International Journal of Mental Health and Addiction最新文献

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Recent Trends in Opioid-Involved Overdose Deaths in New York City, 1999 to 2020 1999 年至 2020 年纽约市阿片类药物过量致死的最新趋势
IF 8 3区 医学
International Journal of Mental Health and Addiction Pub Date : 2024-05-06 DOI: 10.1007/s11469-024-01306-z
Ibraheem M. Karaye, Can Martin Ludeke, Greta Muriel Eikermann, Annika Eyth, Tina Ramishvili, Omid Azimaraghi, Maira Rudolph, Nicole Aber, Vikram Bhasin, Alexandra Bastien, Matthias Eikermann
{"title":"Recent Trends in Opioid-Involved Overdose Deaths in New York City, 1999 to 2020","authors":"Ibraheem M. Karaye, Can Martin Ludeke, Greta Muriel Eikermann, Annika Eyth, Tina Ramishvili, Omid Azimaraghi, Maira Rudolph, Nicole Aber, Vikram Bhasin, Alexandra Bastien, Matthias Eikermann","doi":"10.1007/s11469-024-01306-z","DOIUrl":"https://doi.org/10.1007/s11469-024-01306-z","url":null,"abstract":"<p>This study aimed to assess the temporal trends in opioid-involved overdose deaths in New York City (NYC) from 1999 to 2020 overall, and by age, sex, race/ethnicity, county, opioid type, and intent. Using data from the Centers for Disease Control and Prevention’s WONDER database, opioid overdose fatalities were identified by referencing the multiple cause of death files, utilizing codes from the <i>International Statistical Classification of Diseases and Related Health Problems, Tenth Revision.</i> Joinpoint regression assessed temporal trends, with annual percentage changes and average annual percentage changes calculated using the permutation method. 95% confidence intervals were estimated using both the empirical quantile method and the parametric method. From 1999 to 2020, New York City recorded a total of 14,371 opioid-involved overdose deaths. In recent years, overall deaths have increased by 14.5% per year (95% CI, 10.7–20.8) from 2011 to 2020. Contemporary trends have worsened across the subcategories of age, sex, race/ethnicity, and opioid type. The findings of this study offer specific metrics for areas within NYC, facilitating targeted interventions and establishing baselines to underpin the sustainability of these efforts.</p>","PeriodicalId":14083,"journal":{"name":"International Journal of Mental Health and Addiction","volume":"20 1","pages":""},"PeriodicalIF":8.0,"publicationDate":"2024-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140881995","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Self-Regulatory Strategies Reduce Gambling Spend and Harm in a Randomised Controlled Trial of Electronic Gaming Machine Players 在一项针对电子游戏机玩家的随机对照试验中,自律策略减少了赌博消费和伤害
IF 8 3区 医学
International Journal of Mental Health and Addiction Pub Date : 2024-05-03 DOI: 10.1007/s11469-024-01308-x
Nerilee Hing, Matthew Browne, Catherine Tulloch, Alex M. T. Russell, Matthew Rockloff
{"title":"Self-Regulatory Strategies Reduce Gambling Spend and Harm in a Randomised Controlled Trial of Electronic Gaming Machine Players","authors":"Nerilee Hing, Matthew Browne, Catherine Tulloch, Alex M. T. Russell, Matthew Rockloff","doi":"10.1007/s11469-024-01308-x","DOIUrl":"https://doi.org/10.1007/s11469-024-01308-x","url":null,"abstract":"<p>Research provides insights into the self-regulatory strategies (SRSs) gamblers use, but evidence supporting their efficacy is weak. Study 1 aimed to identify a set of SRSs that best predict less harmful gambling amongst electronic gaming machine (EGM) players who are most vulnerable to EGM-related harm. Study 2 aimed to test their efficacy as a brief intervention in a randomised controlled trial. Study 1 surveyed 2032 EGM players and compared SRS-use amongst harmed and less-harmed players after propensity matching and weighting. Study 2 delivered 13 efficacious SRSs identified in study 1 as a brief intervention in a three-wave RCT and assessed their effect on time and money spent on EGMs and EGM-related harm. In study 1, the individual use of 17 SRSs and the total count of these SRSs used were associated with lower EGM-related harm. In study 2, <i>assignment</i> to three SRSs resulted in reduced EGM spend, with no detectable effects for 10 other SRSs. More frequent reported <i>use</i> of one of the same SRSs and an additional two SRSs also resulted in reduced EGM spend and/or reduced EGM-related harm. The results provide new evidence about the efficacy of certain SRSs to result in beneficial gambling outcomes: setting aside a fixed amount to spend, taking regular breaks, keeping leisure time busy with other activities, not gambling due to boredom, and keeping a household budget. These SRSs could be communicated as actionable strategies people can use to help reduce gambling harm.</p>","PeriodicalId":14083,"journal":{"name":"International Journal of Mental Health and Addiction","volume":"47 1","pages":""},"PeriodicalIF":8.0,"publicationDate":"2024-05-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140881914","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A Randomized Clinical Trial of Mobile Contingency Management Intervention for Cannabis Use Reduction 减少使用大麻的移动应急管理干预随机临床试验
IF 8 3区 医学
International Journal of Mental Health and Addiction Pub Date : 2024-05-02 DOI: 10.1007/s11469-024-01314-z
Jean C. Beckham, Patrick S. Calhoun, Jeffrey S. Hertzberg, Alan J. Budney, Pallavi Aurora, Michelle F. Dennis, Angela C. Kirby, Emili A. Treis, Mariah K. Evans, Paul A. Dennis, Nathan A. Kimbrel
{"title":"A Randomized Clinical Trial of Mobile Contingency Management Intervention for Cannabis Use Reduction","authors":"Jean C. Beckham, Patrick S. Calhoun, Jeffrey S. Hertzberg, Alan J. Budney, Pallavi Aurora, Michelle F. Dennis, Angela C. Kirby, Emili A. Treis, Mariah K. Evans, Paul A. Dennis, Nathan A. Kimbrel","doi":"10.1007/s11469-024-01314-z","DOIUrl":"https://doi.org/10.1007/s11469-024-01314-z","url":null,"abstract":"<p>Cannabis use problems are on the rise in the USA, and there is a significant need for novel approaches to increase heavy cannabis users’ access to evidence-based treatment. The objective of this randomized clinical trial (RCT) was to evaluate the efficacy of mobile contingency management (mCM) to reduce cannabis use among individuals with heavy cannabis use. Participants completed 2 weeks of daily ecological momentary assessments and twice daily video saliva tests during a baseline ad lib cannabis use period. Participants randomly assigned to mCM then received 6 weeks of the mCM intervention, whereas control participants received non-contingent payments. Consistent with our main hypothesis, participants in the mCM condition reported significantly greater reductions in bioverified use days (43.1% reduction vs 1.3% reduction) and self-reported grams used (80.9% reduction vs 5.1% reduction). This RCT provides the strongest evidence to date that mCM is effective at reducing cannabis use among heavy cannabis users.</p>","PeriodicalId":14083,"journal":{"name":"International Journal of Mental Health and Addiction","volume":"2012 1","pages":""},"PeriodicalIF":8.0,"publicationDate":"2024-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140881910","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
What Do We Know About Informal Caregiving in the Field of Addiction?: A Scoping Review 我们对成瘾领域的非正规护理了解多少?范围审查
IF 8 3区 医学
International Journal of Mental Health and Addiction Pub Date : 2024-05-01 DOI: 10.1007/s11469-024-01301-4
Mélissa Côté, Eve-Emmanuelle Morency, Noémie Roussel, Francine Ferland, Joël Tremblay, Nadine Blanchette-Martin
{"title":"What Do We Know About Informal Caregiving in the Field of Addiction?: A Scoping Review","authors":"Mélissa Côté, Eve-Emmanuelle Morency, Noémie Roussel, Francine Ferland, Joël Tremblay, Nadine Blanchette-Martin","doi":"10.1007/s11469-024-01301-4","DOIUrl":"https://doi.org/10.1007/s11469-024-01301-4","url":null,"abstract":"<p>Substance use disorder (SUD) and gambling disorder (GD) pose extensive challenges across various aspects of the affected person’s life and those around them, generating significant public health concerns. Evolving perspectives have led to a shift in nomenclature, with some authors adopting the term “caregivers” to diminish stigma and enhance service accessibility. This systematic literature review aims to offer a comprehensive overview of informal caregivers for adults with addictions. Analyzing 79 retained articles through a scoping review, encompassing both scientific and gray literature, five key findings emerged: 1) a lack of consensus on caregiving definitions; 2) caregivers' experienced stigma; 3) diverse forms of support provided by caregivers; 4) a prevalent emphasis on the concept of burden and caregiver exhaustion; and 5) specific caregiver and SUD/GD individual characteristics contributing to caregiver’s burden. Given the complexity of caregiving in addiction, further research is needed to delineate the context and conditions determining caregiving circumstances.</p>","PeriodicalId":14083,"journal":{"name":"International Journal of Mental Health and Addiction","volume":"17 1","pages":""},"PeriodicalIF":8.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140826887","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Understanding the Causal Relationships Between Opioid Dependence and Risk of Mental Disorders: A Comprehensive Two-Sample Mendelian Randomization Study 了解阿片类药物依赖与精神障碍风险之间的因果关系:双样本孟德尔随机综合研究
IF 8 3区 医学
International Journal of Mental Health and Addiction Pub Date : 2024-04-30 DOI: 10.1007/s11469-024-01315-y
Yundi Hu, Luheng Qian, Runye Shi, Haojing Duan, Xiaolei Lin
{"title":"Understanding the Causal Relationships Between Opioid Dependence and Risk of Mental Disorders: A Comprehensive Two-Sample Mendelian Randomization Study","authors":"Yundi Hu, Luheng Qian, Runye Shi, Haojing Duan, Xiaolei Lin","doi":"10.1007/s11469-024-01315-y","DOIUrl":"https://doi.org/10.1007/s11469-024-01315-y","url":null,"abstract":"<p>Observational studies have reported positive associations between opioid dependence and major mental disorders. However, the causal relationships and causal mechanisms between opioid dependence and mental disorders remain unknown due to potential confounding bias and reverse causality. In this study, we aim to investigate the causal associations and possible mediating mechanisms between opioid dependence and mental disorders via Mendelian randomization. Comprehensive bidirectional Mendelian randomization (MR) studies were conducted between opioid dependence and major mental disorders, including schizophrenia, bipolar disorder, major depressive disorder, panic disorder, anorexia, obsessive–compulsive disorder, post-traumatic stress disorder, and insomnia. Inverse variance weighted approach was adopted as the primary analytic method with series of sensitivity analyses. Mediation effects of chronic pain along the opioid dependence–mental disorders causal pathway were assessed by multivariate MR and two-step MR. Forward MR identified significant positive causal effects of opioid dependence on insomnia (OR = 1.03, 95% CI = (1.01, 1.05), <i>p</i> = 0.005), while reverse MR showed significant positive causal effects of schizophrenia on opioid dependence (OR = 1.20, 95% CI = (1.07, 1.34), <i>p</i> = 0.002). No significant causal associations were found between opioid dependence and other mental disorders. Neither opioid dependence on insomnia nor schizophrenia on opioid dependence causal pathway was significantly mediated by chronic pain. Higher risks of genetically predicted opioid dependence may lead to higher risks of insomnia, while higher risks of genetically predicted schizophrenia may lead to higher risks of developing opioid dependence. The majority of causal effects were acted directly rather than via chronic pain.</p>","PeriodicalId":14083,"journal":{"name":"International Journal of Mental Health and Addiction","volume":"6 1","pages":""},"PeriodicalIF":8.0,"publicationDate":"2024-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140826884","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Screening for Tobacco and Cannabis Use by General Practitioners: A French Nationwide Representative Survey 全科医生筛查烟草和大麻使用情况:法国全国代表性调查
IF 8 3区 医学
International Journal of Mental Health and Addiction Pub Date : 2024-04-26 DOI: 10.1007/s11469-024-01299-9
Tangui Barré, Vincent Di Beo, Abbas Mourad, Patrizia Carrieri, Gwenaëlle Maradan, Lisa Fressard, Thomas Herault, Jean-François Buyck, Pierre Verger, François Beck
{"title":"Screening for Tobacco and Cannabis Use by General Practitioners: A French Nationwide Representative Survey","authors":"Tangui Barré, Vincent Di Beo, Abbas Mourad, Patrizia Carrieri, Gwenaëlle Maradan, Lisa Fressard, Thomas Herault, Jean-François Buyck, Pierre Verger, François Beck","doi":"10.1007/s11469-024-01299-9","DOIUrl":"https://doi.org/10.1007/s11469-024-01299-9","url":null,"abstract":"<p>Screening is a crucial step in the cascade of care for people who smoke tobacco or cannabis. In France, general practitioners (GPs) are considered a pillar of tobacco control, and under National Authority of Health guidelines, they are expected to systematically screen their patients for tobacco use. We aimed to assess the frequency of tobacco and cannabis use screening by French GPs and to identify characteristics associated with more frequent screening. From a nationwide random sample of GPs, we estimated the prevalence of self-reported systematic tobacco and cannabis screening. Using logistic regression models, we identified characteristics of GPs associated with systematic screening.</p><p>Our study sample comprised 2412 GPs, 74.6% of whom systematically screened their patients for tobacco use, and 34.7% for cannabis use. Systematic tobacco screening was associated with being under 50 years of age, working in a group practice, and using the “early identification and brief intervention” approach. Systematic cannabis screening was associated with being 50–59 years old and using the “early identification and brief intervention” approach. This study highlighted improvements in tobacco and cannabis screening frequencies in comparison to previous French data. Better GP training is an essential lever to ensure these positive trends continue.</p>","PeriodicalId":14083,"journal":{"name":"International Journal of Mental Health and Addiction","volume":"7 1","pages":""},"PeriodicalIF":8.0,"publicationDate":"2024-04-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140804600","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Problematic Online Behaviours among University Students and Associations with Psychological Distress Symptoms and Emotional Role Limitations: A Network Analysis Approach 大学生的问题性网络行为及其与心理困扰症状和情感角色局限的关联:网络分析方法
IF 8 3区 医学
International Journal of Mental Health and Addiction Pub Date : 2024-04-26 DOI: 10.1007/s11469-024-01296-y
Magdalena Sánchez-Fernández, Mercedes Borda-Mas, Francisco Rivera, Mark D. Griffiths
{"title":"Problematic Online Behaviours among University Students and Associations with Psychological Distress Symptoms and Emotional Role Limitations: A Network Analysis Approach","authors":"Magdalena Sánchez-Fernández, Mercedes Borda-Mas, Francisco Rivera, Mark D. Griffiths","doi":"10.1007/s11469-024-01296-y","DOIUrl":"https://doi.org/10.1007/s11469-024-01296-y","url":null,"abstract":"<p>Very little research has simultaneously explored the interactions between generalized problematic internet use (GPIU), problematic social media use (PSMU), problematic online gaming (POG), psychological distress, and emotional well-being among university students. Therefore, the present study aimed to determine (i) the associations between GPIU, PSMU, and POG symptoms, (ii) whether symptoms of these three problematic online behaviours form distinct entities, and (iii) whether there are associations between problematic online behaviours, psychological distress symptoms, and emotional role limitations using network analysis. A total of 807 Spanish university students participated (57.7% female; M<sub>age</sub> = 21.22 years [SD = 3.68]). Two network models were computed. Network 1 showed a complex interaction of nodes, with particularly strong connections between analogous symptoms of GPIU and PSMU. Symptoms organised into distinct dimensions, featuring a unique dimension for POG symptoms, one that includes preoccupation and a conflict symptom of GPIU, and two other dimensions with symptoms of GPIU and PSMU. Network 2 showed significant connections between GPIU and depression, GPIU and emotional role limitations, PSMU and anxiety, PSMU and emotional role limitations, POG and depression, and POG and anxiety. The findings support the conceptualization of GPIU as a nonspecific disorder, the independence of PSMU and POG as distinct constructs, and aligning with perspectives that separate POG from the GPIU spectrum. The study reinforces the model of compensatory internet use and emphasizes the impact of problematic online behaviours on emotional well-being. The findings have practical implications for the assessment and intervention of problematic online behaviours.</p>","PeriodicalId":14083,"journal":{"name":"International Journal of Mental Health and Addiction","volume":"18 1","pages":""},"PeriodicalIF":8.0,"publicationDate":"2024-04-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140804599","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Longitudinal Associations of Social Anxiety Trajectories with Internet-Related Addictive Behaviors Among College Students: A Five-Wave Survey Study 大学生社交焦虑轨迹与网络成瘾行为的纵向关联:五波调查研究
IF 8 3区 医学
International Journal of Mental Health and Addiction Pub Date : 2024-04-12 DOI: 10.1007/s11469-024-01300-5
Xiaomeng Li, Xiaoyan Chen, Ya Zhu, Xuliang Shi
{"title":"Longitudinal Associations of Social Anxiety Trajectories with Internet-Related Addictive Behaviors Among College Students: A Five-Wave Survey Study","authors":"Xiaomeng Li, Xiaoyan Chen, Ya Zhu, Xuliang Shi","doi":"10.1007/s11469-024-01300-5","DOIUrl":"https://doi.org/10.1007/s11469-024-01300-5","url":null,"abstract":"<p>The college stage is characterized by increased interpersonal interaction and intense social anxiety. Although the associations between social anxiety and internet-related addictive behaviors have been established, the question of whether the developmental trajectory of social anxiety is linked to subsequent internet-related addictive behaviors remains unexplored. Utilizing a longitudinal design combined with a person-centered approach, the current study examined the developmental trajectory of social anxiety among 3,861 students throughout their university years. Additionally, we explored the impacts of specific change patterns of social anxiety on subsequent internet-related addictive behaviors. The growth mixture modeling identified three distinct profiles of social anxiety: high-stable group (<i>n</i>=515, 13.33%), high-decreasing group (<i>n</i>=243, 6.30%), and low-decreasing group (<i>n</i>=3103, 80.37%). Furthermore, the results of binary logistic regression analysis revealed that students in the high-decreasing and low-decreasing groups were less likely to experience smartphone addiction and Internet game addiction compared to those in the high-stable group. These findings underscore the importance of identifying individuals with a high risk for social anxiety and providing them with personalized and effective mental health services to mitigate their susceptibility of developing internet-related addictive behaviors.</p>","PeriodicalId":14083,"journal":{"name":"International Journal of Mental Health and Addiction","volume":"33 1","pages":""},"PeriodicalIF":8.0,"publicationDate":"2024-04-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140564311","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Mapping the Landscape of Internet Pornography, Loneliness, and Social Media Addiction: A CiteSpace Bibliometric Analysis 绘制网络色情、孤独和社交媒体成瘾的地图:引用空间文献计量分析
IF 8 3区 医学
International Journal of Mental Health and Addiction Pub Date : 2024-04-09 DOI: 10.1007/s11469-024-01293-1
Abhishek Prasad, Kadhiravan Subramanian
{"title":"Mapping the Landscape of Internet Pornography, Loneliness, and Social Media Addiction: A CiteSpace Bibliometric Analysis","authors":"Abhishek Prasad, Kadhiravan Subramanian","doi":"10.1007/s11469-024-01293-1","DOIUrl":"https://doi.org/10.1007/s11469-024-01293-1","url":null,"abstract":"<p>A comprehensive bibliometric analysis using CiteSpace explores global scientific research trends concerning internet pornography, loneliness, and social media addiction from 1993 to 2023. The study reveals disciplinary distributions, evolving patterns, influential scholars, and contributing institutions. Notably, the United States accounts for over 29% of publications, with Griffiths MD and Beutel ME emerging as leading contributors with 22.7% and 18.2% respectively. A remarkable 2750% surge in scholarly publications from 2020 to 2023 underscores increasing interest in the subject. Keyword analysis identifies emerging trends and focal points, with terms such as “acquired immunodeficiency syndrome,” “pornography use,” and “addiction” showing significant citation activity. Leading institutions include New York University and University College London. Key metrics like sigma value (0.98), centrality (1.00), and citation burstness (32) provide valuable insights into the importance and influence of identified clusters within the academic landscape. This analysis sheds light on scholarly discussions, aiding in the comprehension of internet pornography, loneliness, and social media addiction.</p>","PeriodicalId":14083,"journal":{"name":"International Journal of Mental Health and Addiction","volume":"247 1","pages":""},"PeriodicalIF":8.0,"publicationDate":"2024-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140564203","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Association Between Preconception Maternal Mental Health-Related Hospitalisation (MHrH) and Outcomes During Pregnancy: A Population-Based Cohort Study in the Northern Territory, Australia 孕前孕产妇心理健康相关住院治疗(MHrH)与孕期结果之间的关系:澳大利亚北领地基于人口的队列研究
IF 8 3区 医学
International Journal of Mental Health and Addiction Pub Date : 2024-04-09 DOI: 10.1007/s11469-024-01286-0
Abel F. Dadi, Vincent He, Rosa Alati, Karen Hazell-Raine, Philip Hazell, Kiarna Brown, Steven Guthridge
{"title":"Association Between Preconception Maternal Mental Health-Related Hospitalisation (MHrH) and Outcomes During Pregnancy: A Population-Based Cohort Study in the Northern Territory, Australia","authors":"Abel F. Dadi, Vincent He, Rosa Alati, Karen Hazell-Raine, Philip Hazell, Kiarna Brown, Steven Guthridge","doi":"10.1007/s11469-024-01286-0","DOIUrl":"https://doi.org/10.1007/s11469-024-01286-0","url":null,"abstract":"<p>Comprehensive studies investigating the link between maternal hospitalisation for mental health conditions prior to pregnancy and adverse outcomes in pregnancy are scarce in Australia. We aimed to fill this gap by using 18 years of administratively linked data to inform early interventions. We linked the perinatal data from the year 1999 to 2017 to the hospital hospitalisation data to create a cohort of pregnant women aged 15 to 44 years who gave birth in the Northern Territory (NT). We used the International Classification of Disease 10th revision (ICD-AM-10) codes to locate women with mental health-related hospitalisation (MHrH) (exposure of interest) and the perinatal data to access pregnancy outcomes. We used the modified Poisson regression with robust standard error to estimate the risk of pregnancy outcomes associated with maternal MHrH in the 5 years prior to pregnancy. We calculated the adjusted population attributable fraction (aPAF) for valid associations. We used the <i>E</i>-value to assess the effect of potential confounding bias. Out of 69,890 pregnancies, ~ 67,518 were eligible and included in the analysis. We found a significant variation in the incidence of substance use and complications between Aboriginal and non-Aboriginal women and women with and without MHrH in the 5 years prior to pregnancy. After adjusting, 5 years of preconception hospitalisation for substance misuse was associated with a 31% (95%CI, 1.05, 1.63) increased risk of Intrauterine Growth Restriction (IUGR), a 60% (CI, 1.37, 1.86) increased risk of smoking and a 2.21 (CI, 1.98, 2.47) times increased risk of drinking during pregnancy in Aboriginal women; and a 17% increased risk of drinking (CI, 1.11, 1.23) in pregnancy in non-Aboriginal women. A significant proportion of smoking (aPAF = 14.7 to 37.4%), alcohol consumption (aPAF = 46.0 to 66.7%), and IUGR (aPAF = 23.6 to 38.5%) are attributed to maternal MHrH 5 years prior to pregnancy. Our findings are a ‘wake-up’ call for strengthening preconception care to reduce adverse outcomes of maternal MHrH prior to pregnancy.</p>","PeriodicalId":14083,"journal":{"name":"International Journal of Mental Health and Addiction","volume":"58 1","pages":""},"PeriodicalIF":8.0,"publicationDate":"2024-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140564289","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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