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Children born to women in opioid maintenance treatment: A longitudinal study of child behavioral problems and parenting stress

In the wake of the “opioid epidemic”, there is considerable concern regarding potential harmful long-term effects of prenatal opioid exposure. Opioid misuse and addiction confer increased exposure to lifestyle stressors and health burdens. Accordingly, it is challenging to disentangle effects of pre...

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Autores principales: Sarfi, Monica, Eikemo, Marie, Konijnenberg, Carolien
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9816796/
https://www.ncbi.nlm.nih.gov/pubmed/36619511
http://dx.doi.org/10.3389/fped.2022.1087956
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author Sarfi, Monica
Eikemo, Marie
Konijnenberg, Carolien
author_facet Sarfi, Monica
Eikemo, Marie
Konijnenberg, Carolien
author_sort Sarfi, Monica
collection PubMed
description In the wake of the “opioid epidemic”, there is considerable concern regarding potential harmful long-term effects of prenatal opioid exposure. Opioid misuse and addiction confer increased exposure to lifestyle stressors and health burdens. Accordingly, it is challenging to disentangle effects of prenatal opioid exposure per se from factors related to maternal stress. In this study, we followed 36 women enrolled in comprehensive opioid maintenance treatment (OMT) program and their children alongside 36 age-matched mother-child dyads from a community sample (COMP) from pregnancy until child-age 8 years. Across five sessions, we used a battery of well-established questionnaires to investigate trajectories of parenting stress and mental health symptoms as well as child behavior problems. The 8-year retention was relatively high (OMT: 72%, COMP: 67%), and the OMT sample remarkably stable and well-functioning, with minimal concomitant illicit drug use. Mixed effects regressions showed significantly different trajectories of child behavior problems (F = 3.8, p = 0.024) and parenting stress (F = 3.1, p = 0.016) in the two groups. Differences in experienced stress were largely explained by more distress specifically related to the parenting role in the OMT group (F = 9.7, p = 0.003). The OMT sample also reported higher psychological distress (F = 15.6, p < 0.001) than the comparison group, but notably few participants presented with problems that warranted clinical intervention. The results underscore the benefits of tailored follow-up of children prenatally exposed to opioids and their families beyond infancy and toddlerhood. Long-term direct effects of prenatal opioid exposure on behavior problems are likely modest, given an otherwise stable caregiving environment conducive to healthy development.
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spelling pubmed-98167962023-01-07 Children born to women in opioid maintenance treatment: A longitudinal study of child behavioral problems and parenting stress Sarfi, Monica Eikemo, Marie Konijnenberg, Carolien Front Pediatr Pediatrics In the wake of the “opioid epidemic”, there is considerable concern regarding potential harmful long-term effects of prenatal opioid exposure. Opioid misuse and addiction confer increased exposure to lifestyle stressors and health burdens. Accordingly, it is challenging to disentangle effects of prenatal opioid exposure per se from factors related to maternal stress. In this study, we followed 36 women enrolled in comprehensive opioid maintenance treatment (OMT) program and their children alongside 36 age-matched mother-child dyads from a community sample (COMP) from pregnancy until child-age 8 years. Across five sessions, we used a battery of well-established questionnaires to investigate trajectories of parenting stress and mental health symptoms as well as child behavior problems. The 8-year retention was relatively high (OMT: 72%, COMP: 67%), and the OMT sample remarkably stable and well-functioning, with minimal concomitant illicit drug use. Mixed effects regressions showed significantly different trajectories of child behavior problems (F = 3.8, p = 0.024) and parenting stress (F = 3.1, p = 0.016) in the two groups. Differences in experienced stress were largely explained by more distress specifically related to the parenting role in the OMT group (F = 9.7, p = 0.003). The OMT sample also reported higher psychological distress (F = 15.6, p < 0.001) than the comparison group, but notably few participants presented with problems that warranted clinical intervention. The results underscore the benefits of tailored follow-up of children prenatally exposed to opioids and their families beyond infancy and toddlerhood. Long-term direct effects of prenatal opioid exposure on behavior problems are likely modest, given an otherwise stable caregiving environment conducive to healthy development. Frontiers Media S.A. 2022-12-23 /pmc/articles/PMC9816796/ /pubmed/36619511 http://dx.doi.org/10.3389/fped.2022.1087956 Text en © 2022 Sarfi, Eikemo and Konijnenberg. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY) (https://creativecommons.org/licenses/by/4.0/) . The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Pediatrics
Sarfi, Monica
Eikemo, Marie
Konijnenberg, Carolien
Children born to women in opioid maintenance treatment: A longitudinal study of child behavioral problems and parenting stress
title Children born to women in opioid maintenance treatment: A longitudinal study of child behavioral problems and parenting stress
title_full Children born to women in opioid maintenance treatment: A longitudinal study of child behavioral problems and parenting stress
title_fullStr Children born to women in opioid maintenance treatment: A longitudinal study of child behavioral problems and parenting stress
title_full_unstemmed Children born to women in opioid maintenance treatment: A longitudinal study of child behavioral problems and parenting stress
title_short Children born to women in opioid maintenance treatment: A longitudinal study of child behavioral problems and parenting stress
title_sort children born to women in opioid maintenance treatment: a longitudinal study of child behavioral problems and parenting stress
topic Pediatrics
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9816796/
https://www.ncbi.nlm.nih.gov/pubmed/36619511
http://dx.doi.org/10.3389/fped.2022.1087956
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