Search

Your search keyword '"Melissa C. Henry"' showing total 3 results
Start Over Author "Melissa C. Henry"
3 results on '"Melissa C. Henry"'

1. Alcohol and other substance use disorder recovery during pregnancy among patients with posttraumatic stress disorder symptoms: A qualitative study

Author

Melissa C. Henry, Pilar M. Sanjuan, Lisa Cacari Stone, Grace F. Cairo, Anthony Lohr-Valdez, and Lawrence M. Leeman

Subjects
Substance use disorder, Pregnancy, PTSD, Posttraumatic stress disorder, Coping, Medicine
Abstract

Background: About 5% of women are pregnant at substance use disorder (SUD) treatment entry, and pregnant women with SUD often belong to marginalized groups experiencing social, economic, and health care barriers associated with stigma from prenatal substance use. Pregnant women in SUD treatment have high rates of trauma and posttraumatic stress disorder (PTSD). This study sought to (1) examine the lived experiences of pregnant individuals with PTSD symptoms in SUD treatment and (2) understand the roles of systematic or contextual barriers to the pursuit of prenatal abstinence. Methods: We draw upon in-depth semi-structured interviews to examine relationships between SUD, psychological trauma/PTSD experience, social resources, and lived experiences among patients in prenatal SUD treatment with PTSD symptoms. Our sample was pregnant patients (N = 13) with prior DSM-5 Criterion A trauma and current PTSD symptoms enrolled in a comprehensive program integrating prenatal care, substance use counseling, medication for opioid use disorder and case management at three sites affiliated with an urban academic medical center in New Mexico. Results: Using thematic analysis, four main themes identified structural forces influencing alcohol and drug use: (a) lack of access or ability to obtain resources, (b) substance use to cope with negative affect, (c) social stigma, and (d) interpersonal relationships. Conclusions: Despite receiving high-quality integrated prenatal and SUD care, these pregnant patients with PTSD symptoms in SUD treatment still experienced substantial social and structural hurdles to achieving abstinence during pregnancy.

Published
2021
Full Text
View/download PDF

2. Sexual negotiation skills and risky behavior on sexual partnerships, HIV knowledge, and risk perception among urban youth of color: A latent class analysis

Author

Pauline Garcia-Reid, Ijeoma Opara, Melissa C. Henry, David T. Lardier, Andriana Herrera, and Robert J. Reid

Subjects
Class (computer programming), 030505 public health, Health (social science), media_common.quotation_subject, Human immunodeficiency virus (HIV), virus diseases, Hiv testing, medicine.disease_cause, Article, Latent class model, Developmental psychology, Risk perception, 03 medical and health sciences, Negotiation, 0302 clinical medicine, medicine, 030212 general & internal medicine, 0305 other medical science, Psychology, media_common
Abstract

Adolescents of color in urban communities are at high risk for contracting HIV, unlikely to have access to HIV testing services, or any other form of screening services. Using latent class analysis among a sample of African American/Black (48.1%) and Hispanic/Latina(o) (42%) youth (N = 668; M(age) = 16.30; 51% female), this study examined the association cluster group membership, based on sexual negotiation skills and risk behavior, had on HIV knowledge, perception of risk, and the number of sexual partners. Five distinct cluster groups emerged, with significant heterogeneity observed between cluster groups on select dependent variables. A larger proportion of the study participants were in cluster groups that identified higher levels of sexual negotiation skills; however, variation was present based on risk behaviors. Results provide useful recommendations for research on HIV/AIDS and risk behaviors, as well prevention-intervention programing among urban youth of color.

Published
2019
Full Text
View/download PDF

3. Prenatal maternal posttraumatic stress disorder as a risk factor for adverse birth weight and gestational age outcomes: A systematic review and meta-analysis

Author

J. Scott Tonigan, Jessica Larsen, Melissa C. Henry, Andrea Rodriguez, Korinna Christian, Nicole Yonke, Pilar M. Sanjuan, Lawrence Leeman, and Kathryn Fokas

Subjects
medicine.medical_specialty, business.industry, Obstetrics, Birth weight, Infant, Newborn, Gestational age, Gestational Age, Odds ratio, Stress Disorders, Post-Traumatic, Psychiatry and Mental health, Clinical Psychology, Low birth weight, Pregnancy, Risk Factors, Meta-analysis, Epidemiology, medicine, Birth Weight, Humans, Premature Birth, Observational study, Female, Risk factor, medicine.symptom, business
Abstract

Background Although not routinely assessed, prenatal posttraumatic stress disorder (PTSD) is associated with poor maternal mental health and mother-infant bonding. Prenatal PTSD may also be associated with birth weight and gestational age outcomes, but this remains unclear. This systematic review and meta-analysis investigated the association of prenatal PTSD with risk of low birth weight (LBW) or preterm birth (PTB) (dichotomous medically-defined cut-offs) or with birth weight (BW) or gestational age (GA) (continuous variables). Methods A comprehensive literature search was conducted in Web of Science, MedLine, PubMed, and PsychInfo. Data were collected and processed according to Meta-analysis of Observational Studies in Epidemiology (MOOSE) guidelines. Study quality was assessed with the Newcastle-Ottowa Quality Assessment Scale. Pooled effect sizes were estimated with random-effects models (correlation for continuous and odds ratios for dichotomous outcomes). Results Sixteen studies with 51,470 participants (prenatal PTSD 8%) were included in 4 meta-analyses. Maternal prenatal PTSD was associated with higher risks of LBW (OR = 1.96; 95% CI, 1.26, 3.03; P = .003), PTB (OR = 1.42; 95% CI, 1.16, 1.73; P = .001), and reduced GA (r = -0.04; 95% CI, -0.06, -0.01; P = .002). Limitations Different designs across studies, variety of PTSD assessment practices, and a small pool of studies were noted. Conclusions Findings suggest prenatal PTSD presents increased risks of LBW, PTB, and reduced GA. Evidence of physical harm to neonates from prenatal PTSD provides a powerful rationale to increase prenatal PTSD screening and identify effective prenatal interventions to improve maternal and child outcomes.

Published
2021

Catalog

Books, media, physical & digital resources
See catalog results