Is smoking during pregnancy a risk factor for psychopathology in young children? A methodological caveat and report on preschoolers.
Is smoking during pregnancy a risk factor for psychopathology in young children? A methodological caveat and report on preschoolers.
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怀孕期间吸烟是幼儿精神病理学的危险因素吗？
DOI：
10.1093/jpepsy/jsq044
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发表时间：
2011
影响因子：
3.6
通讯作者：
Lavigne,PaulM
中科院分区：
文献类型：
--
作者：
Lavigne,JohnV;Hopkins,Joyce;Gouze,KarenR;Bryant,FredB;LeBailly,SusanA;Binns,HelenJ;Lavigne,PaulM
虽然产前吸烟对儿童精神病理影响的研究已经发现了积极的关系，但大多数研究(1)未能控制可能影响儿童行为的一系列母亲吸烟的相关因素；(2)是针对学龄儿童而不是年龄较小的儿童进行的，因此这些问题何时出现尚不清楚；结果在控制了社会经济状况、生活压力、家庭冲突、母亲抑郁、母亲支架术、母子依恋、儿童消极情绪和努力控制等相关因素后，孕期吸烟与儿童行为或情绪问题不再相关。结论未来的研究需要控制母亲吸烟的多种协变量。
ObjectiveWhile studies of the effects of prenatal smoking on child psychopathology have found positive relationships, most studies (1) failed to control for a range of correlates of maternal smoking that could affect children’s behavior; (2) have been conducted with school-age rather than younger children, so it is not clear when such problems emerge; and (3) have not examined the effects on internalizing problems.MethodThis study examined the effects of prenatal smoke exposure on behaviors associated with externalizing and internalizing behavior problems and negative temperament in a diverse community sample of 679 4-year-olds.ResultsAfter controlling for correlates that include socioeconomic status, life stress, family conflict, maternal depression, maternal scaffolding skills, mother–child attachment, child negative affect and effortful control, smoking during pregnancy was no longer associated with child behavior or emotional problems.ConclusionsFuture studies need to control for a wide range of covariates of maternal smoking.