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Table 2 Cohort studies examining changes in maternal substance use

From: Maternal substance use and integrated treatment programs for women with substance abuse issues and their children: a meta-analysis

Study

n

Measure

d (SE)

P

Study Quality

Conners & Bradley60

62

Number of days of drug use

0.74† (0.15)

0.001

2/9

 

62

% using substances

2.90 (0.80)

0.001

 

Elk & Schmitz61

19

Addiction Severity Index Alcohol Composite

0.48‡ (0.24)

0.049

0/9

 

19

Addiction Severity Index Drug Composite

0.83* (0.27)

0.002

 

Evenson & Binner62

98

CSTAR Alcohol and Drug Problem Inventory

0.72 (0.11)

0.001

0/9

 

98

Cost of Alcohol

0.58 (0.11)

0.001

 
 

98

Cost of Drugs

0.74 (0.11)

0.001

 
 

98

CSTAR Substance Use Questionnaire - Did not use substances

2.01 (0.23)

0.001

 
 

98

CSTAR Substance Use Questionnaire - Main alcohol/drug abstinent

1.60 (0.21)

0.001

 
 

98

CSTAR Substance Use Questionnaire - Alcohol Abstinent

1.72 (0.26)

0.001

 
 

98

CSTAR Substance Use Questionnaire - Alcohol Intox Abstinent

2.09 (0.35)

0.001

 
 

98

CSTAR Substance Use Questionnaire - Cannabis Abstinent

1.88 (0.26)

0.001

 
 

98

CSTAR Substance Use Questionnaire - Cocaine Abstinent

2.71 (0.79)

0.001

 

Ingersoll & Knisely (low psychopathology group)63

33

Addiction Severity Index Alcohol Composite

0.29‡ (0.18)

0.102

2/9

 

33

Addiction Severity Index Drug Composite

0.92* (0.21)

0.000

 

Ingersoll & Knisely (high psychopathology group)63

13

Addiction Severity Index Alcohol Composite

0.70 (0.31)

0.023

2/9

 

13

Addiction Severity Index Drug Composite

0.28* (0.28)

0.322

 

Kerwin (Treatment outcome data for women in substance abuse treatment group, Unpublished data)

7

Addiction Severity Index Alcohol Composite

0.51‡ (0.32)

0.110

n/a

 

7

Addiction Severity Index Drug Composite

0.56* (0.32)

0.087

 

McClellan & Gutman64

529

Number of days of alcohol use

0.36† (0.05)

0.001

2

 

529

Addiction Severity Index Alcohol Composite (6 months follow up)

0.39 (0.05)

0.001

2

 

529

Addiction Severity Index Alcohol Composite (12 months follow up)

0.39‡ (0.05)

0.001

2

 

529

Addiction Severity Index Drug Composite (6 month follow up)

0.63 (0.05)

0.001

2

 

529

Addiction Severity Index Drug Composite (12 months follow up)

0.65* (0.05)

0.001

2

 

529

Money spent on drugs (6 months follow up)

0.21 (0.04)

0.001

2

 

529

Money spent on drugs (12 months follow up)

0.22 (0.44)

0.001

2

Niccols & Sword22

9

% using alcohol (3 months into program)

0.31 (0.48)

0.520

 
 

7

% using alcohol (6 months into program)

0.31 (0.52)

0.552

 
 

9

% using cannabis(3 months into program)

0.99 (0.53)

0.061

 
 

7

% using cannabis (6 months into program

0.99 (0.57)

0.083

 
 

9

% using cocaine (3 months into program)

1.17 (0.86)

0.175

 
 

7

% using cocaine (6 months into program

1.04 (0.87)

0.231

 
 

9

% using tranquilizers (3 months into program)

0.73 (0.90)

0.412

 
 

7

% using tranquilizers (6 months into program

0.60 (0.90)

0.502

 
 

9

% using crack (3 months into program)

0.73 (0.90)

0.412

 
 

7

% using crack (6 months into program

0.60 (0.90)

0.502

 
 

9

% using barbiturates (3 months into program)

0.73 (0.90)

0.412

 
 

7

% using barbiturates (6 months into program

0.60 (0.90)

0.502

 
 

9

% using over the counter drugs (3 months into program)

0.00 (0.53)

1.000

 
 

7

% using over the counter drugs (6 months into program

-0.65 (0.54)

0.239

 
 

9

% using other drugs (3 months into program)

0.51 (0.63)

0.419

 
 

7

% using other drugs (6 months into program

0.51 (0.69)

0.461

 

Volpicelli & Markman42

21

Number of days of cocaine use

0.753† (0.247)

0.002

1/9

 

21

Number of days of cocaine use

0.423† (0.228)

0.063

1/9

Wexler & Cuadrado65

44

% using alcohol

0.37 (0.28)

0.191

 
 

44

% using drugs

3.06 (0.81)

0.001

 
  1. †Study included in the overall effect size for number of days of substance use
  2. ‡Study included in the overall effect size for Addiction Severity Index Alcohol Composite
  3. *Study included in the overall effect size for Addiction Severity Index Drug Composite
  4. â—Š Comprehensive Substance Abuse Treatment and Rehabilitation
  5. Significance of d based on test of null (z-test).