Journal of Pediatric Psychology 18(5) pp. 605-620, 1993
© 1993 Society of Pediatric Psychology
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Prenatal Drug Exposure: Neurodevelopmental Outcome and Parenting Environment1
University of Maryland School of Medicine
2All correspondence should be sent to Maureen Black, Department of Pediatrics, University of Maryland School of Medicine, 700 W. Lombard Street, Baltimore, Maryland 21201
Examined neurodevelopmental patterns and caregiving environment among 20 infants prenatally exposed to cocaine and 20 drug-free infants. The Brazelton Scale was administered 4 times. Drugexposed infants had less optimal neurodevelopment than comparison infants at birth, but by 6 weeks only differences in autonomic stability were apparent. Neurodevelopmental performance was related positively to the child-centered quality of the environment. Though support buffered stress in both groups, the effect was more robust among drug-free mothers. Findings support the need to consider neurodevelopmental recovery and the caregiving environment in evaluations of developmental outcome among drug-exposed infants.
Key words: prenatal drug use; neurodevelopmental outcome; Brazelton Neonatal Behavioral Assessment Scale; parent-infant interaction; parenting stress; support.
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