{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,17]],"date-time":"2026-10-17T17:41:56Z","timestamp":1792258916543,"version":"4.4.0"},"reference-count":39,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T00:00:00Z","timestamp":1791936000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["OTJR: Occupational Therapy Journal of Research"],"abstract":"<jats:p>\n                    Self-care is central to occupational therapy (OT), yet its role among postpartum women navigating substance use disorder (SUD) recovery remains under-researched. This mixed-methods study examined self-care performance among postpartum women and explored self-care experiences during SUD recovery. We analyzed Barkin Index for Maternal Functioning (BIMF) self-care items among postpartum women with and without SUD (\n                    <jats:italic toggle=\"yes\">N<\/jats:italic>\n                    = 141). Descriptive statistics and regression analyses examined associations between participant characteristics, SUD diagnosis, and self-care. Interviews with women with SUD (\n                    <jats:italic toggle=\"yes\">n<\/jats:italic>\n                    = 22) underwent deductive thematic analysis grounded in Orem\u2019s self-care theory. Overall, 34.0% of participants had a SUD; the mean self-care score was 13.56 (\n                    <jats:italic toggle=\"yes\">SD<\/jats:italic>\n                    = 3.93). Self-care scores did not differ significantly by SUD diagnosis (\n                    <jats:italic toggle=\"yes\">p<\/jats:italic>\n                    = .370), but children\u2019s daycare attendance was associated with lower self-care (\n                    <jats:italic toggle=\"yes\">p<\/jats:italic>\n                    = .015). Qualitatively, women described self-care as an effort to maintain stability, well-being, and recovery. Patient-centered OT services are critical for supporting self-care among postpartum women navigating SUD recovery.\n                  <\/jats:p>","DOI":"10.1177\/15394492261486019","type":"journal-article","created":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T14:47:45Z","timestamp":1791989265000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Exploring Self-Care Among Postpartum Women Recovering From Substance Use Disorders"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8652-2413","authenticated-orcid":false,"given":"Caitlin","family":"Koob","sequence":"first","affiliation":[{"name":"Medical University of South Carolina, Charleston, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Leah A.","family":"Holcomb","sequence":"additional","affiliation":[{"name":"Medical University of South Carolina, Charleston, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Charles","family":"Hudson","sequence":"additional","affiliation":[{"name":"Medical University of South Carolina, Charleston, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rachel","family":"Mayo","sequence":"additional","affiliation":[{"name":"Clemson University, SC, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jennifer","family":"Barkin","sequence":"additional","affiliation":[{"name":"Mercer University School of Medicine, Macon, GA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,10,14]]},"reference":[{"key":"e_1_3_4_2_1","doi-asserted-by":"crossref","unstructured":"Adams Z. M. Ginapp C. M. Price C. R. Qin Y. Madden L. M. Yonkers K. Meyer J. P. (2021). \u201cA good mother\u201d: Impact of motherhood identity on women\u2019s substance use and engagement in treatment across the lifespan. Journal of Substance Abuse Treatment 130 108474. https:\/\/doi.org\/10.1016\/j.jsat.2021.108474","DOI":"10.1016\/j.jsat.2021.108474"},{"key":"e_1_3_4_3_1","doi-asserted-by":"crossref","unstructured":"American Occupational Therapy Association. (2020). Occupational therapy practice framework: Domain and process\u2014fourth edition. American Journal of Occupational Therapy 74(Supp 2) :S513\u2013S600. https:\/\/doi.org\/10.5014\/ajot.2020.74S2001","DOI":"10.5014\/ajot.2020.74S2001"},{"key":"e_1_3_4_4_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.books.9780890425596"},{"key":"e_1_3_4_5_1","doi-asserted-by":"crossref","unstructured":"Armstrong B. Weaver R. G. Beets M. W. \u00d8stbye T. Kravitz R. M. Benjamin-Neelon S. E. (2023). Use of childcare attenuates the link between decreased maternal sleep and increased depressive symptoms. Journal of Developmental & Behavioral Pediatrics 43(5) e330\u2013e338. https:\/\/doi.org\/doi:%2010.1097\/DBP.0000000000001048","DOI":"10.1097\/DBP.0000000000001048"},{"key":"e_1_3_4_6_1","doi-asserted-by":"crossref","unstructured":"Baker H. Cuomo B. Femia C. Lin D. Stobbie C. McLean B. Hatfield M. (2024). Occupational therapy in maternal health: Exploring the Barkin Index of Maternal Functioning as a potential tool. Australian Occupational Therapy Journal 71(2) 279\u2013290. https:\/\/doi.org\/10.1111\/1440-1630.12926","DOI":"10.1111\/1440-1630.12926"},{"key":"e_1_3_4_7_1","doi-asserted-by":"crossref","unstructured":"Barkin J. L. Wisner K. L. (2013). The role of maternal self-care in new motherhood. 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