caa a22 4500 386339511 CHVBK 20180307111744.0 cr unu---uuuuu 161130e198910 xx s 000 0 eng 10.1017/S095457940000047X doi S095457940000047X pii (NATIONALLICENCE)cambridge-10.1017/S095457940000047X Characteristics of attachment organization and play organization in prenatally drug-exposed toddlers [Elektronische Daten] Prenatally drug-exposed toddlers were compared to preterm toddlers of similar low socioeconomic status, ethnicity, and single-parent households on intellectual functioning, quality of play, and security of attachment to the primary caregiver. The drug-exposed toddlers had significantly lower developmental scores, less representational play, and the majority had insecure, disorganized, avoidant attachments. In all areas investigated, the prenatally drug-exposed toddlers showed more subtle behavioral deficits within each domain. Although developmental quotients were within the average range, they were significantly lower than the preterm comparison group and did not adequately represent the more evident deficits seen through play in an unstructured situation. Unstructured assessments that required the child's initiation, goal setting, and follow-through were more revealing of developmental disorganization within and among domains than were adult structured assessments such as developmental tests. While modest differences were seen in structured tasks, the marked differences between the drug-exposed and preterm groups were most evident in the unstructured tasks. The lack of coherence across developmental domains was illustrated by the large difference between developmental quotient scores and the poor performance in the cognitive representional competencies demonstrated in play. Insecurity and disorganization in attachment were found to compromise further the development of the drug-exposed toddlers. Copyright © Cambridge University Press 1989 Rodning Carol Department of Pediatrics, University of California, Los Angeles Beckwith Leila Department of Pediatrics, University of California, Los Angeles Howard Judy Department of Pediatrics, University of California, Los Angeles Development and Psychopathology Cambridge University Press 1/4(1989-10), 277-289 0954-5794 1:4<277 1989 1 DPP https://doi.org/10.1017/S095457940000047X text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1017/S095457940000047X text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Rodning Carol Department of Pediatrics, University of California, Los Angeles NATIONALLICENCE 700 1- Beckwith Leila Department of Pediatrics, University of California, Los Angeles NATIONALLICENCE 700 1- Howard Judy Department of Pediatrics, University of California, Los Angeles NATIONALLICENCE 773 0- Development and Psychopathology Cambridge University Press 1/4(1989-10), 277-289 0954-5794 1:4<277 1989 1 DPP CC0 http://creativecommons.org/publicdomain/zero/1.0 nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-cambridge