幼儿母亲的药物使用障碍治疗：对母亲药物使用和儿童心理健康结果的系统回顾。

IF 3.7 2区医学 Q1 PSYCHOLOGY, CLINICAL

Addictive behaviors Pub Date : 2025-01-02 DOI:10.1016/j.addbeh.2024.108241

Kayla M. Joyce , Chantal P. Delaquis , Tia Alsaidi , Julia Sulymka , Alexandra Conway , Juanita Garcia , Allyson Paton , Lauren E. Kelly , Leslie E. Roos

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引用次数: 0

摘要

幼儿母亲的药物使用障碍（SUD）会对家庭单位产生负面影响，并促进精神疾病的代际循环。本系统综述旨在1）概述针对幼儿（出生至 5 岁）母亲的药物使用治疗；2）综合有关母亲药物使用和儿童/母亲心理健康结果的研究结果；3）确定治疗的关键组成部分。2024 年 5 月 7 日在 Medline、PsycINFO、PubMED 和 PsycARTICLES 数据库中进行了检索。在删除重复文章后，共识别出 14,916 篇文章。文章按照 PRISMA 指南进行筛选。八篇文章（n = 900）符合纳入标准。研究结果包括孕产妇药物使用、儿童/孕产妇心理健康和治疗内容。所有研究都表明，与对照组相比，孕产妇药物使用治疗在改善孕产妇药物使用和儿童/孕产妇心理健康结果方面至少同样有效，甚至更有效。治疗内容包括：母亲/家庭心理健康、基本需求、养育技能、职业/教育、操作性调节、危机管理和医学教育。操作性调节是唯一一种似乎对产妇药物使用结果有积极影响的治疗方法，其他治疗方法均与相关结果无关。本综述提供了初步证据，强调了针对幼儿母亲的药物使用治疗对药物使用和心理健康结果的益处。未来的随机对照试验应采用统一的结果测量方法，并提供定性数据，以确定有生活经验的母亲的治疗需求，这对于评估孕产妇药物使用治疗和改善治疗发展至关重要。

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Treatment for substance use disorder in mothers of young children: A systematic review of maternal substance use and child mental health outcomes

Substance use disorders (SUD) in mothers of young children can negatively impact the family unit and promote the intergenerational cycle of mental health disorders. This systematic review aims to: 1) provide an overview of substance use treatments for mothers of young children (from birth to 5 years old); 2) synthesize findings on maternal substance use and child/maternal mental health outcomes; and 3) identify key treatment components. Database searches in Medline, PsycINFO, PubMED, and PsycARTICLES were conducted on May 7th, 2024. A total of 14, 916 articles were identified following duplicate removal. Articles were screened following PRISMA guidelines. Eight articles (n = 900) met inclusion criteria. Outcomes of interest included maternal substance use, child/maternal mental health, and treatment components. All studies indicated maternal substance use treatments were at least as, or more, effective in improving maternal substance use and child/maternal mental health outcomes compared to controls. Treatment components included: mother/family mental health, basic needs, parenting skills, occupation/education, operant conditioning, crisis management, and medical education. Operant conditioning was the only treatment component which appeared to positively impact maternal substance use outcomes; no other treatment components were associated with outcomes of interest. This review provides preliminary evidence highlighting the benefits of substance use treatments for mothers of young children on substance use and mental health outcomes. Future randomized controlled trials with harmonized outcome measures and qualitative data that identifies treatment needs of mothers with lived experience are crucial to evaluate maternal substance use treatments and improve treatment development.

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来源期刊

Addictive behaviors 医学-药物滥用

CiteScore

8.40

自引率

4.50%

发文量

283

审稿时长

46 days

期刊介绍： Addictive Behaviors is an international peer-reviewed journal publishing high quality human research on addictive behaviors and disorders since 1975. The journal accepts submissions of full-length papers and short communications on substance-related addictions such as the abuse of alcohol, drugs and nicotine, and behavioral addictions involving gambling and technology. We primarily publish behavioral and psychosocial research but our articles span the fields of psychology, sociology, psychiatry, epidemiology, social policy, medicine, pharmacology and neuroscience. While theoretical orientations are diverse, the emphasis of the journal is primarily empirical. That is, sound experimental design combined with valid, reliable assessment and evaluation procedures are a requisite for acceptance. However, innovative and empirically oriented case studies that might encourage new lines of inquiry are accepted as well. Studies that clearly contribute to current knowledge of etiology, prevention, social policy or treatment are given priority. Scholarly commentaries on topical issues, systematic reviews, and mini reviews are encouraged. We especially welcome multimedia papers that incorporate video or audio components to better display methodology or findings. Studies can also be submitted to Addictive Behaviors? companion title, the open access journal Addictive Behaviors Reports, which has a particular interest in ''non-traditional'', innovative and empirically-oriented research such as negative/null data papers, replication studies, case reports on novel treatments, and cross-cultural research.