Evidence map›Paper›PMID 42404401›Full record

ReviewAdversity and resilience science2026

Infant Caregiving as a Resilience Factor for Postpartum Substance Misuse: A Scoping Review.

Linnea B Linde-Krieger, Arushi M Chalke, McKenna Nelson, Lisa M Grisham, Lela Rankin, Ann E Bigelow, Xinger Xia, Stephanie Mallahan, Stacey Tecot, Alicia M Allen

Abstract readReview
In one paragraph

Review in Adversity and resilience science, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
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

10 authors.

Linnea B Linde-KriegerSchool of Social Work, Arizona State University, 411 N. Central Avenue, Suite 800, Phoenix, AZ 85004 USA.ORCID 0009-0004-5881-5920
Arushi M ChalkeDepartment of Epidemiology and Biostatistics, Mel and Enid Zuckerman, College of Public Health, University of Arizona, Tucson, AZ USA.ORCID 0000-0003-2854-7203
McKenna NelsonDepartment of Family and Community Medicine, College of Medicine - Tucson, University of Arizona, Tucson, AZ USA.
Lisa M GrishamEdson College of Nursing and Health Innovation, Arizona State University, Phoenix, AZ USA.ORCID 0000-0001-6373-1212
Lela RankinSchool of Social Work, Arizona State University, 411 N. Central Avenue, Suite 800, Phoenix, AZ 85004 USA.ORCID 0000-0002-7877-6402
Ann E BigelowSt. Francis Xavier University, Antigonish, NS Canada.ORCID 0000-0002-1605-0972
Xinger XiaSchool of Social Work, Arizona State University, 411 N. Central Avenue, Suite 800, Phoenix, AZ 85004 USA.
Stephanie MallahanDepartment of Epidemiology and Biostatistics, Mel and Enid Zuckerman, College of Public Health, University of Arizona, Tucson, AZ USA.ORCID 0000-0002-9412-1588
Stacey TecotSchool of Anthropology, University of Arizona, Tucson, AZ USA.ORCID 0000-0002-6640-5049
Alicia M AllenNational Center for Opioid Research and Clinical Efficacy, Arkansas Children's Research Institute, Little Rock, AR USA.ORCID 0000-0002-1007-4949

Funding

Hormonal Response to Infant Caregiving: A Novel Strategy to Break the Opioid Relapse Cycle during the Postpartum PeriodDP2HD105541 · NICHD · UNIVERSITY OF ARIZONA · PI ALLEN, ALICIA M · 2020 to 2020
$2.3M
Evaluating the Role of Social Connectedness in Recovery from Opioid Use Disorder during the Postpartum: A Supplement to Support Research ContinuityR21DA058364 · NIDA · UNIVERSITY OF ARIZONA · PI ALLEN, ALICIA M, LINDE-KRIEGER, LINNEA B · 2023 to 2025
$509k
NICHD NIH HHS DP2 HD105541NIDA NIH HHS R21 DA058364
6 · The paper itself

Abstract

The postpartum is a period of profound psychological and physiological change characterized by heightened vulnerability to return to substance misuse for individuals with a history of substance use disorder. Much existing research has focused on how postpartum substance use disrupts caregiving behaviors and adversely affects infant outcomes (i.e., risk frameworks). Comparatively little attention has been given to the potential for caregiving behaviors to serve as protective factors against postpartum substance use (i.e., resilience framework). This scoping review synthesized empirical studies examining caregiving behaviors as potential predictors of postpartum substance use outcomes, as thus far the inverse association has received greater attention in the literature. Following a systematic search of PubMed, Embase, PsycINFO, and Scopus (2000-2024), 42 studies met inclusion criteria, most of which assessed breastfeeding as a predictor of maternal substance use. Breastfeeding demonstrated consistent protective associations, particularly against postpartum nicotine use, with 28 of 30 studies reporting reduced smoking among breastfeeding mothers. Limited evidence also suggested protective effects of breastfeeding on alcohol, cannabis, and opioid use. Preliminary studies of other caregiving behaviors (i.e., skin-to-skin care, babywearing) indicated potential reductions in substance use urges and cigarette smoking. In several studies, contextual moderators (e.g., partner smoking, socioeconomic status) influenced the strength of these associations. Findings support the hypothesis that caregiving behaviors, especially those involving high physical touch, may reduce risk for postpartum substance misuse through neuroendocrine, psychological, and social mechanisms. However, research remains limited in scope and diversity. Expanding investigations beyond breastfeeding to include varied caregiving practices and caregiver populations could inform strengths-based, family-centered interventions that promote recovery and family well-being.

Indexed as

BreastfeedingInfant caregiving behaviorsPostpartum substance misuseRelapse preventionResilience factorsSubstance use disorder recovery

Identifiers

PMID42404401
PMCPMC13332893

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

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 Socratic graph.