Advancing Preventive Interventions for Pregnant Women Who Are Opioid Using via the Integration of Addiction and Mental Health Research
Purpose of Review This review examines how research focused on treatment for opioid use in perinatal populations and preventive interventions for postpartum psychopathology have remained separate, despite significant overlap. Recent Findings Guidelines for best practice in caring for pregnant women...
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| Veröffentlicht in: | Current addiction reports 2020-03, Vol.7 (1), p.61-67 |
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| creator | Mackiewicz Seghete, Kristen L. Graham, Alice M. Shank, Taylor M. Alsup, Shelby L. Fisher, Philip A. Wilson, Anna C. Feldstein Ewing, Sarah W. |
| description | Purpose of Review
This review examines how research focused on treatment for opioid use in perinatal populations and preventive interventions for postpartum psychopathology have remained separate, despite significant overlap.
Recent Findings
Guidelines for best practice in caring for pregnant women with opioid use disorder suggest the use of medication-assisted treatment with additional comprehensive care, including behavioral and mental health interventions. However, intervention research often mutually excludes these two populations, with studies of behavioral interventions for opioid use excluding women with psychopathology and research on preventive interventions for postpartum psychopathology excluding women who are substance using.
Summary
There is a limited evidence-base to inform the selection of appropriate preventive interventions for pregnant women with opioid use disorder that can address opioid use and/or treatment adherence and concurrent mental health risks. We argue that it is critical to integrate research on pregnant women who are opioid using and preventive perinatal mental health interventions to catalyze pivotal change in how we address the opioid epidemic within this growing population. |
| doi_str_mv | 10.1007/s40429-020-00296-x |
| format | Article |
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This review examines how research focused on treatment for opioid use in perinatal populations and preventive interventions for postpartum psychopathology have remained separate, despite significant overlap.
Recent Findings
Guidelines for best practice in caring for pregnant women with opioid use disorder suggest the use of medication-assisted treatment with additional comprehensive care, including behavioral and mental health interventions. However, intervention research often mutually excludes these two populations, with studies of behavioral interventions for opioid use excluding women with psychopathology and research on preventive interventions for postpartum psychopathology excluding women who are substance using.
Summary
There is a limited evidence-base to inform the selection of appropriate preventive interventions for pregnant women with opioid use disorder that can address opioid use and/or treatment adherence and concurrent mental health risks. We argue that it is critical to integrate research on pregnant women who are opioid using and preventive perinatal mental health interventions to catalyze pivotal change in how we address the opioid epidemic within this growing population.</description><identifier>ISSN: 2196-2952</identifier><identifier>EISSN: 2196-2952</identifier><identifier>DOI: 10.1007/s40429-020-00296-x</identifier><identifier>PMID: 32201680</identifier><language>eng</language><publisher>Cham: Springer International Publishing</publisher><subject>Addictions ; Addictive behaviors ; Babies ; Behavior modification ; Brain research ; Cognition & reasoning ; Comorbidity ; Drug therapy ; Drug use ; Drug withdrawal ; Intervention ; Medicine ; Medicine & Public Health ; Mental disorders ; Mental health ; Methadone ; Narcotics ; Neurology ; Opioids (S Yip and A Konova ; Parents & parenting ; Postpartum period ; Pregnancy ; Psychiatry ; Section Editors ; Stress ; Topical Collection on Opioids ; Womens health</subject><ispartof>Current addiction reports, 2020-03, Vol.7 (1), p.61-67</ispartof><rights>Springer Nature Switzerland AG 2020</rights><rights>Springer Nature Switzerland AG 2020.</rights><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c474t-7d61f954d77b26108e4ebb47e65d7d12c6918c9cb6cde880f3b8995a910b2f593</citedby><cites>FETCH-LOGICAL-c474t-7d61f954d77b26108e4ebb47e65d7d12c6918c9cb6cde880f3b8995a910b2f593</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s40429-020-00296-x$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://www.proquest.com/docview/2932311776?pq-origsite=primo$$EHTML$$P50$$Gproquest$$H</linktohtml><link.rule.ids>230,314,776,780,881,21368,21369,21370,21371,23236,27903,27904,33509,33510,33682,33683,33723,33724,33984,33985,34293,34294,41467,42536,43638,43766,43784,43932,44046,51298,64362,64364,64366,72216</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32201680$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Mackiewicz Seghete, Kristen L.</creatorcontrib><creatorcontrib>Graham, Alice M.</creatorcontrib><creatorcontrib>Shank, Taylor M.</creatorcontrib><creatorcontrib>Alsup, Shelby L.</creatorcontrib><creatorcontrib>Fisher, Philip A.</creatorcontrib><creatorcontrib>Wilson, Anna C.</creatorcontrib><creatorcontrib>Feldstein Ewing, Sarah W.</creatorcontrib><title>Advancing Preventive Interventions for Pregnant Women Who Are Opioid Using via the Integration of Addiction and Mental Health Research</title><title>Current addiction reports</title><addtitle>Curr Addict Rep</addtitle><addtitle>Curr Addict Rep</addtitle><description>Purpose of Review
This review examines how research focused on treatment for opioid use in perinatal populations and preventive interventions for postpartum psychopathology have remained separate, despite significant overlap.
Recent Findings
Guidelines for best practice in caring for pregnant women with opioid use disorder suggest the use of medication-assisted treatment with additional comprehensive care, including behavioral and mental health interventions. However, intervention research often mutually excludes these two populations, with studies of behavioral interventions for opioid use excluding women with psychopathology and research on preventive interventions for postpartum psychopathology excluding women who are substance using.
Summary
There is a limited evidence-base to inform the selection of appropriate preventive interventions for pregnant women with opioid use disorder that can address opioid use and/or treatment adherence and concurrent mental health risks. We argue that it is critical to integrate research on pregnant women who are opioid using and preventive perinatal mental health interventions to catalyze pivotal change in how we address the opioid epidemic within this growing population.</description><subject>Addictions</subject><subject>Addictive behaviors</subject><subject>Babies</subject><subject>Behavior modification</subject><subject>Brain research</subject><subject>Cognition & reasoning</subject><subject>Comorbidity</subject><subject>Drug therapy</subject><subject>Drug use</subject><subject>Drug withdrawal</subject><subject>Intervention</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Mental disorders</subject><subject>Mental health</subject><subject>Methadone</subject><subject>Narcotics</subject><subject>Neurology</subject><subject>Opioids (S Yip and A Konova</subject><subject>Parents & parenting</subject><subject>Postpartum period</subject><subject>Pregnancy</subject><subject>Psychiatry</subject><subject>Section Editors</subject><subject>Stress</subject><subject>Topical Collection on Opioids</subject><subject>Womens health</subject><issn>2196-2952</issn><issn>2196-2952</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNp9kc9u1DAQxiMEolXpC3BAlrhwCfhPEtsXpFUFtFJRK0TVo-XYk8RV1l7sbNS-QJ8b76aUwqEnz2h-3-cZfUXxluCPBGP-KVW4orLEFJcYU9mUty-KQ0pyQWVNXz6pD4rjlG4wxoTQmvHqdXHAKMWkEfiwuF_ZWXvjfI8uI8zgJzcDOvMTxH0TfEJdiLth77Wf0HVYg0fXQ0CrCOhi44Kz6CrtDGan0TQs6j7qnRiFDq2sdWbfaG_R9-yqR3QKepwG9AMS6GiGN8WrTo8Jjh_eo-Lq65efJ6fl-cW3s5PVeWkqXk0ltw3pZF1ZzlvaECyggratODS15ZZQ00gijDRtYywIgTvWCilrLQluaVdLdlR8Xnw323YN1uRloh7VJrq1jncqaKf-nXg3qD7MimPBalFngw8PBjH82kKa1NolA-OoPYRtUpQJIipJCcvo-__Qm7CNPp-nqGSUEcJ5kym6UCaGlCJ0j8sQrHZJqyVplZNW-6TVbRa9e3rGo-RPrhlgC5DyyPcQ__79jO1vOuK2IQ</recordid><startdate>20200301</startdate><enddate>20200301</enddate><creator>Mackiewicz Seghete, Kristen L.</creator><creator>Graham, Alice M.</creator><creator>Shank, Taylor M.</creator><creator>Alsup, Shelby L.</creator><creator>Fisher, Philip A.</creator><creator>Wilson, Anna C.</creator><creator>Feldstein Ewing, Sarah W.</creator><general>Springer International Publishing</general><general>Springer Nature B.V</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88G</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M2M</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PSYQQ</scope><scope>Q9U</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20200301</creationdate><title>Advancing Preventive Interventions for Pregnant Women Who Are Opioid Using via the Integration of Addiction and Mental Health Research</title><author>Mackiewicz Seghete, Kristen L. ; Graham, Alice M. ; Shank, Taylor M. ; Alsup, Shelby L. ; Fisher, Philip A. ; Wilson, Anna C. ; Feldstein Ewing, Sarah W.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c474t-7d61f954d77b26108e4ebb47e65d7d12c6918c9cb6cde880f3b8995a910b2f593</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Addictions</topic><topic>Addictive behaviors</topic><topic>Babies</topic><topic>Behavior modification</topic><topic>Brain research</topic><topic>Cognition & reasoning</topic><topic>Comorbidity</topic><topic>Drug therapy</topic><topic>Drug use</topic><topic>Drug withdrawal</topic><topic>Intervention</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Mental disorders</topic><topic>Mental health</topic><topic>Methadone</topic><topic>Narcotics</topic><topic>Neurology</topic><topic>Opioids (S Yip and A Konova</topic><topic>Parents & parenting</topic><topic>Postpartum period</topic><topic>Pregnancy</topic><topic>Psychiatry</topic><topic>Section Editors</topic><topic>Stress</topic><topic>Topical Collection on Opioids</topic><topic>Womens health</topic><toplevel>online_resources</toplevel><creatorcontrib>Mackiewicz Seghete, Kristen L.</creatorcontrib><creatorcontrib>Graham, Alice M.</creatorcontrib><creatorcontrib>Shank, Taylor M.</creatorcontrib><creatorcontrib>Alsup, Shelby L.</creatorcontrib><creatorcontrib>Fisher, Philip A.</creatorcontrib><creatorcontrib>Wilson, Anna C.</creatorcontrib><creatorcontrib>Feldstein Ewing, Sarah W.</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>ProQuest Nursing and Allied Health Source</collection><collection>ProQuest Health and Medical</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Psychology Database (Alumni)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Psychology Database (ProQuest)</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest One Psychology</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Current addiction reports</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Mackiewicz Seghete, Kristen L.</au><au>Graham, Alice M.</au><au>Shank, Taylor M.</au><au>Alsup, Shelby L.</au><au>Fisher, Philip A.</au><au>Wilson, Anna C.</au><au>Feldstein Ewing, Sarah W.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Advancing Preventive Interventions for Pregnant Women Who Are Opioid Using via the Integration of Addiction and Mental Health Research</atitle><jtitle>Current addiction reports</jtitle><stitle>Curr Addict Rep</stitle><addtitle>Curr Addict Rep</addtitle><date>2020-03-01</date><risdate>2020</risdate><volume>7</volume><issue>1</issue><spage>61</spage><epage>67</epage><pages>61-67</pages><issn>2196-2952</issn><eissn>2196-2952</eissn><abstract>Purpose of Review
This review examines how research focused on treatment for opioid use in perinatal populations and preventive interventions for postpartum psychopathology have remained separate, despite significant overlap.
Recent Findings
Guidelines for best practice in caring for pregnant women with opioid use disorder suggest the use of medication-assisted treatment with additional comprehensive care, including behavioral and mental health interventions. However, intervention research often mutually excludes these two populations, with studies of behavioral interventions for opioid use excluding women with psychopathology and research on preventive interventions for postpartum psychopathology excluding women who are substance using.
Summary
There is a limited evidence-base to inform the selection of appropriate preventive interventions for pregnant women with opioid use disorder that can address opioid use and/or treatment adherence and concurrent mental health risks. We argue that it is critical to integrate research on pregnant women who are opioid using and preventive perinatal mental health interventions to catalyze pivotal change in how we address the opioid epidemic within this growing population.</abstract><cop>Cham</cop><pub>Springer International Publishing</pub><pmid>32201680</pmid><doi>10.1007/s40429-020-00296-x</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Addictions Addictive behaviors Babies Behavior modification Brain research Cognition & reasoning Comorbidity Drug therapy Drug use Drug withdrawal Intervention Medicine Medicine & Public Health Mental disorders Mental health Methadone Narcotics Neurology Opioids (S Yip and A Konova Parents & parenting Postpartum period Pregnancy Psychiatry Section Editors Stress Topical Collection on Opioids Womens health |
| title | Advancing Preventive Interventions for Pregnant Women Who Are Opioid Using via the Integration of Addiction and Mental Health Research |
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