title: [Psychosocial vulnerability and substance use screening during pregnancy: Evaluation of a composite auto-questionnaire versus usual medical questioning].
abstract: OBJECTIVE
  To evaluate auto-questionnaire use for psychosocial vulnerability and substance use (smoking, alcohol consumption, depression, intimate violence) screening during pregnancy versus usual medical report.
  
  
  METHODS
  An auto-questionnaire based on validated tests (Fagerström/HSI, T-ACE, EPDS, SSQ6) was proposed to 1977 pregnant patients at their first obstetrical consultation. We compared results of auto-questionnaire and usual medical questioning.
  
  
  RESULTS
  The auto-questionnaire was filled by 1676 pregnant patients (89.4 %). The two Fagerström/HIS questions showed that 20.7 % smoked during pregnancy. T-ACE score was better than usual medical questioning to detect excessive alcohol consumption (4.0 % vs 0.1 %, P<0.05). Drug use before pregnancy was reported by 9.8 % patients in auto-questionnaire, but was only found in 4.9 % of medical files (P<0.001). Seven percent patients reported at least 3 depressive symptoms on 4 purposed in auto-questionnaire. Intimate violence, physical or psychological, was reported in 9.4 %. All of these vulnerability factors were linked together, in auto-questionnaire or in usual medical reports.
  
  
  CONCLUSIONS
  Using auto-questionnaire based on standardized screening tests could help medical practioneers to detect psychosocial vulnerability and/or substance use during pregnancy.
authors.affiliation: Maternité Jeanne-de-Flandre, hôpital Jeanne-de-Flandre, université Lille Nord de France, CHRU de Lille, 59037 Lille cedex, France.
authors.forename: M-H
authors.initials: MH
authors.lastname: Fline-Barthes
authors.affiliation: Maternité Jeanne-de-Flandre, hôpital Jeanne-de-Flandre, université Lille Nord de France, CHRU de Lille, 59037 Lille cedex, France; Service d'addictologie, maternité Paul-Gellé, centre hospitalier de Roubaix, 59100 Roubaix, France. Electronic address: vdddv@live.fr.
authors.forename: D
authors.initials: D
authors.lastname: Vandendriessche
authors.affiliation: Service d'addictologie, maternité Paul-Gellé, centre hospitalier de Roubaix, 59100 Roubaix, France.
authors.forename: J
authors.initials: J
authors.lastname: Gaugue
authors.affiliation: Service d'addictologie, maternité Paul-Gellé, centre hospitalier de Roubaix, 59100 Roubaix, France.
authors.forename: L
authors.initials: L
authors.lastname: Urso
authors.affiliation: Service d'addictologie, maternité Paul-Gellé, centre hospitalier de Roubaix, 59100 Roubaix, France.
authors.forename: D
authors.initials: D
authors.lastname: Therby
authors.affiliation: Maternité Jeanne-de-Flandre, hôpital Jeanne-de-Flandre, université Lille Nord de France, CHRU de Lille, 59037 Lille cedex, France; EA 2694, université Lille Nord de France, CHRU de Lille, 59037 Lille cedex, France.
authors.forename: D
authors.initials: D
authors.lastname: Subtil
mesh_terms: D000328:Adult; D059026:Diagnostic Self Evaluation; D005260:Female; D006306:Health Surveys / Q000379:methods*; D006801:Humans; D007407:Interviews as Topic; D008297:Male; D011247:Pregnancy; D011248:Pregnancy Complications / Q000175:diagnosis* / Q000453:epidemiology / Q000523:psychology; D011295:Prenatal Care / Q000706:statistics & numerical data; D012307:Risk Factors; D019966:Substance-Related Disorders / Q000175:diagnosis* / Q000453:epidemiology; D011795:Surveys and Questionnaires; D014754:Violence / Q000706:statistics & numerical data; D035862:Vulnerable Populations / Q000523:psychology / Q000706:statistics & numerical data; D055815:Young Adult
keywords: Alcohol; Alcool; Auto-questionnaire; Grossesse; Pregnancy; Smoking; Tabac