A conceptual model of the association between prenatal cocaine exposure (PCE) and child selfregulation via maternal harshness and language development was examined. Specifically, the model tested whether PCE was associated with self-regulation either directly or indirectly via high maternal harshness and poor language development. The role of child sex, autonomic reactivity, and cumulative environmental risk as potential moderators was also explored. The sample was 216 mother-child dyads recruited at birth and assessed at 2, 7, 13, 24, 36, and 48 months of child ages. Participating mothers were primarily African American (72%). Results indicated a significant indirect association between PCE and child effortful control at 36 months via higher maternal harshness. Autonomic reactivity moderated the association between maternal harshness and self-regulation, such that among children with poor autonomic reactivity, high maternal harshness was associated with lower conscience at 3 years. Child sex and environmental risk did not moderate the association between PCE and self-regulation. Thus, the quality of caregiving experience played a significant role in the development of self-regulation among PCE children, especially those at higher autonomic risk. In particular, PCE children who also exhibit poor autonomic reactivity may be particularly susceptible to environmental influences such as parenting. Publisher's Disclaimer: This is a PDF file of an unedited manuscript that has been accepted for publication. As a service to our customers we are providing this early version of the manuscript. The manuscript will undergo copyediting, typesetting, and review of the resulting proof before it is published in its final citable form. Please note that during the production process errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain.
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Prenatal Cocaine and Child RegulationAlthough initial reports of highly impaired "crack babies" have not been borne out by systematic research on the effects of prenatal cocaine exposure (PCE), well controlled prospective studies indicate significant effects of cocaine on the arousal/attention regulatory system (Lester & Padbury, 2009). Indeed, this is one of the most consistent findings in the cocaine literature across multiple stages of development ranging from the neonatal period to adolescence including diverse methods such as parent reports, behavioral measures, and autonomic reactivity (e.g., Bendersky & Lewis, 1998;Carmody, Bennett, & Lewis, 2011;Coles, Bard, Platzman, & Lynch, 1999;Karmel & Gardner, 1996;Li et al., 2009; Schuetze & Eiden, 2006;Schuetze, Eiden, & Danielewicz, 2009). Recent brain imaging studies have indicated potential mechanisms explaining these associations such as reduction of amygdala response to emotional stimuli during a task demanding high cognitive load among control children, but not among PCE children (Li et al., 2009) and lower ventral prefrontal cortex activation in respon...