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Infant joint attention skill and preschool behavioral outcomes in at-risk children
Stephen J Sheinkopf1, Peter Mundy, Angelika H Claussen
1E P Bradley Hospital, Brown Medical School, East Providence, RI 02915, USA. Stephen_Sheinkopf@brown.edu
Insights
Infant joint attention (JA) skills predict later social behaviors in at-risk children. Specific JA types, like initiating joint attention, differentially impact disruptive, withdrawn, and social competence outcomes.
Area of Science:
- Developmental Psychology
- Neuroscience
- Child Psychiatry
Background:
- Prenatal exposure to cocaine is linked to developmental challenges.
- Early social-communication skills, like joint attention (JA), are crucial for later social development.
- Understanding predictors of social behavior in at-risk populations is vital.
Purpose of the Study:
- To investigate if infant joint attention (JA) skills predict social behaviors in preschool children with prenatal cocaine exposure.
- To examine differential effects of distinct JA types (Initiating JA, Responding to JA, Requests) on behavioral outcomes.
- To explore the relationship between early JA and later disruptive, withdrawn behaviors, and social competence.
Main Methods:
- Longitudinal study of 30 at-risk preschool children.
- Joint attention behaviors assessed at 12, 15, and 18 months using the Early Social and Communication Scales.
- Behavioral outcomes (disruptive, withdrawn behaviors, social competence) measured at 36 months.
Main Results:
- Infant JA skills predicted behavioral outcomes, even after controlling for language and cognitive ability.
- Initiating JA negatively predicted disruptive behaviors.
- Requests positively predicted disruptive behaviors, while infant Responding to JA negatively predicted withdrawn behaviors and positively predicted social competence.
Conclusions:
- Functionally distinct types of infant joint attention have differential impacts on later social behavior.
- Early joint attention skills are important predictors of social adjustment in children with prenatal substance exposure.
- Findings contribute to understanding the variability in joint attention skill expression and its developmental consequences.
Abstract:
This study examined whether infant joint attention (JA) skills predicted social behaviors in a sample of at-risk preschool children (n = 30) with a history of prenatal exposure to cocaine. JA behaviors were assessed with the Early Social and Communication Scales at 12, 15, and 18 months of age. Three classes of JA were measured: Initiating JA (IJA), Responding to JA (RJA), and Requests. Behavioral outcomes were measured at 36 months and included ratings of disruptive and withdrawn behaviors and social competence. JA behaviors were related to behavioral outcomes after controlling for language and cognitive ability. The functionally distinct uses of JA were differentially related to behavioral outcome. IJA negatively predicted disruptive behaviors, whereas Requests positively predicted disruptive behaviors. Infant RJA negatively predicted withdrawn behaviors and positively predicted social competence. These results are interpreted in the context of competing theories that attempt to explain variability in the expression of JA skills in the second year of life.
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