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Behavioral development in children with prenatal substance exposure and neonatal abstinence syndrome: Associated factors and implications.
- Source :
-
Journal of Child & Adolescent Psychiatric Nursing . May2020, Vol. 33 Issue 2, p67-76. 10p. 3 Charts, 1 Graph. - Publication Year :
- 2020
-
Abstract
- Problem: Prenatal substance exposure and neonatal abstinence syndrome (NAS) are risk factors for adverse behavioral outcomes in children at 24 months of age. Methods: The purpose of this study was to examine factors associated with abnormal behavioral development in children with prenatal substance exposure or NAS through 10 years of age. A retrospective, nonexperimental, longitudinal design to examine the effects of prenatal substance exposure and NAS on behavioral development at 1, 5, and 10 years of age, while controlling for intrapersonal, interpersonal, community, organizational, and public policy characteristics. A hierarchical multivariate logistic regression model was used to evaluate the influence of substance exposure and NAS on behavioral outcomes. Findings: Abnormal behavioral development was predicted at 10 years of age with polysubstance exposure to three substances (odds ratio [OR] = 2.711, p < 0.01) and NAS (OR = 2.077, p <.001). Conclusion: Psychiatric nursing care for children with prenatal substance exposure and NAS should include implementation of early and continued behavioral evaluation and childhood trauma and adversity surveillance in children through middle childhood. [ABSTRACT FROM AUTHOR]
- Subjects :
- *AGE distribution
*BEHAVIOR disorders in children
*CANNABIS (Genus)
*CHI-squared test
*COCAINE
*COMPARATIVE studies
*CONFIDENCE intervals
*STATISTICAL correlation
*ETHANOL
*LONGITUDINAL method
*NARCOTICS
*SCIENTIFIC observation
*RESEARCH funding
*RISK assessment
*SUBSTANCE abuse in pregnancy
*MULTIPLE regression analysis
*TOBACCO products
*RETROSPECTIVE studies
*NEONATAL abstinence syndrome
*DATA analysis software
*DESCRIPTIVE statistics
*PRENATAL exposure delayed effects
*ODDS ratio
*MANN Whitney U Test
*DISEASE complications
*CHILDREN
Subjects
Details
- Language :
- English
- ISSN :
- 10736077
- Volume :
- 33
- Issue :
- 2
- Database :
- Academic Search Index
- Journal :
- Journal of Child & Adolescent Psychiatric Nursing
- Publication Type :
- Academic Journal
- Accession number :
- 143169752
- Full Text :
- https://doi.org/10.1111/jcap.12273