Integrated Brief Intervention for PTSD And Substance Use in an Antepartum Unit

Overview

Journal Matern Child Health J

Specialty Health Services

Date 2018 Dec 21

PMID 30569303

Citations 3

Authors

Neeta Shenai

Priya Gopalan

Jody Glance

Affiliations

Soon will be listed here.

Abstract

Purpose To evaluate the efficacy of a brief education session affecting patient perspectives on follow up care of substance use and trauma treatment in pregnant women admitted to a medical hospital. Description Participants (N = 31) were recruited from the antepartum unit at Magee-Women's Hospital at the University of Pittsburgh who had current substance use and history of trauma. A voluntary individual educational session was offered that discussed the diagnosis and treatment of substance use and trauma, fundamental coping skills, and local resources. Utility of the session, knowledge of PTSD, and barriers of care were evaluated through a pre- and post- session questionnaire. Assessment All participants found the session improved their knowledge of PTSD, substance use, safe coping skills, and increased their likelihood of pursuing further follow up treatment. Conclusion Brief educational interventions that are integrated in the medical hospital are found to be useful by patients and reported to influence their decision to seek further treatment. Further studies are needed to analyze the long-term outcomes of brief interventions.

Citing Articles

Written exposure therapy for treatment of perinatal PTSD among women with comorbid PTSD and SUD: A pilot study examining feasibility, acceptability, and preliminary effectiveness.

Nillni Y, Baul T, Paul E, Godfrey L, Sloan D, Valentine S Gen Hosp Psychiatry. 2023; 83:66-74.

PMID: 37119780 PMC: 10587907. DOI: 10.1016/j.genhosppsych.2023.04.013.

Seeking safety intervention for comorbid post-traumatic stress and substance use disorder: A meta-analysis.

Sherman A, Balthazar M, Zhang W, Febres-Cordero S, Clark K, Klepper M Brain Behav. 2023; 13(5):e2999.

PMID: 37038301 PMC: 10175993. DOI: 10.1002/brb3.2999.

Mothering, Substance Use Disorders and Intergenerational Trauma Transmission: An Attachment-Based Perspective.

Meulewaeter F, de Pauw S, Vanderplasschen W Front Psychiatry. 2019; 10:728.

PMID: 31681040 PMC: 6813727. DOI: 10.3389/fpsyt.2019.00728.

References

Chang G, Goetz M, Wilkins-Haug L, Berman S . A brief intervention for prenatal alcohol use: an in-depth look. J Subst Abuse Treat. 2000; 18(4):365-9. DOI: 10.1016/s0740-5472(99)00105-1. View

Sweeney P, Schwartz R, Mattis N, Vohr B . The effect of integrating substance abuse treatment with prenatal care on birth outcome. J Perinatol. 2000; 20(4):219-24. DOI: 10.1038/sj.jp.7200357. View

Seng J, Oakley D, Sampselle C, Killion C, Liberzon I . Posttraumatic stress disorder and pregnancy complications. Obstet Gynecol. 2001; 97(1):17-22. DOI: 10.1016/s0029-7844(00)01097-8. View

Kelly R, Zatzick D, Anders T . The detection and treatment of psychiatric disorders and substance use among pregnant women cared for in obstetrics. Am J Psychiatry. 2001; 158(2):213-9. DOI: 10.1176/appi.ajp.158.2.213. View

Moylan P, Jones H, Haug N, Kissin W, Svikis D . Clinical and psychosocial characteristics of substance-dependent pregnant women with and without PTSD. Addict Behav. 2001; 26(3):469-74. DOI: 10.1016/s0306-4603(00)00141-6. View

Vermetten E, Douglas Bremner J . Circuits and systems in stress. I. Preclinical studies. Depress Anxiety. 2002; 15(3):126-47. DOI: 10.1002/da.10016. View

Harned M, Najavits L, Weiss R . Self-harm and suicidal behavior in women with comorbid PTSD and substance dependence. Am J Addict. 2006; 15(5):392-5. DOI: 10.1080/10550490600860387. View

Rogal S, Poschman K, Belanger K, Howell H, Smith M, Medina J . Effects of posttraumatic stress disorder on pregnancy outcomes. J Affect Disord. 2007; 102(1-3):137-43. PMC: 2150994. DOI: 10.1016/j.jad.2007.01.003. View

Katon W, Seelig M . Population-based care of depression: team care approaches to improving outcomes. J Occup Environ Med. 2008; 50(4):459-67. DOI: 10.1097/JOM.0b013e318168efb7. View

10.

Havens J, Simmons L, Shannon L, Hansen W . Factors associated with substance use during pregnancy: results from a national sample. Drug Alcohol Depend. 2008; 99(1-3):89-95. DOI: 10.1016/j.drugalcdep.2008.07.010. View

11.

Stade B, Bailey C, Dzendoletas D, Sgro M, Dowswell T, Bennett D . Psychological and/or educational interventions for reducing alcohol consumption in pregnant women and women planning pregnancy. Cochrane Database Syst Rev. 2009; (2):CD004228. PMC: 4164939. DOI: 10.1002/14651858.CD004228.pub2. View

12.

Hien D, Wells E, Jiang H, Suarez-Morales L, Campbell A, Cohen L . Multisite randomized trial of behavioral interventions for women with co-occurring PTSD and substance use disorders. J Consult Clin Psychol. 2009; 77(4):607-19. PMC: 2795638. DOI: 10.1037/a0016227. View

13.

Nilsen P . Brief alcohol intervention to prevent drinking during pregnancy: an overview of research findings. Curr Opin Obstet Gynecol. 2009; 21(6):496-500. DOI: 10.1097/GCO.0b013e328332a74c. View

14.

Seng J, Low L, Sperlich M, Ronis D, Liberzon I . Prevalence, trauma history, and risk for posttraumatic stress disorder among nulliparous women in maternity care. Obstet Gynecol. 2009; 114(4):839-847. PMC: 3124073. DOI: 10.1097/AOG.0b013e3181b8f8a2. View

15.

Seng J, Rauch S, Resnick H, Reed C, King A, Low L . Exploring posttraumatic stress disorder symptom profile among pregnant women. J Psychosom Obstet Gynaecol. 2010; 31(3):176-87. PMC: 3124074. DOI: 10.3109/0167482X.2010.486453. View

16.

Lopez W, Konrath S, Seng J . Abuse-related post-traumatic stress, coping, and tobacco use in pregnancy. J Obstet Gynecol Neonatal Nurs. 2011; 40(4):422-31. PMC: 3140595. DOI: 10.1111/j.1552-6909.2011.01261.x. View

17.

Wilton G, Moberg D, Van Stelle K, Dold L, Obmascher K, Goodrich J . A randomized trial comparing telephone versus in-person brief intervention to reduce the risk of an alcohol-exposed pregnancy. J Subst Abuse Treat. 2013; 45(5):389-94. PMC: 4055081. DOI: 10.1016/j.jsat.2013.06.006. View

18.

Farr S, Hutchings Y, Ondersma S, Creanga A . Brief interventions for illicit drug use among peripartum women. Am J Obstet Gynecol. 2014; 211(4):336-43. PMC: 6719546. DOI: 10.1016/j.ajog.2014.04.005. View

19.

Gelaye B, Zhong Q, Basu A, Levey E, Rondon M, Sanchez S . Trauma and traumatic stress in a sample of pregnant women. Psychiatry Res. 2017; 257:506-513. PMC: 5626654. DOI: 10.1016/j.psychres.2017.08.016. View