Conceptual issues in behavioral teratology and their application in determining long‐term sequelae of prenatal marihuana exposure
Abstract
Background: Behavioral teratology, particularly as it is applied to the evaluation of cognition and behavior of children beyond the toddler stage, has become an area of burgeoning activity. In the area of drug abuse, children exposed in utero are often at developmental peril because of non‐drug pre‐ and postnatal risk factors that make a causal association between the drug of interest and a behavioral teratogenic outcome increasingly problematic as the child gets older. Methods: In the first portion of this review, the strategies that behavioral teratologists have undertaken to investigate the putative consequences of in utero exposure are discussed in terms of research design, statistical methods and interpretative approaches. In the second part of the paper, the relatively limited literature dealing with the behavioral teratological consequences of prenatal marihuana exposure, particularly in school age offspring, is reviewed. Results: An emergent theme arising from primarily two longitudinal investigations is that in utero cannabis exposure does not impact upon standardized derived IQ scores but is negatively associated with attentional behavior and visual analysis/hypothesis testing. These findings are interpreted as supporting the hypothesis that, among offspring beyond the toddler stage, prenatal marihuana exposure has a negative influence on aspects of executive function. Executive function is a `top‐down', multifaceted cognitive construct involved in organizing and integrating specific cognitive and output processes over a interval of time and is largely mediated by the late developing, prefrontal region of the brain. Conclusions: The results and the interpretation of the prenatal marihuana findings are discussed in terms of the behavioral teratogenic effects (or lack of effects) during the various developmental stages of the offspring, the non‐unitary nature of executive function, cannabis receptors, and the consequences of chronic marihuana use in the non‐pregnant population.
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Maternal exposure to cannabis can adversely affect conception and/or maintenance of pregnancy.
“Maternal exposure to cannabis can adversely affect conception and/or maintenance of pregnancy.122–124”
From Clinical Practice Guidelines for Cannabis and Cannabinoid-Based Medicines in the Management of Chronic Pain and Co-Occurring Conditions (2024) · cites this paper as [123]
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Clinical Implications of Smoking: Determining Long-Term Teratogenicity
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Self-citationProspective, Longitudinal Assessment of Developmental Neurotoxicity
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Behavioral Evaluation of the Older Infant and Child
Fried, P. A. (1998) · Elsevier eBooks · doi:10.1016/b978-012648860-9/50034-0 · Cited by 12 · see citing works
Self-citationA comparison of the effects of prenatal marijuana, alcohol, and cocaine use on 10-year child outcome
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Cocaine: friend or foe? (Part 1).
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Epidemiologic Studies of the Effects of Prenatal Cocaine Exposure on Child Development and Behavior
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Developmental Evaluation of the Older Infant and Child
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Who Is It Going To Be? Subject Selection Issues in Prenatal Drug Exposure Research
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Self-citationBeeghly (1994) · doi:10.1002/1097-0355(199422)15:2
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Huizink, A. C., & Mulder, E. J. H. (2006) · Neuroscience & Biobehavioral Reviews · doi:10.1016/j.neubiorev.2005.04.005 · Cited by 468 · see citing works
Fried, P. A., Watkinson, B., & Gray, R. (2003) · Neurotoxicology and Teratology · doi:10.1016/s0892-0362(03)00029-1 · Cited by 458 · see citing works
Self-citationCannabis and the developing brain: Insights from behavior
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Bell, A. D., MacCallum, C., Margolese, S., Walsh, Z., Wright, P., Daeninck, P. J., Mandarino, E., Lacasse, G., Kaur Deol, J., de Freitas, L., et al. (2024) · Cannabis & Cannabinoid Research · doi:10.1089/can.2021.0156 · Cited by 78 · see citing works
- Authors
- Fried, P. A.
- Affiliations
- Carleton University (CA)
- Corresponding author
- Fried, P.A.
- ORCID
- Fried, P.A.
- Venue
- Journal of Child Psychology and Psychiatry
- Publisher
- Wiley
- Published
- 2002-01
- Volume
- 43
- Issue
- 1
- Pages
- 81-102
- ISSN
- 0021-9630 (ISSN-L)
- 1469-7610
- OpenAlex
- W2080358386
- Cited by
- 96
- References
- 129
- Citations by year
- 2025: 1 · 2024: 2 · 2023: 2 · 2022: 3 · 2021: 2 · 2020: 2 · 2019: 4 · 2018: 6 · 2017: 2 · 2016: 4 · 2015: 4 · 2014: 6 · 2013: 4 · 2012: 7
- FWCI
- 0.83
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Child Psychology and Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Prenatal Substance Exposure Effects
- Health Sciences › Medicine › Pharmacology › Cannabis and Cannabinoid Research
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Maternal Mental Health During Pregnancy and Postpartum
- Keywords
- behavioral teratology, prenatal cannabis exposure, prenatal drug exposure, executive function, attention, IQ, elementary school students, prefrontal cortex, chronic cannabis use, developmental risk factors, longitudinal study design
- MeSH terms
- Adolescent, Marijuana Abuse, Child Behavior Disorders, Cognition Disorders, Female, Follow-Up Studies, Humans, Male, Mothers, Neuropsychological Tests, Pregnancy, Prenatal Exposure Delayed Effects, Teratology
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Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
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