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Perinatal substance abusers. Psychological and social characteristics
D L Haller1, J S Knisely, K S Dawson
1Division of Substance Abuse Medicine, Medical College of Virginia Hospitals, Virginia Commonwealth University, Richmond 23298-0109.
The Journal of Nervous and Mental Disease
|August 1, 1993
Summary
Perinatal substance abusers often face intellectual, emotional, and financial challenges. Addressing these psychological factors is crucial for successful addiction treatment and sustained abstinence in women.
Area of Science:
- Psychiatry
- Psychology
- Addiction Medicine
Background:
- Perinatal substance abuse presents complex challenges for maternal and infant health.
- Understanding the psychological profile of this population is essential for effective intervention.
Purpose of the Study:
- To assess the intellectual, educational, financial, emotional, and psychiatric characteristics of perinatal substance abusers before treatment.
- To identify common psychiatric comorbidities and personality disorders in this demographic.
Main Methods:
- A cohort of 40 perinatal substance abusers underwent comprehensive psychosocial, addiction, and psychological assessments.
- Psychiatric diagnoses (Axis I and Axis II) were confirmed using multiple testing methods.
Main Results:
- The study revealed significant intellectual, educational, financial, and emotional limitations.
- High rates of psychiatric comorbidity were observed: 45% had Axis I disorders (depression, anxiety) and 75% had Axis II disorders (antisocial, borderline, paranoid, dependent personality disorders).
- Average IQ was 87, with nearly one-third exhibiting intellectual impairment.
Conclusions:
- Perinatal substance abusers exhibit multifaceted psychological challenges impacting treatment outcomes.
- Treatment programs must integrate psychological assessments and tailored interventions to enhance abstinence rates.
- Addressing intellectual and emotional deficits is vital for long-term recovery in this population.