Family discord is associated with increased substance use for pregnant substance users

Wayne H. Denton, Bryon H. Adinoff, Daniel Lewis, Robrina Walker, Theresa Winhusen

Research output: Contribution to journalArticle

14 Citations (Scopus)

Abstract

Childhood abuse and partner violence are associated with prenatal substance abuse, but the potential impact of current family discord, which reflects broader family relationships and encompasses problems less severe than violence, has had little evaluation in pregnant substance users. Using data from 196 pregnant substance users participating in a NIDA Clinical Trials Network randomized clinical trial, we examined the relationship of baseline family discord to substance use and treatment session attendance. Family discord was assessed using items from the family composite of the Addiction Severity Index. Substance use was assessed by the Substance Use Calendar and urine drug screens (UDS). Assessments were weekly for four weeks and at two- and four-month post-randomization. Women with family discord were more likely to report living with a problematic substance user, reported a higher percentage of substance use days throughout each study phase, had a greater proportion of positive UDS over the four-month study period, and attended more weeks of treatment during the first month. Specific treatment interventions targeting pregnant women with family discord may be warranted.

Original languageEnglish (US)
Pages (from-to)326-332
Number of pages7
JournalSubstance Use and Misuse
Volume49
Issue number3
DOIs
StatePublished - Feb 2014

Fingerprint

Violence
Spouse Abuse
Urine
violence
drug
Family Relations
Random Allocation
Pharmaceutical Preparations
Substance-Related Disorders
Pregnant Women
addiction
substance abuse
Therapeutics
Randomized Controlled Trials
Clinical Trials
abuse
childhood
evaluation
Calendars
N-nitrosoiminodiacetic acid

Keywords

  • Family discord
  • Pregnancy
  • Substance use
  • Treatment engagement

ASJC Scopus subject areas

  • Psychiatry and Mental health
  • Public Health, Environmental and Occupational Health
  • Health(social science)
  • Medicine (miscellaneous)
  • Medicine(all)

Cite this

Family discord is associated with increased substance use for pregnant substance users. / Denton, Wayne H.; Adinoff, Bryon H.; Lewis, Daniel; Walker, Robrina; Winhusen, Theresa.

In: Substance Use and Misuse, Vol. 49, No. 3, 02.2014, p. 326-332.

Research output: Contribution to journalArticle

Denton, Wayne H. ; Adinoff, Bryon H. ; Lewis, Daniel ; Walker, Robrina ; Winhusen, Theresa. / Family discord is associated with increased substance use for pregnant substance users. In: Substance Use and Misuse. 2014 ; Vol. 49, No. 3. pp. 326-332.
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