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Related Concept Videos

Stress Prevention and Stress Management Techniques IV01:26

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Stress often leads to unhealthy habits like smoking, excessive drinking, and overeating, which offer short-term relief but ultimately increase long-term health risks. These behaviors create a cycle that temporarily lowers stress levels but can result in severe long-term health consequences. Breaking these habits is essential to reduce the risk of chronic diseases and improve overall well-being. Three primary changes that support better health include quitting smoking, reducing alcohol intake,...
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Schizophrenia, a complex psychiatric disorder, has been historically misunderstood. Early psychological theories attributed its origins to childhood trauma and unresponsive parenting. However, contemporary research largely rejects these notions, favoring the vulnerability-stress hypothesis. This model proposes that individuals with a genetic predisposition to schizophrenia may develop the disorder following exposure to significant environmental stressors. Notably, studies on high-risk...
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Related Experiment Video

Updated: Jun 3, 2025

Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale
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Using the PROMOTE Screener to Identify Psychosocial Risk Factors for Prenatal Substance Use.

Ayesha Azeem1, Marci Lobel, Cassandra Heiselman

  • 1From the National Institute on Minority Health and Health Disparities, National Institutes of Health, Bethesda, MD (AA); Department of Obstetrics, Gynecology, and Reproductive Medicine, Renaissance School of Medicine, Stony Brook University, Stony Brook, NY (ML, HP); and Department of Psychology, Stony Brook University, Stony Brook, NY (ML, CH, HP).

Journal of Addiction Medicine
|January 10, 2025
PubMed
Summary
This summary is machine-generated.

Identifying psychosocial vulnerabilities during pregnancy is crucial for addressing prenatal substance use. Brief screening tools like PROMOTE can help identify at-risk individuals for timely intervention.

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Area of Science:

  • Obstetrics and Gynecology
  • Public Health
  • Psychosocial Medicine

Background:

  • Urgent need to identify psychosocial vulnerabilities (stress, living conditions) in clinical practice.
  • Investigating the contribution of these factors to prenatal substance use (alcohol, tobacco, cannabis).

Purpose of the Study:

  • To assess the utility of the PROMOTE screening instrument in identifying psychosocial vulnerabilities.
  • To examine the association between these vulnerabilities and prenatal use of alcohol, tobacco, and cannabis.

Main Methods:

  • Retrospective chart review of 1842 patients using the PROMOTE instrument during their first prenatal visit.
  • PROMOTE includes NIDA Quick Screen for past-year substance use.
  • Prenatal substance use (tobacco, cannabis, alcohol) determined via electronic medical records and toxicology.

Main Results:

  • 10.2% of patients reported prenatal substance use (tobacco 7.2%, cannabis 2.7%, alcohol 2.4%).
  • Past-year tobacco and illegal drug use (NIDA Quick Screen items) linked to higher risk for all three substances.
  • Low education, being unpartnered, and major life events were unique risk factors for tobacco, cannabis, and alcohol use, respectively.

Conclusions:

  • Brief psychosocial screening instruments like PROMOTE effectively identify at-risk patients for referral.
  • Focus on life context, partner support, emotional health, stress, and past substance use is vital for intervention.