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Cited by 13Prenatal Substance Exposure EffectsChild Abuse and TraumaChild Welfare and Adoption

Establishing clinically and theoretically grounded cross-domain cumulative risk and protection scores in sibling groups exposed prenatally to substances

Bondi, Bianca C., Pepler, Debra J., Motz, Mary, Andrews, Naomi C.Z.·2020·Child Abuse & Neglect
DOI 10.1016/j.chiabu.2020.104631
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Abstract

Background Prenatal substance exposure is associated with neurodevelopmental deficits. Deficits are exacerbated by cumulative risks yet attenuated by cumulative protective factors. Cross-domain relative to intra-domain risk exposure presents more neurodevelopmental challenges. Cumulative risk and protection scores must be clinically and theoretically grounded, with cross-domain considerations.Objectives 1) Create clinically and theoretically grounded, cross-domain cumulative risk and protection scores; 2) Describe the benefits of our methodological approach.Participants & setting This study included three sibling groups (N = 8) at Mothercraft's Breaking the Cycle, a child maltreatment prevention and early intervention program for substance using mothers and their children.Method We outlined the process of establishing clinically and theoretically grounded, cross-domain cumulative risk and protection scores. Total and cross-domain cumulative risk and protection percentages, and the balance between domains of risk and protection, were explored.Results Clinically and theoretically grounded, cross-domain cumulative risk and protection scores were established. Total percentages were reported. Cross-domain profiles of cumulative risk and protection, and the number of significant domains of risk relative to protection, were reported. The cross-domain profiles facilitated consideration of intra- and inter-domain risk and protection within and between sibling groups.Conclusions Emerging patterns indicate the importance of establishing cumulative risk and protection scores that are: 1) clinically and theoretically grounded, 2) cross-domain, and 3) encompass cumulative protection and risk. In understanding profiles of risk and protection, we can inform evidence-based early interventions that address: 1) high-risk children, 2) the full range of risks, 3) vulnerable domains, and 4) protective factors.

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Authors
Bondi, B. C., Pepler, D. J., Motz, M., & Andrews, N. C. Z.
Affiliations
  • York University (CA)
  • Brock University (CA)
Corresponding author
Bondi, Bianca C.
ORCID
Venue
Child Abuse & Neglect
Publisher
Elsevier BV
Published
2020-10
Volume
108
Pages
104631
ISSN
0145-2134 (ISSN-L)
DOI
10.1016/j.chiabu.2020.104631
OpenAlex
W3046894890
Cited by
13
References
45
Citations by year
2025: 4 · 2024: 3 · 2023: 1 · 2022: 1 · 2021: 3 · 2020: 1
FWCI
1.45
Type
journal article
Language
en
Open access
closed
Licence
Locations
  • Child Abuse & Neglect (publishedVersion)
  • PubMed (publishedVersion)
Funders
Canadian Institutes of Health Research
Topics
  • Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Prenatal Substance Exposure Effects
  • Social Sciences › Psychology › Clinical Psychology › Child Abuse and Trauma
  • Social Sciences › Safety Research › Child Welfare and Adoption
Keywords
prenatal drug exposure, cumulative risk, protective factors, sibling groups, child abuse prevention, early intervention, neurodevelopmental deficits
MeSH terms
Adult, Child, Child, Preschool, Female, Humans, Infant, Infant, Newborn, Male, Mothers, Parent-Child Relations, Pregnancy, Prenatal Exposure Delayed Effects, Retrospective Studies, Risk Factors, Siblings

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