ArticleDrug and alcohol dependence2010
External pressure, motivation, and treatment outcome among pregnant substance-using women.
Article in Drug and alcohol dependence, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
8 citing papers in PubMed, 30 citations in OpenAlex.
- Criminal justice referral and incentives in outpatient substance abuse treatment.Journal of substance abuse treatment · 2013Trial
- Predictors of treatment response in adolescents with comorbid substance use disorder and attention-deficit/hyperactivity disorder.Journal of substance abuse treatment · 2013Trial
- Racial disparities in drug toxicology testing among pregnant women & infants: a meta-analysis and systematic review.Health affairs scholar · 2026Review
- Understanding the needs of postpartum emerging adults with substance use disorders to improve recovery supports.Frontiers in public health · 2025Article
- Motherhood, pregnancy and gateways to intervene in substance use disorder.Health & social care in the community · 2022Article
- In their own words: a qualitative study of factors promoting resilience and recovery among postpartum women with opioid use disorders.BMC pregnancy and childbirth · 2020Article
- The Telescoping Phenomenon: Origins in Gender Bias and Implications for Contemporary Scientific Inquiry.Substance use & misuse · 2018Article
- Adaptation of an evidence-based parenting intervention for integration into maternal-child home-visiting programs: Challenges and solutions.Implementation research and practiceArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors at 2 institutions in 1 country.
Funding
Abstract
The weight of evidence suggests that legal pressure to enter treatment facilitates retention. However, the extent to which such mandates (a) influence actual levels of substance use, or (b) also facilitate retention among pregnant women, is unclear. Associations between external pressure-defined as self-reported pressure to attend treatment under threat of incarceration, loss of child custody, and/or loss of subsidized housing--and the key outcomes of retention and substance use were therefore examined in a sample of 200 pregnant women receiving community-based substance abuse treatment. The role of external pressure was examined in a series of Cox and GEE regressions, which suggested that external pressure as measured at baseline was associated with decreased risk of dropout (Hazard Ratio=.47, p=.001) and fewer drug-positive urine tests throughout treatment and 12-week follow-up (OR=.48, p=.03). These differences did not appear to be the result of baseline differences between coerced and non-coerced participants in education, legal history, the presence or absence of a substance use disorder, employment, or motivation. The present findings extend the larger literature on external pressure by demonstrating effects on drug use as well as on retention, and among pregnant women.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.