一项针对有物质使用和抑郁问题的孕妇和产后妇女治疗需求的定性研究。
A qualitative study of treatment needs among pregnant and postpartum women with substance use and depression.
机构信息
1Behavioral and Social Sciences and Center for Alcohol and Addiction Studies, Brown University , Providence, Rhode Island , USA.
出版信息
Subst Use Misuse. 2013 Dec;48(14):1498-508. doi: 10.3109/10826084.2013.800116. Epub 2013 Jul 2.
Abstract
Little is known about treatment for pregnant and postpartum women with co-occurring substance use and depression. Funded by the National Institute of Drug Abuse, we conducted three focus groups with 18 pregnant and postpartum women in 2011 at an urban substance use treatment clinic. A semi-structured discussion guide probed for factors impacting treatment outcomes and needs. Data were analyzed using grounded theory. Women identified motivational, family, friend, romantic, and agency characteristics as facilitative or challenging to their recoveries, and desired structure (group treatment, a safe environment, and transportation) and content (attention to mental health, family, and gender-specific issues) of treatment.
摘要
对于同时患有物质使用障碍和抑郁症的孕妇和产后妇女，人们知之甚少。我们在 2011 年得到国家药物滥用研究所的资助，在一家城市物质使用治疗诊所与 18 名孕妇和产后妇女进行了三次焦点小组讨论。半结构化讨论指南探讨了影响治疗结果和需求的因素。使用扎根理论对数据进行分析。女性确定了促进或阻碍她们康复的动机、家庭、朋友、浪漫和代理特征，并希望治疗具有结构（小组治疗、安全环境和交通）和内容（关注心理健康、家庭和性别特定问题）。
相似文献
1
A qualitative study of treatment needs among pregnant and postpartum women with substance use and depression.一项针对有物质使用和抑郁问题的孕妇和产后妇女治疗需求的定性研究。
Subst Use Misuse. 2013 Dec;48(14):1498-508. doi: 10.3109/10826084.2013.800116. Epub 2013 Jul 2.
2
Black Pregnant and Postpartum Peoples' Perspectives on Mental Health and Substance Use Disorders.黑人孕产妇对心理健康和物质使用障碍的看法。
J Womens Health (Larchmt). 2024 Jul;33(7):956-965. doi: 10.1089/jwh.2023.0464. Epub 2024 Mar 26.
3
Predicting length of stay of substance-using pregnant and postpartum women in day treatment.预测接受日间治疗的吸毒孕妇和产后妇女的住院时间。
J Subst Abuse Treat. 1997 Jul-Aug;14(4):393-400. doi: 10.1016/s0740-5472(96)00111-0.
4
Mental health treatment need among pregnant and postpartum women/girls entering substance abuse treatment.有物质滥用问题的孕妇和产后女性/女孩的心理健康治疗需求。
Psychol Addict Behav. 2012 Jun;26(2):345-50. doi: 10.1037/a0025355. Epub 2011 Sep 5.
5
Women with co-occurring disorders (COD): treatment settings and service needs.患有共病的女性：治疗环境与服务需求。
J Psychoactive Drugs. 2008 Nov;Suppl 5:365-76. doi: 10.1080/02791072.2008.10400664.
6
Initiation and Engagement with Methadone Treatment among Pregnant and Postpartum Women.孕妇和产后妇女的美沙酮治疗的开始和参与。
Womens Health Issues. 2017 Nov-Dec;27(6):646-651. doi: 10.1016/j.whi.2017.05.002. Epub 2017 Jun 19.
7
Evaluating the implementation of family-centered substance use treatment for pregnant and postpartum people: A mixed-methods study.评估以家庭为中心的物质使用治疗在孕妇和产后人群中的实施情况：一项混合方法研究。
J Subst Use Addict Treat. 2024 Sep;164:209409. doi: 10.1016/j.josat.2024.209409. Epub 2024 May 18.
8
Knowledge of Maternal Mortality Risk Among Women with Substance Use Disorders during Pregnancy and Postpartum.孕妇和产后物质使用障碍妇女的孕产妇死亡率风险知识。
MCN Am J Matern Child Nurs. 2024;49(1):38-43. doi: 10.1097/NMC.0000000000000971.
9
The experiences of pregnant women attending a specialist service and using methamphetamine.孕妇在专科门诊就诊并使用冰毒的经历。
Women Birth. 2021 Mar;34(2):170-179. doi: 10.1016/j.wombi.2020.01.011. Epub 2020 Feb 13.
10
Barriers to receiving substance abuse treatment among rural pregnant women in Kentucky.肯塔基州农村孕妇接受药物滥用治疗的障碍。
Matern Child Health J. 2012 Dec;16(9):1762-70. doi: 10.1007/s10995-011-0923-5.
引用本文的文献
1
Systemic barriers and stigma: Healthcare provider perspectives on perinatal and neonatal care in the fentanyl crisis.系统性障碍与污名化：医疗服务提供者对芬太尼危机中围产期和新生儿护理的看法。
J Subst Use Addict Treat. 2025 May;172:209644. doi: 10.1016/j.josat.2025.209644. Epub 2025 Feb 20.
2
Beyond a simple cause and effect relationship: Exploring the long-term outcomes of children prenatally exposed to opioids and other substances.超越简单的因果关系：探索产前暴露于阿片类药物和其他物质的儿童的长期结局。
Semin Perinatol. 2025 Feb;49(1):152010. doi: 10.1016/j.semperi.2024.152010. Epub 2024 Dec 7.
3
Substance Use Disorder as a Risk Factor for Postpartum Depression: A Retrospective Chart Review in a Community Hospital.物质使用障碍作为产后抑郁症的一个风险因素：一项社区医院的回顾性病历审查
Cureus. 2024 Sep 2;16(9):e68450. doi: 10.7759/cureus.68450. eCollection 2024 Sep.
4
Perinatal women in substance use disorder treatment: Interest in partnering with family and friends to support recovery needs.接受物质使用障碍治疗的围产期妇女：对与家人和朋友合作以支持康复需求的兴趣。
J Addict Dis. 2025 Apr-Jun;43(2):146-152. doi: 10.1080/10550887.2024.2344837. Epub 2024 May 7.
5
[Women drug-users in outpatient treatment: a qualitative study from a gender and community mental health perspective].门诊治疗中的女性吸毒者：一项基于性别与社区心理健康视角的质性研究
Salud Colect. 2024 Feb 12;20:e4648. doi: 10.18294/sc.2024.4648.
6
Precursors of Prenatal Attachment and Anxiety during Pregnancy in Women Who Procreate Naturally and Pregnant Women following Assisted Reproduction Technology.自然受孕孕妇和辅助生殖技术受孕孕妇孕期产前依恋和焦虑的前驱因素。
Int J Environ Res Public Health. 2023 Oct 19;20(20):6945. doi: 10.3390/ijerph20206945.
7
Initiation and Treatment Discontinuation of Medications for Opioid Use Disorder in Pregnant People Compared With Nonpregnant People.与非孕妇相比，孕妇阿片类药物使用障碍药物的起始和治疗停药。
Obstet Gynecol. 2023 Apr 1;141(4):845-853. doi: 10.1097/AOG.0000000000005117. Epub 2023 Mar 9.
8
Listening to women and pregnant and postpartum people: Qualitative research to inform opioid use disorder treatment for pregnant and postpartum people.倾听女性以及孕妇和产后人群的声音：为孕妇和产后人群的阿片类药物使用障碍治疗提供信息的定性研究。
Drug Alcohol Depend Rep. 2022 May 12;3:100064. doi: 10.1016/j.dadr.2022.100064. eCollection 2022 Jun.
9
Non-pharmacologic interventions to improve depression and anxiety among pregnant and parenting women who use substances: An integrative literature review.改善使用药物的怀孕和育儿女性抑郁和焦虑症状的非药物干预措施：一项综合文献综述。
Drug Alcohol Depend Rep. 2021 Dec 14;2:100017. doi: 10.1016/j.dadr.2021.100017. eCollection 2022 Mar.
10
Major Depression in Postpartum Women during the COVID-19 Pandemic: Can Social Support Buffer Psychosocial Risks and Substance Use?COVID-19 大流行期间产后女性的重度抑郁症：社会支持能否缓冲心理社会风险和物质使用？
Int J Environ Res Public Health. 2022 Nov 26;19(23):15748. doi: 10.3390/ijerph192315748.
本文引用的文献
1
The impact of antiretroviral treatment on the age composition of the HIV epidemic in sub-Saharan Africa.抗逆转录病毒治疗对撒哈拉以南非洲艾滋病毒流行年龄构成的影响。
AIDS. 2012 Jul 31;26 Suppl 1(0 1):S19-30. doi: 10.1097/QAD.0b013e3283558526.
2
Substance use during pregnancy and postnatal outcomes.孕期物质使用与产后结局。
J Addict Dis. 2012;31(1):19-28. doi: 10.1080/10550887.2011.642765.
3
Clinical outcomes of an integrated treatment for depression and substance use disorders.抑郁和物质使用障碍综合治疗的临床结果。
Psychol Addict Behav. 2010 Sep;24(3):453-65. doi: 10.1037/a0019943.
4
Substance abuse during pregnancy: effect on pregnancy outcomes.孕期物质滥用：对妊娠结局的影响。
Eur J Obstet Gynecol Reprod Biol. 2010 Jun;150(2):137-41. doi: 10.1016/j.ejogrb.2010.02.026. Epub 2010 Mar 12.
5
Randomized controlled trial of cognitive-behavioural therapy for coexisting depression and alcohol problems: short-term outcome.随机对照试验认知行为疗法治疗抑郁和酒精问题共病：短期疗效。
Addiction. 2010 Jan;105(1):87-99. doi: 10.1111/j.1360-0443.2009.02757.x. Epub 2009 Nov 17.
6
Psychopharmacologic management of opioid-dependent women during pregnancy.孕期阿片类药物依赖女性的心理药理学管理
Am J Addict. 2009 Mar-Apr;18(2):148-56. doi: 10.1080/10550490902772975.
7
Foot soldiers of global health: teaching and preaching AIDS science and modern medicine on the frontline.全球健康的基层力量：在前线传授和宣讲艾滋病科学及现代医学
Med Anthropol. 2009 Jan-Mar;28(1):81-107. doi: 10.1080/01459740802640990.
8
Gender-based violence and HIV: relevance for HIV prevention in hyperendemic countries of southern Africa.基于性别的暴力与艾滋病：对非洲南部艾滋病高发国家艾滋病预防工作的意义。
AIDS. 2008 Dec;22 Suppl 4:S73-86. doi: 10.1097/01.aids.0000341778.73038.86.
9
Smoking patterns and outcomes in a population of pregnant women with other substance use disorders.患有其他物质使用障碍的孕妇群体中的吸烟模式及结果
Nicotine Tob Res. 2008 Jun;10(6):969-74. doi: 10.1080/14622200802097548.
10
Mood disorders affect drug treatment success of drug-dependent pregnant women.情绪障碍会影响药物依赖孕妇的药物治疗成功率。
J Subst Abuse Treat. 2007 Jan;32(1):19-25. doi: 10.1016/j.jsat.2006.06.015. Epub 2006 Oct 13.
Zotero 插件