Trauma and Intravenous Drug Use among Pregnant Alcohol/Other Drug Abusing Women: Factors in Predicting Child Abuse Potential
Sarah J. Erickson, Ph.D. Lead Investigator Associate Professor and Director of Clinical Training, Department of Psychology and Pediatrics Center on Alcoholism, Substance Abuse and Addictions (CASAA) University of New Mexico, Logan Hall Albuquerque, NM 87108 erickson@unm.edu

This ancillary study is related to CTN-0013, "Motivational Enhancement Therapy to Improve Treatment Utilization and Outcome in Pregnant Substance Users."

It has six circumscribed goals with pregnant substance abusing women: (a) to document the prevalence of exposure to traumatic life events; (b) to examine the prevalence of posttraumatic stress symptomatology; (c) to determine if trauma exposure and posttraumatic stress symptoms are related to treatment utilization and outcome; (d) to examine child abuse potential; (e) to determine if child abuse potential is related to trauma exposure and traumatic stress symptomatology; and (f) to determine if child abuse potential is related to treatment utilization and outcome.

The study hypotheses are: (1) increase trauma exposure will be associated with less favorable treatment utilization and outcome; (2) increased traumatic stress symptomatology will be associated with less favorable treatment utilization and outcome; (3) increased child abuse potential will be associated with increased trauma exposure and increased traumatic stress symptomatology; and (4) less favorable treatment utilization and outcome will be associated with increased child abuse potential.

Primary Findings: In a sample of ethnically diverse substance using pregnant women, women with greater trauma symptomatology and women who were intravenous drug users reported significantly greater child abuse potential. The results suggest that because of the high levels of child abuse potential among this group, preventative interventions targeted toward child abuse potential are warranted for these women.

Primary Outcomes Paper: Erickson S, Tonigan J. Trauma and intravenous drug use among pregnant alcohol/other drug abusing women: Factors in predicting child abuse potential. Alcoholism Treatment Quarterly 2008;26(3):313-332. [more. . .]

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