Suena Massey Feinberg School of Medicine, Feinberg Clinical, Psychiatry and Behavioral Sciences

Suena Massey

Research Interest Keywords

Alcohol and Drug Dependency, Alcohol, Alcoholism, Cigarette smoking, Clinical Research

Office phone



Scopus Publication Detail

The publication detail shows the title, authors (with indicators showing other profiled authors), information on the publishing organization, abstract and a link to the article in Scopus. This abstract is what is used to create the fingerprint of the publication.

Maternal self concept as a provider and cessation of substance use during pregnancy

Suena H. Massey; Jenae M. Neiderhiser; Daniel S. Shaw; Leslie D. Leve; Jody M. Ganiban; David Reiss

(Profiled Author: Suena Massey)

Addictive Behaviors. 2012;37(8):956-961.


Objective: Maternal substance use during pregnancy is a common modifiable risk factor for poor birth outcomes, and is associated with long term psychological risks to offspring. As self concept is known to affect substance use behaviors in non-pregnant women, we hypothesized that self concept as a provider may be particularly salient to cessation of use during pregnancy. To isolate psychological processes specific to pregnancy from those associated with the transition to parenthood, we examined birth mothers who made adoption placements participating in the Early Growth and Development Study. Methods: We obtained lifetime and pregnancy substance use history and psychological measures at 3 to 4. months postpartum from 693 women recruited from the Northwest, Southwest, and Mid-Atlantic regions of the United States. Life history calendar and computer-assisted personal interviewing methods were used to minimize reporting bias. Using logistic regression, we assessed the association of self concept as an adequate provider with cessation of substance use during pregnancy, controlling for sociodemographic variables, depressive symptoms experienced during pregnancy, past year antisocial behaviors, family history of substance abuse, timing of pregnancy recognition, timing of initiation of prenatal care, and emotional adjustment to the adoption decision. Results: More positive self-concept as an adequate provider was independently associated with cessation of substance use and earlier initiation of prenatal care during pregnancy [OR = 1.223; 95% C.I. (1.005-1.489); B(SE) = .201(100)]. Familial substance abuse, depressive symptoms, and antisocial behaviors during pregnancy, were also independent predictors, and more strongly associated with cessation [OR = .531; 95% C.I. (375-751); B(SE) = -634 (178)], [OR. 940; 95% C.I. (906-975); B(SE) = -062 (019)], [OR = .961; 95% C.I. (927-996); B(SE) = -040 (018)]. Conclusions: Enhancing maternal identity as a provider for the fetus during pregnancy, along with treatment of depression, may improve motivation to stop substance use. © 2012 Elsevier Ltd.

PMID: 22575401     PMCID: PMC3377383    

Scientific Context

This section shows information related to the publication - computed using the fingerprint of the publication - including related publications, related experts with fingerprints representing significant amounts of overlap between their fingerprint and this publication. The red dots indicate whether those experts or terms appear within the publication, thereby showing potential and actual connections.

Related Publications

Related Topics

Appears in this Publication Appears in this Document

Related Experts

Author of this Publication Author of this Document