Psychosocial And Behavioral Factors Related To The Post Partum97Presentation Transcript
Psychosocial and behavioral factors related to the post-partum placements of infants born to cocaine-using women Reviewed by: Brittany Warrington Lisa Kline Matthew Chang October 14, 2008 PSYC308-UMBC Sonia Minnes, Lynn T. Singer, Rashida Humphrey-Wall, Sudtida Satayathum
Hypothesis: That cocaine-using women who lost custody of their infants at birth would report higher levels of psychological distress symptoms , and have more violent partner relationships , negative coping skills, lower social support, and higher prevalence of childhood trauma than similar women who did not lose custody of their infants.
Quote from researchers
“ We further hypothesized that higher levels of cocaine use prenatally and severity of psychological distress symptoms would increase the likelihood of child placement .”
What was known beforehand?
Previous studies have shown infant removal occurs more frequently if:
The mother used cocaine prenatally
Poor prenatal care
Positive toxicology screen
Specific areas of maternal history and psychological functioning are recognized as posing threats to effective parenting
Found to be more prevalent among cocaine-using women
If cocaine-using who did not maintain infant custody would report more of the following than those who maintained custody:
more psychological distress
negative coping skills
lower social support
more childhood trauma
Why is this research important?
Substantial postnatal risk factor for infant neglect and abuse
Use of illegal drugs often results in removal of the child
One of the leading causes of infant placement
Over 60% in some urban areas
Correlations with child maltreatment
Half of all parents who self-reported abuse/neglect
Lifetime substance abuse disorder
Protective service records indicate:
Maternal use of substances and child maltreatment
43-79% of affected children
At least 1 parent
Results Table 1: Maternal characteristics at birth by custody status WAIS-R Block Design-Wechsler Adult Intelligence Scale-Revised, Picture Completion and Block Design subscales PPVT-R-Peabody Picture Vocabulary Test-Revised Maternal Characteristics Mean (MC=142) SD (MC=142) Mean (NMC=63) SD (NMC=63) P-value Years of education 11.70 1.6 11.29 1.7 .09 Age (years) 29.18 4.9 30.40 5.2 .13 Number of prenatal visits 6.09 4.8 3.20 3.4 <.00001 WAIS-R Block Design 7.04 2.0 6.44 2.4 .07 PPVT-R Standard Score 74.38 14.3 71.40 13.5 .18
Results Table 1: Maternal characteristics at birth by custody status Maternal Characteristics MC=142 NMC=63 p-value Race (African American) 80.3 81.0 .91 No prenatal care 13.4 30.2 .004 Maternal employment 6.3 3.2 .37 Married 8.5 4.8 .35 Low socioeconomic status 98.0 98.4 .81
Results Table 2: Maternal drug use characteristics by custody status Maternal drug use Mean (MC=142) SD (MC=142) Mean (NMC=63) SD (NMC=63) p-value Avg. cigarettes per day 10.7 9.1 13.8 13.8 .49 Avg. drinks per week 9.0 16.4 10.9 21.3 .82 Avg. joints per week 1.4 3.4 1.2 3.9 .13 Avg. cocaine units per week 16.2 25.8 41.2 68.6 .001 Maternal drug use MC=142 NMC=63 p-value Tobacco use 88.7 88.9 .98 Alcohol use 88.7 79.4 .08 Marijuana use 50.7 47.6 .68 Heavy cocaine use 44.4 69.8 .001
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Minnes, Sonia, Lynn T. Singer, Rashida Humphrey-Wall, and Sudtida Satayathum. "Psychosocial and behavioral factors related to the post-partum placements of infants born to cocaine-using women." Child Abuse and Neglect 32 (2008): 353-66.
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