Maternal verbal scaffolding: association with higher language skills for 20-month-old children with prenatal polysubstance exposure.

Maternal verbal scaffolding: association with higher language skills for 20-month-old children with prenatal polysubstance exposure.
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母体语言支架:与产前暴露于多种物质的20个月大儿童的较高语言技能相关。

DOI:
10.1016/j.earlhumdev.2021.105423
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发表时间:
2021-09
影响因子:
2.5
通讯作者:
Bakhireva, Ludmila N.
Bakhireva, Ludmila N.
中科院分区:
医学4区
文献类型:
--
作者:
Lowe, Jean R.;Hund, Lauren;Rodriguez, Dominique E.;Qamruddin, Asma;Leeman, Lawrence;Stephen, Julia M.;Bakhireva, Ludmila N.

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产前接触多种物质的儿童数量正在增加。支持性母婴互动是一种保护性因素,可以改善产前多种物质暴露对发育结局的不良影响。探讨母体语言支架对产前多种物质暴露儿童认知和语言发育的作用。我们招募了孕妇,前瞻性地随访了20个月大的母子配对。该分析包括66对夫妇(33名健康对照和33名产前多物质暴露)。多变量线性回归模型被用来检查产妇脚手架和贝利婴幼儿发展量表(BSID-III)评分之间的横截面关联,以及研究组和脚手架评分之间的相互作用。使用BSID-III认知和语言评分。录像母子游戏编码,以获得母亲的口头脚手架得分。使用组间评分的平均差异来衡量效应大小。没有证据表明研究组和母体脚手架评分之间存在关联。与对照组相比,多物质暴露组的儿童认知和语言得分较低,但在控制了母亲的教育程度后,这种关联在统计学上并不显著。母体支架可预测语言评分,校正协变量后,支架评分每增加1分,评分平均增加1.24分(95%CI:0.42,2.06)。没有证据表明研究组与脚手架之间的语言或认知评分存在相互作用。母亲在玩耍过程中的脚手架与儿童的语言发育有关,无论是否有产前多种物质暴露。
The number of children with prenatal polysubstance exposure is increasing. Supportive mother-child interaction is a protective factor, which can ameliorate adverse effects of prenatal polysubstance exposure on developmental outcomes. To examine the role of maternal verbal scaffolding on cognitive and language development in children with prenatal polysubstance exposure. Pregnant women were recruited, and we prospectively followed mother-child dyads to 20 months of age. This analysis included 66 dyads (33 healthy controls and 33 with prenatal polysubstance exposure). Multivariable linear regression modelling was used to examine the cross-sectional association between maternal scaffolding and Bayley Scales of Infant and Toddler Development (BSID-III) score, as well as an interaction between the study group and scaffolding score. The BSID-III cognitive and language score was used. Videotaped mother-child play was coded to obtain a maternal verbal scaffolding score. Effect sizes were measured using average differences in scores between groups. There was no evidence of an association between study group and maternal scaffolding scores. Children in the polysubstance exposure group had lower cognitive and language scores compared to controls, but this association was not statistically significant after controlling for maternal education. Maternal scaffolding was predictive of language scores, with scores increasing by 1.24 points on average (95% CI: 0.42, 2.06) for every 1-point increase in scaffolding score after adjustment for covariates. There was no evidence of a study group-by-scaffolding interaction with respect to the language or cognitive scores. Maternal scaffolding during play was associated with language development in children with and without prenatal polysubstance exposure.
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