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Efficacy of motivational enhancement therapy to decrease alcohol and illicit-drug use in pregnant substance users reporting baseline alcohol use
| Content Provider | Scilit |
|---|---|
| Author | Osterman, Robin Lewis, Daniel Winhusen, Theresa |
| Copyright Year | 2017 |
| Description | Journal: Journal of Substance Abuse Treatment Background Approximately 35% of pregnant substance users in treatment report alcohol abuse, which increases the risk of fetal alcohol spectrum disorders (FASD) in their offspring. The present study was a preliminary evaluation of the efficacy of motivational enhancement therapy (MET) in decreasing alcohol use in pregnant women attending substance use treatment. Methods Secondary analysis of a trial evaluating the efficacy of MET, relative to treatment as usual (TAU), in improving treatment outcomes in 200 pregnant substance users. The present study included the 41 women (n=27 MET and n=14 TAU) who reported alcohol use in the 28days prior to randomization. Alcohol and illicit-drug use days were assessed with self-report; illicit drug use was assessed with urine drug screens. All measures were obtained weekly for the 4week active study phase and at 1 and 3month follow-ups. Results Significant treatment-by-time interaction effects were found for illicit-drug use days during the active $(X^{2}$=6.89, df=1, p<0.01) and follow-up $(X^{2}$=8.26, df=1, p<0.01) phases and for alcohol use during the follow-up phase $(X^{2}$=13.07, df=1, p<0.001), all reflecting a beneficial effect for MET, relative to TAU. All other treatment effects were non-significant. Conclusions These findings suggest that MET may be effective in decreasing alcohol and illicit-drug use in pregnant substance users reporting alcohol use. With 2–5% of US births affected by FASD, future research to replicate these findings seems warranted. Trial registration ClinicalTrials.gov http://www.clinicaltrials.gov; Identifier: NCT00078143. |
| Related Links | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5420331/pdf http://www.journalofsubstanceabusetreatment.com/article/S0740547216304500/pdf |
| Ending Page | 155 |
| Page Count | 6 |
| Starting Page | 150 |
| ISSN | 07405472 |
| e-ISSN | 18736483 |
| DOI | 10.1016/j.jsat.2017.02.003 |
| Journal | Journal of Substance Abuse Treatment |
| Volume Number | 77 |
| Language | English |
| Publisher | Elsevier BV |
| Publisher Date | 2017-02-18 |
| Access Restriction | Open |
| Subject Keyword | Journal: Journal of Substance Abuse Treatment Substance Abuse Fetal Alcohol Spectrum Disorders Alcohol Use Drug Use Motivational Enhancement Therapy |
| Content Type | Text |
| Resource Type | Article |
| Subject | Clinical Psychology Psychiatry and Mental Health |
