A Multidisciplinary Approach to the Treatment of Co-occurring Opioid Use Disorder and Posttraumatic Stress Disorder in Pregnancy: A Case Report.

Autor:	Goodman DJ; a Department of Obstetrics and Gynecology , Dartmouth-Hitchcock Medical Center and Geisel School of Medicine , Lebanon , New Hampshire , USA., Milliken CU; b Department of Psychiatry , Geisel School of Medicine at Dartmouth , Lebanon , New Hampshire , USA., Theiler RN; a Department of Obstetrics and Gynecology , Dartmouth-Hitchcock Medical Center and Geisel School of Medicine , Lebanon , New Hampshire , USA., Nordstrom BR; b Department of Psychiatry , Geisel School of Medicine at Dartmouth , Lebanon , New Hampshire , USA., Akerman SC; b Department of Psychiatry , Geisel School of Medicine at Dartmouth , Lebanon , New Hampshire , USA.
Jazyk:	angličtina
Zdroj:	Journal of dual diagnosis [J Dual Diagn] 2015; Vol. 11 (3-4), pp. 248-57.
DOI:	10.1080/15504263.2015.1104484
Abstrakt:	Perinatal opioid use disorders negatively impact maternal and neonatal outcomes and are a public health problem of increasing severity. More than half of women with a substance use disorder have a history of posttraumatic stress disorder that, if not adequately addressed, can impede substance use disorder treatment. This case report describes complexities in the treatment of a pregnant woman with opioid use disorder and posttraumatic stress disorder and reviews the psychotherapeutic and pharmacologic approaches available to treat these co-occurring disorders in pregnancy. This case demonstrates the importance of early screening and intervention for co-occurring posttraumatic stress disorder in pregnant women who use substances in a closely coordinated, multidisciplinary approach to improve outcomes for women and their infants.
Databáze:	MEDLINE
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