ABSTRACT

Mothercraft’s Breaking the Cycle is an early intervention program for substance-exposed children with neurodevelopmental vulnerabilities. Within three substance-exposed sibling groups (N = 8; 0–6 years), we 1) described longitudinal neurodevelopmental trajectories, 2) explored the balance of cross-domain cumulative risk and protection on neurodevelopment, and 3) generated hypotheses on how cumulative risk, protection, and early intervention impact neurodevelopment. Neurodevelopment is potentially shaped by the balance of risk and protection. Postnatal risk (birth/postnatal, child, parent-child interaction) and relational protection (family, parent-child interaction) appear to have the most salient impact on neurodevelopment. Early intervention is thought to be important as soon as possible and before age 3 years.

摘要

Mothercraft 的 Breaking the Cycle 是一项针对具有神经发育脆弱性的物质暴露儿童的早期干预计划。在三个接触物质的同胞组（N = 8；0-6 岁）中，我们 1) 描述了纵向神经发育轨迹，2) 探索了跨域累积风险和对神经发育的保护的平衡，以及 3) 提出了关于如何累积的假设风险、保护和早期干预影响神经发育。神经发育可能受到风险和保护的平衡的影响。产后风险（出生/产后、儿童、亲子互动）和关系保护（家庭、亲子互动）似乎对神经发育具有最显着的影响。早期干预被认为在 3 岁之前尽早干预很重要。