%0 Journal Article %J Prev Sci %D 2012 %T Maternal early life risk factors for offspring birth weight: findings from the add health study. %A Gavin, Amelia R %A Thompson, Elaine %A Rue, Tessa %A Guo, Yuqing %K Adolescent %K Child Abuse %K Depression %K Factor Analysis, Statistical %K Female %K Humans %K Infant, Low Birth Weight %K Infant, Newborn %K Longitudinal Studies %K Mothers %K Risk Factors %K Smoking %K Social Class %K Substance-Related Disorders %X

The aim of this study was to examine the pathways that link mothers' early life socio economic status (SES) and mothers' experience of childhood maltreatment with birth weight among their later born offspring. Data were drawn from a nationally representative longitudinal survey of school-aged respondents, initially enrolled during adolescence in Wave I (1994-1995) and Wave II (1996) of the National Longitudinal Study of Adolescent Health and followed-up in adulthood in Wave III (2001-2002). Data on offspring birth weight were obtained from nulliparous females (Nā€‰=ā€‰1,897) who had given birth between Waves II and III. Analyses used structural equation modeling to examine the extent to which early life maternal risk predicted offspring birth weight, and demonstrated that maternal childhood SES and maternal childhood maltreatment predicted offspring birth weight through several mediated pathways. First, maternal adolescent substance use and prenatal cigarette use partially mediated the association between maternal childhood SES and offspring birth weight. Second, maternal adolescent depressive symptoms and adult SES partially mediated the association between maternal childhood SES and offspring birth weight. Third, adult SES partially mediated the association between maternal childhood SES and offspring birth weight. Fourth, maternal adolescent substance use and prenatal cigarette use partially mediated the association between maternal childhood maltreatment and offspring birth weight. Finally, maternal adolescent depressive symptoms and adult SES partially mediated the association between maternal childhood maltreatment and offspring birth weight. To our knowledge, this is the first study to identify maternal childhood maltreatment as an early life risk factor for offspring birth weight among a nationally representative sample of young women, and to demonstrate the mechanisms that link childhood SES and maltreatment to offspring birth weight. These findings suggest the importance of designing and implementing prevention and intervention strategies to address early life maternal social conditions in an effort to improve inter generational child health at birth.

%B Prev Sci %V 13 %P 162-72 %8 2012 Apr %G eng %N 2 %R 10.1007/s11121-011-0253-2 %0 Journal Article %J J Subst Abuse Treat %D 2012 %T Mindful awareness in body-oriented therapy as an adjunct to women's substance use disorder treatment: a pilot feasibility study. %A Price, Cynthia J %A Wells, Elizabeth A %A Donovan, Dennis M %A Rue, Tessa %K Adult %K Anxiety %K Cognitive Therapy %K Depression %K Feasibility Studies %K Feeding and Eating Disorders %K Female %K Follow-Up Studies %K Humans %K Middle Aged %K Mind-Body Therapies %K Pilot Projects %K Recurrence %K Stress, Psychological %K Substance-Related Disorders %K Treatment Outcome %K Young Adult %X

This study examined mindful awareness in body-oriented therapy (MABT) feasibility as a novel adjunct to women's substance use disorder (SUD) treatment. As an individual therapy, MABT combines manual and mind-body approaches to develop interoception and self-care tools for emotion regulation. A 2-group randomized controlled trial repeated-measures design was used, comparing MABT to treatment as usual (TAU) on relapse to substance use and related health outcomes. Sixty-one women were screened for eligibility, and 46 enrolled. Participants randomized to MABT received 8 weekly MABT sessions. Results showed moderate to large effects, including significantly fewer days on substance use, the primary outcome, for MABT compared with TAU at posttest. Secondary outcomes showed improved eating disorder symptoms, depression, anxiety, dissociation, perceived stress, physical symptom frequency, and bodily dissociation for MABT compared with TAU at the 9-month follow-up. In conclusion, it is feasible to implement MABT in women's SUD treatment, and results suggest that MABT is worthy of further efficacy testing.

%B J Subst Abuse Treat %V 43 %P 94-107 %8 2012 Jul %G eng %N 1 %R 10.1016/j.jsat.2011.09.016 %0 Journal Article %J Public Health Rep %D 2010 %T Racial/ethnic differences in the association between obesity and major depressive disorder: findings from the Comprehensive Psychiatric Epidemiology Surveys. %A Gavin, Amelia R %A Rue, Tessa %A Takeuchi, David %K Adult %K Age Distribution %K Comorbidity %K Depressive Disorder, Major %K Emigrants and Immigrants %K Female %K Health Surveys %K Humans %K Logistic Models %K Male %K Middle Aged %K Obesity %K Prevalence %K Risk Factors %K Sex Distribution %K United States %X

OBJECTIVES: This study examined whether the association between obesity and 12-month prevalence of major depressive disorder (MDD) varied according to racial/ethnic status and nativity in representative national samples of black, Latino, Asian, and non-Hispanic white people.

METHODS: We used data from the Comprehensive Psychiatric Epidemiology Surveys.

RESULTS: In analyses by gender, obesity was associated with an elevated risk of MDD among non-Hispanic white women (adjusted odds ratio [AOR] = 1.73; 95% confidence interval [CI] 1.27, 2.35; p = 0.001). Formal test for interaction revealed significant variation by race present between non-Hispanic white women and black, Latin, and Asian women. No significant differences were evident among men. In analyses by nativity, the association between obesity and MDD was significant among U.S.-born non-Hispanic white women (AOR=1.62; 95% CI 1.16, 2.27; p = 0.001) and U.S.-born black women (AOR = 1.29; 95% CI 1.01, 1.66; p = 0.041). Significant interactions were present among U.S.-born white and black women, Latin women, and Asian women. No significant interactions were evident among foreign-born women. Similarly, no significant differences were present among native-born or foreign-born men.

CONCLUSIONS: The findings suggest that the association between obesity and MDD varies according to racial/ethnic status and nativity. Understanding the link between obesity and depression may be imperative to designing interventions to address body weight maintenance and reduction strategies among women.

%B Public Health Rep %V 125 %P 698-708 %8 2010 Sep-Oct %G eng %N 5