Research Output

The relationship between interpersonal trauma and substance misuse in pregnancy – a narrative review of the literature

  Background
There is a strong body of evidence supporting associations between interpersonal trauma (IPT) and substance use; however, this tends to focus on associations between childhood trauma and substance use in non-pregnant populations. Neonatal and obstetric outcomes are poorer among pregnant women with problematic substance use, yet few studies have explored IPT as a possible mechanism underlying their use of substances.

Aim
To explore the literature regarding the relationship between IPT and substance misuse among pregnant women.

Method
A systematic search of relevant databases was conducted and a narrative review of the literature was undertaken. Titles, abstracts and full articles were screened against inclusion criteria. Data were extracted and quality assessed.

Findings
A total of 15 studies were identified that suggested associations between negative life events and substance misuse in pregnant women/new mothers.

Conclusions
Although a link between IPT and substance misuse is suggested, this review has highlighted a number of important gaps in the literature that warrant further investigation. These include a paucity of UK-based studies, and a lack of research that fully explores possible associations between IPT and substance use in pregnant women. Moreover, research to date has employed quantitative methodology.

  • Type:

    Article

  • Date:

    02 September 2019

  • Publication Status:

    Published

  • DOI:

    10.12968/bjom.2019.27.9.578

  • ISSN:

    0969-4900

  • Library of Congress:

    RA790 Mental health

  • Dewey Decimal Classification:

    616.8 Nervous & mental disorders

  • Funders:

    Edinburgh Napier Funded

Citation

Waddell, N., & Karatzias, T. (2019). The relationship between interpersonal trauma and substance misuse in pregnancy – a narrative review of the literature. British Journal of Midwifery, 27(9), 578-588. https://doi.org/10.12968/bjom.2019.27.9.578

Authors

Keywords

Interpersonal trauma; Interpersonal violence; Substance use; Substance misuse; Pregnancy; New mothers

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