2022
Online randomised factorial trial of electronic Screening and Brief Intervention for alcohol use in pregnancy: a study protocol
Ondersma SJ, Todd L, Jablonski S, Ahuja C, Gilstad-Hayden K, Goyert G, Loree A, Heffner J, Yonkers KA. Online randomised factorial trial of electronic Screening and Brief Intervention for alcohol use in pregnancy: a study protocol. BMJ Open 2022, 12: e062735. PMID: 35922101, PMCID: PMC9352990, DOI: 10.1136/bmjopen-2022-062735.Peer-Reviewed Original ResearchConceptsPregnant womenBrief interventionAlcohol useFactorial trialHealth Institutional Review BoardAdverse perinatal outcomesFetal alcohol spectrum disordersUnhealthy alcohol useDose-response effectPrenatal alcohol exposureSpectrum of conditionsAlcohol spectrum disordersInstitutional review boardText messagingPeer-reviewed journalsPerinatal outcomesWeeks' gestationBirth outcomesPossible additional benefitsStudy protocolAlcohol exposureAlcohol abstinenceBooster sessionsEthical approvalPrimary analysisSupport Models for Addiction Related Treatment (SMART) for pregnant women: Study protocol of a cluster randomized trial of two treatment models for opioid use disorder in prenatal clinics
Forray A, Mele A, Byatt N, Tobon A, Gilstad-Hayden K, Hunkle K, Hong S, Lipkind H, Fiellin DA, Callaghan K, Yonkers KA. Support Models for Addiction Related Treatment (SMART) for pregnant women: Study protocol of a cluster randomized trial of two treatment models for opioid use disorder in prenatal clinics. PLOS ONE 2022, 17: e0261751. PMID: 35025898, PMCID: PMC8758001, DOI: 10.1371/journal.pone.0261751.Peer-Reviewed Original ResearchConceptsOpioid use disorderPregnant womenUse disordersPrenatal clinicsClinical trialsReproductive health cliniciansCollaborative care approachTRIAL REGISTRATION NUMBERCommunity Healthcare OutcomesMatched-pair clusterPatient treatment engagementTreatment modelObstetric providersOUD treatmentPrimary outcomeObstetrical providersPostpartum womenHealth cliniciansCare approachRegistration numberTreatment engagementRelated treatmentsHealthcare outcomesTrialsWomen
2021
Progression of depression and anxiety symptoms in pregnancies conceived by assisted reproductive technology in the United States
Simoni MK, Gilstad-Hayden K, Naqvi SH, Pal L, Yonkers KA. Progression of depression and anxiety symptoms in pregnancies conceived by assisted reproductive technology in the United States. Journal Of Psychosomatic Obstetrics & Gynecology 2021, 43: 214-223. PMID: 34472405, PMCID: PMC10116357, DOI: 10.1080/0167482x.2021.1971193.Peer-Reviewed Original ResearchConceptsAssisted-reproductive technologyEdinburgh Postnatal Depression ScalePlanned pregnanciesPostnatal Depression ScaleGestational time periodsART pregnanciesProspective cohortPregnant womenWeeks postpartumGeneralized Estimating EquationsObstetrical practiceDepression ScaleDepressive symptomsPregnancyBlue studiesSecondary analysisConception groupMental healthAnxiety subscaleAnxiety symptomsWomenGroup changesSymptomsPrevalenceWeeksThe 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
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 ResearchConceptsSubstance use disordersPregnant womenUse disordersAlcohol use disorderDrug use questionnaireMINI diagnostic interviewRate of useMean ageDiagnostic criteriaQuick screenDiagnostic InterviewIdeal questionnaireCRAFFTDisordersWomenModest abilityReference standardUse QuestionnaireQuestionnaireScreener
2017
Postpartum 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 ResearchConceptsRapid 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
2016
Are pregnancy planning and pregnancy timing associated with maternal psychiatric illness, psychological distress and support during pregnancy?
Gariepy AM, Lundsberg LS, Miller D, Stanwood NL, Yonkers KA. Are pregnancy planning and pregnancy timing associated with maternal psychiatric illness, psychological distress and support during pregnancy? Journal Of Affective Disorders 2016, 205: 87-94. PMID: 27423065, PMCID: PMC5048515, DOI: 10.1016/j.jad.2016.06.058.Peer-Reviewed Original ResearchConceptsMajor depressive episodeCohen's Perceived Stress ScaleMaternal psychiatric illnessPregnancy planningPsychiatric illnessHighest quartilePsychological distressPregnancy timingComposite International Diagnostic InterviewMultivariable logistic regressionImpact of depressionGeneral anxiety disorderLow social supportSocial Support InventoryProspective cohortPreterm birthPregnant womenDepressive episodeUnplanned pregnancyPerceived Stress ScalePregnancyPsychiatric diagnosisPsychiatric conditionsSecondary analysisDiagnostic InterviewEarly Childhood Adversity and Pregnancy Outcomes
Smith MV, Gotman N, Yonkers KA. Early Childhood Adversity and Pregnancy Outcomes. Maternal And Child Health Journal 2016, 20: 790-798. PMID: 26762511, PMCID: PMC4849279, DOI: 10.1007/s10995-015-1909-5.Peer-Reviewed Original ResearchConceptsAdverse childhood experiencesGestational agePregnancy outcomesBirth weightConclusions ACEsComposite International Diagnostic InterviewEarly Trauma Inventory Self Report-Short FormMaternal reproductive healthShorter gestational ageAdditional adverse childhood experienceDelivery of offspringPregnant womenHealth habitsPsychiatric illnessPsychiatric diagnosisReproductive healthDiagnostic InterviewChildhood adversityShort formMultiple mediatorsAgeChildhood experiencesMediatorsMethods ExposureOutcomes
2015
Are pregnancy planning and timing associated with preterm or small for gestational age births?
Gariepy AM, Lundsberg LS, Stolar M, Stanwood NL, Yonkers KA. Are pregnancy planning and timing associated with preterm or small for gestational age births? Fertility And Sterility 2015, 104: 1484-1492. PMID: 26364840, PMCID: PMC4663160, DOI: 10.1016/j.fertnstert.2015.08.012.Peer-Reviewed Original ResearchConceptsGestational-age birthsPregnancy planningAge birthGestational ageSignificant associationGestational age infantsProspective cohort studyMedical record abstractionHigh-risk populationMultiple confounding factorsMaternal demographicsCohort studyPreterm birthSingleton pregnanciesRecord abstractionPregnant womenAge infantsRisk factorsPregnancy timingHigh prevalenceLarge cohortPretermMAIN OUTCOMEMedical conditionsOutcome data
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 treatmentClinical Correlates of Prescription Opioid Analgesic Use in Pregnancy
Smith MV, Costello D, Yonkers KA. Clinical Correlates of Prescription Opioid Analgesic Use in Pregnancy. Maternal And Child Health Journal 2014, 19: 548-556. PMID: 24951127, PMCID: PMC4272915, DOI: 10.1007/s10995-014-1536-6.Peer-Reviewed Original ResearchMeSH KeywordsAdultAnalgesics, OpioidAnxiety DisordersComorbidityDepressive Disorder, MajorDrug PrescriptionsFemaleHumansIllicit DrugsOpioid-Related DisordersPainPregnancyPrevalenceProspective StudiesRegression AnalysisRisk FactorsStress Disorders, Post-TraumaticSurveys and QuestionnairesUnited StatesYoung AdultConceptsNon-opioid usersPregnant womenOpioid analgesicsClinical correlatesPrescription opioid analgesic useComposite International Diagnostic InterviewAnxiety disordersOpioid analgesic useProspective cohort studyUse of opioidsMajor depressive disorderPercent of womenPost-traumatic stress disorderAnalgesic useCohort studyOpioid useMedication useThird trimesterPsychiatric comorbidityDepressive disorderSmoking cigarettesOpioid addictionAmerican CollegeDiagnostic criteriaPregnancy
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
Depression and Serotonin Reuptake Inhibitor Treatment as Risk Factors for Preterm Birth
Yonkers KA, Norwitz ER, Smith MV, Lockwood CJ, Gotman N, Luchansky E, Lin H, Belanger K. Depression and Serotonin Reuptake Inhibitor Treatment as Risk Factors for Preterm Birth. Epidemiology 2012, 23: 677-685. PMID: 22627901, PMCID: PMC3415566, DOI: 10.1097/ede.0b013e31825838e9.Peer-Reviewed Original ResearchConceptsSerotonin reuptake inhibitorsMajor depressive episodePreterm birthDepressive episodeLogistic regressionSRI useUse of SRIsSerotonin reuptake inhibitor treatmentReuptake inhibitor treatmentEarly preterm birthLate preterm birthProspective cohort studyPreterm birth riskMajor depressive disorderNominal logistic regressionBinary logistic regressionAntidepressant treatmentCohort studyHospital chartsReuptake inhibitorsSymptomatic womenBirth outcomesPregnant womenRisk factorsDepressive disorder
2004
Management of Bipolar Disorder During Pregnancy and the Postpartum Period
Yonkers KA, Wisner KL, Stowe Z, Leibenluft E, Cohen L, Miller L, Manber R, Viguera A, Suppes T, Altshuler L. Management of Bipolar Disorder During Pregnancy and the Postpartum Period. American Journal Of Psychiatry 2004, 161: 608-620. PMID: 15056503, DOI: 10.1176/appi.ajp.161.4.608.Peer-Reviewed Original ResearchConceptsMood stabilizersBipolar disorderPostpartum periodFuture reproductive plansBipolar disorder patientsIssue of pregnancyPeripartum womenCohort studyPostpartum womenPregnant womenSodium valproateDisturbed sleepReproductive yearsHuman teratogenPsychotic componentsGeneral populationDisorder patientsPregnancyConsensus documentAmerican Psychiatric AssociationReproductive plansDisordersEarly adulthoodExpert panelWomenScreening for and Detection of Depression, Panic Disorder, and PTSD in Public-Sector Obstetric Clinics
Smith MV, Rosenheck RA, Cavaleri MA, Howell HB, Poschman K, Yonkers KA. Screening for and Detection of Depression, Panic Disorder, and PTSD in Public-Sector Obstetric Clinics. Psychiatric Services 2004, 55: 407-414. PMID: 15067153, DOI: 10.1176/appi.ps.55.4.407.Peer-Reviewed Original ResearchConceptsPercent of patientsHealth care providersPrenatal visitPanic disorderDepressive disorderPsychiatric illnessObstetric clinicsPregnant womenCare providersAnxiety disordersPrimary care settingMajor depressive disorderPercent of womenMental health treatmentDetection of depressionPosttraumatic stress disorderRate of detectionPerinatal womenPrenatal careObstetric settingMedical recordsMinor depressionCare settingsHealth treatmentLifetime history
2001
Onset and Persistence of Postpartum Depression in an Inner-City Maternal Health Clinic System
Yonkers KA, Ramin SM, Rush AJ, Navarrete CA, Carmody T, March D, Heartwell SF, Leveno KJ. Onset and Persistence of Postpartum Depression in an Inner-City Maternal Health Clinic System. American Journal Of Psychiatry 2001, 158: 1856-1863. PMID: 11691692, DOI: 10.1176/appi.ajp.158.11.1856.Peer-Reviewed Original ResearchConceptsMajor depressive disorderDepressive disorderPostpartum womenPostpartum periodCaucasian womenPostpartum depressionDepressive symptomsDisturbed mother-infant relationshipsPostpartum major depressive disorderEdinburgh Postnatal Depression ScaleMaternal Health ClinicPersistent depressive symptomsFirst postpartum visitPostnatal Depression ScalePostpartum depressive disordersStructured Clinical InterviewMother-infant relationshipPostpartum visitPregnant womenClinic populationNonpostpartum womenMaternal disabilityMultistage screening processHealth clinicsDepressed women