Caregiver Characteristics Associated with Infant Cognitive Status in In-Utero Drug Exposed Infants

Arlene M. Butz ScD and RN School of Medicine, Department of Pediatrics, Division of General Pediatrics, Johns Hopkins University, School of Medicine and the Johns Hopkins University School of Nursing, Baltimore, MD

Margaret Pulsifer PhD Johns Hopkins University School of Medicine, Department of Psychiatry and Behavioral Sciences, Baltimore, MD

Eileen O'Brien PhD and RN The University of Maryland, School of Nursing, Baltimore, MD

Harolyn M. E. Belcher MD Department of Pediatrics, Division of General Pediatrics and Department of Neurology and Developmental Medicine, Johns Hopkins University, School of Medicine and The Kennedy Krieger Institute, Baltimore, MD

Mary Kathleen Lears MSN and MPH Johns Hopkins University School of Nursing

Deborah Miller PhD and RN Johns Hopkins University School of Hygiene and Public Health

Walter Kaufmann MD Department of Pediatrics, Division of General Pediatrics, and the Departments of Pathology and Neurology, Johns Hopkins University, School of Medicine, Baltimore, MD

Richard Royall PhD Johns Hopkins University School of Hygiene and Public Health

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ABSTRACT

In a study of 66 in-utero drug exposed (IUDE) infants, we evaluated infant cognitive status with the Mental Scale of the Bayley Scales of Infant Development (Second Edition), caregiver-infant interaction using the Nursing Child Assessment Feeding Scale (NCAFS), and caregiver cognitive functioning (IQ) to determine which caregiver variables were associated with infant cognitive status. Mean score on the Bayley Mental Development Index was 87.4 (SD, 10.8). Almost half (44%) of the caregiver-infant dyads were categorized as “At Risk” for poor caregiver-infant interaction based on scores of the NCAFS. Mean caregiver IQ was 76.9. Logistic regression analysis indicated that care-giver IQ was the only statistically significant coefficient in the model predicting poor infant cognitive status (p = .009); however, caregiver-infant interaction showed a moderate effect (p = .08).

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Caregiver Characteristics Associated with Infant Cognitive Status in In-Utero Drug Exposed Infants

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Caregiver Characteristics Associated with Infant Cognitive Status in In-Utero Drug Exposed Infants

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