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Mother’s little helper? Contrasting accounts of benzodiazepine and methadone use among drug-dependent parents in the UK

AIMS: To explore the ways in which opioid-dependent parents accounted for their use of opioids and benzodiazepines during and after pregnancy. METHODS: Longitudinal qualitative interviews [n = 45] with 19 opioid-dependent adults recruited in Scotland, UK, were held during the antenatal and post-nata...

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Autores principales: Chandler, Amy, Whittaker, Anne, Williams, Nigel, McGorm, Kelly, Cunningham-Burley, Sarah, Mathews, Gillian
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Informa UK Ltd. 2014
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4266080/
https://www.ncbi.nlm.nih.gov/pubmed/25552821
http://dx.doi.org/10.3109/09687637.2014.930814
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author Chandler, Amy
Whittaker, Anne
Williams, Nigel
McGorm, Kelly
Cunningham-Burley, Sarah
Mathews, Gillian
author_facet Chandler, Amy
Whittaker, Anne
Williams, Nigel
McGorm, Kelly
Cunningham-Burley, Sarah
Mathews, Gillian
author_sort Chandler, Amy
collection PubMed
description AIMS: To explore the ways in which opioid-dependent parents accounted for their use of opioids and benzodiazepines during and after pregnancy. METHODS: Longitudinal qualitative interviews [n = 45] with 19 opioid-dependent adults recruited in Scotland, UK, were held during the antenatal and post-natal period. Interviews focused on parenting and parenting support within the context of problem drug use and were analysed using a narrative informed, thematic analysis. FINDINGS: The majority of participants described using benzodiazepines in addition to opioids. Almost all indicated a desire to stop or reduce opioid use, whereas cessation or reduction of benzodiazepines was rarely prioritised. In stark contrast to opioid dependence, benzodiazepine dependence was portrayed as unproblematic, therapeutic and acceptable in the context of family life. Whereas opioid dependence was framed as stigmatising, benzodiazepine use and dependence was normalised. An exception was benzodiazepine use by men which was occasionally associated with aggression and domestic abuse. CONCLUSIONS: Drug-dependent parents attach different meanings to opioid and benzodiazepine use and dependence in the context of parenthood. Divergent meanings, and stigma, may impact on stated commitment to stability or recovery from dependent drug-use. Attention should be paid to the way in which policy and practice regarding OST and benzodiazepines reflects this divergence.
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spelling pubmed-42660802014-12-29 Mother’s little helper? Contrasting accounts of benzodiazepine and methadone use among drug-dependent parents in the UK Chandler, Amy Whittaker, Anne Williams, Nigel McGorm, Kelly Cunningham-Burley, Sarah Mathews, Gillian Drugs (Abingdon Engl) Original Article AIMS: To explore the ways in which opioid-dependent parents accounted for their use of opioids and benzodiazepines during and after pregnancy. METHODS: Longitudinal qualitative interviews [n = 45] with 19 opioid-dependent adults recruited in Scotland, UK, were held during the antenatal and post-natal period. Interviews focused on parenting and parenting support within the context of problem drug use and were analysed using a narrative informed, thematic analysis. FINDINGS: The majority of participants described using benzodiazepines in addition to opioids. Almost all indicated a desire to stop or reduce opioid use, whereas cessation or reduction of benzodiazepines was rarely prioritised. In stark contrast to opioid dependence, benzodiazepine dependence was portrayed as unproblematic, therapeutic and acceptable in the context of family life. Whereas opioid dependence was framed as stigmatising, benzodiazepine use and dependence was normalised. An exception was benzodiazepine use by men which was occasionally associated with aggression and domestic abuse. CONCLUSIONS: Drug-dependent parents attach different meanings to opioid and benzodiazepine use and dependence in the context of parenthood. Divergent meanings, and stigma, may impact on stated commitment to stability or recovery from dependent drug-use. Attention should be paid to the way in which policy and practice regarding OST and benzodiazepines reflects this divergence. Informa UK Ltd. 2014-12 2014-06-19 /pmc/articles/PMC4266080/ /pubmed/25552821 http://dx.doi.org/10.3109/09687637.2014.930814 Text en © 2014 Informa UK Ltd. All rights reserved: reproduction in whole or part not permitted http://creativecommons.org/licenses/by-nc-nd/3.0/ This is an open-access article distributed under the terms of the CC-BY-NC-ND 3.0 License which permits users to download and share the article for non-commercial purposes, so long as the article is reproduced in the whole without changes, and provided the original source is credited.
spellingShingle Original Article
Chandler, Amy
Whittaker, Anne
Williams, Nigel
McGorm, Kelly
Cunningham-Burley, Sarah
Mathews, Gillian
Mother’s little helper? Contrasting accounts of benzodiazepine and methadone use among drug-dependent parents in the UK
title Mother’s little helper? Contrasting accounts of benzodiazepine and methadone use among drug-dependent parents in the UK
title_full Mother’s little helper? Contrasting accounts of benzodiazepine and methadone use among drug-dependent parents in the UK
title_fullStr Mother’s little helper? Contrasting accounts of benzodiazepine and methadone use among drug-dependent parents in the UK
title_full_unstemmed Mother’s little helper? Contrasting accounts of benzodiazepine and methadone use among drug-dependent parents in the UK
title_short Mother’s little helper? Contrasting accounts of benzodiazepine and methadone use among drug-dependent parents in the UK
title_sort mother’s little helper? contrasting accounts of benzodiazepine and methadone use among drug-dependent parents in the uk
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4266080/
https://www.ncbi.nlm.nih.gov/pubmed/25552821
http://dx.doi.org/10.3109/09687637.2014.930814
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