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Prenatal cocaine exposure and self-reported behavioral adjustments from ages 12 to 21: environmental pathways
In a birth-cohort study, we followed offspring with prenatal cocaine exposure (PCE) to investigate longitudinal associations of PCE with self-reported behavioral adjustment from early adolescence to emerging adulthood (EA). Environmental pathways (family functioning, non-kinship care, maltreatment)...
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| Published in: | Psychological medicine 2024-03, Vol.54 (4), p.721-731 |
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| container_end_page | 731 |
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| container_title | Psychological medicine |
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| creator | Min, Meeyoung O Albert, Jeffrey M Minnes, Sonia Kim, June-Yung Kim, Sun-Kyung Singer, Lynn T |
| description | In a birth-cohort study, we followed offspring with prenatal cocaine exposure (PCE) to investigate longitudinal associations of PCE with self-reported behavioral adjustment from early adolescence to emerging adulthood (EA). Environmental pathways (family functioning, non-kinship care, maltreatment) were specified as potential mediators of PCE.
Participants were 372 (190 PCE; 47% male), primarily Black, low socioeconomic status, enrolled at birth. Internalizing and externalizing behaviors were assessed using Youth Self-Report at ages 12 and 15 and Adult Self-Report at age 21. Extended random-intercept cross-lagged panel modeling was used to account for potential bidirectional relationships between internalizing and externalizing behaviors over time, examining potential mediators.
Adjusting for covariates, significant indirect effects were found for each mediator at different ages. For family functioning, these were both internalizing (
= 0.83,
= 0.04) and externalizing behaviors (
= 1.58,
= 0.02) at age 12 and externalizing behaviors at age 15 (
= 0.51,
= 0.03); for non-kinship care, externalizing behaviors at ages 12 (
= 0.63,
= 0.02) and 15 (
= 0.20,
= 0.03); and for maltreatment, both internalizing and externalizing behaviors at ages 15 (
= 0.64,
= 0.02 for internalizing;
= 0.50,
= 0.03 for externalizing) and 21 (
= 1.39,
= 0.01 for internalizing;
= 1.11,
= 0.01 for externalizing). Direct associations of PCE with internalizing and externalizing behaviors were not observed, nor cross-lagged relationships between internalizing and externalizing behaviors.
Negative associations of PCE with behavioral adjustment persist into EA via environmental pathways, specifying intervention points to disrupt adverse pathways toward healthy development. |
| doi_str_mv | 10.1017/S0033291723002404 |
| format | article |
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Participants were 372 (190 PCE; 47% male), primarily Black, low socioeconomic status, enrolled at birth. Internalizing and externalizing behaviors were assessed using Youth Self-Report at ages 12 and 15 and Adult Self-Report at age 21. Extended random-intercept cross-lagged panel modeling was used to account for potential bidirectional relationships between internalizing and externalizing behaviors over time, examining potential mediators.
Adjusting for covariates, significant indirect effects were found for each mediator at different ages. For family functioning, these were both internalizing (
= 0.83,
= 0.04) and externalizing behaviors (
= 1.58,
= 0.02) at age 12 and externalizing behaviors at age 15 (
= 0.51,
= 0.03); for non-kinship care, externalizing behaviors at ages 12 (
= 0.63,
= 0.02) and 15 (
= 0.20,
= 0.03); and for maltreatment, both internalizing and externalizing behaviors at ages 15 (
= 0.64,
= 0.02 for internalizing;
= 0.50,
= 0.03 for externalizing) and 21 (
= 1.39,
= 0.01 for internalizing;
= 1.11,
= 0.01 for externalizing). Direct associations of PCE with internalizing and externalizing behaviors were not observed, nor cross-lagged relationships between internalizing and externalizing behaviors.
Negative associations of PCE with behavioral adjustment persist into EA via environmental pathways, specifying intervention points to disrupt adverse pathways toward healthy development.</description><identifier>ISSN: 0033-2917</identifier><identifier>EISSN: 1469-8978</identifier><identifier>DOI: 10.1017/S0033291723002404</identifier><identifier>PMID: 37614188</identifier><language>eng</language><publisher>England: Cambridge University Press</publisher><subject>Addictive behaviors ; Adjustment ; Adolescent ; Adolescent Behavior ; Adolescents ; Adult ; Age ; Alcohol ; Associations ; Attachment ; Babies ; Behavior ; Bidirectionality ; Caregivers ; Child ; Child abuse & neglect ; Child development ; Childbirth & labor ; Children & youth ; Cocaine ; Cocaine - adverse effects ; Cohort analysis ; Cohort Studies ; Conflict resolution ; Drug use ; Environmental aspects ; Families & family life ; Family relations ; Feces ; Female ; Genetic crosses ; Home environment ; Humans ; Indirect effects ; Infant, Newborn ; Internalization ; Kinship care ; Life transitions ; Longitudinal Studies ; Low income groups ; Male ; Mediation ; Newborn babies ; Pregnancy ; Prenatal care ; Prenatal experience ; Prenatal exposure ; Self Report ; Socioeconomic status ; Teenagers ; Tobacco ; Urine ; Womens health ; Young Adult</subject><ispartof>Psychological medicine, 2024-03, Vol.54 (4), p.721-731</ispartof><rights>Copyright © The Author(s), 2023. Published by Cambridge University Press. This work is licensed under the Creative Commons Attribution License This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution and reproduction, provided the original article is properly cited. (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c281t-422333d78e5849498fcba574800fa5880ae7ee35733db6997e552b38244108713</cites><orcidid>0000-0003-3584-6690</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.proquest.com/docview/3030966234/fulltextPDF?pq-origsite=primo$$EPDF$$P50$$Gproquest$$H</linktopdf><linktohtml>$$Uhttps://www.proquest.com/docview/3030966234?pq-origsite=primo$$EHTML$$P50$$Gproquest$$H</linktohtml><link.rule.ids>314,776,780,12825,21373,21374,27321,27901,27902,30976,33588,33589,33751,34507,34508,43709,44091,74192,74610</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/37614188$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Min, Meeyoung O</creatorcontrib><creatorcontrib>Albert, Jeffrey M</creatorcontrib><creatorcontrib>Minnes, Sonia</creatorcontrib><creatorcontrib>Kim, June-Yung</creatorcontrib><creatorcontrib>Kim, Sun-Kyung</creatorcontrib><creatorcontrib>Singer, Lynn T</creatorcontrib><title>Prenatal cocaine exposure and self-reported behavioral adjustments from ages 12 to 21: environmental pathways</title><title>Psychological medicine</title><addtitle>Psychol Med</addtitle><description>In a birth-cohort study, we followed offspring with prenatal cocaine exposure (PCE) to investigate longitudinal associations of PCE with self-reported behavioral adjustment from early adolescence to emerging adulthood (EA). Environmental pathways (family functioning, non-kinship care, maltreatment) were specified as potential mediators of PCE.
Participants were 372 (190 PCE; 47% male), primarily Black, low socioeconomic status, enrolled at birth. Internalizing and externalizing behaviors were assessed using Youth Self-Report at ages 12 and 15 and Adult Self-Report at age 21. Extended random-intercept cross-lagged panel modeling was used to account for potential bidirectional relationships between internalizing and externalizing behaviors over time, examining potential mediators.
Adjusting for covariates, significant indirect effects were found for each mediator at different ages. For family functioning, these were both internalizing (
= 0.83,
= 0.04) and externalizing behaviors (
= 1.58,
= 0.02) at age 12 and externalizing behaviors at age 15 (
= 0.51,
= 0.03); for non-kinship care, externalizing behaviors at ages 12 (
= 0.63,
= 0.02) and 15 (
= 0.20,
= 0.03); and for maltreatment, both internalizing and externalizing behaviors at ages 15 (
= 0.64,
= 0.02 for internalizing;
= 0.50,
= 0.03 for externalizing) and 21 (
= 1.39,
= 0.01 for internalizing;
= 1.11,
= 0.01 for externalizing). Direct associations of PCE with internalizing and externalizing behaviors were not observed, nor cross-lagged relationships between internalizing and externalizing behaviors.
Negative associations of PCE with behavioral adjustment persist into EA via environmental pathways, specifying intervention points to disrupt adverse pathways toward healthy development.</description><subject>Addictive behaviors</subject><subject>Adjustment</subject><subject>Adolescent</subject><subject>Adolescent Behavior</subject><subject>Adolescents</subject><subject>Adult</subject><subject>Age</subject><subject>Alcohol</subject><subject>Associations</subject><subject>Attachment</subject><subject>Babies</subject><subject>Behavior</subject><subject>Bidirectionality</subject><subject>Caregivers</subject><subject>Child</subject><subject>Child abuse & neglect</subject><subject>Child development</subject><subject>Childbirth & labor</subject><subject>Children & youth</subject><subject>Cocaine</subject><subject>Cocaine - adverse effects</subject><subject>Cohort analysis</subject><subject>Cohort Studies</subject><subject>Conflict resolution</subject><subject>Drug use</subject><subject>Environmental aspects</subject><subject>Families & family life</subject><subject>Family relations</subject><subject>Feces</subject><subject>Female</subject><subject>Genetic crosses</subject><subject>Home environment</subject><subject>Humans</subject><subject>Indirect effects</subject><subject>Infant, Newborn</subject><subject>Internalization</subject><subject>Kinship care</subject><subject>Life transitions</subject><subject>Longitudinal Studies</subject><subject>Low income groups</subject><subject>Male</subject><subject>Mediation</subject><subject>Newborn babies</subject><subject>Pregnancy</subject><subject>Prenatal care</subject><subject>Prenatal experience</subject><subject>Prenatal exposure</subject><subject>Self Report</subject><subject>Socioeconomic status</subject><subject>Teenagers</subject><subject>Tobacco</subject><subject>Urine</subject><subject>Womens health</subject><subject>Young 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cocaine exposure and self-reported behavioral adjustments from ages 12 to 21: environmental pathways</title><author>Min, Meeyoung O ; Albert, Jeffrey M ; Minnes, Sonia ; Kim, June-Yung ; Kim, Sun-Kyung ; Singer, Lynn T</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c281t-422333d78e5849498fcba574800fa5880ae7ee35733db6997e552b38244108713</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Addictive behaviors</topic><topic>Adjustment</topic><topic>Adolescent</topic><topic>Adolescent Behavior</topic><topic>Adolescents</topic><topic>Adult</topic><topic>Age</topic><topic>Alcohol</topic><topic>Associations</topic><topic>Attachment</topic><topic>Babies</topic><topic>Behavior</topic><topic>Bidirectionality</topic><topic>Caregivers</topic><topic>Child</topic><topic>Child abuse & neglect</topic><topic>Child development</topic><topic>Childbirth & labor</topic><topic>Children & 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and BioEngineering Abstracts</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest One Psychology</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><jtitle>Psychological medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Min, Meeyoung O</au><au>Albert, Jeffrey M</au><au>Minnes, Sonia</au><au>Kim, June-Yung</au><au>Kim, Sun-Kyung</au><au>Singer, Lynn T</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Prenatal cocaine exposure and self-reported behavioral adjustments from ages 12 to 21: environmental pathways</atitle><jtitle>Psychological medicine</jtitle><addtitle>Psychol Med</addtitle><date>2024-03-01</date><risdate>2024</risdate><volume>54</volume><issue>4</issue><spage>721</spage><epage>731</epage><pages>721-731</pages><issn>0033-2917</issn><eissn>1469-8978</eissn><abstract>In a birth-cohort study, we followed offspring with prenatal cocaine exposure (PCE) to investigate longitudinal associations of PCE with self-reported behavioral adjustment from early adolescence to emerging adulthood (EA). Environmental pathways (family functioning, non-kinship care, maltreatment) were specified as potential mediators of PCE.
Participants were 372 (190 PCE; 47% male), primarily Black, low socioeconomic status, enrolled at birth. Internalizing and externalizing behaviors were assessed using Youth Self-Report at ages 12 and 15 and Adult Self-Report at age 21. Extended random-intercept cross-lagged panel modeling was used to account for potential bidirectional relationships between internalizing and externalizing behaviors over time, examining potential mediators.
Adjusting for covariates, significant indirect effects were found for each mediator at different ages. For family functioning, these were both internalizing (
= 0.83,
= 0.04) and externalizing behaviors (
= 1.58,
= 0.02) at age 12 and externalizing behaviors at age 15 (
= 0.51,
= 0.03); for non-kinship care, externalizing behaviors at ages 12 (
= 0.63,
= 0.02) and 15 (
= 0.20,
= 0.03); and for maltreatment, both internalizing and externalizing behaviors at ages 15 (
= 0.64,
= 0.02 for internalizing;
= 0.50,
= 0.03 for externalizing) and 21 (
= 1.39,
= 0.01 for internalizing;
= 1.11,
= 0.01 for externalizing). Direct associations of PCE with internalizing and externalizing behaviors were not observed, nor cross-lagged relationships between internalizing and externalizing behaviors.
Negative associations of PCE with behavioral adjustment persist into EA via environmental pathways, specifying intervention points to disrupt adverse pathways toward healthy development.</abstract><cop>England</cop><pub>Cambridge University Press</pub><pmid>37614188</pmid><doi>10.1017/S0033291723002404</doi><tpages>11</tpages><orcidid>https://orcid.org/0000-0003-3584-6690</orcidid><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
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| ispartof | Psychological medicine, 2024-03, Vol.54 (4), p.721-731 |
| issn | 0033-2917 1469-8978 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_2923168007 |
| source | Applied Social Sciences Index & Abstracts (ASSIA); Social Science Premium Collection; Sociology Collection; Cambridge University Press; Sociological Abstracts |
| subjects | Addictive behaviors Adjustment Adolescent Adolescent Behavior Adolescents Adult Age Alcohol Associations Attachment Babies Behavior Bidirectionality Caregivers Child Child abuse & neglect Child development Childbirth & labor Children & youth Cocaine Cocaine - adverse effects Cohort analysis Cohort Studies Conflict resolution Drug use Environmental aspects Families & family life Family relations Feces Female Genetic crosses Home environment Humans Indirect effects Infant, Newborn Internalization Kinship care Life transitions Longitudinal Studies Low income groups Male Mediation Newborn babies Pregnancy Prenatal care Prenatal experience Prenatal exposure Self Report Socioeconomic status Teenagers Tobacco Urine Womens health Young Adult |
| title | Prenatal cocaine exposure and self-reported behavioral adjustments from ages 12 to 21: environmental pathways |
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