Prenatal smoking and internalizing and externalizing problems in children studied from childhood to late adolescence
Prenatal smoking and internalizing and externalizing problems in children studied from childhood to late adolescence
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DOI：
10.1097/chi.0b013e318172eefb
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发表时间：
2008-07-01
影响因子：
13.3
通讯作者：
Koot, Hans M.
中科院分区：
文献类型：
--
作者：
Ashford, Janka;van Lier, Pol A. C.;Koot, Hans M.
目的：研究产前吸烟是否仅与外化问题有关，还是与儿童期至青春期后期的内化和外化问题有关。方法：儿童行为检查表衍生，父母报告的内化和外化问题的396名儿童进行了纵向评估，在5岁，10至11岁，18岁。自我报告的产前吸烟对这些年龄段的内在和外在问题的影响进行了评估，控制了内在和外在问题的共同发生，以及共同发生的产前和围产期风险因素，人口统计学特征，孕产妇心理健康，儿童社会和注意力问题。结果如下：与母亲在怀孕期间不吸烟的儿童相比，母亲在怀孕期间吸烟的儿童在5至18岁期间的内化和外化问题水平都有所增加。这些协会仍然显着控制后，内化外化，反之亦然，可能的混杂变量。结论：母亲在怀孕期间吸烟是后代内在和外在精神病理学的预测因子。产前吸烟与内化和外化问题之间的关联在整个童年和青春期后期持续存在。
Objective: To study whether prenatal smoking only relates to externalizing problems or whether it is associated with both internalizing and externalizing problems from childhood into late adolescence. Method: Child Behavior Checklist-derived, parent-reported internalizing and externalizing problems of 396 children were longitudinally assessed at ages 5, 10 to 11, and 18 years. The influence of self-reported prenatal smoking on the course of internalizing and externalizing problems over these ages was assessed, controlling for the co-occurrence of internalizing and externalizing problems and co-occurring pre- and perinatal risk factors, demographic characteristics, maternal mental health, and child social and attention problems. Results: Children whose mothers had smoked during pregnancy had increased levels of both internalizing and externalizing problems over the period of ages 5 to 18 years when compared with children whose mothers did not smoke during pregnancy. These associations remained significant after controlling internalizing for externalizing and vice versa and possible confounding variables. Conclusions: Maternal smoking during pregnancy is a predictor of internalizing as well as externalizing psychopathology in offspring. The association between prenatal smoking and internalizing and externalizing problems persists throughout childhood and late adolescence.