Unhealthy behaviors during pregnancy : who continues to smoke and consume alcohol, and is treatment of anxiety and depressive symptoms effective?

Beijers, C., 2014, [S.l.]: [S.n.]. 166 p.

Research output: ThesisThesis fully internal (DIV)

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  • Title and contents

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  • Chapter 3

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  • Summary

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  • Dankwoord

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  • About the author

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  • Complete Dissertation

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  • Theses

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  • Chantal Beijers
This thesis investigated continued smoking and alcohol consumption during pregnancy, and treatment of anxiety and depressive symptoms during pregnancy using cognitive behavioral therapy.

Data from a large prospective population-based cohort study and a randomized controlled trial were used. Regarding continued smoking and alcohol consumption during pregnancy, we studied associations with stressful events during pregnancy and personality. We found that the experienced severity of the following categories of stressful events are associated with continued alcohol consumption: ‘conflict with loved ones’, ‘crime related’, ‘pregnancy-specific’, and the total including all events. As for personality, we found that higher levels of openness to experience and lower levels of conscientiousness are associated with continued alcohol consumption. No associations were found with continued smoking during pregnancy. Furthermore, we studied the association of adverse pregnancy and delivery outcomes with postpartum smoking relapse, and found a positive association. Last, we investigated the effect of individual cognitive behavioral therapy on anxiety and depressive symptoms during pregnancy. We found no evidence for a beneficial effect of cognitive behavioral therapy, when compared to care as usual, among a group of pregnant women with subclinical anxiety and depressive symptoms and disorders that were not active help-seekers.

Our findings raise new questions on the treatment of anxiety and depression symptoms during pregnancy. Our results suggest that more evidence is needed for which specific groups screening and treatment may be beneficial during pregnancy, including pregnant women with disorders.
Original languageEnglish
QualificationDoctor of Philosophy
Awarding Institution
Award date20-Oct-2014
Place of Publication[S.l.]
Print ISBNs978-90-367-7341-6
Electronic ISBNs978-90-367-7340-9
Publication statusPublished - 2014

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