Predicting caregiver-reported behavior problems in cocaine-exposed children at 3 years.
Predicting caregiver-reported behavior problems in cocaine-exposed children at 3 years.
复制标题
预测看护者报告的 3 岁时接触可卡因儿童的行为问题。
DOI：
10.1097/00004703-200604000-00001
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发表时间：
2006
期刊：
影响因子：
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通讯作者：
Eyler,FondaDavis
中科院分区：
文献类型：
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作者：
Warner,TamaraDuckworth;Behnke,Marylou;Hou,Wei;Garvan,CynthiaWilson;Wobie,Kathleen;Eyler,FondaDavis
使用结构方程模型对产前可卡因暴露（PCE）和匹配对照的3岁儿童照料者报告的行为问题的预测因素进行了检查。我们在一个模型中测试了PCE是否对儿童行为问题有直接影响，该模型包括其他产前药物暴露、儿童性别、照顾者抑郁和儿童家庭环境质量。样本（N= 256）来自一项纵向、前瞻性研究，研究对象是使用可卡因的女性（主要是快克可卡因）的孩子，以及在种族、社会经济地位、胎次和怀孕风险方面相匹配的对照组。儿童行为问题模型为潜在变量，由Conners父母报告48项行为问题和冲动性亢进量表和Eyberg儿童行为量表强度量表组成。照顾者抑郁是儿童行为问题的唯一显著预测因子。照顾者自我报告的抑郁和报告的儿童行为问题的平均水平在两组之间没有差异。平均抑郁得分远高于推荐的临床临界值，而平均儿童行为问题得分在正常范围内。该模型解释了在我们的低社会经济地位的非洲裔美国农村儿童样本中，照顾者报告的儿童行为问题中21%的差异。与患有PCE的儿童的亲生母亲和对照组相比，可卡因暴露儿童的非母亲照顾者在研究中使用的3个量表中的2个量表中的平均抑郁得分和平均儿童行为问题评分明显低于亲生母亲。在所有组中，被评为有临床显著行为问题的儿童比例都比一般人群中行为问题的普遍程度所预期的要大得多。
Predictors of caregiver-reported behavior problems for 3-year-olds with prenatal cocaine exposure (PCE) and matched controls were examined using structural equation modeling. We tested whether PCE had a direct effect on child behavior problems in a model that included other prenatal drug exposure, child sex, caregiver depression, and the quality of the child's home environment. The sample (N= 256) was drawn from a longitudinal, prospective study of children of (predominantly crack) cocaine-using women and controls matched on race, socioeconomic status, parity, and pregnancy risk. Child Behavior Problems was modeled as a latent variable composed of the 48-item Conners' Parent Report Scale Conduct Problem and Impulsive-Hyperactive scales and the Eyberg Child Behavior Inventory Intensity scale. Caregiver depression was the only significant predictor of Child Behavior Problems. Mean levels of caregiver self-reported depression and reported child behavior problems did not differ between groups. Mean depression scores were well above the recommended clinical cutoff while mean child behavior problems scores were within normal limits. The model explained 21% of the variance in caregiver-reported child behavior problems in our sample of rural African American, low SES youngsters. Non-maternal caregivers of cocaine-exposed children had significantly lower mean depression scores and mean child behavior problems ratings for 2 of 3 scales used in the study compared to biological mothers of children with PCE and controls. For all groups, much larger proportions of children were rated as having clinically significant behavior problems than would be expected based on the prevalence of behavior problems in the general population.