THE ROLE OF THE MOTHER-CHILD RELATIONSHIP IN DEVELOPMENTAL OUTCOMES OF INFANTS AND YOUNG CHILDREN WITH AND WITHOUT PRENATAL ALCOHOL EXPOSURE

被引:0
|
作者
Motz, Mary [1 ]
Espinet, Stacey D. [1 ]
Jeong, Jessica J. [2 ]
Major, Danielle [1 ]
Racine, Nicole [2 ]
Chamberlin, Julie [2 ]
Pepler, Debra J. [2 ]
机构
[1] Mothercraft, Toronto, ON, Canada
[2] York Univ, Dept Psychol, Toronto, ON, Canada
来源
JOURNAL OF POPULATION THERAPEUTICS AND CLINICAL PHARMACOLOGY | 2011年 / 18卷 / 03期
关键词
Prenatal substance exposure; cumulative risk; mother-child relationship; caregiving quality;
D O I
暂无
中图分类号
R9 [药学];
学科分类号
1007 ;
摘要
Background Prenatal alcohol exposure has been associated with deficits in many developmental areas. Effects on developmental outcomes can be exacerbated by cumulative risk across the pre-and postnatal environments. Given that the parent-infant relationship provides the primary context for healthy child development, it is possible that maternal caregiving may play a substantial role in mitigating these effects. Objectives To clarify the role of the quality of the mother-child relationship in the relation between cumulative risk and neurodevelopmental outcomes. Methods Participants were 40 infants/children and their mothers with substance-use problems who were taking part in an early mental health intervention program. Cumulative risk, across the pre-and postnatal period was measured, and quality of the mother-child relationship was rated based on clinical file reviews and observation of mother-child interactions. Outcome measures were infant/child IQ, and neurobehavioral functioning rated across several developmental domains. Results The quality of the mother-child relationship mediated the direct relation between cumulative risk and neurobehavioral functioning, and cumulative risk was related with IQ indirectly through the mother-child relationship. Conclusions These findings indicate an important role for quality of the mother-child relationship in determining outcomes for infants and young children of substance-using women, and emphasize the need to consider both the larger context of risk, as well as the mother-child relationship for best intervention outcomes.
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页码:E544 / E563
页数:20
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