Evidence map›Paper›PMID 21640292›Full record

ArticleNeurotoxicology and teratology

Estimated effect of prenatal cocaine exposure on examiner-rated behavior at age 7 years.

Veronica H Accornero, James C Anthony, Connie E Morrow, Lihua Xue, Elana Mansoor, Arnise L Johnson, Clyde B McCoy, Emmalee S Bandstra

Open access · greenAbstract read
In one paragraph

Article in Neurotoxicology and teratology. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.3field-weighted citation impact, top 16% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 12 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 2 institutions in 1 country.

Veronica H AccorneroUniversity of Miami Miller School of Medicine, Department of Pediatrics, Miami, FL 33101, United States. vaccornero@med.miami.edu
James C Anthony
Connie E Morrow
Lihua Xue
Elana Mansoor
Arnise L Johnson
Clyde B McCoy
Emmalee S Bandstra
University of Miami · USMichigan State University · US

Funding

USE OF OXANDROLONE TO IMPROVE FUNCTION IN CHRONIC SCIM01RR016587 · NCRR · UNIVERSITY OF MIAMI SCHOOL OF MEDICINE · PI FEASTER, DANIEL J · 2002 to 2005
$6.8M
Sex Differences in Drug Effects: The Adolescent TrajectoryP50DA024584 · NIDA · UNIVERSITY OF MIAMI SCHOOL OF MEDICINE · PI BANDSTRA, EMMALEE S. · 2007 to 2011
$6.2M
NEURODEVELOPMENTAL OUTCOME OF IN UTERO COCAINE EXPOSURER01DA006556 · NIDA · UNIVERSITY OF MIAMI SCHOOL OF MEDICINE · PI BANDSTRA, EMMALEE S. · 1990 to 2006
$5.6M
Training Program in Drug Dependence EpidemiologyT32DA021129 · NIDA · MICHIGAN STATE UNIVERSITY · PI ANTHONY, JAMES CHRISTOPHER · 2006 to 2016
$2.7M
Drug Dependence Epidemiology and EnviromicsK05DA015799 · NIDA · MICHIGAN STATE UNIVERSITY · PI ANTHONY, JAMES CHRISTOPHER · 2003 to 2015
$1.4M
Drug Involvement of Prenatally Exposed ChildrenK01DA016720 · NIDA · UNIVERSITY OF MIAMI SCHOOL OF MEDICINE · PI ACCORNERO, VERONICA H · 2003 to 2007
$636k
NCRR NIH HHS M01 RR016587NCRR NIH HHS MO1-RR 16587NIDA NIH HHS K01 DA 016720NIDA NIH HHS K01 DA016720NIDA NIH HHS K05 DA 015799NIDA NIH HHS K05 DA015799NIDA NIH HHS P50 DA 024584NIDA NIH HHS P50 DA024584NIDA NIH HHS R01 DA 006556NIDA NIH HHS R01 DA006556NIDA NIH HHS T32 DA021129
6 · The paper itself

Abstract

unlabelledPrenatal cocaine exposure has been linked to increased child behavior difficulties in some studies but not others.

objectiveThe primary aim was to estimate the relationship between in utero cocaine exposure and child behavioral functioning at age 7 years with ratings made by blinded examiners during a structured testing session. A second aim was to examine whether caregiver drug use and psychological problems might mediate suspected relationships between prenatal cocaine exposure and aspects of examiner-rated behavior.

methods407 children (212 cocaine-exposed, 195 non-exposed) participating in the longitudinal Miami Prenatal Cocaine Study (MPCS) were rated with regard to their behavior during a neuropsychological assessment conducted at age 7 years. Raters were trained research psychometricians blinded to drug exposure status. Individual behavioral items were summarized and the cocaine-behavior relationship was estimated within the context of latent variable modeling, using Mplus software.

resultsTwo latent variables, Behavioral Regulation and Sociability, were derived via exploratory latent structure analysis with promax rotation. Prenatal cocaine exposure, statistically controlling for child sex, test age, and prenatal exposure to alcohol, tobacco, and marijuana, was associated with Behavioral Regulation (estimated slope ß=-0.25; 95% CI=-0.48, -0.02; p=0.04) but not Sociability (estimated slope ß=-0.03; 95% CI=-0.26, 0.20; p=0.79). Neither postnatal drug use by caregivers nor the severity of their psychological problems at age 5 follow-up predicted levels of child Behavioral Regulation or Sociability at age 7 years (p>0.10).

conclusionsExaminer ratings of child behavior at age 7 revealed less optimal behavioral regulation for prenatally cocaine-exposed compared to non-exposed children, in contrast with what had been previously found from parent-report data. This evidence highlights the potential value of trained observers in assessing behavioral outcomes of children exposed in utero to drugs and other toxicants.

Indexed as

AdultCase-Control StudiesChildChild BehaviorChild, PreschoolCocaineCocaine-Related DisordersData Interpretation, StatisticalFemaleFollow-Up StudiesHumansIntelligence TestsNeuropsychological TestsPregnancyPrenatal Exposure Delayed EffectsProspective StudiesCocaine

Identifiers

PMID21640292
PMCPMC3138213
OpenAlexW1982853559

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.