Prenatal smoking and internalizing and externalizing problems in children studied from childhood to late adolescence.

Abstract:

OBJECTIVE:To study whether prenatal smoking only relates to externalizing problems or whether it is associated with both internalizing and externalizing problems from childhood into late adolescence. METHOD:Child Behavior Checklist-derived, parent-reported internalizing and externalizing problems of 396 children were longitudinally assessed at ages 5, 10 to 11, and 18 years. The influence of self-reported prenatal smoking on the course of internalizing and externalizing problems over these ages was assessed, controlling for the co-occurrence of internalizing and externalizing problems and co-occurring pre- and perinatal risk factors, demographic characteristics, maternal mental health, and child social and attention problems. RESULTS:Children whose mothers had smoked during pregnancy had increased levels of both internalizing and externalizing problems over the period of ages 5 to 18 years when compared with children whose mothers did not smoke during pregnancy. These associations remained significant after controlling internalizing for externalizing and vice versa and possible confounding variables. CONCLUSIONS:Maternal smoking during pregnancy is a predictor of internalizing as well as externalizing psychopathology in offspring. The association between prenatal smoking and internalizing and externalizing problems persists throughout childhood and late adolescence.

authors

Ashford J,van Lier PA,Timmermans M,Cuijpers P,Koot HM

doi

10.1097/CHI.0b013e318172eefb

subject

Has Abstract

pub_date

2008-07-01 00:00:00

pages

779-87

issue

7

eissn

0890-8567

issn

1527-5418

pii

S0890-8567(09)60033-7

journal_volume

47

pub_type

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