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Figure 2. Mindfulness-Oriented Recovery Enhancement (MORE) targets mechanisms of maternal substance use and child well-being. MORE may interrupt several key processes in the proposed model of perinatal opioid use and child well-being. MORE promotes the process of mindful reappraisal, whereby a mother can change her perspective on a stressor to decreased her negative affect. MORE also fosters problem-focused and emotion-focused coping, during which a mother uses mindfulness practices to cope with emotional distress. MORE also targets the process of allostasis, reduces sensitization to stress, and increases sensitization to reward. MORE also provides strategies to cope with substance craving, decreasing the likelihood of substance use. Finally, mindful savoring may help women increase the salience of infant cues and promote engaged parenting behavior.

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