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June 1995, Vol 149, No. 6 >
Article | June 1995

What Is Important About a Study of Within-Group Differences of 'Cocaine Babies'? FREE

Barbara J. Howard, MD; Karen J. O'Donnell, PhD
Arch Pediatr Adolesc Med. 1995;149(6):663-664. doi:10.1001/archpedi.1995.02170190073013.
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THE Article by Hofkosh and colleagues1 in this month's Archives is important primarily because of the approach that underlies its null results. Although this study had no control group, it makes a contribution by presenting a different and much needed way of looking at prenatal exposure to drugs. Children of drugabusing mothers recently have been described in the lay press by expressions such as "without the human emotions of empathy," "so hyperactive as to be unmanageable in the regular classroom," and doomed to become "sociopaths." Medical professionals can bring these assumptions and judgments to the care of families with a substance-abusing parent, compromising their ability to see the individual strengths and needs of parents and children.

In the study by Hofkosh et al,1 the strengths of many of the mothers and children are evident. For the 144 cocaine-abusing mothers and their infants, the mean developmental score of

REFERENCES

1 +
Hofkosh D, Pringle JL, Wald HP, Switala J, Hinderliter SA, Hamel SC.  Early interactions oetween drug-involved mothers and infants: within-group differences . Arch Pediatr Adolesc Med . 1995;;149:665-672.
2 +
Barnard KE. Nursing Child Assessment Feeding Scales . Seattle, Wash: Nursing Child Assessment Satellite Training Publications; 1978;.
3 +
Caldwell BM. The Home Observation for Measurement of the Environment Inventory: Birth to Three Years . Seattle, Wash: Nursing Child Assessment Satellite Training Publications; 1978;.
4 +
Chasnoff L, Griffith D, Freir C, Murray J.  Cocaine/polydrug use in pregnancy: two-year follow-up . Pediatrics . 1992;;89:284-289.
5 +
Bayley N. Bayley Scales of Infant Development . New York, NY: The Psychological Corp; 1969;.
6 +
Sameroff AJ, Fiese BH.  Transactional regulation and early intervention . In: Meisels SJ, Shonkoff JP, eds. Handbook of Early Childhood Intervention . Cambridge, England: Cambridge University Press; 1990;:119-149.
7 +
American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders, Revised Third Edition . Washington, DC: American Psychiatric Association; 1987;.

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Country-Specific Mortality and Growth Failure in Infancy and Yound Children and Association With Material Stature

Use interactive graphics and maps to view and sort country-specific infant and early dhildhood mortality and growth failure data and their association with maternal

References

1 +
Hofkosh D, Pringle JL, Wald HP, Switala J, Hinderliter SA, Hamel SC.  Early interactions oetween drug-involved mothers and infants: within-group differences . Arch Pediatr Adolesc Med . 1995;;149:665-672.
2 +
Barnard KE. Nursing Child Assessment Feeding Scales . Seattle, Wash: Nursing Child Assessment Satellite Training Publications; 1978;.
3 +
Caldwell BM. The Home Observation for Measurement of the Environment Inventory: Birth to Three Years . Seattle, Wash: Nursing Child Assessment Satellite Training Publications; 1978;.
4 +
Chasnoff L, Griffith D, Freir C, Murray J.  Cocaine/polydrug use in pregnancy: two-year follow-up . Pediatrics . 1992;;89:284-289.
5 +
Bayley N. Bayley Scales of Infant Development . New York, NY: The Psychological Corp; 1969;.
6 +
Sameroff AJ, Fiese BH.  Transactional regulation and early intervention . In: Meisels SJ, Shonkoff JP, eds. Handbook of Early Childhood Intervention . Cambridge, England: Cambridge University Press; 1990;:119-149.
7 +
American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders, Revised Third Edition . Washington, DC: American Psychiatric Association; 1987;.

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