Publications by authors named "Sarah Gabrielson"
Article Synopsis
- * A study using data from Maine found that only 23% of 799 children with complex CHD had received developmental or psychosocial encounters, with the majority occurring in community clinics or state programs rather than surgical centers.
- * The findings suggest that CHD treatment centers should collaborate with external service providers to improve access and support for neurodevelopmental outcomes in these children.
The relationship between adverse childhood experiences and disorders of the gut-brain interaction.
J Pediatr Gastroenterol Nutr
January 2025
Objectives: Disorders of the gut-brain interaction (DGBI) arise from a complex interplay of psychosocial factors, altered physiology, and early life factors. In adults, adverse childhood experiences (ACEs) have been associated with DGBI. While both ACEs and DGBI are prevalent among children, the relationship between ACEs and DGBI in childhood is not well understood.
View Article and Find Full Text PDFObjective: To estimate trends in maternal opioid use disorder (OUD) and neonatal abstinence syndrome (NAS) in Maine using the most recent data available.
Study Design: We used hospital discharge data to estimate the annual prevalence of maternal OUD and NAS between 2016 and 2022. In addition, we used birth certificate-linked Medicaid data to estimate related trends among Medicaid enrollees.
Article Synopsis
- Adverse childhood experiences (ACEs) are significant public health issues, prompting efforts to raise trauma screening rates during well-child visits to 70% and PTSD symptom screening to 30%.
- An interdisciplinary team used a structured approach with plan-do-study-act cycles to enhance trauma screening methods and provider training, showing written screenings were more effective than verbal ones.
- Results indicated a high rate of trauma screenings (89.8%) during visits, with notable findings on PTSD symptoms and connection to behavioral health, highlighting the need for ongoing improvements in screening practices.
Objective: We compared the association of methadone, buprenorphine, and short-acting opioid exposure with newborn head circumference (HC) and birth weight (BW), and evaluated gestational age (GA) as a mediator.
Study Design: We included newborns born 2013-2018 identified by neonatal abstinence syndrome diagnosis code (N = 572) and birthday-matched unexposed controls (N = 571). Linear regressions of opioid exposure with HC and BW controlled for tobacco, marijuana, cocaine, gabapentin, cesarean section, Medicaid, and newborn sex, with mediation analysis by GA.