Behavioral outcome of preschoolers exposed prenatally to cocaine: Role of maternal behavioral health
Behavioral outcome of preschoolers exposed prenatally to cocaine: Role of maternal behavioral health
复制标题
DOI：
10.1093/jpepsy/27.3.259
复制
发表时间：
2002-04-01
影响因子：
3.6
通讯作者：
Anthony, JC
中科院分区：
文献类型：
--
作者：
Accornero, VH;Morrow, CE;Anthony, JC
目的：探讨产前可卡因暴露和母亲行为健康（近期吸毒和心理功能）对 5 岁时儿童行为的影响。方法。在这项纵向调查中，使用阿亨巴赫儿童行为检查表 (CBCL) 对 140 名可卡因暴露和 181 名非可卡因暴露（61 名酒精、烟草和/或大麻暴露，以及 120 名非毒品暴露）低收入非裔美国儿童的儿童行为母亲报告进行了评估。根据修改后的成瘾严重程度指数 (ASI) 和 CBCL 评分的自我报告，使用结构方程模型来估计 5 年随访时母亲行为健康指标之间的可疑因果关系。 结果：产前可卡因暴露与 5 岁时儿童行为无关。近期母亲吸毒和心理功能与 CBCL 内化和外化评分相关。然而，当在综合模型中考虑时，只有母亲的心理功能仍然重要。结论：研究结果强调了母亲功能对于产前接触可卡因的儿童的行为结果的重要性。
Objective: To examine the impact of prenatal cocaine exposure and maternal behavioral health (recent drug use and psychological functioning) on child behavior at age 5 years.Method. In this longitudinal investigation, maternal report of child behavior was assessed using the Achenbach Child Behavior Checklist (CBCL) in 140 cocaine-exposed and 181 noncocaine-exposed (61 alcohol, tobacco, and/or marijuana-exposed, and 120 nondrug-exposed) low-income, African American children. Structural equation modeling was used to estimate suspected causal relationships between indicators of maternal behavioral health at 5-year follow-up, according to self-report on a modified Addiction Severity Index (ASI) and CBCL scores.Results: Prenatal cocaine exposure was not related to child behavior at age 5. Recent maternal drug use and psychological functioning had relationships with CBCL Internalizing and Externalizing scores. However, when considered within a combined model, only maternal psychological functioning remained significant.Conclusions: Findings highlight the importance of maternal functioning in the behavioral outcome of children exposed prenatally to cocaine.