Evidence map›Paper›PMID 25644587›Full record

ArticleAddictive behaviors2015

Maternal-fetal attachment differentiates patterns of prenatal smoking and exposure.

Suena H Massey, Margaret H Bublitz, Susanna R Magee, Amy Salisbury, Raymond S Niaura, Lauren S Wakschlag, Laura R Stroud

Registry-linked trialAbstract read
In one paragraph

Article in Addictive behaviors, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04158089 (Holistic Assessment of Tulsa Children's Health), which is not on this map. Cited by 31 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed, 1 pooled it
2.8field-weighted citation impact, top 10% of its field
1 · What the graph read from it

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.

2 · The registry

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.

NCT04158089 nacompletednot on this mapstarted 2021, after this paper: background citation

Holistic Assessment of Tulsa Children's Health

TypeinterventionalSponsorUniversity of OklahomaRan2021 to 2023Enrolled129ConditionsPregnancyArmsBabies and Moms connected through Love, Openness, and Opportunity (BLOOM)
3 · Its place in the literature

Who cites it

31 citing papers in PubMed, 1 synthesis or guideline pooled it, 54 citations in OpenAlex.

  1. Pooled it
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  5. A Psycho-Socio-Cultural Investigation of Factors Involved in thePsychology in Russia : state of the art · 2025
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  15. A mother's bond: An ecological momentary assessment study of posttraumatic stress disorder symptoms and substance craving during pregnancy.Psychology of addictive behaviors : journal of the Society of Psychologists in Addictive Behaviors · 2020
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 4 institutions in 1 country.

Suena H MasseyDepartment of Psychiatry and Behavioral Sciences, Northwestern University Feinberg School of Medicine, 676 North Saint Clair Street, Suite 1000, Chicago, IL 60611, USA,; Department of Medical Social Sciences, Northwestern University Feinberg School of Medicine, 633 North Saint Clair Street, 19th Floor, Chicago, IL 60611, USA. Electronic address: suena.massey@northwestern.edu.
Margaret H BublitzDepartment of Psychiatry and Human Behavior, Alpert Medical School of Brown University, Box G-BH, Providence, RI 02906, USA; Centers for Behavioral and Preventive Medicine, The Miriam Hospital, Coro West, 164 Summit Ave, Suite 309, Providence, RI 02906, USA. Electronic address: mbublitz@lifespan.org.
Susanna R MageeDepartment of Family Medicine, Alpert Medical School of Brown University, Box G-A1, Providence, RI 02912, USA. Electronic address: Susanna_Magee@Brown.edu.
Amy SalisburyDepartment of Pediatrics, Alpert Medical School of Brown University, Box G-A1, Providence, RI 02912, USA. Electronic address: Amy_Salisbury@Brown.edu.
Raymond S NiauraSchroeder Institute for Tobacco Research and Policy Studies, USA. Electronic address: rniaura@legacyforhealth.org.
Lauren S WakschlagDepartment of Medical Social Sciences, Northwestern University Feinberg School of Medicine, 633 North Saint Clair Street, 19th Floor, Chicago, IL 60611, USA; Institute for Policy Research, Northwestern University, 2040 Sheridan Road, Evanston, IL 60208, USA. Electronic address: lauriew@northwestern.edu.
Laura R StroudDepartment of Psychiatry and Human Behavior, Alpert Medical School of Brown University, Box G-BH, Providence, RI 02906, USA; Centers for Behavioral and Preventive Medicine, The Miriam Hospital, Coro West, 164 Summit Ave, Suite 309, Providence, RI 02906, USA. Electronic address: Laura_Stroud@Brown.edu.
Brown University · USNorthwestern University · USInstitute for Women's Policy Research · USMiriam Hospital · US

Funding

Prenatal Smoking, Fetal Behavior, and Infant WithdrawalR01DA019558 · NIDA · MIRIAM HOSPITAL · PI STROUD, LAURA R · 2005 to 2011
$2.7M
Cognitive-Affective Substrates of Smoking: Targets for Maternal Behavior ChangeK23DA037913 · NIDA · NORTHWESTERN UNIVERSITY AT CHICAGO · PI MASSEY, SUENA HUANG · 2015 to 2019
$987k
NIDA NIH HHS K23 DA037913NIDA NIH HHS R01 DA019558
6 · The paper itself

Abstract

objectiveSmoking cessation during pregnancy may reflect altruistic motives on behalf of the unborn baby. We test the hypothesis that pregnancy quitters have higher maternal-fetal attachment than persistent smokers, and secondarily explore how maternal-fetal attachment differs among non-smokers, pregnancy quitters, and persistent smokers.

methodsParticipants were 156 women in the Behavior and Mood in Babies and Mothers study who provided report of smoking throughout pregnancy via timeline follow back interviews, with salivary cotinine confirmation of reported cessation at 30 and 35 week gestation, and postpartum day one. Maternal Fetal Attachment Scale total and subscale scores (role-taking, differentiation of self from fetus, interaction with fetus, attributing characteristics to fetus, giving of self) were examined among non-smokers, pregnancy quitters, and persistent smokers.

resultsAt 30 weeks, pregnancy quitters scored higher on the 'giving of self' subscale compared to persistent smokers (21.6±2.4 versus 19.9±2.9; p=.004). Maternal 'giving of self' also differentiated pregnancies exposed to cigarette smoking from those without exposure from 30 weeks through delivery (19.9±2.9 versus 21.2±2.2; p=.002). Controlling for age, income, unemployment, gravida, and father's smoking status, 'giving of self' differentiated pregnancy quitters from persistent smokers [OR=5.144; 95% C.I. 1.509 - 17.538; B (SE)=1.638 (.626); p=.009].

conclusionsWomen who reported a greater desire to maintain their personal health for the health of their fetus were more likely to quit smoking during pregnancy. Implications of findings for interventions and understanding mechanisms of risk are discussed.

Indexed as

AltruismEmpathyObject AttachmentAdultCase-Control StudiesCotinineFemaleHumansMaternal ExposureMaternal-Fetal RelationsPregnancyPregnancy ComplicationsPregnancy Trimester, ThirdSalivaSmokingSmoking CessationCotinineAltruismAttachmentPregnancy smokingPrenatal smokingSmoking cessation

Identifiers

PMID25644587
PMCPMC4374036
OpenAlexW2080881754

What OpenQuestion holds

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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.