An Integrated Mechanistic Model of Mindfulness-Oriented Recovery Enhancement for Opioid-Exposed Mother–Infant Dyads
A growing body of neurobiological and psychological research sheds light on the mechanisms underlying the development and maintenance of opioid use disorder and its relation to parenting behavior. Perinatal opioid use is associated with risks for women and children, including increased risk of child...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2021-10-01
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| Series: | Frontiers in Psychology |
| Subjects: | |
| Online Access: | https://www.frontiersin.org/articles/10.3389/fpsyg.2021.688359/full |
| _version_ | 1818820997649793024 |
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| author | Sarah E. Reese Elisabeth Conradt Michael R. Riquino Eric L. Garland |
| author_facet | Sarah E. Reese Elisabeth Conradt Michael R. Riquino Eric L. Garland |
| author_sort | Sarah E. Reese |
| collection | DOAJ |
| description | A growing body of neurobiological and psychological research sheds light on the mechanisms underlying the development and maintenance of opioid use disorder and its relation to parenting behavior. Perinatal opioid use is associated with risks for women and children, including increased risk of child maltreatment. Drawing from extant data, here we provide an integrated mechanistic model of perinatal opioid use, parenting behavior, infant attachment, and child well-being to inform the development and adaptation of behavioral interventions for opioid-exposed mother–infant dyads. The model posits that recurrent perinatal opioid use may lead to increased stress sensitivity and reward dysregulation for some mothers, resulting in decreased perceived salience of infant cues, disengaged parenting behavior, disrupted infant attachment, and decreased child well-being. We conclude with a discussion of Mindfulness-Oriented Recovery Enhancement as a means of addressing mechanisms undergirding perinatal opioid use, parenting, and attachment, presenting evidence on the efficacy and therapeutic mechanisms of mindfulness. As perinatal opioid use increases in the United States, empirically informed models can be used to guide treatment development research and address this growing concern. |
| first_indexed | 2024-12-18T23:01:11Z |
| format | Article |
| id | doaj.art-eeebbc48ae384b1182c31a2a7cbfb7ff |
| institution | Directory Open Access Journal |
| issn | 1664-1078 |
| language | English |
| last_indexed | 2024-12-18T23:01:11Z |
| publishDate | 2021-10-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Psychology |
| spelling | doaj.art-eeebbc48ae384b1182c31a2a7cbfb7ff2022-12-21T20:48:36ZengFrontiers Media S.A.Frontiers in Psychology1664-10782021-10-011210.3389/fpsyg.2021.688359688359An Integrated Mechanistic Model of Mindfulness-Oriented Recovery Enhancement for Opioid-Exposed Mother–Infant DyadsSarah E. Reese0Elisabeth Conradt1Michael R. Riquino2Eric L. Garland3School of Social Work, College of Health, University of Montana, Missoula, MT, United StatesChild Adaptation and Neurodevelopment Lab, Department of Psychology, University of Utah, Salt Lake City, UT, United StatesSchool of Social Welfare, University of Kansas, Lawrence, KS, United StatesCenter on Mindfulness and Integrative Health Intervention Development, College of Social Work, University of Utah, Salt Lake City, UT, United StatesA growing body of neurobiological and psychological research sheds light on the mechanisms underlying the development and maintenance of opioid use disorder and its relation to parenting behavior. Perinatal opioid use is associated with risks for women and children, including increased risk of child maltreatment. Drawing from extant data, here we provide an integrated mechanistic model of perinatal opioid use, parenting behavior, infant attachment, and child well-being to inform the development and adaptation of behavioral interventions for opioid-exposed mother–infant dyads. The model posits that recurrent perinatal opioid use may lead to increased stress sensitivity and reward dysregulation for some mothers, resulting in decreased perceived salience of infant cues, disengaged parenting behavior, disrupted infant attachment, and decreased child well-being. We conclude with a discussion of Mindfulness-Oriented Recovery Enhancement as a means of addressing mechanisms undergirding perinatal opioid use, parenting, and attachment, presenting evidence on the efficacy and therapeutic mechanisms of mindfulness. As perinatal opioid use increases in the United States, empirically informed models can be used to guide treatment development research and address this growing concern.https://www.frontiersin.org/articles/10.3389/fpsyg.2021.688359/fullpregnancyparenting (MeSH)opioid misusemindfulnesssavoring |
| spellingShingle | Sarah E. Reese Elisabeth Conradt Michael R. Riquino Eric L. Garland An Integrated Mechanistic Model of Mindfulness-Oriented Recovery Enhancement for Opioid-Exposed Mother–Infant Dyads Frontiers in Psychology pregnancy parenting (MeSH) opioid misuse mindfulness savoring |
| title | An Integrated Mechanistic Model of Mindfulness-Oriented Recovery Enhancement for Opioid-Exposed Mother–Infant Dyads |
| title_full | An Integrated Mechanistic Model of Mindfulness-Oriented Recovery Enhancement for Opioid-Exposed Mother–Infant Dyads |
| title_fullStr | An Integrated Mechanistic Model of Mindfulness-Oriented Recovery Enhancement for Opioid-Exposed Mother–Infant Dyads |
| title_full_unstemmed | An Integrated Mechanistic Model of Mindfulness-Oriented Recovery Enhancement for Opioid-Exposed Mother–Infant Dyads |
| title_short | An Integrated Mechanistic Model of Mindfulness-Oriented Recovery Enhancement for Opioid-Exposed Mother–Infant Dyads |
| title_sort | integrated mechanistic model of mindfulness oriented recovery enhancement for opioid exposed mother infant dyads |
| topic | pregnancy parenting (MeSH) opioid misuse mindfulness savoring |
| url | https://www.frontiersin.org/articles/10.3389/fpsyg.2021.688359/full |
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