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Prenatal cocaine exposure and trajectories of externalizing behavior problems in early childhood: Examining the role of maternal negative affect

Published online by Cambridge University Press:  12 March 2014

Danielle S. Molnar ,
Ash Levitt ,
Rina Das Eiden  and
Pamela Schuetze
Danielle S. Molnar*
Affiliation:
State University of New York at Buffalo
Ash Levitt
Affiliation:
State University of New York at Buffalo
Rina Das Eiden
Affiliation:
State University of New York at Buffalo
Pamela Schuetze
Affiliation:
Buffalo State College
*
Address correspondence and reprint requests to: Danielle S. Molnar, University at Buffalo, Research Institute on Addictions, 1021 Main Street, Buffalo, NY 14203; E-mail: [email protected].
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Abstract

This study examined the association between prenatal cocaine exposure (PCE) and developmental trajectories of externalizing behavior problems from 18 to 54 months of child age. A hypothesized indirect association between PCE and externalizing trajectories via maternal negative affect was also examined. Caregiving environmental risk and child sex were evaluated as moderators. This study consisted of 196 mother–child dyads recruited at delivery from local area hospitals (107 PCE, 89 non-PCE) and assessed at seven time points across the toddler to preschool periods. Results revealed no direct associations between PCE and externalizing behavior problem trajectories. However, results did indicate that PCE shared a significant indirect relationship with externalizing behavior problem trajectories via higher levels of maternal negative affect. The association between PCE and externalizing problem trajectories was also moderated by caregiving environmental risk such that PCE children in high-risk caregiving environments did not experience the well-documented normative decline in externalizing behavior problems beginning at around 3 years of age. This study suggests potential pathways to externalizing behavior problems among high-risk children.

Type
Regular Articles
Information
Development and Psychopathology , Volume 26 , Issue 2 , May 2014 , pp. 515 - 528
Copyright
Copyright © Cambridge University Press 2014 

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References

Accornero, V. H., Morrow, C. E., Xue, L., Bandstra, E. S., Johnson, A. L., & Anthony, J. C. (2002). Behavioral outcome of preschoolers exposed prenatally to cocaine: Role of maternal behavioural health. Journal of Pediatric Psychology, 27, 259–269.CrossRefGoogle Scholar
Achenbach, T. M. (1992). Manual for the Child Behavior Checklist/2–3 and 1992 profile. Unpublished manuscript, University of Vermont, Department of Psychiatry.Google Scholar
Ackerman, J. P., Riggins, T., & Black, M. M. (2010). A review of the effects of prenatal cocaine exposure among school-aged children. Pediatrics, 125, 554–565.CrossRefGoogle ScholarPubMed
American Psychological Association. (2001). Publication manual of the American Psychological Association (5th ed.). Washington, DC: Author.Google Scholar
Anderson, P., Doyle, L. W., & the Victorian Infant Collaborative Study Group. (2003). Neurobehavioral outcomes of school-age children born extremely low birth weight or very preterm in the 1990s. Journal of the American Medical Association, 289, 3264–3272.CrossRefGoogle ScholarPubMed
Bada, H. S., Bann, C. M., Bauer, C. R., Shankaran, S., Lester, B., LaGasse, L., et al. (2011). Preadolescent behavior problems after prenatal cocaine exposure: Relationship between teacher and caretaker ratings (Maternal Lifestyle Study). Neurotoxicology and Teratology, 33, 78–87.CrossRefGoogle ScholarPubMed
Bada, H. S., Das, A., Bauer, C. R., Shankaran, S., Lester, B., LaGasse, L., et al. (2007). Impact of prenatal cocaine exposure on child behavior problems through school age. Pediatrics, 119, 348–359.CrossRefGoogle ScholarPubMed
Bailey, B. N., Sood, B. G., Sokol, R. J., Ager, J., Janisse, J., Hannigan, J. H., et al. (2005). Gender and alcohol moderate prenatal cocaine effects on teacher-report of child behavior. Neurotoxicology and Teratology, 27, 181–189.Google Scholar
Bailey, J. A., Hill, K. G., Guttmannova, K., Oesterle, S., Hawkins, J. D., Catalano, R. F., et al. (2012, July 16). The association between parent early adult drug use disorder and later observed parenting practices and child behavior problems: Testing alternate models. Developmental Psychology. Advance online publication. doi:10.1037/a0029235 Google ScholarPubMed
Bard, K. A., Coles, C. D., Platzman, K. A., & Lynch, M. E. (2000). The effects of prenatal drug exposure, term status, and caregiving on arousal and arousal modulation in 8-week-old infants. Developmental Psychobiology, 36, 194–212.3.0.CO;2-X>CrossRefGoogle ScholarPubMed
Baron, R. M., & Kenny, D. A. (1986). The moderator–mediator distinction in social psychological research: Conceptual, strategic, and statistical considerations. Journal of Social and Personality Psychology, 51, 1173–1182.CrossRefGoogle ScholarPubMed
Bauman, P. S., & Dougherty, F. E. (1983). Drug-addicted mothers' parenting and their children's development. International Journal of the Addictions, 18, 291–302.CrossRefGoogle ScholarPubMed
Beaudin, S. A., Gendle, M. H., & Strupp, B. J. (2011). Gender influences on the cognitive and emotional effects of prenatal cocaine exposure: Insights from an animal model. In Lewis, M & Kestler, L. (Eds.), Gender differences in prenatal substance exposure (pp. 77–96). Washington, DC: American Psychological Association.Google Scholar
Bendersky, M., Alessandri, S., Gilbert, P., & Lewis, M. (1996). Characteristics of pregnant substance abusers in two cities in the northeast. American Journal of Drug and Alcohol Abuse, 22, 349–362.CrossRefGoogle ScholarPubMed
Bennett, D. S., Bendersky, M., & Lewis, M. (2002). Children's intellectual and emotional–behavioral adjustment at 4 years as a function of cocaine exposure, maternal characteristics, and environmental risk. Developmental Psychology, 38, 648–658.CrossRefGoogle ScholarPubMed
Bennett, D. S., Bendersky, M., & Lewis, M. (2007). Preadolescent health risk behavior as a fuction of prenatal cocaine exposure and gender. Journal of Developmental & Behavioral Pediatrics, 28, 467–472.CrossRefGoogle Scholar
Bradley, R. H., & Corwyn, R. F. (2007). Externalizing problems in fifth grade: Relations with productive activity, maternal sensitivity, and harsh parenting from infancy through middle childhood. Developmental Psychology, 43, 1390–1401.CrossRefGoogle ScholarPubMed
Brown, J. V., Bakeman, R., Claire, D. C., Platzman, K. A., & Lynch, M. E. (2004). Prenatal cocaine exposure: A comparison of 2-year-old children in parental and nonparental care. Child Development, 75, 1282–1295.CrossRefGoogle ScholarPubMed
Burns, K., Chethik, L., Burns, W., & Clark, R. (1997). The early relationship of drug abusing mothers and their infants: An assessment at eight to twelve months of age. Journal of Clinical Psychology, 53, 279–287.3.0.CO;2-F>CrossRefGoogle ScholarPubMed
Campbell, S. B. (1995). Behavior problems in preschool children: A review of recent research. Journal of Child Psychology and Psychiatry, 36, 113–149.CrossRefGoogle ScholarPubMed
Campbell, S. B., Pierce, E. W., Moore, G., Marakovitz, S., & Newby, K. (1996). Boys' externalizing problems at elementary school age: Pathways from early behavior problems, maternal control, and family stress. Development and Psychopathology, 8, 701–719.CrossRefGoogle Scholar
Chaplin, T. M., Fahy, T., Sinha, R., & Mayes, L. C. (2009). Emotional arousal in cocaine exposed toddlers: Prediction of behavior problems. Neurotoxicology and Teratology, 31, 275–282.CrossRefGoogle ScholarPubMed
Cicchetti, D., & Toth, S. L. (2009). The past achievements and future promises of developmental psychopathology: The coming of age of a discipline. Journal of Child Psychology and Psychiatry, 50, 16–25.CrossRefGoogle ScholarPubMed
Clark, R., Musick, J., Scott, F., & Klehr, K. (1980). The Mothers' Project Rating Scale of Mother–Child Interaction. Unpublished manuscript.Google Scholar
Colder, C. R., Mott, J. A., & Berman, A. S. (2002). The interactive effects of infant activity level and fear on growth trajectories of early childhood behavior problems. Development and Psychopathology, 14, 1–23.CrossRefGoogle ScholarPubMed
Conner-Burrow, N. A., Johnson, B., & Whiteside-Mansell, L. (2009). Maternal substance abuse and children's exposure to violence. Journal of Pediatric Nursing, 24, 360–368.CrossRefGoogle Scholar
Cummings, E. M., Iannotti, R. J., & Zahn-Waxler, C. (1989). Aggression between peers in early childhood: Individual continuity and developmental change. Child Development, 60, 887–895.CrossRefGoogle ScholarPubMed
Delaney-Black, V., Covington, C., Nordstrom, B., Ager, J., Janisse, J., Hannigan, J. H., et al. (2004). Prenatal cocaine: Quantity of exposure and gender moderation. Development Behavior Pediatric, 25, 254–263.CrossRefGoogle ScholarPubMed
Derogatis, L. R. (1993). The Brief Symptom Inventory (BSI) administration, scoring, and procedures manual. Minneapolis, MN: National Computer Systems.Google Scholar
Dixon, D. R., Kurtz, P. F., & Chin, M. D. (2008). A systematic review of challenging behaviors in children exposed prenatally to substances of abuse. Research in Developmental Disabilities, 29, 483–502.CrossRefGoogle ScholarPubMed
Edwards, E., Eiden, R., Colder, C. R., & Leonard, K. E. (2006). The development of aggression in 18 to 48 month old children of alcoholic parents. Journal of Abnormal Child Psychology, 34, 393–407.CrossRefGoogle ScholarPubMed
Eiden, R. D. (1999). Exposure to violence and behavior problems during early childhood. Journal of Interpersonal Violence, 14, 1299–1313.CrossRefGoogle Scholar
Eiden, R. D., Foote, A., & Schuetze, P. (2007). Maternal cocaine use and caregiving status: Group differences in caregiver and infant risk variables. Addictive Behaviors, 32, 465–476.CrossRefGoogle ScholarPubMed
Eiden, R. D., Peterson, M., & Coleman, T. (1999). Maternal cocaine use and the caregiving environment during early childhood. Psychology of Addictive Behaviors, 13, 293–302.CrossRefGoogle Scholar
Eiden, R. D., Schuetze, P., Colder, C. R., & Veira, Y. (2011). Maternal cocaine use and mother–toddler aggression. Neurotoxicology and Teratology, 33, 360–369.CrossRefGoogle ScholarPubMed
Eiden, R. D., Schuetze, P., Veira, Y., Cox, E., Jarrett, T., & Johns, J. (2011). Cocaine exposure and children's self-regulation: Indirect association via maternal aggression. Frontiers in Psychiatry, 2, 31.CrossRefGoogle Scholar
Erath, S. A., El-Sheikh, M., Hinnant, J. B., & Cummings, E. M. (2011). Skin conductance level reactivity moderates the longitudinal association between harsh parenting and child externalizing behavior. Developmental Psychology, 47, 693–706.CrossRefGoogle ScholarPubMed
Gartstein, M. A., Bridgett, D. J., Dishion, T. J., & Kaufman, N. K. (2009). Depressed mood and maternal report of child behavior problems: Another look at the depression–distortion hypothesis. Journal of Applied Developmental Psychology, 30, 149–160.CrossRefGoogle Scholar
Gawin, F. H., & Ellinwood, E. H. (1988). Cocaine and other stimulants: Action, abuse, and treatment. New England Journal of Medicine, 318, 1173–1182.CrossRefGoogle ScholarPubMed
Gottwald, S. R., & Thurman, S. K. (1994). The effects of prenatal cocaine exposure on mother–infant interaction and infant arousal in the newborn period. Topics in Early Childhood Special Education, 14, 217–231.CrossRefGoogle Scholar
Heyser, C. J., Molina, V. A., & Spear, L. P. (1992). A fostering study of the effects of prenatal cocaine exposure: I. Maternal behaviors. Neurotoxicology & Teratology, 14, 415–421.CrossRefGoogle ScholarPubMed
Hox, J. J. (2010). Multilevel analysis: Techniques and applications (2nd ed.). New York: Routledge.CrossRefGoogle Scholar
Johns, J. M., Elliott, D. L., Hofler, V. E., Joyner, P. W., McMurray, M. S., Jarrett, T. M., et al. (2005). Cocaine treatment and prenatal environment interact to disrupt intergenerational maternal behavior in rats. Behavioral Neuroscience, 119, 1605–1618.CrossRefGoogle ScholarPubMed
Johns, J. M., Noonan, L. R., Zimmerman, L. I., Li, L., & Pedersen, C. A. (1994). Effects of chronic and acute cocaine treatment on the onset of maternal behavior and aggression in Sprague–Dawley rats. Behavioral Neuroscience, 108, 107–112.CrossRefGoogle ScholarPubMed
Johns, J. M., Noonan, L. R., Zimmerman, L. I., McMillen, B. A., Means, L. W., Walker, C. H., et al. (1998). Chronic cocaine treatment alters social/aggressive behavior in Sprague–Dawley rat dams and in their prenatally exposed offspring. Annals of the New York Academy of Sciences, 846, 399–404.Google ScholarPubMed
Johnson, A. L., Morrow, C., Accornero, V. H., Xue, L., Anthony, J. C., & Bandstra, E. S. (2002). Maternal cocaine use: Estimated effects on mother–child play interactions in the preschool period. Journal of Developmental Behavioral Pediatrics, 23, 191–202.CrossRefGoogle ScholarPubMed
Krull, J. L., & MacKinnon, D. P. (2001). Multilevel modeling of individual and group level mediated effects. Multivariate Behavioral Research, 36, 249–277.CrossRefGoogle ScholarPubMed
LaGasse, L. L., Messinger, D., Lester, B. M., Seifer, R., Tronick, E., Bauer, C., et al. (2003). Prenatal drug exposure and maternal and infant feeding behavior. Archives of Disease in Childhood: Fetal and Neonatal, 88, F391–F399.CrossRefGoogle Scholar
Li, Z., Santhanam, P., Coles, C. D., Lynch, M. E., Hamann, S., Peltier, S., et al. (2011). Increased “default mode” activity in adolescents prenatally exposed to cocaine. Human Brain Mapping, 32, 759–770.CrossRefGoogle ScholarPubMed
Littman, A., & Parmelee, B. (1978). Medical correlation of infant development. Pediatrics, 61, 470–474.CrossRefGoogle ScholarPubMed
Liu, J., & Lester, B. M. (2011). Reconceptualizing in a dual-system model the effects of prenatal cocaine exposure on adolescent development: A short review. International Journal of Developmental Neuroscience, 29, 803–809.CrossRefGoogle Scholar
Luthar, S., & Zelazo, L. (2003). Research on resilience: An integrative review. In Luthar, S. (Ed.), Resilience and vulnerability: Adaptation in the context of childhood adversities (pp. 510–549). New York: Cambridge University Press.CrossRefGoogle Scholar
Magura, S., Freeman, R. C., Siddiqi, Q., & Lipton, D. S. (1992). The validity of hair analysis for detecting cocaine and heroin use among addicts. International Journal of the Addictions, 27, 51–69.CrossRefGoogle ScholarPubMed
Mayes, L. C. (2002). A behavioural teratogenic model of the impact of prenatal cocaine exposure on arousal regulatory systems. Neurotoxicology and Teratology, 3, 385–395.CrossRefGoogle Scholar
McMurray, M. S., Joyner, P. W., Middleton, C. W., Jarrett, T. M., Elliott, D. L., Black, M. A., et al. (2008). Intergenerational effects of cocaine treatment and rearing environment on aggressive behavior and oxytocin in rats. Stress, 11, 398–410.CrossRefGoogle Scholar
Mehta, P. D., & West, S. G. (2000). Putting the individual back into individual growth curves. Psychological Methods, 5, 23–43.CrossRefGoogle ScholarPubMed
Mignone, T., Klostermann, K., & Chen, R. (2009). The relationship between relapse to alcohol and relapse to violence. Journal of Family Violence, 24, 497–505.CrossRefGoogle Scholar
Miner, J. L., & Clarke-Stewart, A. (2008). Trajectories of externalizing behavior from age 2 to age 9: Relations with gender, temperament, ethnicity, parenting, and rater. Developmental Psychology, 44, 771–786.CrossRefGoogle ScholarPubMed
Minnes, S., Singer, L. T., Kirchner, H. L., Short, E., Lewis, B., Satayathum, S., et al. (2010). The effects of prenatal cocaine exposure on problem behavior in children 4–10 years. Neurotoxicology and Teratology, 32, 443–451.CrossRefGoogle ScholarPubMed
Molitor, A., Mayes, L. C., & Ward, A. (2003) Emotion regulation behavior during a separation procedure in 18-month-old children of mothers using cocaine and other drugs. Development and Psychopathology, 15, 39–54.CrossRefGoogle ScholarPubMed
Nagin, D. S. (1999). Analyzing developmental trajectories: A semi-parametric, group-based approach. Psychological Methods, 4, 139–177.CrossRefGoogle Scholar
Nagin, D. S., & Tremblay, R. (1999). Trajectories of boys' physical aggression, opposition, and hyperactivity on the path to physically violent and non-violent juvenile delinquency. Child Development, 70, 1181–1196.CrossRefGoogle Scholar
Nassogne, M. C., Evrard, P., & Courtoy, P. J. (1998). Selective direct toxicity of cocaine on fetal mouse neurons. In Harvey, J. A. & Kosofsky, B. E. (Eds), Cocaine: Effects on the developing brain (pp. 51–68). New York: New York Academy of Sciences.Google Scholar
Nelson, C. J., Meter, K. E., Walker, C. H., Ayers, A. A., & Johns, J. M. (1998). A dose–response study of chronic cocaine on maternal behavior in rats. Neurotoxicology and Teratology, 20, 657–660.CrossRefGoogle ScholarPubMed
Olson, S. L., Lopez-Duran, N., Lunkenheimer, E. S., Chang, H., & Sameroff, A. J. (2011). Individual differences in the development of early peer aggression: Integrating contributions of self-regulation, theory of mind, and parenting. Development and Psychopathology, 23, 253–266.CrossRefGoogle ScholarPubMed
Platzman, K. A., Coles, C. D., Lynch, M. E., Bard, K. A., & Brown, J. V. (2001). Assessment of the caregiving environment and infant functioning in polydrug families: Use of a structured clinical interview. Infant Mental Health Journal, 22, 351–373.CrossRefGoogle Scholar
Pungello, E. P., Kupersmidt, J. B., Burchinal, M. R., & Patterson, C. (1996). Environmental risk factors and children's achievement from middle childhood to early adolescence. Developmental Psychology, 32, 755–767.CrossRefGoogle Scholar
Raudenbush, S. W., & Bryk, A. S. (2002). Hierarchical linear models: Applications and data analysis methods (2nd ed.). Thousand Oaks, CA: Sage.Google Scholar
Raudenbush, S. W., Bryk, A. S., & Congdon, R. (2004). HLM 6 hierarchical and nonlinear modeling. Chicago: Scientific Software International.Google Scholar
Richardson, G. A., Conroy, M. L., & Day, N. L. (1996). Prenatal cocaine exposure: Effects on the development of school-age children. Neurotoxicology and Teratology, 18, 627–634.CrossRefGoogle ScholarPubMed
Richardson, G. A., Goldschmidt, L., & Wilford, J. (2009). Continued effects of prenatal cocaine use: Preschool development. Neurotoxicology and Teratology, 31, 325–333.CrossRefGoogle ScholarPubMed
Richters, J., & Pelligrini, D. (1989). Depressed mothers' judgments about their children: An examination of the depression–distortion hypothesis. Child Development, 60, 1068–1075.CrossRefGoogle ScholarPubMed
Rubin, K. H., Burgess, K. B., Dwyer, K. M., & Hastings, P. D. (2003). Predicting preschoolers' externalizing behaviors from toddler temperament, conflict, and maternal negativity. Developmental Psychology, 39, 164–176.CrossRefGoogle ScholarPubMed
Rubin, K. H., Hastings, P., Chen, X., Stewarts, S., & McNichol, K. (1998). Intrapersonal and maternal correlates of aggression, conflict, and externalizing problems in toddlers. Child Development, 69, 1614–1629.CrossRefGoogle ScholarPubMed
Rutter, M. (1987). Psychosocial resilience and protective mechanisms. American Journal of Orthopsychiatry, 147, 598–611.Google Scholar
Rutter, M., & Garmezy, N. (1983). Developmental psychopathology. In Mussen, P. H. (Ed.), Handbook of child psychology (Vol. 4, pp. 775–912). New York: Wiley.Google Scholar
Sameroff, A. J., Seifer, R., Baldwin, A., & Baldwin, C. (1993). Stability of intelligence from preschool to adolescence: The influence of social and family risk factors. Child Development, 64, 80–97.CrossRefGoogle ScholarPubMed
Seifer, R. (1995). Perils and pitfalls of high-risk research. Developmental Psychology, 31, 420–424.CrossRefGoogle Scholar
Shrout, P. E., & Bolger, N. (2002). Mediation in experimental and nonexperimental studies: New procedures and recommendations. Psychological Methods, 7, 422–445.CrossRefGoogle ScholarPubMed
Singer, L. T., Minnes, S., Short, E., Arendt, R., Farkas, K., Lewis, B., et al. (2004). Cognitive outcomes of preschool children with prenatal cocaine exposure. Journal of the American Medical Association, 291, 2448–2456.CrossRefGoogle ScholarPubMed
Singer, L. T., Salvator, A., Arendt, R., Minnes, S., Farkas, K., & Kliegman, R. (2002). Effects of cocaine/polydrug exposure and maternal psychological distress on infant birth outcomes. Neurotoxicology and Teratology, 24, 127–135.CrossRefGoogle ScholarPubMed
Sobel, M. E. (1982). Asymptotic confidence intervals for indirect effects in structural equation models. Sociological Methodology, 13, 290–312.CrossRefGoogle Scholar
Sobell, L. C., & Sobell, M. B. (1996). Timeline followback user's guide: A calendar method for assessing alcohol and drug use. Toronto: Addiction Research Foundation.Google Scholar
Sobell, M. B., Sobell, L. C., Klajmer, F., Pavan, D., & Basian, E. (1986). The reliability of a timeline method for assessing normal drinker college students' recent drinking history. Addictive Behaviors, 11, 149–162.CrossRefGoogle ScholarPubMed
Sobrian, S. K., Burton, L. E., Robinson, N. L., Ashe, W. K., James, H., Stokes, D. L., et al. (1990). Neurobehavioral and immunological effects of prenatal cocaine exposure in rats. Pharmacology Biochemistry and Behavior, 35, 617–629.CrossRefGoogle Scholar
Sood, B. G., Nordstrom, B., Covington, C., Sokol, R. J., Ager, J., Janisse, J., et al. (2005). Gender and alcohol moderate caregiver reported child behavior after prenatal cocaine. Neurotoxicology and Teratology, 27, 191–201.CrossRefGoogle ScholarPubMed
Spear, L. P., Campbell, J., Snyder, K., Silveri, M. M., & Katovic, N. M. (1998). Animal behavior models: Increased sensitivity to stressors and other environmental experiences after prenatal cocaine exposure. In Harvey, J. A. & Kosofsky, B. E. (Eds.), Cocaine: Effects on the developing brain (pp. 76–88). New York: New York Academy of Sciences.Google Scholar
Stormshak, E. A., Bierman, K. L., McMahon, R. J., Lengua, L., & the Conduct Problems Prevention Research Group. (2000). Parenting practices and child disruptive behavior problems in early elementary school. Journal of Clinical Child Psychology, 29, 17–29.CrossRefGoogle ScholarPubMed
Vernotica, E. M., Lisciotto, C. A., Rosenblatt, J. S., & Morrell, J. I. (1996). Cocaine transiently impairs maternal behavior in the rat. Behavioral Neuroscience, 110, 315–323.CrossRefGoogle ScholarPubMed
Wakschlag, L. S., & Hans, S. L. (2002). Maternal smoking during pregnancy and conduct problems in high risk youth. Development and Psychopathology, 14, 351–369.CrossRefGoogle ScholarPubMed
Warner, T. D., Behnke, M., Hou, W., Garvan, C. W., Wobie, K., & Eyler, F. D. (2006). Predicting caregiver-reported behavior problems in cocaine-exposed children at 3 years. Journal of Developmental & Behavioral Pediatrics, 27, 83–92.CrossRefGoogle ScholarPubMed
Woods, N. S., Eyler, F. D., Behnke, M., & Conlon, M. (1993). Cocaine use during pregnancy: Maternal depressive symptoms and infant neurobehavior over the first month. Infant Behavior & Development, 16, 83–98.CrossRefGoogle Scholar
Yumoto, C., Jacobson, S. W., & Jacobson, J. L. (2008). Fetal substance exposure and cumulative environmental risk in an African American cohort. Child Development, 79, 1761–1776.CrossRefGoogle Scholar
Zeanah, C. H., Boris, N. W., & Larrieu, J. A. (1997). Infant development and developmental risk: A review of the past 10 years. Journal of the American Academy of Child & Adolescent Psychiatry, 36, 165–178.CrossRefGoogle Scholar