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Infant Symbolic Play as an Early Indicator of Fetal Alcohol‐Related Deficit
Author(s) -
Molteno Christopher D.,
Jacobson Sandra W.,
Carter R. Colin,
Jacobson Joseph L.
Publication year - 2010
Publication title -
infancy
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.361
H-Index - 69
eISSN - 1532-7078
pISSN - 1525-0008
DOI - 10.1111/j.1532-7078.2010.00031.x
Subject(s) - fetal alcohol syndrome , psychology , developmental psychology , prenatal alcohol exposure , alcohol , alcohol intoxication , intelligence quotient , clinical psychology , cognition , psychiatry , injury prevention , poison control , medicine , environmental health , biochemistry , chemistry
Infant symbolic play was examined in relation to prenatal alcohol exposure and socioenvironmental background and to predict which infants met criteria for fetal alcohol syndrome (FAS) at 5 years. A total of 107 Cape‐Colored, South African infants born to heavy drinking mothers and abstainers/light drinkers were recruited prenatally. Complexity of play, sociodemographic and psychological correlates of maternal alcohol use, and quality of parenting were assessed at 13 months, and intelligence quotient and FAS diagnosis at 5 years. The effect of drinking on spontaneous play was not significant after control for social environment. In contrast, prenatal alcohol and quality of parenting related independently to elicited play. Elicited play predicted 5‐year Digit Span and was poorer in infants subsequently diagnosed with FAS/partial FAS and in nonsyndromal heavily exposed infants, compared with abstainers/light drinkers. Thus, symbolic play may provide an early indicator of risk for alcohol‐related deficits. The independent effects of prenatal alcohol and quality of parenting suggest that infants whose symbolic play is adversely affected by alcohol exposure may benefit from stimulation from a responsive caregiver.