产前接触可卡因的学龄前儿童的行为结果：母亲行为健康的作用。
Behavioral outcome of preschoolers exposed prenatally to cocaine: role of maternal behavioral health.
作者信息
Accornero Veronica H, Morrow Connie E, Bandstra Emmalee S, Johnson Arnise L, Anthony James C
机构信息
University of Miami School of Medicine, USA.
出版信息
J Pediatr Psychol. 2002 Apr-May;27(3):259-69. doi: 10.1093/jpepsy/27.3.259.
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.
目的
探讨产前可卡因暴露及母亲行为健康状况（近期吸毒情况和心理功能）对5岁儿童行为的影响。
方法
在这项纵向研究中，使用阿肯巴克儿童行为量表（CBCL）对140名有可卡因暴露史的低收入非裔美国儿童以及181名无可卡因暴露史（61名有酒精、烟草和/或大麻暴露史，120名无药物暴露史）的低收入非裔美国儿童的母亲进行儿童行为报告评估。根据改良的成瘾严重程度指数（ASI）的自我报告和CBCL评分，采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疑似因果关系。
结果
产前可卡因暴露与5岁儿童的行为无关。近期母亲吸毒情况和心理功能与CBCL内化和外化得分有关。然而，在综合模型中考虑时，只有母亲的心理功能仍然显著。
结论
研究结果突出了母亲功能在产前暴露于可卡因的儿童行为结果中的重要性。
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