Importance of Stability of Early Living Arrangements on Behavior Outcomes of Children With and Without Prenatal Drug Exposure

Bada, Henrietta S.; Langer, John; Twomey, Jean E.; Bursi, Charlotte; LaGasse, Linda L.; Bauer, Charles R.; Shankaran, Seetha; Lester, Barry M.; Higgins, Rosemary D.; Maza, Penelope L.

doi:10.1097/dbp.0b013e3181644a79

“…Others have also reported that PCE is associated with child or adolescent behavior problems, particularly externalizing behaviors such as aggression and delinquency (Bada et al, , 2012Bennett et al, 2007Bennett et al, , 2013DelaneyBlack et al, 2000;Fisher et al, 2011;McLaughlin et al, 2011;Minnes et al, 2010;Nordstrom Bailey et al, 2005;Sood et al, 2005;Whitaker et al, 2011). However, not all reports have confirmed these findings (Accornero et al, 2002Allen et al, 2014;Bada et al, 2008;Bennett et al, 2002;Bridgett et al, 2011;Gerteis et al, 2011;Greenwald et al, 2011;Linares et al, 2006;Savage et al, 2005;. This is an important domain to investigate because adolescent behavior problems predict poorer outcomes in adulthood, including substance abuse, risky sex, psychiatric disorders, and less successful adjustment (Doherty et al, 2008;Fergusson et al, 2007;Ramrakha et al, 2007).…”

Section: Introductionmentioning

confidence: 70%

Effects of prenatal cocaine exposure on adolescent development

Richardson

¹

,

Goldschmidt

²

,

Day

³

2009

Neurotoxicology and Teratology

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The associations between prenatal cocaine exposure (PCE) and adolescent behavior, cognitive development, and physical growth were examined in 219 15-year-olds who have participated in a longitudinal study since their fourth gestational month. During the first trimester, 42% of the women used cocaine, with use declining across pregnancy. At the 15-year follow-up, the caregivers were, on average, 43 years old, had 13 years of education, and 50% were African American. First trimester PCE was not associated with global cognitive development or with measures of learning and memory. First trimester PCE was significantly related to adolescentreported delinquent behavior, poorer problem solving and abstract reasoning, and reduced weight, height, and head circumference at 15 years. These results were significant after other factors that affect these domains were controlled in regression analyses. In addition, exposure to violence partially mediated the effect of PCE on delinquent behavior. These adolescent domains are important because they are predictors of poorer adult functioning.

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“…Such variables include gender, 9,39,116 low birth weight, 46,58 low SES, 99 low quality of home environments, 47,94 maternal age, 28,55 lower maternal education/intelligence, 56,91,95 caregiver instability and/or foster care placement, 45,117 an increased number of individuals in the household, 47 caregiver functioning/psychopathology, 91,99,101 violence exposure 94,99 and the comorbid and/or continued use of other drugs (alcohol, tobacco, marijuana, opiates) by caregivers. 79,100 Recognition of these confounds and their potential interaction with PCE is essential for the interpretability and generalizability of study findings to larger populations.…”

Section: Research Limitationsmentioning

confidence: 99%

Developmental and behavioral consequences of prenatal cocaine exposure: a review

Lambert

¹

,

Bauer

²

2012

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Substance use among pregnant women continues to be a major public health concern, posing potential risk to their drug-exposed children as well as burdens on society. This review is intended to discuss the most recent literature regarding the association between in utero cocaine exposure and developmental and behavioral outcomes from birth through adolescence across various domains of functioning (growth, neurobiology, intelligence, academic achievement, language, executive functioning, behavioral regulation and psychopathology). In addition, methodological limitations, associated biological, sociodemographic and environmental risk factors and future directions in this area of research are discussed. Given the large number of exposed children in the child welfare system and the increased need for medical, mental health and special education services within this population, more definitively documenting associations between prenatal cocaine exposure and later child outcomes is essential in order to be able to prospectively address the many significant public health, economic and public policy implications.

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“…Others have also reported that PCE is associated with child or adolescent behavior problems, particularly externalizing behaviors such as aggression and delinquency (Bada et al, 2011, 2012; Bennett et al, 2007, 2013; Delaney-Black et al, 2000; Fisher et al, 2011; McLaughlin et al, 2011; Min, Minnes, Lang et al, 2014; Min, Minnes, Yoon et al, 2014; Minnes et al, 2010; Nordstrom Bailey et al, 2005; Sood et al, 2005; Whitaker et al, 2011). However, not all reports have confirmed these findings (Accornero et al, 2002, 2006; Allen et al, 2014; Bada et al, 2008; Bennett et al, 2002; Bridgett et al, 2011; Gerteis et al, 2011; Greenwald et al, 2011; Linares et al, 2006; Savage et al, 2005; Warner, Behnke, Hou et al, 2006). This is an important domain to investigate because adolescent behavior problems predict poorer outcomes in adulthood, including substance abuse, risky sex, psychiatric disorders, and less successful adjustment (Doherty et al, 2008; Fergusson et al, 2007; Ramrakha et al, 2007).…”

Section: Introductionmentioning

confidence: 96%

Effects of prenatal cocaine exposure on adolescent development

Richardson

¹

,

Goldschmidt

²

,

Larkby

³

et al. 2015

Neurotoxicology and Teratology

View full text Add to dashboard Cite

The associations between prenatal cocaine exposure (PCE) and adolescent behavior, cognitive development, and physical growth were examined in 219 15-year-olds who have participated in a longitudinal study since their fourth gestational month. During the first trimester, 42% of the women used cocaine, with use declining across pregnancy. At the 15-year follow-up, the caregivers were, on average, 43 years old, had 13 years of education, and 50% were African American. First trimester PCE was not associated with global cognitive development or with measures of learning and memory. First trimester PCE was significantly related to adolescentreported delinquent behavior, poorer problem solving and abstract reasoning, and reduced weight, height, and head circumference at 15 years. These results were significant after other factors that affect these domains were controlled in regression analyses. In addition, exposure to violence partially mediated the effect of PCE on delinquent behavior. These adolescent domains are important because they are predictors of poorer adult functioning.

show abstract

Importance of Stability of Early Living Arrangements on Behavior Outcomes of Children With and Without Prenatal Drug Exposure

Cited by 48 publications

References 36 publications

Effects of prenatal cocaine exposure on adolescent development

Effects of prenatal cocaine exposure on adolescent development

Developmental and behavioral consequences of prenatal cocaine exposure: a review

Effects of prenatal cocaine exposure on adolescent development

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