TY - JOUR
T1 - Behavioral outcome of preschoolers exposed prenatally to cocaine
T2 - Role of maternal behavioral health
AU - Accornero, Veronica H.
AU - Morrow, Connie E.
AU - Bandstra, Emmalee S.
AU - Johnson, Arnise L.
AU - Anthony, James C.
PY - 2002
Y1 - 2002
N2 - 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.
AB - 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.
KW - CBCL
KW - Child behavior
KW - Prenatal cocaine exposure
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U2 - 10.1093/jpepsy/27.3.259
DO - 10.1093/jpepsy/27.3.259
M3 - Article
C2 - 11909933
AN - SCOPUS:0036219851
SN - 0146-8693
VL - 27
SP - 259
EP - 269
JO - Journal of pediatric psychology
JF - Journal of pediatric psychology
IS - 3
ER -