Featured Publications
Mothering from the Inside Out: Addressing the Intersection of Addiction, Adversity, and Attachment with Evidence-Based Parenting Intervention
Lowell AF, Peacock-Chambers E, Zayde A, DeCoste CL, McMahon TJ, Suchman NE. Mothering from the Inside Out: Addressing the Intersection of Addiction, Adversity, and Attachment with Evidence-Based Parenting Intervention. Current Addiction Reports 2021, 8: 605-615. PMID: 34306964, PMCID: PMC8280593, DOI: 10.1007/s40429-021-00389-1.Peer-Reviewed Original ResearchEvidence-based parenting interventionsEmotional needsChildren's emotional needsCommunity-based cliniciansParenting interventionsSubstance use disordersNeurobiological differencesAdversityChronic stressorsUse disordersRecent FindingsEvidenceFuture researchAddictionLack of attentionMother's historyReal-world settingInterventionInside OutAttachmentMothersNeurobiologyStressorsRecent trialsClinical trialsParentsAdult attachment is related to maternal neural response to infant cues: an ERP study
Lowell AF, Dell J, Potenza MN, Strathearn L, Mayes LC, Rutherford HJV. Adult attachment is related to maternal neural response to infant cues: an ERP study. Attachment & Human Development 2021, 25: 71-88. PMID: 33522435, PMCID: PMC10861024, DOI: 10.1080/14616734.2021.1880057.Peer-Reviewed Original ResearchConceptsInfant facesInfant cuesAttachment securityInsecure mothersNeural responsesMaternal neural responseOwn infant's faceMaternal attachment securityAdult Attachment InterviewEvent-related potentialsAttentional allocationAdult attachmentAttachment InterviewERP studyInfluence processingNeuroscientific approachNeural processingSecure mothersNeurobiological mechanismsInfant vocalizationsInfant cryingCuesInitial processingImportant predictorCaregivingSubstance use and mothers’ neural responses to infant cues
Lowell AF, Maupin AN, Landi N, Potenza MN, Mayes LC, Rutherford HJV. Substance use and mothers’ neural responses to infant cues. Infant Mental Health Journal 2020, 41: 264-277. PMID: 32057121, PMCID: PMC7160016, DOI: 10.1002/imhj.21835.Peer-Reviewed Original ResearchConceptsEvent-related potentialsInfant cuesInfant facesNeural responsesSubstance useMaternal neural responseMothers' neural responsesSpecific ERP componentsMother-child attachmentParent-infant relationshipSense of rewardSubstance-using mothersAttentional allocationNeutral facesFacial affectERP componentsMothers' responsivenessInfant vocalizationsMaternal substance useNeural circuitryInfant cryingCuesInitial processingFaceProcessingMothering from the Inside Out: Results of a community‐based randomized efficacy trial testing a mentalization‐based parenting intervention for mothers with addictions
Lowell A, DeCoste C, Dalton R, Dias H, Borelli J, Martino S, McMahon T, Suchman N. Mothering from the Inside Out: Results of a community‐based randomized efficacy trial testing a mentalization‐based parenting intervention for mothers with addictions. Infant Mental Health Journal 2023, 44: 142-165. PMID: 36862381, PMCID: PMC10050102, DOI: 10.1002/imhj.22043.Peer-Reviewed Original ResearchConceptsSubstance use disordersResearch cliniciansCommunity-based cliniciansRandomized efficacy trialMonths of ageSubstance use outcomesClinical trialsEfficacy trialsUse disordersPrior trialsChildren 11Clarity of cuesUse outcomesTrialsCliniciansMothersParenting interventionsInterventionService gapsMental statesEfficacyAddiction counselorsAddictionSame degreeChild's mental statesParental substance use and home visiting programs: Implementation considerations for relationship‐based treatment
Lowell A, Suchman N, Byatt N, Feinberg E, Friedmann P, Peacock‐Chambers E. Parental substance use and home visiting programs: Implementation considerations for relationship‐based treatment. Infant Mental Health Journal 2023, 44: 166-183. PMID: 36859776, PMCID: PMC10050092, DOI: 10.1002/imhj.22041.Peer-Reviewed Original ResearchConceptsSubstance use disordersMaternal substance use disordersRelationship-based treatmentHome Visiting ProgramUse disordersParental substance useVisiting ProgramSubstance useLogistical barriersSUD experienceYoung childrenQualitative content analysisImplementation barriersEmotional barriersFocus groupsTraining home visitors in mentalization‐based practice: A qualitative case study of clinical supervision in mothering from the inside out
Peacock‐Chambers E, Clark M, Moran M, Lowell A, Zayde A. Training home visitors in mentalization‐based practice: A qualitative case study of clinical supervision in mothering from the inside out. Infant Mental Health Journal 2023, 44: 184-199. PMID: 36807353, PMCID: PMC10084677, DOI: 10.1002/imhj.22039.Peer-Reviewed Original ResearchConceptsAttachment-based interventionsClinical trainingParent-child outcomesCommunity-based counselorsEvidence-based interventionsChild attachmentMental statesTraining componentSubstance useClinical supervisionHome visitorsQualitative case studyTrainingCommunity settingsCounselorsHigh-quality trainingInterventionInside OutQualitative methodsSupervised caseFurther researchMain themesCore componentResearchDepression
2024
Maternal Childhood Trauma, Caregiving Behavior, and Child Cognitive Development in the Context of Drug Addiction
Shin J, McMahon T, Penner F, Lowell A. Maternal Childhood Trauma, Caregiving Behavior, and Child Cognitive Development in the Context of Drug Addiction. American Journal Of Orthopsychiatry 2024 PMID: 39446632, DOI: 10.1037/ort0000802.Peer-Reviewed Original ResearchMaternal childhood traumaExposure to childhood traumaChildren's cognitive developmentChildhood traumaMother-child dyadsCaregiving behaviorAssociated with children's cognitive developmentCognitive developmentContext of drug addictionImpact of childhood traumaMaternal caregiving behaviorSubstance use treatment programsSubstance use disordersQuality of caregivingDrug addictionDyadic interactionsTreatment programsBehavioral systemsIntergenerational riskChild developmentMaternal substanceIntergenerational impactChild ageProtective factorsLack of association27. Investigating Neural Markers of Maternal Psychological Risk
Wall K, Penner F, Dell J, Lowell A, Potenza M, Mayes L, Rutherford H. 27. Investigating Neural Markers of Maternal Psychological Risk. Biological Psychiatry 2024, 95: s109-s110. DOI: 10.1016/j.biopsych.2024.02.262.Peer-Reviewed Original ResearchThe Impact of COVID on Early Intervention Parenting Support for Mothers in Recovery from Substance Use Disorder
Peacock-Chambers E, Pillai R, Jurkowski B, Kangas S, Borelli J, Feinberg E, Zayde A, Lowell A, Friedmann P, Byatt N. The Impact of COVID on Early Intervention Parenting Support for Mothers in Recovery from Substance Use Disorder. Journal Of Child And Family Studies 2024, 33: 1483-1492. DOI: 10.1007/s10826-024-02833-y.Peer-Reviewed Original ResearchSubstance use disordersHome visiting servicesProvider-parent relationshipEarly interventionIntervention implementationPsychosocial supportProvider participationExit interviewsEI providersThematic analysisParenting programsEI programImpact of COVIDField notesParental supportIncreased stressorsTelehealthUse disorderProvidersMothersCOVID impactQualitative approachEI enrollmentSupportProgram
2023
Maternal psychological risk and the neural correlates of infant face processing: A latent profile analysis
Wall K, Penner F, Dell J, Lowell A, Potenza M, Mayes L, Rutherford H. Maternal psychological risk and the neural correlates of infant face processing: A latent profile analysis. Developmental Psychobiology 2023, 66: e22445. PMID: 38131237, PMCID: PMC10783861, DOI: 10.1002/dev.22445.Peer-Reviewed Original Research
2022
Current Substance Use and Maternal Neural Responses to Infant Faces and Cries
Wall K, Dell J, Lowell A, Potenza M, Mayes L, Rutherford H. Current Substance Use and Maternal Neural Responses to Infant Faces and Cries. International Journal Of Mental Health And Addiction 2022, 22: 1629-1644. DOI: 10.1007/s11469-022-00947-2.Peer-Reviewed Original ResearchInfant cuesCurrent substance useInfant facesSubstance useNeural responsesMaternal neural responseUnknown infant facesSubstance use effectsN170 responseChild developmentMaternal substance useSubstance use assessmentCuesLong delayContinuous measureElectroencephalographyCentral findingPrior workFaceSalienceHigh levelsCaregivingStimuliUse assessmentFamiliarityReflective functioning in mothers with addictions: Differential relationships involving family history of mental illness and substance use
Lowell A, Yatziv T, Peacock-Chambers E, Zayde A, DeCoste C, Suchman N, McMahon T. Reflective functioning in mothers with addictions: Differential relationships involving family history of mental illness and substance use. Frontiers In Psychology 2022, 13: 911069. PMID: 36312152, PMCID: PMC9614557, DOI: 10.3389/fpsyg.2022.911069.Peer-Reviewed Original ResearchMaternal mental illnessMaternal substance useFamily historyParental mental illnessMental illnessSubstance useOutpatient substance use treatmentPaternal mental illnessSubstance use treatmentIllnessReflective functioningUse treatmentMothersMother's capacityAddictionEarly experienceTraumaParent Development InterviewParental reflective functioningExposureUnivariate ANOVAAn intergenerational lifespan perspective on the neuroscience of prenatal substance exposure
Lowell AF, Morie K, Potenza MN, Crowley MJ, Mayes LC. An intergenerational lifespan perspective on the neuroscience of prenatal substance exposure. Pharmacology Biochemistry And Behavior 2022, 219: 173445. PMID: 35970340, DOI: 10.1016/j.pbb.2022.173445.Peer-Reviewed Original ResearchConceptsPrenatal substance exposureSubstance exposureEmotion regulationExecutive functioningPrenatal exposureNeural correlatesVariety of domainsNeuroimaging literatureLongitudinal predictionInfluence infantsDevelopmental psychopathologyLifespan perspectiveChild behaviorExtant findingsNeural outcomesSensorimotor developmentNeurobiological effectsSubstance abuseBehavioral patternsDomain of interestNeuroscienceArousalPsychopathologyAdolescenceFunctioningThe effects of prenatal stress on neural responses to infant cries in expectant mothers and fathers
Peoples SG, Lowell AF, Bunderson M, Bartz C, Yip SW, Rutherford HJV. The effects of prenatal stress on neural responses to infant cries in expectant mothers and fathers. Developmental Psychobiology 2022, 64: e22280. PMID: 35603419, DOI: 10.1002/dev.22280.Peer-Reviewed Original ResearchConceptsInfant cryingAttentional processingNeural processingInfant cuesNeural responsesGreater LPP responsesMore attentional resourcesEvent-related potentialsLPP responsesAttentional resourcesAttentional processesPrenatal stress exposurePsychological changesNeural markersDistress levelsPerceptual responsesParental sex differencesStress exposurePrenatal stressSex differencesEarly riskCuesParentsCaregivingProcessingRelationship-Based Home Visiting Services for Families Affected by Substance Use Disorders: A Qualitative Study
Peacock-Chambers E, Buckley D, Lowell A, Clark M, Friedmann P, Byatt N, Feinberg E. Relationship-Based Home Visiting Services for Families Affected by Substance Use Disorders: A Qualitative Study. Journal Of Child And Family Studies 2022, 31: 2121-2133. PMID: 36909674, PMCID: PMC9997720, DOI: 10.1007/s10826-022-02313-1.Peer-Reviewed Original Research
2019
Supporting Parents in Recovery
Substance Abuse and Mental Health Services Administration. Supporting Parents in Recovery. SAMHSA Issue Brief: Bringing Recovery Supports to Scale, Technical Assistance Center Strategy (BRSS TACS)Peer-Reviewed Reviews, Practice Guidelines, Standards, and Consensus StatementsAssessment and treatment of prenatally exposed infants and children
Lowell, A. & Mayes, L. (2019). Assessment and treatment of prenatally exposed infants and children. In A. Hauptman & J. Salpekar (Eds.), Pediatric neuropsychiatry: A clinical casebook. New York, NY: Springer.Books
2018
Assessment and Treatment of Prenatally Exposed Infants and Children
Lowell A, Mayes L. Assessment and Treatment of Prenatally Exposed Infants and Children. 2018, 131-144. DOI: 10.1007/978-3-319-94998-7_13.Peer-Reviewed Original ResearchPrenatal substance exposureSubstance exposureParental substance usePsychosocial stressorsSubstance useLow birth weightChronic psychosocial stressSubstance-exposed infantsLow socioeconomic statusUtero exposureBirth weightPrenatal exposureNeurobehavioral effectsNeurological effectsPsychosocial stressInfantsSocioeconomic statusRelated factorsHarmful agentsExposureTreatmentChildrenFamily lifePrematurityPatientsCognitive-behavioral treatment of PTSD in a young boy and his mother following the experience of chronic domestic violence
Lowell, A., & Renk, K. (2018). Cognitive-behavioral treatment of PTSD in a young boy and his mother following the experience of chronic domestic violence. Clinical Case Studies, 17(3), 166-187. doi: https://doi.org/10.1177/1534650118771220Peer-Reviewed Original ResearchParental substance abuse
Boris, N. W., Renk, K., Lowell, A., & Kolomeyer, E. (2018). Parental substance abuse. In C. Zeanah (Ed.), Handbook of infant mental health (Fourth edition). New York, NY: Guilford Press.Books