Behavioral development in children with prenatal substance exposure and neonatal abstinence syndrome: Associated factors and implications. Issue 2 (10th April 2020)

• Record Type: Journal Article
• Authors: Miller, Jennifer S.; Anderson, Joel G.; Lindley, Lisa C.
• Is Part Of: Journal of child and adolescent psychiatric nursing. Volume 33:Issue 2(2020)
• Page Start: 67
• Page End: 76
• Publication Date: 2020-04-10
• Subjects: behavioral development -- neonatal abstinence syndrome -- opioid‐related disorders; Child psychiatric nursing -- Periodicals; Adolescent psychiatric nursing -- Periodicals; Child mental health -- Periodicals; Teenagers -- Mental health -- Periodicals; Child mental health -- United States -- Periodicals; Teenagers -- Mental health -- United States -- Periodicals; 618.92890231
• DOI: 10.1111/jcap.12273
• Languages: English
• ISSNs: 1073-6077

Abstract

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.