Savage Jessica, Brodsky Nancy L, Malmud Elsa, Giannetta Joan M, Hurt Hallam
Center for Cognitive Neuroscience, University of Pennsylvania, Philadelphia, PA, USA.
J Dev Behav Pediatr. 2005 Feb;26(1):42-7.
Children with gestational cocaine exposure may be at risk of difficulties in attentional functioning and impulse control. We administered the Gordon Diagnostic System and subtests of the Halstead-Reitan Battery to inner-city children with (COC) and without (CON) gestational cocaine exposure at age 10 years. Subtle differences were found between groups, with differences in Gordon Delay (Efficiency Ratio) and Gordon Distractibility (Total Commissions). With these two exceptions, children had similar performance, with both groups performing poorly. Attentional functioning and impulse control were also assessed in school. Teachers did not distinguish between COC and CON, although both groups presented behavioral problems. We conclude that gestational cocaine exposure may be associated with subtle problems in attention and impulse control, putting exposed children at higher risk of developing significant behavioral problems as cognitive demands increase.
孕期接触可卡因的儿童可能面临注意力功能和冲动控制方面出现困难的风险。我们对10岁时接触（COC）和未接触（CON）孕期可卡因的市中心儿童进行了戈登诊断系统和霍尔斯特德-雷坦神经心理成套测验的子测试。两组之间发现了细微差异，在戈登延迟（效率比）和戈登易分心性（总错误数）方面存在差异。除了这两个例外情况，儿童的表现相似，两组表现都不佳。我们还在学校对注意力功能和冲动控制进行了评估。教师无法区分COC组和CON组儿童，尽管两组儿童都存在行为问题。我们得出结论，孕期接触可卡因可能与注意力和冲动控制方面的细微问题有关，随着认知需求的增加，使接触可卡因的儿童出现严重行为问题的风险更高。
