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Korean mothers’ alcohol consumption trajectories from childbirth to 6 years postpartum and children’s executive function difficulties at first grade

  • Yeon Ha KimEmail author
Original Paper

Abstract

Purpose

This study aims to identify Korean mothers’ alcohol consumption trajectories during early parenthood (from birth to 6 years postpartum) and to examine associations between these trajectories and their children’s executive function difficulties at first grade (age 7).

Methods

Participants were 1010 mothers and their children, a subset of the Panel Study of Korean Children. Mothers’ postpartum alcohol consumption trajectories were identified using growth mixture modeling. Children’s executive function difficulties by the trajectories were examined using factorial analysis of covariance.

Results

Korean mothers’ alcohol consumption trajectories during early parenthood were heterogeneous. Mothers developed one of four alcohol consumption patterns: stable low use (49.9%), increasing use (25.0%), chronic modest use (18.3%), and chronic high use (6.8%). Children’s executive function difficulties as evaluated by first grade teachers differed by mothers’ postpartum alcohol consumption trajectories. Children of chronic high users displayed more difficulties in planning-organization, behavioral control, and attention-concentration than did children of the other groups of mothers.

Conclusions

Mothers’ chronic and excessive postpartum alcohol consumption during early parenthood can be a significant risk factor for difficulties in children’s early executive function development. Early screening for mothers with unhealthy alcohol consumption habits is critical. Special attention and support should be afforded to their children’s development and school adjustment.

Keywords

Maternal alcohol consumption Postpartum Executive function First grader Trajectory 

Notes

Compliance with ethical standards

Conflict of interest

On behalf of all the authors, the corresponding author states that there is no conflict of interest.

References

  1. 1.
    Bailey BA, Sokol RJ (2011) Prenatal alcohol exposure and miscarriage, stillbirth, preterm delivery, and sudden infant death syndrome. Alcohol Res Health 34(1):86–91PubMedPubMedCentralGoogle Scholar
  2. 2.
    O’Leary CM et al (2013) Prenatal alcohol exposure and educational achievement in children aged 8–9 years. Pediatrics 132(2):e468–e475PubMedCrossRefGoogle Scholar
  3. 3.
    Larkby CA et al (2011) Prenatal alcohol exposure is associated with conduct disorder in adolescence: findings from a birth cohort. J Am Acad Child Adolesc Psychiatry 50(3):262–271PubMedPubMedCentralCrossRefGoogle Scholar
  4. 4.
    Coles CD et al (2011) Memory and brain volume in adults prenatally exposed to alcohol. Brain Cogn 75(1):67–77PubMedPubMedCentralCrossRefGoogle Scholar
  5. 5.
    Sulik KK (2018) Prenatal alcohol exposure and abnormal brain development—findings from basic research. In: Jonsson E, Clarren S, Binnie I (eds) Ethical and legal perspectives in fetal alcohol spectrum disorders: foundational issues (FASD) (vol 75). Springer, Cham, pp 37–48CrossRefGoogle Scholar
  6. 6.
    Kable JA et al (2016) Neurobehavioral disorder associated with prenatal alcohol exposure (ND-PAE): proposed DSM-5 diagnosis. Child Psychiatry Hum Dev 47(2):335–346PubMedCrossRefGoogle Scholar
  7. 7.
    Mangiavacchi L, Piccoli L (2018) Parental alcohol consumption and adult children’s educational attainment. Econ Hum Biol 28:132–145PubMedCrossRefGoogle Scholar
  8. 8.
    Hafekost K et al (2017) Maternal alcohol use disorder and child school attendance outcomes for non-Indigenous and Indigenous children in Western Australia: a population cohort record linkage study. BMJ Open 7:e015650PubMedPubMedCentralCrossRefGoogle Scholar
  9. 9.
    Knudsen AK et al (2015) Maternal heavy alcohol use and toddler behavior problems: a fixed effects regression analysis. Eur Child Adolesc Psychiatry 24(10):1269–1277PubMedPubMedCentralCrossRefGoogle Scholar
  10. 10.
    Mahedy L et al (2017) Parental alcohol use and risk of behavioral and emotional problems in offspring. PLoS One 12(6):e0178862PubMedPubMedCentralCrossRefGoogle Scholar
  11. 11.
    Hammen C, Brennan PA (2003) Severity, chronicity, and timing of maternal depression and risk for adolescent offspring diagnoses in a community sample. Arch Gen Psychiatry 60(3):253–258PubMedCrossRefGoogle Scholar
  12. 12.
    Najman JM et al (2000) Mothers’ mental illness and child behavior problems: cause-effect association or observation bias? J Am Acad Child Adolesc Psychiatry 39(5):592–602PubMedCrossRefGoogle Scholar
  13. 13.
    Muthén B, Muthén LK (2000) Integrating person-centered and variable-centered analyses: growth mixture modeling with latent trajectory classes. Alcohol Clin Exp Res 24(6):882–891PubMedCrossRefGoogle Scholar
  14. 14.
    Duran CA et al (2018) Family stress processes and children’s self‐regulation. Child Dev.  https://doi.org/10.1111/cdev.13202
  15. 15.
    Fay-Stammbach T, Hawes DJ, Meredith P (2014) Parenting influences on executive function in early childhood: a review. Child Dev Perspect 8(4):258–264CrossRefGoogle Scholar
  16. 16.
    Gould F et al (2012) The effects of child abuse and neglect on cognitive functioning in adulthood. J Psychiatr Res 46(4):500–506PubMedPubMedCentralCrossRefGoogle Scholar
  17. 17.
    Kim W, Kim S (2008) Women’s alcohol use and alcoholism in Korea. Subst Use Misuse 43(8–9):1078–1087PubMedCrossRefGoogle Scholar
  18. 18.
    World Health Organization (2001) The alcohol use disorders identification test: guidelines for use in primary care. Retrieved from http://apps.who.int/iris/bitstream/10665/67205/1/WHOMSDMSB01.6a.pdf
  19. 19.
    Song H (2014) Validity of child-adolescent self-reported executive function difficulty screening questionnaire. Korean J Clin Psychol 33(1):121–137CrossRefGoogle Scholar
  20. 20.
    Kessler RC et al (2003) Screening for serious mental illness in the general population. Arch Gen Psychiatry 60(2):184–189PubMedCrossRefGoogle Scholar
  21. 21.
    Korea Institute of Childcare and Education (2008) Instrument profile for the Panel Study of Korean Children 2008. Korea Institute of Childcare and Education. http://panel.kicce.re.kr/kor/publication/01_02.jsp?mode=view&idx=7003&startPage=20&listNo=1&code=paneltoolsprofiles&search_item=&search_order=&order_list=10&list_scale=10&view_level=0. Accessed March 9 2019
  22. 22.
    Jung T, Wickrama KAS (2008) An introduction to latent class growth analysis and growth mixture modeling. Soc Pers Psychol Compass 2(1):302–317CrossRefGoogle Scholar
  23. 23.
    Liu W, Mumford EA, Petras H (2016) Maternal alcohol consumption during the perinatal and early parenting period: a longitudinal analysis. Matern Child Health J 20(2):376–385PubMedCrossRefGoogle Scholar
  24. 24.
    De Genna NM et al (2017) Maternal age and trajectories of risky alcohol use: a prospective study. Alcohol Clin Exp Res 41(10):1725–1730PubMedPubMedCentralCrossRefGoogle Scholar
  25. 25.
    Laborde ND, Mair C (2012) Alcohol use patterns among postpartum women. Matern Child Health J 16(9):1810–1819PubMedPubMedCentralCrossRefGoogle Scholar
  26. 26.
    McClelland MM, Cameron CE (2019) Developing together: the role of executive function and motor skills in children’s early academic lives. Early Childhood Res Q 46(1):142–151CrossRefGoogle Scholar
  27. 27.
    Gross AC et al (2015) Objective measures of executive functioning are highly discrepant with parent-report in fetal alcohol spectrum disorders. Child Neuropsychol 21(4):531–538PubMedCrossRefGoogle Scholar
  28. 28.
    Goodman SH et al (2011) Maternal depression and child psychopathology: a meta-analytic review. Clin Child Fam Psychol Rev 14(1):1–27PubMedPubMedCentralCrossRefGoogle Scholar
  29. 29.
    Lee SH et al (2010) Alcohol use during pregnancy and related risk factors in Korea. Psychiatry Investig 7(2):86–92PubMedPubMedCentralCrossRefGoogle Scholar
  30. 30.
    Kim I, Jeong G, Yang E (2012) Effects of knowledge and recognition of alcohol use during pregnancy on actual alcohol use during pregnancy. Korean J Women Health Nurs 18(4):279–289CrossRefGoogle Scholar
  31. 31.
    Yeom GJ, Choi SY, Kim IO (2011) The influencing factors on alcohol use during pregnancy. J Korean Soc Maternal Child Health 15(1):71–81CrossRefGoogle Scholar
  32. 32.
    May PA et al (2013) Maternal alcohol consumption producing fetal alcohol spectrum disorders (FASD): quantity, frequency, and timing of drinking. Drug Alcohol Depend 133(2):502–512PubMedCrossRefGoogle Scholar
  33. 33.
    Stahre M et al (2006) Measuring average alcohol consumption: the impact of including binge drinks in quantity–frequency calculations. Addiction 101(12):1711–1718PubMedCrossRefGoogle Scholar
  34. 34.
    Latkin CA et al (2017) The relationship between social desirability bias and self-reports of health, substance use, and social network factors among urban substance users in Baltimore, Maryland. Addict Behav 73:133–136PubMedPubMedCentralCrossRefGoogle Scholar

Copyright information

© Springer-Verlag GmbH Germany, part of Springer Nature 2019

Authors and Affiliations

  1. 1.Child and Family Studies, College of Human EcologyKyung Hee UniversitySeoulSouth Korea

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