Constance Guille
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View article: Exploring maternal grief and shame in addiction recovery for pregnant and early parenting women using community-based participatory research: a qualitative descriptive study
Exploring maternal grief and shame in addiction recovery for pregnant and early parenting women using community-based participatory research: a qualitative descriptive study Open
Introduction Little research has explored the constructs of grief and shame-proneness for pregnant and early parenting women seeking recovery from substance use disorders (SUD) and the impact on parents’ and children's well-being. Purpose …
View article: A comparison of social drivers of health identification and intervention rates by sex among patients receiving primary care
A comparison of social drivers of health identification and intervention rates by sex among patients receiving primary care Open
Background Social drivers of health (SDOH) significantly influence health behaviors and outcomes, yet sex-based disparities in these domains remain underexplored. Identifying these differences is essential for guiding equitable, evidence-b…
View article: Written Exposure Therapy for PTSD Integrated with Cognitive Behavioral Coping Skills for Cannabis Use Disorder After Recent Sexual Assault: A Case Series
Written Exposure Therapy for PTSD Integrated with Cognitive Behavioral Coping Skills for Cannabis Use Disorder After Recent Sexual Assault: A Case Series Open
Background/Objectives: The co-occurrence of posttraumatic stress disorder (PTSD) and cannabis use disorder (CUD) symptoms is common following sexual assault, particularly among emerging adult women. CUD is associated with more severe PTSD …
View article: Barriers and facilitators to implementing a technology-enhanced psychiatric collaborative care model among rural primary care sites: a mixed-methods implementation case study
Barriers and facilitators to implementing a technology-enhanced psychiatric collaborative care model among rural primary care sites: a mixed-methods implementation case study Open
The DAP shows great utility for tailoring implementation of CoCM to specific rural settings by providing a roadmap for identifying contextual barriers and facilitators that can be addressed through adaptation and other implementation strat…
View article: The Role of Maternal Depression in Racial Disparities and Birth Weight
The Role of Maternal Depression in Racial Disparities and Birth Weight Open
Introduction Pregnant people experiencing major depression during pregnancy are at increased risk for premature labor and infants with low birth weight, and there are significant racial disparities in these outcomes. Black women are at hig…
View article: A perinatal psychiatry access program to address rural and medically underserved populations using telemedicine
A perinatal psychiatry access program to address rural and medically underserved populations using telemedicine Open
Adaptations made to psychiatry access program evident in Moms IMPACTT appear to be successful in meeting the specific needs of birthing people in the state of South Carolina. Suggestions and considerations are included to replicate the suc…
View article: ‘I Don't Know How to Live <i>Real</i> Life Sober’—Identifying Needed Supports Through the Voices of Pregnant and Parenting People Seeking Recovery
‘I Don't Know How to Live <i>Real</i> Life Sober’—Identifying Needed Supports Through the Voices of Pregnant and Parenting People Seeking Recovery Open
Pregnant and parenting people (PPP) experience complex challenges when seeking recovery from substance use disorders (SUD). Using a community‐based participatory research approach, researchers partnered with PPP seeking recovery from SUD t…
View article: Uncovering the Complexity of Perinatal Polysubstance Use Disclosure Patterns on X: Mixed Methods Study
Uncovering the Complexity of Perinatal Polysubstance Use Disclosure Patterns on X: Mixed Methods Study Open
Background According to the Morbidity and Mortality Weekly Report, polysubstance use among pregnant women is prevalent, with 38.2% of those who consume alcohol also engaging in the use of one or more additional substances. However, the und…
View article: Disclosure Patterns of Opioid Use Disorders in Perinatal Care During the Opioid Epidemic on X From 2019 to 2021: Thematic Analysis
Disclosure Patterns of Opioid Use Disorders in Perinatal Care During the Opioid Epidemic on X From 2019 to 2021: Thematic Analysis Open
Background In 2021, the United States experienced a 14% rise in fatal drug overdoses totaling 106,699 deaths, driven by harmful opioid use, particularly among individuals in the perinatal period who face increased risks associated with opi…
View article: Listening to Black Pregnant and Postpartum People: Using Technology to Enhance Equity in Screening and Treatment of Perinatal Mental Health and Substance Use Disorders
Listening to Black Pregnant and Postpartum People: Using Technology to Enhance Equity in Screening and Treatment of Perinatal Mental Health and Substance Use Disorders Open
Perinatal mood and anxiety disorders (PMADs), perinatal substance use disorders (PSUDs), and intimate partner violence (IPV) are leading causes of pregnancy-related deaths in the United States. Screening and referral for PMADs, PSUDs and I…
View article: Text And Telephone Screening And Referral Improved Detection And Treatment Of Maternal Mental Health Conditions
Text And Telephone Screening And Referral Improved Detection And Treatment Of Maternal Mental Health Conditions Open
Effective screening and referral practices for perinatal mental health disorders, perinatal substance use disorders (SUDs), and intimate partner violence are greatly needed to reduce maternal morbidity and mortality. We conducted a randomi…
View article: Trends in Sexual Harassment Prevalence and Recognition During Intern Year
Trends in Sexual Harassment Prevalence and Recognition During Intern Year Open
This cohort study uses Internal Health Study and Sexual Experiences Questionnaire data to assess changes in sexual harassment prevalence and recognition among training physicians.
View article: Exploration Into Patterns of Cannabis Use Across Pregnancy and Postpartum
Exploration Into Patterns of Cannabis Use Across Pregnancy and Postpartum Open
Objectives Peripartum cannabis use can be harmful to pregnant individual’s and children’s health, yet it is the most used illicit substance during the peripartum period. Despite the ability of some people to reduce and abstain from cannabi…
View article: The Psychiatrist’s Role in Treating Perinatal Opioid Use Disorder and Reducing Maternal Mortality
The Psychiatrist’s Role in Treating Perinatal Opioid Use Disorder and Reducing Maternal Mortality Open
Drug overdose is a leading cause of maternal mortality. Psychiatrists can play a critical role in reducing these deaths by delivering effective evidence-based treatments for perinatal opioid use disorder (POUD), including the use of bupren…
View article: Association Between Doula Use on a Digital Health Platform and Birth Outcomes
Association Between Doula Use on a Digital Health Platform and Birth Outcomes Open
OBJECTIVE: To examine the association between the use of virtual doula appointments on a comprehensive digital health platform and users' mode of birth and their birth experiences, among all platform users and Black platform users. METHODS…
View article: What to Expect With Pregnant or Postpartum Prescribing of Extended-Release Buprenorphine (CAM2038)
What to Expect With Pregnant or Postpartum Prescribing of Extended-Release Buprenorphine (CAM2038) Open
Weekly and monthly CAM2038 (Brixadi®) extended-release subcutaneous buprenorphine (XR bup) has been available in Europe and Australia for several years and was approved by the Food and Drug Administration in May 2023. Little is known about…
View article: Improving the Management of Maternal Mental Health with Digital Health Care
Improving the Management of Maternal Mental Health with Digital Health Care Open
Digital health platforms, such as Maven, may play an important role in managing maternal mental health conditions among pregnant and postpartum people at high risk for PPD.
View article: Implementation of a women’s reproductive behavioral health telemedicine program: a qualitative study of barriers and facilitators in obstetric and pediatric clinics
Implementation of a women’s reproductive behavioral health telemedicine program: a qualitative study of barriers and facilitators in obstetric and pediatric clinics Open
Background Perinatal Mood and Anxiety Disorders and Substance Use Disorders are common and result in significant morbidities and mortality. Despite evidence-based treatment availability, multiple barriers exist to care delivery. Because te…
View article: Differential prevalence of Adverse Childhood Experiences (ACEs) by gender and substance used in individuals with cannabis, cocaine, opioid, and tobacco use disorders
Differential prevalence of Adverse Childhood Experiences (ACEs) by gender and substance used in individuals with cannabis, cocaine, opioid, and tobacco use disorders Open
Background: Adverse childhood experiences (ACEs) show a graded association with the development of substance use disorders (SUDs) and engagement in risky substance use behaviors. Women are overrepresented among individuals with more severe…
View article: Leveraging Digital Technology to Support Pregnant and Early Parenting Women in Recovery from Addictive Substances: A Scoping Review
Leveraging Digital Technology to Support Pregnant and Early Parenting Women in Recovery from Addictive Substances: A Scoping Review Open
Little is known about digital health interventions used to support treatment for pregnant and early parenting women (PEPW) with substance use disorders (SUD). Methods: Guided by the Arksey and O’Malley’s Scoping Review Framework, empirical…
View article: Listening to women and pregnant and postpartum people: Qualitative research to inform opioid use disorder treatment for pregnant and postpartum people
Listening to women and pregnant and postpartum people: Qualitative research to inform opioid use disorder treatment for pregnant and postpartum people Open
End-user informed, technology-enhanced SBIRT has the potential to improve the implementation of SBIRT during routine prenatal care, and in turn, improve maternal and child health.
View article: A Pilot Study Examining Access to and Satisfaction with Maternal Mental Health and Substance Use Disorder Treatment via Telemedicine
A Pilot Study Examining Access to and Satisfaction with Maternal Mental Health and Substance Use Disorder Treatment via Telemedicine Open
Background: Mental health (MH) and substance use disorders (SUDs) are common during pregnancy and the postpartum year, and have a significant impact on maternal and child health. Most women do not receive treatment for these conditions due…
View article: A Non‐Randomized Trial of In‐Person Versus Text/Telephone Screening, Brief Intervention and Referral to Treatment for Pregnant and Postpartum Women
A Non‐Randomized Trial of In‐Person Versus Text/Telephone Screening, Brief Intervention and Referral to Treatment for Pregnant and Postpartum Women Open
LTW appears to increase the proportion of pregnant and postpartum women receiving key elements of SBIRT.
View article: Experiences of Work-Family Conflict and Mental Health Symptoms by Gender Among Physician Parents During the COVID-19 Pandemic
Experiences of Work-Family Conflict and Mental Health Symptoms by Gender Among Physician Parents During the COVID-19 Pandemic Open
This study found significant gender disparities in work and family experiences and mental health symptoms among physician parents during the COVID-19 pandemic, which may translate to increased risk for suicide, medical errors, and lower qu…