在产前暴露于可卡因后的幼儿期的生长,发育和行为:系统性审查
D A Frank1, M Augustyn, W G Knight
1Boston University School of Medicine, Boston, MA 02118-2393, USA. dafrank@bu.edu
JAMA
|April 13, 2001
概括
在6岁以下的儿童中,产前暴露于可卡因并没有令人信服的证据表明它对独特的发育损害. 烟草和环境等其他因素也起着重要作用.
科学领域:
- 发展心理学 发展心理学
- 神经科学是一个神经科学.
- 公共卫生 公共卫生
背景情况:
- 公众的看法和政策往往将产前可卡因暴露视为具有独特的有害性.
- 最近的研究挑战了子宫内可卡因暴露的灾难性影响的概念.
研究的目的:
- 批判性地审查在产前暴露于可卡因后的早期儿童的结果.
- 检查身体成长,认知,语言,运动技能,行为/注意力等方面的影响.
主要方法:
- 在MEDLINE和心理学摘要 (1984-2000) 的系统文献搜索.
- 包括同行评审的英语语言研究与比较组和前性,掩盖的评估.
- 排除了与阿片类药物,安非他命,类药物或艾滋病毒相关的显著同时暴露的研究.
主要成果:
- 在产前接触可卡因与身体成长,认知得分或语言技能之间没有发现一致的负面关联.
- 观察到长达7个月的运动技能缺陷,可能与烟草暴露有关.
- 没有可卡因对标准化行为报告的独立影响;初步发现表明对注意力和情绪表达能力的影响.
结论:
- 没有令人信服的证据表明,产前可卡因暴露会在6岁以下的儿童中引起独特的发育毒性.
- 观察到的效应通常与其他风险因素相关,如烟草,大麻,酒精暴露和环境质量.
- 需要进一步的研究来复制初步的神经学发现.
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