Research has shown that both prenatal alcohol and tobacco exposure are associated with increased risk of significant adverse medical, developmental, and behavioral outcomes including substance abuse. Research on the outcomes of prenatal exposure to illicit drugs~PNDE! has also found increased physical and behavioral problems for gestationally drug-exposed children. However, a clear picture has not emerged on whether the consequences of PNDE are independent from those associated with having a substance abusing parent and whether PNDE increases vulnerability to drug abuse. Because of its typical co-occurrence with factors inherent in having a drug-abusing parent, PNDE is at least a marker of significant increased risk for a range of negative outcomes including greater vulnerability to substance abuse. Although a review of the relevant research literatures indicates that the direct consequences of PNDE appear to be generally both subtle and nonglobal, PNDE does appear to have negative developmental and behavioral outcomes, and there is evidence that it is a modest direct contributor to increased substance abuse vulnerability. The viewpoints expressed in this article do not necessarily represent the National Institutes of Health or the Department of Health and Human Services. The authors thank Vincent Smeriglio for the information and suggestions he provided. The views expressed in this article do not necessarily represent his views.

We examined associations between children's health status and the quality of their peer relationships, as well as factors that may account for individual variation in the quality of chronically ill and healthy children's peer relationships. Our sample included 268 children (138 boys; 130 girls) with 149 European-Americans and 119 AfricanAmericans. There were 91 children with a chronic illness; 35 with asthma, 26 with diabetes, and 30 with obesity. Chronically ill children were characterized by teachers as displaying less prosocial behavior, less overt aggression, and less relational aggression with peers than healthy children. Chronically ill children reported lower levels of peer contact and higher levels of social anxiety than healthy children. Among chronically ill children those with high self-esteem were more prosocial and less aggressive than those with low self-esteem. Our findings suggest that chronically ill children are at risk for peer relationship difficulties, but that selfesteem may serve as a protective factor against poor peer relationships for some chronically ill children.

The present study examined mothers' use of corporal punishment and adolescents' aggression as predictors of mother–youth conflict during early adolescence. Particular attention was given to the potential mediating role that adolescents' hostile attributions of intent (HAI) regarding mothers' behavior might play in connections between corporal punishment, youth aggression, and mother–adolescent conflict for European American (EA) and African American (AA) youth. Data were collected from 268 12‐ to 14‐year‐olds (154 European American; 114 African American; 133 girls; 135 boys) and their mothers over a period of 2 years. Questionnaires completed by both mothers and adolescents were used to assess maternal corporal punishment and adolescent aggression, and interviews concerning hypothetical situations were used to assess adolescent HAI in year one. In both year one and year two mother–adolescent conflict was observed in a laboratory interaction session. Data revealed that adolescent HAI mediated the link between maternal corporal punishment and mother–adolescent conflict for EA, but not AA youth. Adolescents' HAI mediated the link between adolescent aggression and mother–adolescent conflict for both EA and AA families.

Mother-child relationships characterized by dyadic synchrony, a mutually responsive and interconnected interaction style, have been consistently linked to children's psychosocial adjustment in early childhood, but it is unclear whether such interaction patterns remain conducive to positive outcomes in early adolescence. The aim of the present investigation was to examine mother-child synchrony and its link to early adolescents' self-esteem and prosocial behavior. Data were collected from 268 early adolescents and their mothers from both European American and African American families. Four components of dyadic synchrony were assessed during a structured mother-child interaction session. In addition, assessments of early adolescents' self-esteem and prosocial behavior were conducted approximately one year later. Results indicated that mother-child shared positive affect and conversational equality were highly intercorrelated 289