachment (MFA) seems to contain a momentum that can break the chain of adverse outcomes by promoting maternal prenatal health practices. This study aimed to explore the association of MFA with smoking at any time during pregnancy and smoking cessation in early pregnancy, and the modifying role of MFA on the expected effects of education and prenatal psychological distress (PPD) on prenatal smoking behavior. Methods The pregnant women (n = 3766) participated in the The FinnBrain Birth Cohort Study in Finland between December 2011 and April 2015. The binary outcomes, smoking at any time during pregnancy and smoking cessation in early pregnancy, were obtained from self-reports at gestational weeks (gwks) 14 and 34 and The Finnish Medical Birth Register. MFA was assessed with the Maternal-Fetal Attachment Scale (MFAS) at gwks 24 and 34. Logistic regression analyses were used to determine the association between MFA and maternal prenatal smoking behavior. Findings The prevalence of smoking was 16.5%, and 58.1% of the smokers quit smoking during pregnancy. The independent associations of total MFA scores with prenatal smoking behavior were not established (aOR = 1.00-1.02, multiplicity adjusted p > 0.05). A higher score in the altruistic subscale of MFA, Giving of self, associated with a higher probability of smoking cessation (24 gwks: aOR = 1.13, 95% CI [1.04, 1.24], p = 0.007, multiplicity adjusted p = 0.062; 34 gwks: aOR = 1.17, 95% CI [1.07, 1.29], p < 0.001, multiplicity adjusted p = 0.008). The modifying effect of MFA on the observed associations between PPD and smoking in pregnancy and between maternal education and smoking in pregnancy / smoking cessation in early pregnancy was not demonstrated. Conclusions The altruistic dimension of maternal-fetal attachment associates with an increased probability of smoking cessation during pregnancy and therefore strengthening altruistic maternal-fetal attachment may constitute a promising novel approach for interventions aiming at promoting smoking cessation during pregnancy.

show abstract

“…Pregnancy is a specific and potential time for significant changes in attitudes and values in an individual's life. Often, the safety and well‐being of her infant may provide a strong motivation for a woman to work toward abstinence (Crozier et al., ; Jessup et al., ; Pajulo, Suchman, Kalland, & Mayes, ) and provides an especially well‐grounded phase for intervention. On the other hand, the pregnancy of substance‐abusing mothers is usually unplanned (Heil et al., ; Strengell et al., 2014), and pregnancy also can be a period of increased fear, anxiety, and guilt regarding the health of the child.…”

Section: Theorymentioning

confidence: 99%

Substance‐abusing Pregnant Women: Prenatal Intervention Using Ultrasound Consultation and Mentalization to Enhance the Mother–child Relationship and Reduce Substance Use

Pajulo

Jussila

et al. 2016

Infant Mental Health Journal

View full text Add to dashboard Cite

Substance-abusing pregnant and parenting women are considered one of the most challenging, but important, target groups for developing early parenting interventions. Some valuable efforts to develop such interventions have been made in the organizational sector in Finland. However, there is a great need for new ways of work that would simultaneously concentrate in substance-abuse treatment and enhance parenting in public healthcare settings. The present article describes the background, content, and protocol of a new prenatal intervention developed for substance-abusing pregnant women in a hospital setting in public healthcare. The intervention includes two new elements and pathways aimed to enhance the mothers' curiosity toward her developing child and provide motivation to stay abstinent from substance use. The pathways are interactive ultrasound consultation and a new pregnancy diary, both using a parental mentalization focus. The intervention elements, experiences from running the intervention, evaluation protocol, and general characteristics of the study sample gained (n = 90) are described and discussed. Two case vignettes from the study sample are presented, and the applicability of this prenatal work with other groups and settings is considered.

show abstract

Significant Life Events and their Impact on Alcohol and Drug Use: A Qualitative Study

Cited by 22 publications

References 52 publications

Psychological Impact of the Acute COVID-19 Period on Patients With Substance Use Disorders: We Are All in This Together

Psychological Impact of the Acute COVID-19 Period on Patients With Substance Use Disorders: We Are All in This Together

The association of maternal-fetal attachment with smoking and smoking cessation during pregnancy in The FinnBrain Birth Cohort Study

Substance‐abusing Pregnant Women: Prenatal Intervention Using Ultrasound Consultation and Mentalization to Enhance the Mother–child Relationship and Reduce Substance Use

Contact Info

Product

Resources

About