Collectively, these studies suggest an overall trend toward less positive and more negative parenting behaviors among mothers with an OUD compared to mothers without a substance use disorder.
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Early parent-child interaction and home environments of children exposed prenatally to opioids: A comparison of biological mothers and out-of-home caregivers.
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Interestingly, our results showed a trend for the alternative caregivers group to demonstrate lower levels of warmth, emotional support, and dyadic synchrony than the group of biological mothers who were treated for an OUD.
Maternal depression (OR = 4.5 [.92–21.80]) and maternal psychiatric treatment during pregnancy (OR = 3.4 [.07–1.28]) approached significance, suggesting a trend for biological mothers with higher levels of depressive symptoms and those who were not receiving any psychiatric treatment during pregnancy to have been more likely to lose residential custody of their child by age 18 months. 3.3.