Maternal Childhood Maltreatment, Internal Working Models, and Perinatal Substance Use: Is There a Role for Hyperkatifeia? A Systematic Review

The parent-infant relationship is critical for socioemotional development and is adversely impacted by perinatal substance use. This systematic review posits that the mechanisms underlying these risks to mother-infant relationships center on 3 primary processes: (1) mothers’ childhood maltreatment e...

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Main Authors: Aviva K. Olsavsky, Isabella Chirico, Diab Ali, Hannah Christensen, Brianna Boggs, Lillian Svete, Katherine Ketcham, Kent Hutchison, Charles Zeanah, Nim Tottenham, Paula Riggs, C. Neill Epperson
Format: Article
Language:English
Published: SAGE Publishing 2023-07-01
Series:Substance Abuse: Research and Treatment
Online Access:https://doi.org/10.1177/11782218231186371
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author Aviva K. Olsavsky
Isabella Chirico
Diab Ali
Hannah Christensen
Brianna Boggs
Lillian Svete
Katherine Ketcham
Kent Hutchison
Charles Zeanah
Nim Tottenham
Paula Riggs
C. Neill Epperson
author_facet Aviva K. Olsavsky
Isabella Chirico
Diab Ali
Hannah Christensen
Brianna Boggs
Lillian Svete
Katherine Ketcham
Kent Hutchison
Charles Zeanah
Nim Tottenham
Paula Riggs
C. Neill Epperson
author_sort Aviva K. Olsavsky
collection DOAJ
description The parent-infant relationship is critical for socioemotional development and is adversely impacted by perinatal substance use. This systematic review posits that the mechanisms underlying these risks to mother-infant relationships center on 3 primary processes: (1) mothers’ childhood maltreatment experiences; (2) attachment styles and consequent internal working models of interpersonal relationships; and (3) perinatal substance use. Further, the review considers the role of hyperkatifeia, or hypersensitivity to negative affect which occurs when people with substance use disorders are not using substances, and which drives the negative reinforcement in addiction. The authors performed a systematic review of articles (published 2000-2022) related to these constructs and their impact on mother-infant relationships and offspring outcomes, including original clinical research articles addressing relationships between these constructs, and excluding case studies, reviews, non-human animal studies, intervention studies, studies with fewer than 30% female-sex participants, clinical guidelines, studies limited to obstetric outcomes, mechanistic/biological studies, and studies with methodological issues precluding interpretation. Overall 1844 articles were screened, 377 were selected for full text review, and data were extracted from 157 articles. Results revealed strong relationships between mothers’ childhood maltreatment experiences, less optimal internal working models, and increased risk for perinatal substance use, and importantly, all of these predictors interacted with hyperkatifeia and exerted a marked impact on mother-infant relationships with less data available on offspring outcomes. These data strongly support the need for future studies addressing the additive impact of maternal childhood maltreatment experiences, suboptimal internal working models, and perinatal substance use, with hyperkatifeia as a potential moderator, and their interacting effects on mother-infant socioemotional outcomes.
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spelling doaj.art-8789c43e3e0c48578f8e20a3068ae3342023-07-18T09:03:20ZengSAGE PublishingSubstance Abuse: Research and Treatment1178-22182023-07-011710.1177/11782218231186371Maternal Childhood Maltreatment, Internal Working Models, and Perinatal Substance Use: Is There a Role for Hyperkatifeia? A Systematic ReviewAviva K. Olsavsky0Isabella Chirico1Diab Ali2Hannah Christensen3Brianna Boggs4Lillian Svete5Katherine Ketcham6Kent Hutchison7Charles Zeanah8Nim Tottenham9Paula Riggs10C. Neill Epperson11Children’s Hospital Colorado, Aurora, CO, USASUNY Downstate Health Sciences University College of Medicine, Brooklyn, NY, USAUniversity of Colorado School of Medicine, Aurora, CO, USAChildren’s Hospital Colorado, Aurora, CO, USAChildren’s Hospital Colorado, Aurora, CO, USAUniversity of Kentucky College of Medicine, Louisville, KY, USAUniversity of Colorado School of Medicine, Aurora, CO, USAUniversity of Colorado School of Medicine, Aurora, CO, USATulane University School of Medicine, New Orleans, LA, USAColumbia University, New York, NY, USAChildren’s Hospital Colorado, Aurora, CO, USAUniversity of Colorado School of Medicine, Aurora, CO, USAThe parent-infant relationship is critical for socioemotional development and is adversely impacted by perinatal substance use. This systematic review posits that the mechanisms underlying these risks to mother-infant relationships center on 3 primary processes: (1) mothers’ childhood maltreatment experiences; (2) attachment styles and consequent internal working models of interpersonal relationships; and (3) perinatal substance use. Further, the review considers the role of hyperkatifeia, or hypersensitivity to negative affect which occurs when people with substance use disorders are not using substances, and which drives the negative reinforcement in addiction. The authors performed a systematic review of articles (published 2000-2022) related to these constructs and their impact on mother-infant relationships and offspring outcomes, including original clinical research articles addressing relationships between these constructs, and excluding case studies, reviews, non-human animal studies, intervention studies, studies with fewer than 30% female-sex participants, clinical guidelines, studies limited to obstetric outcomes, mechanistic/biological studies, and studies with methodological issues precluding interpretation. Overall 1844 articles were screened, 377 were selected for full text review, and data were extracted from 157 articles. Results revealed strong relationships between mothers’ childhood maltreatment experiences, less optimal internal working models, and increased risk for perinatal substance use, and importantly, all of these predictors interacted with hyperkatifeia and exerted a marked impact on mother-infant relationships with less data available on offspring outcomes. These data strongly support the need for future studies addressing the additive impact of maternal childhood maltreatment experiences, suboptimal internal working models, and perinatal substance use, with hyperkatifeia as a potential moderator, and their interacting effects on mother-infant socioemotional outcomes.https://doi.org/10.1177/11782218231186371
spellingShingle Aviva K. Olsavsky
Isabella Chirico
Diab Ali
Hannah Christensen
Brianna Boggs
Lillian Svete
Katherine Ketcham
Kent Hutchison
Charles Zeanah
Nim Tottenham
Paula Riggs
C. Neill Epperson
Maternal Childhood Maltreatment, Internal Working Models, and Perinatal Substance Use: Is There a Role for Hyperkatifeia? A Systematic Review
Substance Abuse: Research and Treatment
title Maternal Childhood Maltreatment, Internal Working Models, and Perinatal Substance Use: Is There a Role for Hyperkatifeia? A Systematic Review
title_full Maternal Childhood Maltreatment, Internal Working Models, and Perinatal Substance Use: Is There a Role for Hyperkatifeia? A Systematic Review
title_fullStr Maternal Childhood Maltreatment, Internal Working Models, and Perinatal Substance Use: Is There a Role for Hyperkatifeia? A Systematic Review
title_full_unstemmed Maternal Childhood Maltreatment, Internal Working Models, and Perinatal Substance Use: Is There a Role for Hyperkatifeia? A Systematic Review
title_short Maternal Childhood Maltreatment, Internal Working Models, and Perinatal Substance Use: Is There a Role for Hyperkatifeia? A Systematic Review
title_sort maternal childhood maltreatment internal working models and perinatal substance use is there a role for hyperkatifeia a systematic review
url https://doi.org/10.1177/11782218231186371
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