The Effects of Prenatal Cocaine Exposure on Mother--Infant Interaction and Infant Arousal in the Newborn Period

Gottwald, Sheryl R.; Thurman, S. Kenneth

doi:10.1177/027112149401400206

Cited by 62 publications

(55 citation statements)

References 31 publications

(21 reference statements)

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“…Although group differences in other prenatal substance use and various characteristics of the child and caregiving environment did not account for the findings in this study, there may have been differences in the caregiver-child relationships that contributed to these findings. Certainly, previous studies have found that mother-infant/child dyadic interactions have been more impaired in women who use cocaine during pregnancy with cocaine abusing women being more insensitive or less responsive in the care of their infants (Eiden et al, 2002Gottwald & Thurrman, 1994;Minnes et al, 2005). Caregiver mediation of arousal and direct instruction in self-regulation are important elements in the development of age-appropriate behavioral regulation skills (Ruff & Rothbart, 1996) and these instructions and learning experiences may mediate the interactive elements of the different arousal systems (Posner & Rothbart, 2006), resulting in alterations of physiological and behavioral responses to stressors.…”

Section: Discussionmentioning

confidence: 99%

Physiological responses to social and cognitive challenges in 8‐year olds with a history of prenatal cocaine exposure

Kable

Coles

Lynch

et al. 2008

Developmental Psychobiology

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Cocaine-exposed infants have been found to have altered arousal responses but little is known about such responses in later childhood. Physiological responses to stressors were used to assess the arousal modulation of school-aged, cocaine-exposed children (n = 73) and two contrast groups, socioeconomically-matched controls (n = 58) and children with behavioral disturbance (n = 35). The behaviorally disturbed group had the highest heart rate across conditions but demonstrated a pattern of hyporesponsiveness to the stressors. They had the smallest decrement in skin conductance response at baseline and the least recovery of skin conductance response following exposure to stressors. Cocaine-exposed children demonstrated greater acceleratory responses to the stressors as indexed by their skin conductance level and were intermediate between the socioeconomically-matched controls and children with behavioral disturbance in recovery of skin conductance response following stressors. Altered arousal responses associated with prenatal cocaine exposure persisted into middle childhood but were different from those found in behaviorally disturbed children.

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Section: Discussionmentioning

confidence: 99%

Physiological responses to social and cognitive challenges in 8‐year olds with a history of prenatal cocaine exposure

Kable

Coles

Lynch

et al. 2008

Developmental Psychobiology

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“…For instance, cocaine using mothers have been reported to display higher negative affect during interactions with their infants (Burns, Chetnik, Burns, & Clark, 1991a;Eiden, 2001;LaGasse et al, 2003), and be more disengaged and passive during mother-infant interactions (Gottwald & Thurman, 1994;Molitor, Mayes, & Ward, 2003). Maternal parenting behavior plays a critical role in helping children manage their arousal and keep distress within tolerable limits in infancy.…”

Section: Indirect Effects and Moderationmentioning

confidence: 99%

Prenatal cocaine and other substance exposure: Effects on infant autonomic regulation at 7 months of age

Schuetze

Eiden

Coles

2007

Developmental Psychobiology

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This study examined the association between prenatal exposure to cocaine and autonomic regulation at 7 months of age. Heart rate (HR) and respiratory sinus arrhythmia (RSA) were obtained from 154 (79 exposed, and 75 nonexposed) infants during baseline and tasks designed to elicit positive and negative affect. Cocaine-exposed infants had higher HR during the positive affect task. There was a significant suppression of RSA during the negative affect task for nonexposed infants but not for exposed infants. Fetal growth and maternal caregiving behavior did not mediate or moderate this association. These results provide additional support for an association between prenatal cocaine exposure and dysregulation during infancy.

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“…The few studies focusing on this crucial influence on development have reported mixed results. On one hand are studies reporting that cocaine-using mothers are more likely to be disengaged from their newborns (Gottwald & Thurman, 1994) and exhibit lower responsivity and reciprocity (Burns, Chethik, Burns, & Clark, 1991). Along similar lines, a recent study of face-to-face interactions among polydrug cocaine-using mothers and their infants at 3 and 6 months of age indicated that these mothers were less attentive and engaged in fewer dyadic interactions than noncocaine or nondrug-using mothers (Mayes, Feldman, Granger, Haynes, Bornstein, & Schottenfeld, 1997).…”

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confidence: 99%

Maternal substance use and mother–infant feeding interactions

Eiden

2001

Infant Mental Health Journal

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The purpose of this study was to examine the impact of maternal polydrug cocaine use during pregnancy and associated risk factors such as maternal psychopathology and negative infant temperament on the quality of mother-infant feeding interactions at 2 months of infant age. Participants were 45 mother-infant dyads (19 cocaine-exposed and 26 nonexposed) who were recruited at birth and assessed again 2 months of infant age. Mother-infant interactions during feeding were videotaped and coded with regard to dyadic reciprocity, maternal noncontingency, and dyadic conflict. Results indicated that maternal cocaine use was associated with higher dyadic conflict. Moreover, cocaine-using mothers were also more likely to use marijuana and alcohol, and use of such substances was associated with lower dyadic reciprocity and higher maternal noncontingency during interactions. Results also suggested that one pathway to higher dyadic conflict during interactions among cocaine-using mothers was through the impact of cocaine on infant risk conditions like lower gestational age and negative temperament (e.g., higher distress to novelty). Interventions focusing on promoting the quality of mother-infant interactions in combination with substance abuse treatment may be especially promising for this population.RESUMEN: El propósito de este estudio fue el de examinar el impacto que tienen, no sólo el hecho de que la madre use cocaína durante el embarazo, sino también los factores de riesgo que se asocian con ese hecho -como la sicopatología materna y el temperamento negativo del infante-, sobre la calidad de las interacciones de alimentación entre la madre y el infante a los dos meses de nacido éste. Los participantes fueron 45 díadas de madres y sus infantes (19 que habían estado expuestas a la cocaína, y 26 que no lo habían estado), las cuales fueron reclutadas al momento del nacimiento del infante y evaluadas otra vez a los dos meses de edad del niño. Se grabaron en vídeo las interacciones entre las madres y sus hijos durante el proceso de alimentarlos, y luego se codificaron en base a la reciprocidad que presentaba la díada, la falta de contingencia de parte de la madre, y los conflictos de la díada. Los resultados indicaron que el uso materno de la cocaína se asociaba con más altos porcentajes de conflictos entre la madre y el hijo. Es más, las madres expuestas a la cocaína estaban más propensas a usar marihuana y alcohol, y el uso de tales sustancias se asoció con niveles más bajos de reciprocidad y una mayor falta de contingencia materna durante las interacciones. Los resultados también hacen pensar que uno de los medios que llevó a más altos niveles de conflicto entre las díadas, durante las interacciones de madres expuestas a la cocaína, fue el impacto de la cocaína en las condiciones de riesgo del infante, tales como una edad gestacionalThe authors thank the mothers and infants who participated in this study, and the research staff responsible for recruiting and conducting the mother-infant assessments. Special thank...

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The Effects of Prenatal Cocaine Exposure on Mother--Infant Interaction and Infant Arousal in the Newborn Period

Cited by 62 publications

References 31 publications

Physiological responses to social and cognitive challenges in 8‐year olds with a history of prenatal cocaine exposure

Physiological responses to social and cognitive challenges in 8‐year olds with a history of prenatal cocaine exposure

Prenatal cocaine and other substance exposure: Effects on infant autonomic regulation at 7 months of age

Maternal substance use and mother–infant feeding interactions

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