“…R. Stroud, R. L. Paster, M. S. Goodwin, et al, 2009). We found decreased ability to self-regulate reactions to environmental stimuli (self-regulation/need for external handling), decreased ability to attend to stimuli (attention), and altered motor activity (lethargy) in MSDP-exposed vs. comparison infants (Law et al, 2003; Stroud, Papandonatos, Salisbury, et al, 2016; Stroud, Paster, Papandonatos, et al, 2009). Additional studies have found increased odds of MSDP exposure in NNNS profiles characterized by altered arousal, activity, muscle tone, attention, and signs of stress (Appleton et al, 2016; Liu et al, 2010).…”