This prospective longitudinal study examined how maternal prenatal substance use disorder (SUD) and early mother–infant interaction quality are associated with child social cognition (emotion recognition and mentalization) at school age. A sample of 52 poly-substance-using mothers receiving early interventions and 50 non-users, along with their children, was followed from pregnancy to school age. First-year mother–infant interaction quality was measured with EA scales. At school age, child facial emotion recognition was measured with DANVA and mentalization with LEAS-C. SUD group children did not differ from comparison children in social cognition, but higher severity of maternal prenatal addiction predicted emotion recognition problems. High early mother–infant interaction quality predicted better emotion recognition and mentalization, and mother–infant interaction quality mediated the effect of prenatal SUD on emotion recognition. The results highlight the need for early treatments targeting both parenting and addiction, as well as long-term developmental support for these children.

中文翻译：

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母亲产前物质使用障碍和早期教养对学龄儿童社会认知的影响

这项前瞻性纵向研究调查了母亲产前物质使用障碍 (SUD) 和早期母婴互动质量如何与学龄儿童的社会认知（情绪识别和心理化）相关联。从怀孕到学龄对 52 名接受早期干预的多物质使用母亲和 50 名非使用者及其子女进行了抽样调查。第一年母婴互动质量用 EA 量表测量。在学龄期，儿童面部情绪识别用 DANVA 测量，心智化用 LEAS-C 测量。SUD 组儿童在社会认知方面与对照儿童没有区别，但母亲产前成瘾的严重程度更高，预示着情绪识别问题。较高的早期母婴互动质量预测了更好的情绪识别和心理化，和母婴互动质量介导了产前 SUD 对情绪识别的影响。结果强调了针对育儿和成瘾的早期治疗的必要性，以及对这些儿童的长期发展支持。