Honors Program
[Honors-in-Discipline (Choose below)], Honors in Psychology
Date of Award
5-2025
Thesis Professor(s)
Dr. Alyson Chroust
Thesis Professor Department
<--College of Arts and Sciences-->
Thesis Reader(s)
Dr. Gerald Deehan
Abstract
This thesis explores the impact of prenatal polysubstance exposure, specifically focusing on the need for pharmacological treatment for Neonatal Abstinence Syndrome (NAS) and the duration of their hospital stay. A retrospective analysis of 462 infants, including 121 exposed to polysubstances during pregnancy, showed significant associations between polysubstance exposure and adverse neonatal outcomes. Infants with prenatal polysubstance exposure were more likely to require pharmacological treatment for NAS (52.8%) compared to non-exposed infants (38.7%), as determined by chi-square analysis (χ²(1, N = 462) = 7.36, p = .007). Additionally, infants exposed to polysubstances experienced longer hospital stays on average (M = 14.88 days, SD = 13.87) compared to non-exposed infants (M = 10.01 days, SD = 8.76), with Welch’s t-test indicating a significant mean difference of 4.87 days (95% CI: 2.20, 7.54, p < .001). These results demonstrate the risks associated with prenatal polysubstance use and emphasize the need for early intervention, tailored treatment protocols, and interdisciplinary care models to address maternal mental health and substance use. This research contributes to a growing body of literature that advocates for comprehensive healthcare strategies to improve neonatal and maternal outcomes.
Publisher
East Tennessee State University
Document Type
Honors Thesis - Open Access
Creative Commons License

This work is licensed under a Creative Commons Attribution-Noncommercial-No Derivative Works 3.0 License.
Recommended Citation
Harrison, Caelyn, "Beyond Opioids: The Role of Polysubstance Exposure in Neonatal Abstinence Syndrome Treatment and Hospitalization" (2025). Undergraduate Honors Theses. Paper 824. https://dc.etsu.edu/honors/824
Copyright
Copyright by the authors.
Included in
Behavioral Medicine Commons, Behavior and Behavior Mechanisms Commons, Community Health and Preventive Medicine Commons, Health Psychology Commons, Maternal and Child Health Commons, Medical Humanities Commons, Obstetrics and Gynecology Commons, Psychiatric and Mental Health Commons, Substance Abuse and Addiction Commons, Women's Health Commons