Ca. Mellins et al., EFFECTS OF PEDIATRIC HIV-INFECTION AND PRENATAL DRUG EXPOSURE ON MENTAL AND PSYCHOMOTOR DEVELOPMENT, Journal of pediatric psychology, 19(5), 1994, pp. 617-628
Examined the effects of HIV infection and prenatal drug exposure on in
fant neurodevelopmental functioning. Three groups of infants were comp
ared: HIV-infected infants, seroreverters, and a comparison group who
were prenatally exposed to drugs, but not HIV. Two thirds of the HIV-i
nfected and seroreverter infants were prenatally drug-exposed. Infants
(ages 4-30 months) were administered the Bayley Scales of Infant Deve
lopment. Children who were both HIV-infected and prenatally drug expos
ed performed significantly lower on both the mental and psychomotor sc
ales of the Bayley. Drug exposure and neurological dysfunction were as
sociated with mental development, whereas neurological dysfunction, dr
ug exposure, and HIV status were associated with psychomotor developme
nt.