Related Experiment Video
Updated: Feb 27, 2026

Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale
Published on: August 25, 2014
Behavioral Control Dynamics and Developmental Outcomes in Infants Prenatally Exposed to Cocaine
Zachary E Warren1, Neena M Malik1, Kristin M Lindahl1
1University of Miami.
Insights
Maternal control attempts at 15 months were linked to more problem behaviors in at-risk children. However, infant resistance to control acted as a protective factor, predicting fewer behavioral issues by age 36 months.
Area of Science:
- Developmental Psychology
- Child Psychology
- Behavioral Science
Background:
- Longitudinal study of at-risk children exposed prenatally to cocaine.
- Focus on mother-infant interactions in low socioeconomic status (SES) families within an intervention setting.
- Examines early childhood development and behavioral outcomes.
Purpose of the Study:
- To investigate the longitudinal associations between mother-infant interactions at 15 months and behavioral/cognitive outcomes at 36 months.
- To identify predictors of adaptive and maladaptive behavior patterns in early childhood.
- To understand the role of maternal control and infant resistance in child development.
Main Methods:
- Longitudinal study design with data collected at 12, 15, and 36 months.
- Sample of 58 infants prenatally exposed to cocaine and their maternal caregivers.
- Assessment of cognitive development at 12 months and maternal/infant behavior at 15 months to predict 36-month outcomes.
Main Results:
- Higher maternal control at 15 months was marginally associated with increased problem behavior at 36 months.
- Infant resistance to control at 15 months predicted lower levels of problem behavior at 36 months.
- Infant control-resistant behavior served as a unique buffer against problem behavior, independent of maternal factors and cognitive abilities.
Conclusions:
- Maternal control attempts and infant responses are crucial in shaping early behavior.
- Infant resistance to control may be an adaptive coping mechanism in at-risk populations.
- Understanding these interaction dynamics is vital for early intervention strategies and promoting positive child development.
Abstract:
This study longitudinally examined the associations between mother-infant interactions at 15 months and behavioral and cognitive outcomes at 36 months of age in a sample of at-risk, young children. Participants for the current study were 58 infants/toddlers prenatally exposed to cocaine and their maternal caregivers. These infants were from a low socioeconomic status background and were part of an intervention setting. When the children were 12, 15, and 36 months, they participated in research sessions with their maternal caregivers. Cognitive development at 12 months and maternal and infant behavior at 15 months were measured to predict behavioral and cognitive outcome at 36 months. Higher levels of maternal control at 15 months were marginally significant in predicting higher levels of problem behavior at 36 months whereas higher levels of infant resistance to control predicted lower levels of problem behavior. Furthermore, control-resistant behavior displayed by infants was a unique buffer against problem behavior, even after controlling for maternal factors and cognitive abilities. These findings suggest that maternal control attempts and infant reactions to those maternal control behaviors play an important role in the development of adaptive and maladaptive behavior patterns during early childhood.

