The effects of polydrug use with and without cocaine on mother-infant interaction at 3 and 6 months
Open accessAbstract
The face-to-face interactions of 43 polydrug-with-cocaine-using mothers and their infants at 3 and 6 months were compared to 17 non-cocaine-but other-drug-using mothers and 21 mothers who used no drugs during their pregnancy. Coders blind to mothers' drug use status scored 3 min of face-to-face interactions for 16 measures of maternal and infant interactive behaviors. A principal component of 7 behaviors formed a measure of maternal attentiveness; a principal component of 5 behaviors formed a measure of mother-infant dyadic organization; and a principal component of 4 behaviors formed a measure of infant readiness to interact. A measure of maternal interruption was computed as the mean standard score of 3 additional interruptive behaviors. At 3 and 6 months, polydrug-with-cocaine-using mothers were less attentive to interactions, and polydrug-with-cocaine-using mothers and their infants engaged in fewer dyadic interactions than either non-cocaine or non-drug-using mothers. Compared to 3 months, polydrug-with-cocaine-using mothers at 6 months were less attentive to interactions and more frequently interrupted interactions by looking away, redirecting the infant, or withdrawing, whereas non-cocaine-using and non-drug- using mothers showed no change or an improvement in attentiveness to interactions and a decrease in interruptions. No differences emerged in the interactive behaviors of the infants of polydrug- with-cocaine-using, non-cocaine-using, or non-drug-using mothers. Cocaine use represents a significant risk for diminished parental attentiveness and responsiveness to infants and for diminished interactiveness in infants.
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Factors that restrict a mother's ability to respond to her baby's cues, such as depression, substance abuse, or prolonged mother-infant separation, may result in adverse developmental outcomes for children.
“Factors that restrict a mother’s ability to respond to her baby’s cues, such as depression (11), substance abuse (12) or even prolonged mother-infant separation (13) may result in adverse developmental outcomes for children (11;12;14;15).”
From What’s in a smile? Maternal brain responses to infant facial cues (2008) · cites this paper as [12]
Addiction problems in mothers are associated with a range of major parenting difficulties, often resulting in child abuse and neglect.
“Addiction problems in mothers are associated with a range of major parenting difficulties, often resulting in child abuse and neglect (Mayes et al., 1997; Strathearn and Mayes, 2010).”
From The maternal brain and its plasticity in humans (2016) · cites this paper as Mayes et al., 1997
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Self-citation
- Authors
- Mayes, L. C., Feldman, R., Granger, R. H., Haynes, O. M., Bornstein, M. H., & Schottenfeld, R.
- Affiliations
- Yale University (US)
- Eunice Kennedy Shriver National Institute of Child Health and Human Development (US)
- Corresponding author
- Mayes, Linda C.
- Venue
- Infant Behavior and Development
- Publisher
- Elsevier BV
- Published
- 1997-10
- Volume
- 20
- Issue
- 4
- Pages
- 489-502
- ISSN
- 0163-6383 (ISSN-L)
- OpenAlex
- W2037602928
- Cited by
- 89
- References
- 70
- Citations by year
- 2025: 1 · 2024: 3 · 2022: 1 · 2021: 1 · 2020: 2 · 2019: 5 · 2018: 5 · 2017: 3 · 2016: 2 · 2015: 3 · 2014: 1 · 2013: 5 · 2012: 4
- FWCI
- 1.72
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- Locations
- Infant Behavior and Development (publishedVersion, cc-by-nc-nd)
- Topics
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Prenatal Substance Exposure Effects
- Social Sciences › Demography › Youth, Drugs, and Violence
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Maternal Mental Health During Pregnancy and Postpartum
- Keywords
- polydrug use, cocaine use during pregnancy, mother-infant interaction, maternal responsiveness, dyadic interaction, prenatal drug exposure, infant development
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