Postpartum substance use and depressive symptoms: a review.

dc.contributor.author

Chapman, Shawna L Carroll

dc.contributor.author

Wu, Li-Tzy

dc.date.accessioned

2020-02-03T04:45:04Z

dc.date.available

2020-02-03T04:45:04Z

dc.date.issued

2013-01

dc.date.updated

2020-02-03T04:45:03Z

dc.description.abstract

National survey data suggest that new mothers have high prevalences of alcohol and illicit drug use. Depression correlates with substance use, and new mothers with postpartum depression may be at high risk for substance use. Understanding postpartum substance use and its relationship to postpartum depression can inform future research and intervention. A literature search was conducted resulting in 12 studies published from 1999-2012 examining postpartum alcohol use, drug use, or combined postpartum depression and substance use. Postpartum alcohol (prevalence range 30.1%-49%) and drug use (4.5%-8.5%) were lower than use among not pregnant, not postpartum women (41.5%-57.5%, 7.6%-10.6%, respectively) but higher than use among pregnant women (5.4%-11.6%, 3.7%-4.3%, respectively). Correlates of postpartum problem drinking were being unemployed, unmarried, and a cigarette smoker. Prevalence of drug use was highest among white new mothers, followed by blacks and Hispanics, but black new mothers appeared at greater risk of drug use. No identified studies examined correlates of postpartum drug use beyond race/ethnicity. Postpartum depressive symptoms were prevalent among postpartum substance users and those with a substance use history (19.7%-46%). The postpartum period is a critical time. Prevalent substance use and the scarcity of studies warrant research to identify means to reduce maternal substance use.

dc.identifier.issn

0363-0242

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1541-0331

dc.identifier.uri

https://hdl.handle.net/10161/19966

dc.language

eng

dc.publisher

Informa UK Limited

dc.relation.ispartof

Women & health

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10.1080/03630242.2013.804025

dc.subject

Humans

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Depression, Postpartum

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Substance-Related Disorders

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Adaptation, Psychological

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Alcohol Drinking

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Mothers

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Postpartum Period

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Pregnancy

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Female

dc.title

Postpartum substance use and depressive symptoms: a review.

dc.type

Journal article

duke.contributor.orcid

Wu, Li-Tzy|0000-0002-5909-2259

pubs.begin-page

479

pubs.end-page

503

pubs.issue

5

pubs.organisational-group

School of Medicine

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Duke

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Center for Child and Family Policy

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Sanford School of Public Policy

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Duke Clinical Research Institute

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Institutes and Centers

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Duke Institute for Brain Sciences

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University Institutes and Centers

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Institutes and Provost's Academic Units

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Psychiatry & Behavioral Sciences, Social and Community Psychiatry

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Psychiatry & Behavioral Sciences

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Clinical Science Departments

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Medicine, General Internal Medicine

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Medicine

pubs.publication-status

Published

pubs.volume

53

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