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The Relationship between Education Levels, Nicotine and Alcohol Use, Mental Health Issues and
                                 Child Abuse Potential during Pregnancy
                                                                             Ana Tindall B.S., and Alissa C. Huth-Bocks Ph.D.
                                                                                            Eastern Michigan University

                INTRODUCTION                                         METHOD’SCont.’
                                                                      Method’s CONT.’                                                                                      RESULTS
  Current research suggests that depressed            Procedures
  mothers have relatively fewer postive interaction     Women were recruited through community
  with their infants than non-depressed mothers                                                                                               Table 1. Descriptive Data for Study Variables
                                                        service agencies and by posting flyers in public
  (Brennan, Hammen, Andersen, Bor, Najman &             places. The interview took place during the third
  Williams, 2001).                                      trimester of pregnancy and was about 2.5 hours;                         Measure                   Mean         Standard          Minimum   Maximum   Possible         Alpha
                                                        women received $25.00 compensation. During                                                                     Deviation                              Range
  Heightened maternal anxiety levels puts the           this interview, which often took place in the                 BCAP                                6.5             5.1               0        21       0 – 24          0.82
  fetus at risk of being delivered prematurely          women’s homes, participants completed a semi-
  (Glynn, Schetter, Hobel, & Sandman, 2008).            structured interview about their feelings about               AOD                                 0.92            1.8               0         2        0-2            0.74
 Depression and Post Traumatic Stress Disorder          pregnancy and motherhood and numerous
 (PTSD), have been found to be predictive of            questionnaires about their history, current and               EPDS                                7.5             4.7               0        22        0-30           0.83
 perpetrating child abuse (Pears & Capaldi,             past relationships, psychosocial experiences,
 2001).                                                 and general health.                                           BSI-A                               4.1             4.1               0        22        0-24           0.75

  Also, other research studies have found that        Measures
  parents who were abusing alcohol or drugs were       Demographics Questionnaire. A brief
  more likely to be neglectful than parents who did    demographic questionnaire for background
  not (Cash & Wilke, 2003; Hien & Miele, 2003).        characteristics such as age, ethnicity, education                                      Table 2. Correlation Matrix for all Study Variables
                                                       & income, marital status, and use of child care.
                                                                                                                                                 Education       BCAP              EPDS             AOD               BSI-A
  This current study is going to examine how           The Brief Child Abuse Potential Inventory (B-
  these different experiences along with maternal      CAP; Ondersma, Chaffin, Mullins, & Lebreton,                   Education                  1.0
  education levels, as they relate to child abuse      2005) is a 34-item questionnaire that was
  potential.                                           assesses dimensions believed to be related to                  BCAP                       -.288*          1.0
  Research Aims:                                       risk for child abuse such as parental rigidity,
 To identify prenatal maternal factors associated     loneliness, and general distress; the 24-item                  EPDS                       -0.177          .667**            1.0
  with childhood abuse potential.                      abuse total score was used in this study.
 To examine whether alcohol and nicotine are                                                                         AOD                        -.210*          .221*             .216*            1.0
  associated with depression and anxiety during        The Edinburgh Postpartum Depression Scale
  pregnancy.                                           (EPDS; Cox, Holden & Sagovsky, 1987; Wisner,
                                                                                                                      BSI-A                      -0.168          .554**            .616**           .222*             1.0
                                                       Perry & Piontek, 2002) is a widely-used, 10-item
                    METHOD                             questionnaire used for assessing prenatal and
                                                       post-partum depressive symptoms.                                   *p<.05. ** p<.01.


Participants
• 100 women were recruited from the                    The Alcohol and Other Drug Abuse
  community.                                           questionnaire (AOD; Winters & Zenilman, 1994)         Correlations revealed significant associations between mothers’ child abuse potential and education
• Mothers’ age range: 18-40, M = 26 (SD = 5.8).        is a 16-item screening instrument used to             level, depression and anxiety, and drug use. There were also significant correlations between drug use,
• 50% African–American, 35% Caucasian, 15%             determine problems with alcohol and drug              anxiety, and depression.
  belonging to other ethnic groups.                    abuse.
• 62% single/never married, 30% first time
  mothers                                              Maternal Anxiety. The Brief Symptom Inventory
• 23% with high school diploma, GED or less            (BSI: Derogatis & Malisaratos, 1983) is a self-                                                                    DISCUSSION
  education, 41% some college or trade school,         report; 6 items from the anxiety subscale were
  and 35% college degree or graduate school.           used.                                                Mental health of the mother (i.e., depression and anxiety) is related to use of alcohol and/or nicotine. In our
• Median monthly household income = $1650                                                                   sample, 23% of the women drank alcohol and 34% smoked during their pregnancy.
• single parent households
• 72% on public assistance                                                                                  Results indicated that the mothers’ education, mental health and drug use have important relations with for
                                                                                                            child abuse potential during pregnancy.

                                                                                                            Such experiences during pregnancy likely impact the developing fetus, as well as maternal and infant well-
                                                                                                            being after birth. Early intervention efforts should target at-risk mothers and babies.

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Graduate Research Fair 2009

  • 1. The Relationship between Education Levels, Nicotine and Alcohol Use, Mental Health Issues and Child Abuse Potential during Pregnancy Ana Tindall B.S., and Alissa C. Huth-Bocks Ph.D. Eastern Michigan University INTRODUCTION METHOD’SCont.’ Method’s CONT.’ RESULTS Current research suggests that depressed Procedures mothers have relatively fewer postive interaction Women were recruited through community with their infants than non-depressed mothers Table 1. Descriptive Data for Study Variables service agencies and by posting flyers in public (Brennan, Hammen, Andersen, Bor, Najman & places. The interview took place during the third Williams, 2001). trimester of pregnancy and was about 2.5 hours; Measure Mean Standard Minimum Maximum Possible Alpha women received $25.00 compensation. During Deviation Range Heightened maternal anxiety levels puts the this interview, which often took place in the BCAP 6.5 5.1 0 21 0 – 24 0.82 fetus at risk of being delivered prematurely women’s homes, participants completed a semi- (Glynn, Schetter, Hobel, & Sandman, 2008). structured interview about their feelings about AOD 0.92 1.8 0 2 0-2 0.74 Depression and Post Traumatic Stress Disorder pregnancy and motherhood and numerous (PTSD), have been found to be predictive of questionnaires about their history, current and EPDS 7.5 4.7 0 22 0-30 0.83 perpetrating child abuse (Pears & Capaldi, past relationships, psychosocial experiences, 2001). and general health. BSI-A 4.1 4.1 0 22 0-24 0.75 Also, other research studies have found that Measures parents who were abusing alcohol or drugs were Demographics Questionnaire. A brief more likely to be neglectful than parents who did demographic questionnaire for background not (Cash & Wilke, 2003; Hien & Miele, 2003). characteristics such as age, ethnicity, education Table 2. Correlation Matrix for all Study Variables & income, marital status, and use of child care. Education BCAP EPDS AOD BSI-A This current study is going to examine how The Brief Child Abuse Potential Inventory (B- these different experiences along with maternal CAP; Ondersma, Chaffin, Mullins, & Lebreton, Education 1.0 education levels, as they relate to child abuse 2005) is a 34-item questionnaire that was potential. assesses dimensions believed to be related to BCAP -.288* 1.0 Research Aims: risk for child abuse such as parental rigidity,  To identify prenatal maternal factors associated loneliness, and general distress; the 24-item EPDS -0.177 .667** 1.0 with childhood abuse potential. abuse total score was used in this study.  To examine whether alcohol and nicotine are AOD -.210* .221* .216* 1.0 associated with depression and anxiety during The Edinburgh Postpartum Depression Scale pregnancy. (EPDS; Cox, Holden & Sagovsky, 1987; Wisner, BSI-A -0.168 .554** .616** .222* 1.0 Perry & Piontek, 2002) is a widely-used, 10-item METHOD questionnaire used for assessing prenatal and post-partum depressive symptoms. *p<.05. ** p<.01. Participants • 100 women were recruited from the The Alcohol and Other Drug Abuse community. questionnaire (AOD; Winters & Zenilman, 1994) Correlations revealed significant associations between mothers’ child abuse potential and education • Mothers’ age range: 18-40, M = 26 (SD = 5.8). is a 16-item screening instrument used to level, depression and anxiety, and drug use. There were also significant correlations between drug use, • 50% African–American, 35% Caucasian, 15% determine problems with alcohol and drug anxiety, and depression. belonging to other ethnic groups. abuse. • 62% single/never married, 30% first time mothers Maternal Anxiety. The Brief Symptom Inventory • 23% with high school diploma, GED or less (BSI: Derogatis & Malisaratos, 1983) is a self- DISCUSSION education, 41% some college or trade school, report; 6 items from the anxiety subscale were and 35% college degree or graduate school. used. Mental health of the mother (i.e., depression and anxiety) is related to use of alcohol and/or nicotine. In our • Median monthly household income = $1650 sample, 23% of the women drank alcohol and 34% smoked during their pregnancy. • single parent households • 72% on public assistance Results indicated that the mothers’ education, mental health and drug use have important relations with for child abuse potential during pregnancy. Such experiences during pregnancy likely impact the developing fetus, as well as maternal and infant well- being after birth. Early intervention efforts should target at-risk mothers and babies.