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We examined the impact of drug abuse on prenatal resources (social support and coping strategies) and mental health problems (depressiveness, pregnancy distress and hostility), and analyzed whether they would differently predict postpartum mental health between drug abusing and non-abusing women. Drug abusing (n=44) and comparison (n=50) women participated in the second or third trimester (T1), and reported depressive and anxiety symptoms at four (T2) and 12 (T3) months postpartum. Results showed that drug abusing women had higher levels of prenatal depression, distress and hostility, and lower levels of social support, and coped more by using denial and avoidance and less with cognitive reconstruction than the comparison group. Prediction of prenatal resources and problems was somewhat group-specific: the prenatal depression predicted depressive symptoms, and cognitive constructive coping predicted low anxiety, especially in the drug abusing group. The findings emphasize the need for effective support for adequate coping strategies and early treatment of depression in drug abusing mothers in their transition to motherhood.

Ashley, O., Marsden, M., & Brady, T. (2003). Effectiveness of substance abuse treatment programming for women: A review. The American Journal of Drug and Alcohol Abuse, 29, 19-53.

Beck, A. T., Epstein, N., Brown, G., & Steer, R. A. (1988) An inventory for measuring clinical anxiety: psychometric properties. Journal of Consulting and Clinical Psychology, 56, 893-897.

Belt, R., & Punamaki, R-L. (2007). Mother-infant group psychotherapy as an intensive treatment in early interaction among mothers with substance abuse problems. Journal of Child Psychotherapy, 33, 202-220.

Belt, R. H., Plykt, M., Punamaki, R. L., Pajulo, M. T., Posa, T., & Tamminen, T. (personal communication). Effectiveness of psychodynamic group therapy enhancing maternal mental health and dyadic interaction among drug abusing mothers.

Brady, K., & Sinha, R. (2005). Co-occurring mental and substance use disorders: the neurobiological effects of chronic stress. American Journal of Psychiatry, 162, 1483-1493.

Brudenell, I. (1997). A grounded theory of protecting recovery during transition to motherhood. American Journal of Drug and Alcohol Abuse, 23, 453-66.

Buitelaar, J. K., & Visser, G. H. (2002). Prenatal maternal stress: effects on pregnancy and the (unborn) child. Early Human Development, 70, 3-14.

Burns, M. J., Peaster, D. J., Mitrani, V. B., Ow, C., & Szapocznik, J. (2008). Stress processes in HIV-positive African American mothers: moderating effects of drug abuse history. Anxiety, Stress and Coping, 21, 95-116.

Carver, C. S., Scheier, M. P., & Weintraub, J. K. (1989). Assessing coping strategies: A theoretical based approach. Journal of Personality and Social Psychology, 56, 267-283.

Comfort, M., Sockloff, A., Loverro, J., & Kaltenbach, K (2003). Multiple predictors of substance-abusing women's treatment and Ufe outcomes. A prospective longitudinal study. Addictive Behaviors, 28, 199-224.

Conners, N., Bradley, R., Mansell, L., Liu, J., Roberst, T., Burgdorf, K, & Herrell, J. (2004). Children of mothers with serious substance abuse problems: An accumulation of risks. The American Journal of Drug and Alcohol Abuse, 30, 85-100.

Conners, N. A., Grant, A., Crone, C. C., & Whiteside-ManseU, L. (2006). Substance abuse treatment for mothers: Treatment outcomes and impact of length of stay. Journal of Substance Abuse Treatment, 31, 447-456.

Cox, J. L., Holden, J. M., & Sagovsky, R. (1987). Detection of postnatal depression. British Journal of Psychiatry, 150, 782-786.

Derogatis, L. R., & Cleary, P. A. (1977). Confirmation of the dimensional structure of the SCL-90: a study in construct validation. Journal of Clinical Psychology, 33, 981-989.

Palkin, G. P., & Strauss, S. M. (2003). Social supporters and drug use enablers: a dilemma for women in recovery. Addiction Behaviors, 28(1), 141-153.

Earc, M. M., Crouch, J. L., Skowronski, J. J, Milner, J. S. (2008). Hostility, ratings by parents at risk for child abuse: impact of chronic and temporary schema activation. Child Abuse & Neglect, 32(2), 177-93.

Field, T., Diego, M., Hernandez-Reif, M., Schanberg, S., Kühn, C., Yando, R., & BendeU, D. Bendell, D. (2003). Pregnancy anxiety and comorbid depression and anger: effects on the fetus and neonate. Depression and Anxiety, 17, 140-151.

Fonagy, P., Gergely, G., Jurist, E., & Target, M. (2002). Affect regulation, mentalization and the development of the self. New York. Other Press.

Freeman, R. C., Collier, K, & Parillo, K. M. (2002). Early Ufe sexual abuse as a risk factor for crack cocaine use in a sample of community-recruited women at high risk for illicit drug use. American Journal of Drug and Alcohol Abuse, 28(1), 109-131.

Haller, D. L. & Miles, D. R. (2004). Personality disturbances in drug-dependent women relationship to childhood abuse. The American Journal of Drug and Alcohol Abuse, 30(2), 261-286.

Hans, S., Bernstein, V., & Henson L. (1999). The role of psychopathology in the parenting of drug-dependent women. Development Psychopathology, 11, 957-977.

Hien, D., Cohen, L., Miele, G., Litt, L., & Capstick, C. (2004). Promising treatments for women with comorbid PTSD and substance use disorders. American Journal of Psychiatry, 161, 1426-1432.

Himmelfarb, S., & Murrell, S. A. (1983). Reliability and validity of five mental health scales in older persons. Journal of Gerontology, 38, 333-339.

Howell, E., Heiser, N., Harrington, M., & Howell, E. (1999). A review of recent findings on substance abuse treatment for pregnant women. Journal of Substance Abuse Treatment, 16, 195-219.

Johnson, M. E., Brems, C., & Burke, S. (2002). Recognizing »morbidity among drug users in treatment. American Journal of Drug and Alcohol Abuse, 28, 243-261.

Kandel, D. B, Huang, E Y, & Davies, M. (2001). Comorbidity between patterns of substance use dependence and psychiatric syndromes. Drug and Alcohol Dependence, 64, 133-241.

Khanzian, E. J. (1985). The self-medication hypothesis of addictive disorders: focus on heroin and cocaine dependence. American Journal of Psychiatry, 142, 1259-1264.

Knight, D., Logan, S. & Simpson, D. (2001). Predictors of program completion for women in residential substance abuse treatment. American Journal of Drug Abuse, 27, 1-18.

Lazarus, R. S. (1993). Coping theory and research: past, present, and future. Psychosomatic Medicine, 55, 234-247.

Lazarus, R. S. (2000). Towards better research on stress and coping. American Psychologist, 55, 665-673.

Luthar, S., Suchman., & Altomare, M. (2007). Relational psychotherapy mothers' group: a randomized clinical trial for substance abusing mothers. Development and Psychopathology, 19, 243-261.

Lyons-Ruth, K., & Jaeobvitz, D. (1999). Attachment disorganization. Unresolved loss, relational violence, and lapses in behavioral and attentional strategies. In J. Cassidy & P. R. Shaver (Eds.), Handbook of attachment· Theory, research, and clinical applications (pp. 520-554). New York: The Guilford Press.

Mayes, L. C., & Pajulo, M. (2006). Neurodevelopmental sequelae of prenatal cocaine exposure. In D. Bellinger (Ed.), Human developmental neurtoxicology. New York: Taylor & Francis.

Mayes, L., & Truman, S. (2002). Substance abuse and parenting. In M. Bornstein (Ed.), Handbook of parenting: Social conditions and applied parenting (2nd ed., VoL 4), pp. 329-359). Mahvah, NJ: Lawrence Erlbaum Associates.

Mayet, S., Groshkova, T, MacCormack, T, & Strang, J. (2008). Drugs and pregnancyoutcomes of women engaged with a specialist perinatal outreach addiction service. Journal of Drug and Alcohol Review, 27(5), 495-503.

Medrano, M. A., Hatch, J. P., Zule, W. ?., & Desmond, D. P. (2002). Psychological distress in childhood trauma survivors who abuse drugs. American Journal of Drug and Alcohol Abuse, 25, 761-769.

Nair, P., Schuler, M., Black, M, Kettinger, L., & Harrington, D. (2003). Cumulative environmental risk in substance abusing women: early intervention, parenting stress, child abuse potential and child development. Child Abuse & Neglect, 27, 997-1017.

Najavits, L. M., Weiss, R D., & Liese, B. S. (1996). Group cognitive-behavioral therapy for women with PTSD and substance use disorder. Journal of Substance Abuse Treatment, 13, 11-22.

Nix , R. L, Pinderhughes, E. E., Dodge, K A., Bates, J. E., Pettit, G. S., & McPadyenKetchum, S. A. (1999). The relation between mothers' hostile attribution tendencies and children's externalizing behavior problems: the mediating role of mothers' harsh discipline practices. Child Development, 70, 896-909.

Pajulo, M, Savonlahti, E., Sourander, A., Helenius, H., & Piha, J. (200Ia). Antenatal depression, substance dependence and social support. Journal of Affect Disorders, 65, 9-17.

Pajulo, M., Savonlahti, E., Sourander, A., Ahlqvist, S., Helenius, H., & Piha, J. (200Ib). An early report on the mother-baby interactive capacity of substance-abusing mothers. Journal of Substance Abuse Treatment, 20, 143-151.

Parkes, K. R. (1986). Coping in stressful episodes: the role of individual differences, environmental factors, and situational characteristics. Journal of Personality and Social Psychology, 51, 1277-1292.

Punamäki, R-L., Repokari, L., Vilska, S., Poikkeus, P., Tiitinen, A., Sinkkonen, J., & Tulppala, M (2006). Maternal mental health and medical predictors of infant developmental and health problems from pregnancy to one yean Does former infertility matter? Infant Behavior and Development, 29, 230-242.

Radloff, L. S. (1977). The CES-D scale. Applied Psychological Measurement, 1, 385-401.

Saisto, T, Salmela-Aro, K, Nurmi, J., Könönen, T, & Halmesmäki, E. (2001). A randomized controlled trial of intervention in fear of childbirth. Journal of Obstetric & Gynecology, 98, 820- 826.

Stern, D., & Bruschweiler-Stern, N. (1998). The birth of a mother. New York: Basic Books.

Suchman, N., Slade, A., & Luthar, S. (2005). How early bonding, depression, illicit drug use, and perceived support work together to influence drug-dependent mothers' caregiving. American Journal of Ortkopsychiatry, 75, 431-445.

Tamminen, T. (1990). Postnatal depression, breast-feeding and mother-infant interaction. Doctoral thesis University of Tampere, Tampere, Finland.

Tuisku, V., Pelkonen, M., Karlsson, L., Kiviruusu, O., HoIi, M., Ruuttu, T, Punamäki, R L., & Marttunen, M. (2006). Suicidal ideation, deliberate self-harm behaviour adn suicide attempts among adolescent outpatients with depressive mood disorders and comorbid axis disorders. European Journal of Child and Adolescent Psychiatry, 17, 179-186.

Wills, T. A., Pierce, J. P., & Evans, R. I. (1996). Large-scale environmental risk factors for substance use. American Behavioral Scientist, 39, 808-822.

JOURNAL OF PRENATAL AND PERINATAL PSYCHOLOGY AND HEALTH publishes research and clinical articles from the cutting edge of the science of prenatal and perinatal psychology and health. The journal, published quarterly since 1986, is dedicated to the in-depth exploration human reproduction and pregnancy and the mental and emotional development of the unborn and newborn child.

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