The role of mother's prenatal substance use disorder and early parenting on child social cognition at school age
The role of mother's prenatal substance use disorder and early parenting on child social cognition at school age
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DOI：
10.1002/icd.2221
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发表时间：
2021-02-15
影响因子：
2.2
通讯作者：
Punamaki, Raija-Leena
中科院分区：
文献类型：
--
作者：
Flykt, Marjo Susanna;Lindblom, Jallu;Punamaki, Raija-Leena
这项前瞻性纵向研究探讨了母亲产前物质使用障碍（SUD）和早期母婴互动质量与学龄儿童社会认知（情感识别和心智化）的关系。一个样本的52多物质使用的母亲接受早期干预和50个非用户，沿着他们的孩子，从怀孕到学龄。第一年母婴互动质量测量EA量表。在学龄期，儿童的面部情绪识别和心理化的DANVA和LEAS-C。SUD组儿童与对照组儿童在社会认知方面没有差异，但母亲产前成瘾的严重程度较高，可预测情绪识别问题。早期高质量的母婴互动预示着更好的情绪识别和心理化，母婴互动质量介导了产前SUD对情绪识别的影响。研究结果强调了针对父母和成瘾的早期治疗的必要性，以及对这些儿童的长期发展支持。HighlightsWe研究了母亲的产前物质使用障碍（SUD）和早期母婴互动如何预测学龄儿童的社会认知。母亲产前成瘾严重程度和早期养育问题预测有问题的儿童社会认知，早期干预应同时针对成瘾和养育问题。还应注意儿童的长期发展支助。
This prospective longitudinal study examined how maternal prenatal substance use disorder (SUD) and early mother-infant interaction quality are associated with child social cognition (emotion recognition and mentalization) at school age. A sample of 52 poly-substance-using mothers receiving early interventions and 50 non-users, along with their children, was followed from pregnancy to school age. First-year mother-infant interaction quality was measured with EA scales. At school age, child facial emotion recognition was measured with DANVA and mentalization with LEAS-C. SUD group children did not differ from comparison children in social cognition, but higher severity of maternal prenatal addiction predicted emotion recognition problems. High early mother-infant interaction quality predicted better emotion recognition and mentalization, and mother-infant interaction quality mediated the effect of prenatal SUD on emotion recognition. The results highlight the need for early treatments targeting both parenting and addiction, as well as long-term developmental support for these children.HighlightsWe examined how mother's prenatal substance use disorder (SUD) and early mother-infant interaction predict child social cognition at school age.Questionnaires, observational and computer tasks were used. Maternal prenatal addiction severity and early parenting problems predicted problematic child social cognition.Early interventions should simultaneously target addiction and parenting. Attention should also be paid to the long-term developmental support of children.