2019
Opioid Use in Pregnancy
Tobon AL, Habecker E, Forray A. Opioid Use in Pregnancy. Current Psychiatry Reports 2019, 21: 118. PMID: 31734808, PMCID: PMC10296780, DOI: 10.1007/s11920-019-1110-4.Peer-Reviewed Original ResearchConceptsNeonatal opioid withdrawal syndromeOpioid use disorderOpioid exposureOpioid useMajor public health problemNeonatal adverse outcomesOpioid withdrawal syndromeStandard of carePublic health problemTerms of incidenceIllicit drug useSignificant adverse effectsMaintenance therapyPerinatal outcomesPregnancy outcomesRecent longitudinal studiesWithdrawal syndromeFetal effectsPregnant womenAdverse outcomesLong-term effectsUse disordersDrug useHealth problemsBrain morphology
2017
Association of Panic Disorder, Generalized Anxiety Disorder, and Benzodiazepine Treatment During Pregnancy With Risk of Adverse Birth Outcomes
Yonkers KA, Gilstad-Hayden K, Forray A, Lipkind HS. Association of Panic Disorder, Generalized Anxiety Disorder, and Benzodiazepine Treatment During Pregnancy With Risk of Adverse Birth Outcomes. JAMA Psychiatry 2017, 74: 1145-1152. PMID: 28903165, PMCID: PMC5710298, DOI: 10.1001/jamapsychiatry.2017.2733.Peer-Reviewed Original ResearchConceptsSerotonin reuptake inhibitor useAdverse birth outcomesLow birth weightSerotonin reuptake inhibitorsWeeks of pregnancyHypertensive diseaseDuration of gestationRespiratory interventionsVentilatory supportCesarean deliveryReuptake inhibitorsPanic disorderPregnancy outcomesInhibitor usePreterm birthBirth outcomesBenzodiazepine treatmentBirth weightAnxiety disordersWorld Mental Health Composite International Diagnostic InterviewPrevious adverse birth outcomesComposite International Diagnostic InterviewAdverse pregnancy complicationsMaternal panic disorderNeonatal pregnancy outcomes
2014
Pregnant Women With Posttraumatic Stress Disorder and Risk of Preterm Birth
Yonkers KA, Smith MV, Forray A, Epperson CN, Costello D, Lin H, Belanger K. Pregnant Women With Posttraumatic Stress Disorder and Risk of Preterm Birth. JAMA Psychiatry 2014, 71: 897-904. PMID: 24920287, PMCID: PMC4134929, DOI: 10.1001/jamapsychiatry.2014.558.Peer-Reviewed Original ResearchConceptsMajor depressive episodePosttraumatic stress disorderPreterm birthWeeks of pregnancyPregnant womenDepressive episodeModified PTSD Symptom ScalePTSD Symptom ScaleStress disorderBenzodiazepine medicationLikely diagnosisSymptom ScaleComposite International Diagnostic InterviewProspective cohort studySerotonin reuptake inhibitorsLogistic regression analysisCohort studyMedication useReuptake inhibitorsBenzodiazepine treatmentBenzodiazepine usePsychotropic treatmentObstetrical practicePsychiatric illnessAnxiolytic treatment
2013
Perinatal smoking and depression in women with concurrent substance use
Forray A, Gotman N, Kershaw T, Yonkers KA. Perinatal smoking and depression in women with concurrent substance use. Addictive Behaviors 2013, 39: 749-756. PMID: 24447885, PMCID: PMC3944019, DOI: 10.1016/j.addbeh.2013.12.008.Peer-Reviewed Original ResearchConceptsPregnant womenConcurrent substance useSubstance usePre-pregnancy smokersSignificant depressive symptomsWeeks of pregnancyMini Neuropsychiatric InterviewDiagnosis of depressionImpact of depressionCourse of smokingNon-depressed groupLinear mixed effects regressionSubstance abuse treatmentPerinatal smokingSmoking postpartumBaseline cohortNeuropsychiatric InterviewMixed effects regressionDepressive symptomsSmokingSmoking behaviorDepressive symptomatologyAbuse treatmentPregnancyPostpartumAntidepressant Use in Pregnant and Postpartum Women
Yonkers KA, Blackwell KA, Glover J, Forray A. Antidepressant Use in Pregnant and Postpartum Women. Annual Review Of Clinical Psychology 2013, 10: 369-392. PMID: 24313569, PMCID: PMC4138492, DOI: 10.1146/annurev-clinpsy-032813-153626.Peer-Reviewed Original ResearchConceptsAntidepressant usePersistent pulmonary hypertensionAdverse birth outcomesNeonatal complicationsShortened gestationPulmonary hypertensionAntidepressant exposureBirth outcomesPregnant womenPostpartum womenFetal growthMajor teratogensReproductive yearsLate pregnancyNeonatal signsCardiac malformationsAntidepressantsPregnancyAnxiety disordersAdverse effectsInconclusive evidenceWomenInconsistent literatureMalformationsRisk
2012
Motivational enhancement therapy coupled with cognitive behavioral therapy versus brief advice: a randomized trial for treatment of hazardous substance use in pregnancy and after delivery
Yonkers KA, Forray A, Howell HB, Gotman N, Kershaw T, Rounsaville BJ, Carroll KM. Motivational enhancement therapy coupled with cognitive behavioral therapy versus brief advice: a randomized trial for treatment of hazardous substance use in pregnancy and after delivery. General Hospital Psychiatry 2012, 34: 439-449. PMID: 22795046, PMCID: PMC3428516, DOI: 10.1016/j.genhosppsych.2012.06.002.Peer-Reviewed Original ResearchConceptsCognitive behavioral therapyMotivational enhancement therapyMET-CBTEnhancement therapyBehavioral therapySubstance useHazardous substance useBrief advicePregnant substance usersMonths postdeliverySubstance usersHospital outpatient clinicSubstance-using womenWeeks of pregnancySubstance misuseSimilar therapeutic effectsPercentage of daysSelf-reported percentageBiological measuresPreterm birthStudy nursesPrimary outcomeOutpatient clinicPrenatal careTherapeutic effect
2010
Onset and exacerbation of obsessive-compulsive disorder in pregnancy and the postpartum period.
Forray A, Focseneanu M, Pittman B, McDougle CJ, Epperson CN. Onset and exacerbation of obsessive-compulsive disorder in pregnancy and the postpartum period. The Journal Of Clinical Psychiatry 2010, 71: 1061-8. PMID: 20492843, PMCID: PMC4204467, DOI: 10.4088/jcp.09m05381blu.Peer-Reviewed Original ResearchMeSH KeywordsAcute DiseaseAdolescentAdultAge of OnsetAgedComorbidityDiagnostic and Statistical Manual of Mental DisordersFemaleHumansMaleMenarcheMiddle AgedObsessive-Compulsive DisorderParturitionPregnancyPregnancy ComplicationsPremenstrual SyndromePsychiatric Status Rating ScalesPuerperal DisordersReproductive HistoryRetrospective StudiesSeverity of Illness IndexConceptsOnset of OCDObsessive-compulsive disorderOCD onsetPregnant groupPerinatal periodOCD symptomsWorsening of symptomsExacerbation of symptomsImpact of pregnancyDSM-IV disordersStructured Clinical InterviewDSM-IV criteriaStudent's t-testPremenstrual worseningTotal pregnanciesSymptom exacerbationPostpartum periodExacerbationPregnancyClinical InterviewOCD clinicReproductive life cycleSymptom severitySymptomsCategorical variables
2009
Prevalence of post-traumatic stress disorder in pregnant women with prior pregnancy complications
Forray A, Mayes LC, Magriples U, Epperson CN. Prevalence of post-traumatic stress disorder in pregnant women with prior pregnancy complications. The Journal Of Maternal-Fetal & Neonatal Medicine 2009, 22: 522-527. PMID: 19488936, PMCID: PMC4109276, DOI: 10.1080/14767050902801686.Peer-Reviewed Original ResearchMeSH KeywordsAdultAnxietyComorbidityFemaleHumansMental DisordersPregnancyPregnancy ComplicationsPrevalenceResearch DesignStress Disorders, Post-TraumaticSurveys and QuestionnairesConceptsPrior pregnancy complicationsPartial post-traumatic stress disorderClinician-Administered PTSD ScalePost-traumatic stress disorderPregnancy complicationsPregnant womenPrevalence of PTSDStress disorderFull post-traumatic stress disorderFull PTSD symptomsPregnancy-related complicationsPatient-rated versionReferral clinicComplicationsPTSD ScalePrevalencePTSD symptomsAnonymous questionnaireWomenComparison groupCommon typeDisordersQuestionnaireAdditional evidenceClinic