Addiction severity, psychopathology and treatment compliance in XXXX -dependent mothers.

@entity1 @entity146 @entity2270 @entity915 @entity2072 @entity148 @entity74 @entity1314
A retrospective chart review of clinical assessments encompassing @entity146 diagnosis, addiction severity and psychosocial functioning of @entity2072 -dependent pregnant or postpartum @entity1 during inpatient treatment was obtained. Predictive value of the elements of the assessment battery on aftercare compliance was determined. METHODS: The charts of forty-one @entity2072 -dependent pregnant or postpartum @entity1 treated for substance abuse were reviewed for addiction severity and aftercare compliance. Thirty of these @entity1 were administered the Structured Clinical Interview for DSM-III-R ( @entity915 I and II) and screened for history of victimization during inpatient treatment. All @entity1 were divided into two groups, aftercare treatment compliers (TCs) and aftercare treatment noncompliers (TNCs). TCs were those @entity1 who attended at least one-half of the aftercare sessions. RESULTS: TCs had significantly lower scores on the @entity146 (p < or = .05) and employment (p < or = .01) subscales of the ASI, indicating lesser problem severity. The total composite mean ASI score, although not statistically significant, was also lower for TCs. Of the thirty subjects that were administered the @entity915 -I and II, sixty-seven percent had an @entity74 . TNCs were significantly more likely to have an @entity148 (p < or = 0.05). Eighty percent of subjects had at least one @entity74 . TNCs were also significantly more likely to have any @entity74 (p < or = 0.05), and to have Cluster B and @entity1314 (p < or = 0.05). In addition, seventy-three percent of subjects reported victimization, with TNCs significantly more likely (p < or = 0.05) to have experienced childhood abuse. CONCLUSIONS: In this sample of pregnant @entity2072 using @entity1 , the majority of @entity1 had current @entity74 as well as history of victimization. The results suggest that the ASI employment and @entity146 subscales may be predictive of aftercare compliance. The presence of certain @entity2270 and/or @entity74 also appear to be predictors of poor compliance. Treatment of pregnant substance using @entity1 must be designed to address issues of victimization as well as @entity146 .
