2022
Association of Prepregnancy Substance Use and Substance Use Disorders with Pregnancy Timing and Intention
Coy KC, Ko JY, Ondersma SJ, Gilstad-Hayden K, Zapata LB, Chang G, Yonkers K. Association of Prepregnancy Substance Use and Substance Use Disorders with Pregnancy Timing and Intention. Journal Of Women's Health 2022, 31: 1630-1638. PMID: 35352988, PMCID: PMC10970710, DOI: 10.1089/jwh.2021.0483.Peer-Reviewed Original ResearchMeSH KeywordsFamily Planning ServicesFemaleHumansIntentionPregnancyPrenatal CarePrevalenceSubstance-Related DisordersConceptsSubstance use disordersSubstance usePregnancy timingUse disordersRobust error varianceConfidence intervalsPrenatal care sitesPostpartum carePregnancy intentionPrevalence ratiosIntended pregnanciesCare sitesPoisson regressionSecondary analysisIndependent relationshipPregnancyRelevant covariatesTotal sample sizeFamily planningWomenAssociationDisorders
2021
“A good mother”: Impact of motherhood identity on women's substance use and engagement in treatment across the lifespan
Adams ZM, Ginapp CM, Price CR, Qin Y, Madden LM, Yonkers K, Meyer JP. “A good mother”: Impact of motherhood identity on women's substance use and engagement in treatment across the lifespan. Journal Of Substance Use And Addiction Treatment 2021, 130: 108474. PMID: 34118710, PMCID: PMC8478714, DOI: 10.1016/j.jsat.2021.108474.Peer-Reviewed Original ResearchMeSH KeywordsAdultChildFemaleFocus GroupsHumansLongevityMothersPostpartum PeriodPregnancyQualitative ResearchSubstance-Related DisordersConceptsSUD treatmentSubstance useSubstance use disorder treatmentSUD treatment programsUse disorder treatmentWomen's substance usePostpartum periodMost womenStudy staffIndependent authorsTreatment engagementDisorder treatmentTreatment programWomenSUD recoveryTreatmentMothersSpecific barriersChildrenResidential programsMiddle adulthoodFocus groupsCaretakersQualitative interviewsPregnancyThe Collision of Mental Health, Substance Use Disorder, and Suicide
Forray A, Yonkers KA. The Collision of Mental Health, Substance Use Disorder, and Suicide. Obstetrics And Gynecology 2021, 137: 1083-1090. PMID: 33957654, DOI: 10.1097/aog.0000000000004391.Peer-Reviewed Original ResearchConceptsRisk of suicideSubstance use disordersUse disordersMental healthPerinatal periodSuicidal thoughtsReproductive health care clinicsSevere perinatal depressionHealth care clinicsCause of deathWomen's mental healthPerinatal depressionCare clinicsPerinatal womenPregnant womenDepressive episodeReproductive yearsPsychiatric illnessAmerican CollegePsychiatric disordersCareful monitoringPsychiatric conditionsSuicide attemptsChildhood adversitySuicide prevention
2020
Substance Use Disorder Detection Rates Among Providers of General Medical Inpatients
Serowik KL, Yonkers KA, Gilstad-Hayden K, Forray A, Zimbrean P, Martino S. Substance Use Disorder Detection Rates Among Providers of General Medical Inpatients. Journal Of General Internal Medicine 2020, 36: 668-675. PMID: 33111239, PMCID: PMC7947066, DOI: 10.1007/s11606-020-06319-7.Peer-Reviewed Original ResearchMeSH KeywordsAlcoholismBehavior, AddictiveFemaleHumansInpatientsMaleMass ScreeningSubstance-Related DisordersConceptsSubstance use disordersUse disordersMedical inpatientsPatient characteristicsMedical recordsGeneral medical inpatient unitsPatient self-report questionnairesGeneral medical inpatientsMedical inpatient unitsOpioid use disorderDrug use disordersNicotine use disorderPatients' medical recordsCannabis use disorderLarge teaching hospitalAlcohol use disorderDetection rateCocaine use disorderWhite patientsBlack patientsFemale patientsHispanic patientsFormal screeningInpatient providersTeaching hospitalThe short-term impact on economic outcomes of SBIRT interventions implemented in reproductive health care settings
Olmstead TA, Martino S, Ondersma SJ, Gilstad-Hayden K, Forray A, Yonkers KA. The short-term impact on economic outcomes of SBIRT interventions implemented in reproductive health care settings. Journal Of Substance Use And Addiction Treatment 2020, 120: 108179. PMID: 33298305, PMCID: PMC7733031, DOI: 10.1016/j.jsat.2020.108179.Peer-Reviewed Original ResearchMeSH KeywordsCrisis InterventionFemaleHumansMass ScreeningReferral and ConsultationReproductive HealthSubstance-Related DisordersConceptsReproductive health care settingsHealth care settingsGeneral health care utilizationHealth care utilizationCare settingsE-SBIRTCare utilizationReproductive health care centersRandomized clinical trialsHealth care centersPopulation of womenImpact of screeningMisused prescription medicationsMotor vehicle crashesPublic health perspectiveFuture systematic reviewsSBIRT interventionUsual careRoutine careSBIRT programEconomic outcomesPrescription medicationsCare centerClinical trialsDifferences regression modelsCost and cost-effectiveness of three strategies for implementing motivational interviewing for substance misuse on medical inpatient units
Olmstead TA, Yonkers KA, Forray A, Zimbrean P, Gilstad-Hayden K, Martino S. Cost and cost-effectiveness of three strategies for implementing motivational interviewing for substance misuse on medical inpatient units. Drug And Alcohol Dependence 2020, 214: 108156. PMID: 32659637, PMCID: PMC7448551, DOI: 10.1016/j.drugalcdep.2020.108156.Peer-Reviewed Original ResearchMeSH KeywordsAdultCost-Benefit AnalysisFemaleHealth PersonnelHumansInpatientsMaleMiddle AgedMotivational InterviewingReferral and ConsultationSubstance-Related DisordersAbstinence outcomes among women in reproductive health centers administered clinician or electronic brief interventions
Yonkers KA, Dailey JI, Gilstad-Hayden K, Ondersma SJ, Forray A, Olmstead TA, Martino S. Abstinence outcomes among women in reproductive health centers administered clinician or electronic brief interventions. Journal Of Substance Use And Addiction Treatment 2020, 113: 107995. PMID: 32359666, PMCID: PMC8372233, DOI: 10.1016/j.jsat.2020.02.012.Peer-Reviewed Original ResearchMeSH KeywordsCrisis InterventionElectronicsFemaleHumansMass ScreeningMotivational InterviewingPregnancyReferral and ConsultationReproductive HealthSubstance-Related DisordersConceptsElectronic brief interventionBrief interventionUsual careSubstance useAbstinence outcomesEnhanced usual care conditionEnhanced usual careUsual care conditionReproductive health centersRandomized clinical trialsReproductive healthcare servicesReproductive healthcare clinicsE-SBIRTAbstinence ratesPoint prevalenceClinical trialsHealth centersCare conditionsHealthcare clinicsSecondary analysisReproductive healthcareWomenAbstinenceInterventionHealthcare services
2019
Identification of substance use disorders among pregnant women: A comparison of screeners
Chang G, Ondersma SJ, Blake-Lamb T, Gilstad-Hayden K, Orav EJ, Yonkers KA. Identification of substance use disorders among pregnant women: A comparison of screeners. Drug And Alcohol Dependence 2019, 205: 107651. PMID: 31683243, DOI: 10.1016/j.drugalcdep.2019.107651.Peer-Reviewed Original ResearchMeSH KeywordsAdolescentAdultAlcoholismFemaleHumansPregnancyPregnancy ComplicationsPrenatal DiagnosisSensitivity and SpecificitySubstance-Related DisordersSurveys and QuestionnairesYoung AdultConceptsSubstance use disordersPregnant womenUse disordersAlcohol use disorderDrug use questionnaireMINI diagnostic interviewRate of useMean ageDiagnostic criteriaQuick screenDiagnostic InterviewIdeal questionnaireCRAFFTDisordersWomenModest abilityReference standardUse QuestionnaireQuestionnaireScreenerImplementing Motivational Interviewing for Substance Misuse on Medical Inpatient Units: a Randomized Controlled Trial
Martino S, Zimbrean P, Forray A, Kaufman JS, Desan PH, Olmstead TA, Gilstad-Hayden K, Gueorguieva R, Yonkers KA. Implementing Motivational Interviewing for Substance Misuse on Medical Inpatient Units: a Randomized Controlled Trial. Journal Of General Internal Medicine 2019, 34: 2520-2529. PMID: 31468342, PMCID: PMC6848470, DOI: 10.1007/s11606-019-05257-3.Peer-Reviewed Original ResearchMeSH KeywordsAdultFemaleHealth PersonnelHospitalizationHumansMaleMiddle AgedMotivational InterviewingSubstance-Related DisordersConceptsConsultation-liaison serviceSubstance misuseMotivational interviewMedical inpatientsGeneral medical inpatient servicesMedical inpatient servicesGeneral medical inpatientsStudy-eligible patientsMedical inpatient unitsAcute care hospitalsMain MeasuresPrimary outcomesMedical education workshopSecondary outcomesCare hospitalControlled TrialsEffective implementation strategiesMeasuresPrimary outcomesMedical HospitalInpatient unitInpatient servicesMedical ordersPatientsPatients' statementsMotivational interviewingInpatientsCost‐effectiveness of electronic‐ and clinician‐delivered screening, brief intervention and referral to treatment for women in reproductive health centers
Olmstead TA, Yonkers KA, Ondersma SJ, Forray A, Gilstad‐Hayden K, Martino S. Cost‐effectiveness of electronic‐ and clinician‐delivered screening, brief intervention and referral to treatment for women in reproductive health centers. Addiction 2019, 114: 1659-1669. PMID: 31111591, PMCID: PMC6684836, DOI: 10.1111/add.14668.Peer-Reviewed Original ResearchConceptsReproductive health centersE-SBIRTHealth centersCost-effective interventionPatient's perspectiveAdditional daysSubstance abstinenceHealth care provider perspectiveIncremental cost-effectiveness ratioCost-effectiveness acceptability curvesHealth care providersCost-effectiveness ratioMisused prescription medicationsPrimary substance useCost-effectiveness analysisUsual carePrimary outcomeRoutine carePrescription medicationsSubstance misuseBrief interventionAcceptability curvesRisky amountsDifferent drugsSBIRTAccuracy of five self‐report screening instruments for substance use in pregnancy
Ondersma SJ, Chang G, Blake‐Lamb T, Gilstad‐Hayden K, Orav J, Beatty JR, Goyert GL, Yonkers KA. Accuracy of five self‐report screening instruments for substance use in pregnancy. Addiction 2019, 114: 1683-1693. PMID: 31216102, PMCID: PMC8407406, DOI: 10.1111/add.14651.Peer-Reviewed Original ResearchMeSH KeywordsAdultAlcohol DrinkingBlack or African AmericanCigarette SmokingFemaleHispanic or LatinoHumansMarijuana UseMass ScreeningOpioid-Related DisordersPregnancyPregnancy ComplicationsSelf ReportSensitivity and SpecificitySubstance Abuse DetectionSubstance-Related DisordersUnited StatesWhite PeopleYoung AdultAssessment of an electronic and clinician-delivered brief intervention on cigarette, alcohol and illicit drug use among women in a reproductive healthcare clinic
Forray A, Martino S, Gilstad-Hayden K, Kershaw T, Ondersma S, Olmstead T, Yonkers KA. Assessment of an electronic and clinician-delivered brief intervention on cigarette, alcohol and illicit drug use among women in a reproductive healthcare clinic. Addictive Behaviors 2019, 96: 156-163. PMID: 31100713, PMCID: PMC6579708, DOI: 10.1016/j.addbeh.2019.05.007.Peer-Reviewed Original ResearchMeSH KeywordsAdultAlcohol DrinkingAlcohol-Related DisordersAmbulatory Care FacilitiesCigarette SmokingDiagnosis, Computer-AssistedFemaleHealth PersonnelHumansMass ScreeningMiddle AgedMotivational InterviewingReferral and ConsultationReproductive Health ServicesSmoking ReductionSubstance-Related DisordersTherapy, Computer-AssistedTreatment OutcomeYoung AdultConceptsEnhanced usual careIllicit drug useE-SBIRTDrug useCigarette useBrief interventionIllicit drugsAlcohol useSubstance useReproductive-age womenReproductive health clinicsGreater reductionSubstance use disordersReproductive healthcare clinicsUse of cigarettesPrimary substancePrimary substance useClinician-delivered interventionSBIRT interventionOverall substance useUsual careMonth 3Present studyReproductive yearsHealth clinics
2017
A randomized controlled trial of screening and brief interventions for substance misuse in reproductive health
Martino S, Ondersma SJ, Forray A, Olmstead TA, Gilstad-Hayden K, Howell HB, Kershaw T, Yonkers KA. A randomized controlled trial of screening and brief interventions for substance misuse in reproductive health. American Journal Of Obstetrics And Gynecology 2017, 218: 322.e1-322.e12. PMID: 29247636, PMCID: PMC6896206, DOI: 10.1016/j.ajog.2017.12.005.Peer-Reviewed Original ResearchConceptsEnhanced usual care groupPrimary substance useUsual care groupUsual careBrief interventionTreatment useSubstance useCare groupSubstance misuseReproductive health settingsEnhanced usual careTrial of screeningDays/monthMonths of useGeneralized estimation equationsCoprimary outcomesPrescription medicationsReproductive centerHealthcare centersPregnancy statusHealth settingsReferralReproductive healthMean daysCarePostpartum Contraceptive use and Rapid Repeat Pregnancy Among Women who use Substances
Loree AM, Gariepy A, Ruger JP, Yonkers KA. Postpartum Contraceptive use and Rapid Repeat Pregnancy Among Women who use Substances. Substance Use & Misuse 2017, 53: 162-169. PMID: 28937912, PMCID: PMC6025459, DOI: 10.1080/10826084.2017.1327976.Peer-Reviewed Original ResearchMeSH KeywordsAdolescentAdultConnecticutContraception BehaviorFemaleHumansPostpartum PeriodPregnancyPregnant WomenRandomized Controlled Trials as TopicSubstance-Related DisordersTime FactorsYoung AdultConceptsRapid repeat pregnancyPostpartum contraceptive useRepeat pregnancyContraceptive usePostpartum womenRandomized clinical trialsOB/GYN clinicPrenatal substance exposureEffective contraceptive useIllicit drug useContraceptive initiationWeeks' gestationPregnant womenSubstance use historiesPostpartum contraceptionClinical trialsSubstance exposurePregnancyDrug useSecondary analysisIllicit substancesSubstance useWomenUse historyDepoProvera
2015
Perinatal substance use: A prospective evaluation of abstinence and relapse
Forray A, Merry B, Lin H, Ruger JP, Yonkers KA. Perinatal substance use: A prospective evaluation of abstinence and relapse. Drug And Alcohol Dependence 2015, 150: 147-155. PMID: 25772437, PMCID: PMC4387084, DOI: 10.1016/j.drugalcdep.2015.02.027.Peer-Reviewed Original ResearchMeSH KeywordsAdolescentAdultFemaleHealth BehaviorHumansPregnancyPregnant WomenProspective StudiesRecurrenceSelf ReportSmokingSubstance-Related DisordersYoung AdultConceptsRates of abstinenceMean daysSubstance useMultivariate Cox modelLittle prospective dataPostpartum relapseRelapse postpartumAbstinence ratesProspective evaluationNicotine cigarettesProspective dataCox modelPregnancyRelapseCigarettesAbstinenceToxicology testingCocaineWomenPsychological treatmentLast monthPostpartumMarijuanaSpecific substancesDays
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 treatmentPregnancyPostpartum
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 ResearchMeSH KeywordsAdolescentAdultCognitive Behavioral TherapyCombined Modality TherapyCounselingFemaleHumansMotivationPregnancyPregnancy ComplicationsSubstance-Related DisordersUnited StatesYoung AdultConceptsCognitive 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
Screening for Prenatal Substance Use
Yonkers KA, Gotman N, Kershaw T, Forray A, Howell HB, Rounsaville BJ. Screening for Prenatal Substance Use. Obstetrics And Gynecology 2010, 116: 827-833. PMID: 20859145, PMCID: PMC3103106, DOI: 10.1097/aog.0b013e3181ed8290.Peer-Reviewed Original Research