Developmental trajectories of cocaine-and-other-drug-exposed and non-cocaine-exposed children

J Dev Behav Pediatr. 2003 Oct;24(5):323-35. doi: 10.1097/00004703-200310000-00003.

Abstract

Few data are available concerning the trajectories of mental and motor development across time for cocaine-exposed children compared with others. Findings are presented from individual group curve analyses of the mental and motor development measured by the Bayley Scales of Infant Development-II (BSID-II) on repeated visits from 3 through 36 months of a group of prenatally cocaine-and-other-drug-exposed children (n = 265) compared with those exposed to no drugs (n = 129) or no-cocaine-but-other-drugs (n = 66), including alcohol and/or tobacco. Across time, there was a general decline in motor performance but cocaine-exposed-infants showed a trend toward a greater decrease than children in the other two comparison groups. For mental performance, there was also a decline across age but only through 24 months and no differences in the trajectory of the cocaine-exposed group compared to the other two. And, across all assessment ages, cocaine-exposed-infants showed lower BSID-II mental performance compared to both non-drug and non-cocaine-exposed children. Results suggest that prenatally cocaine-exposed children show delayed developmental indices, particularly in their mental performance, but their trajectories across time are similar to those from impoverished, non-cocaine-exposed groups.

Publication types

  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Child
  • Child Development / drug effects*
  • Cocaine / adverse effects*
  • Female
  • Humans
  • Infant
  • Mental Processes / drug effects
  • Motor Skills / drug effects
  • Pregnancy
  • Prenatal Exposure Delayed Effects*
  • Substance-Related Disorders*
  • Time Factors

Substances

  • Cocaine