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Interventions Addressing Cannabis Use During Pregnancy: A Systematic Review
Destin Groff1, Pooja Bollampally, Frank Buono
1From the College of Medicine, Milton S. Hershey Medical Center, Penn State Health, Hershey, PA (DG, HS); Department of Population Health Transformation, Harris Health System, Houston, TX (PB); Department of Psychiatry, Yale School of Medicine, New Haven, CT (FB); Harrell Health Sciences Library, Research and Learning Commons, Penn State College of Medicine, Hershey, PA (AK); and Department of Family and Community Medicine, Milton S. Hershey Medical Center, Penn State Health, Hershey, PA (CB).
Cognitive Behavioral Therapy (CBT) and Motivational Interviewing (MI) show promise in reducing cannabis use among pregnant women. More research is needed, especially on remote and computer-based interventions for this population.
Area of Science:
- Obstetrics and Gynecology
- Public Health
- Psychology
Background:
- Cannabis use during pregnancy is rising in the US, posing risks to mothers and infants.
- Healthcare providers need clear guidance on addressing prenatal cannabis use.
- Systematic interventions are crucial to curb cannabis use in pregnant individuals.
Approach:
- A systematic review was conducted searching multiple databases (MEDLINE, PsycINFO, CINAHL, Web of Science, SCOPUS, Cochrane Library).
- Studies included randomized controlled trials, controlled studies, feasibility studies, pilot studies, and observational studies.
- The primary outcome was the reduction of cannabis use.
Key Points:
- Nine studies involving 15 to 658 pregnant individuals were included.
- Interventions comprised brief counseling, CBT, MI, MET-CBT, computer-delivered psychotherapy, and psychoeducation.
- Effective interventions primarily utilized MI, CBT, and/or MET-CBT.
Conclusions:
- CBT and MI-based interventions show potential for reducing cannabis use in pregnancy.
- High-quality research is essential for this population.
- Further exploration of remote and computer-based interventions is warranted.
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