Exploring how pregnant people in recovery from opioid use disorder describe their child during pregnancy

IF 2.6 3区医学 Q3 NEUROSCIENCES

Neurotoxicology and teratology Pub Date : 2025-03-27 DOI:10.1016/j.ntt.2025.107449

Katherine L. Guyon-Harris , Regan Carell , Montia D. Brock , Kathryn L. Humphreys , Alissa C. Huth-Bocks

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引用次数: 0

Abstract

Objective

Understanding parenting strengths and challenges among pregnant people in recovery from opioid use disorder supports effective intervention delivery. How parents think and feel about their child prenatally has implications for postnatal parenting. In our past work, greater use of positive compared to negative or neutral prenatal descriptors of the child during pregnancy was associated with higher sensitivity, warmth, and engagement during caregiver–infant interactions 12-months postpartum. We analyzed descriptions of the child among pregnant people in recovery compared to a non-substance using sample to further our understanding of potential parenting strengths and risks for people in recovery.

Method

Participants included pregnant people (N = 18; M age = 30.06, SD = 3.33) recruited from an outpatient substance use treatment program providing buprenorphine (recovery sample) and a comparison sample of pregnant people (N = 120; M age = 26.16, SD = 5.71) reporting high rates of economic disadvantage and intimate partner violence, but not substance use. Through a semi-structured interview, participants described the personality of the child they were pregnant with in up to five words/phrases. Each description was coded as positive, neutral, or negative.

Results

Participants in the recovery sample used a greater number of positive words on average (M = 3.5, SD = 1.4) relative to the comparison sample (M = 2.7, SD = 1.5; Cohen's d = 0.56, 95 % confidence interval: LL = 0.06, UL = 1.06). Use of negative descriptors was similar across samples.

Conclusions

Assessing how pregnant people in recovery think and feel about their developing fetus is feasible and could create opportunities for engagement in preventive parenting interventions to support healthy conceptualizations of the child.

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探索从阿片类药物使用障碍中恢复的孕妇如何在怀孕期间描述他们的孩子

目的了解阿片类药物使用障碍恢复期孕妇的育儿优势和挑战，为有效干预提供支持。父母在产前对孩子的看法和感受对产后的养育有影响。在我们过去的研究中，在怀孕期间，与消极或中性的产前描述相比，更多地使用积极的描述与产后12个月的照顾者-婴儿互动中更高的敏感性、温暖度和参与度相关。我们分析了孕妇在康复过程中对孩子的描述，并将其与非物质样本进行了比较，以进一步了解康复过程中潜在的育儿优势和风险。方法纳入孕妇(N = 18；M年龄= 30.06,SD = 3.33)，从门诊药物使用治疗项目中招募，提供丁丙诺啡（恢复样本）和比较样本孕妇(N = 120；（年龄= 26.16,SD = 5.71）报告经济劣势和亲密伴侣暴力的发生率较高，但药物使用的发生率较低。通过一个半结构化的访谈，参与者用最多五个单词/短语描述他们怀孕的孩子的性格。每个描述都被编码为积极的、中性的或消极的。结果恢复组的被试平均使用的积极词汇数（M = 3.5, SD = 1.4）高于对照组(M = 2.7, SD = 1.5；Cohen’s d = 0.56, 95%置信区间：LL = 0.06, UL = 1.06)。负面描述符的使用在各个样本中是相似的。结论评估恢复期孕妇对胎儿发育的看法和感受是可行的，可以为参与预防性育儿干预创造机会，以支持孩子的健康受孕。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Neurotoxicology and teratology 医学-毒理学

CiteScore

5.60

自引率

10.30%

发文量

审稿时长

58 days

期刊介绍： Neurotoxicology and Teratology provides a forum for publishing new information regarding the effects of chemical and physical agents on the developing, adult or aging nervous system. In this context, the fields of neurotoxicology and teratology include studies of agent-induced alterations of nervous system function, with a focus on behavioral outcomes and their underlying physiological and neurochemical mechanisms. The Journal publishes original, peer-reviewed Research Reports of experimental, clinical, and epidemiological studies that address the neurotoxicity and/or functional teratology of pesticides, solvents, heavy metals, nanomaterials, organometals, industrial compounds, mixtures, drugs of abuse, pharmaceuticals, animal and plant toxins, atmospheric reaction products, and physical agents such as radiation and noise. These reports include traditional mammalian neurotoxicology experiments, human studies, studies using non-mammalian animal models, and mechanistic studies in vivo or in vitro. Special Issues, Reviews, Commentaries, Meeting Reports, and Symposium Papers provide timely updates on areas that have reached a critical point of synthesis, on aspects of a scientific field undergoing rapid change, or on areas that present special methodological or interpretive problems. Theoretical Articles address concepts and potential mechanisms underlying actions of agents of interest in the nervous system. The Journal also publishes Brief Communications that concisely describe a new method, technique, apparatus, or experimental result.