Skip to main content

Advertisement

Log in

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

  • Original Paper
  • Published:
Social Psychiatry and Psychiatric Epidemiology Aims and scope Submit manuscript

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.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1

Similar content being viewed by others

References

  1. Bailey BA, Sokol RJ (2011) Prenatal alcohol exposure and miscarriage, stillbirth, preterm delivery, and sudden infant death syndrome. Alcohol Res Health 34(1):86–91

    PubMed  PubMed Central  Google Scholar 

  2. O’Leary CM et al (2013) Prenatal alcohol exposure and educational achievement in children aged 8–9 years. Pediatrics 132(2):e468–e475

    Article  Google Scholar 

  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):262–271

    Article  Google Scholar 

  4. Coles CD et al (2011) Memory and brain volume in adults prenatally exposed to alcohol. Brain Cogn 75(1):67–77

    Article  Google Scholar 

  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 37–48

    Chapter  Google Scholar 

  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):335–346

    Article  Google Scholar 

  7. Mangiavacchi L, Piccoli L (2018) Parental alcohol consumption and adult children’s educational attainment. Econ Hum Biol 28:132–145

    Article  Google Scholar 

  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:e015650

    Article  Google Scholar 

  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):1269–1277

    Article  Google Scholar 

  10. Mahedy L et al (2017) Parental alcohol use and risk of behavioral and emotional problems in offspring. PLoS One 12(6):e0178862

    Article  Google Scholar 

  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):253–258

    Article  Google Scholar 

  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):592–602

    Article  CAS  Google Scholar 

  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):882–891

    Article  Google Scholar 

  14. Duran CA et al (2018) Family stress processes and children’s self‐regulation. Child Dev. https://doi.org/10.1111/cdev.13202

  15. Fay-Stammbach T, Hawes DJ, Meredith P (2014) Parenting influences on executive function in early childhood: a review. Child Dev Perspect 8(4):258–264

    Article  Google Scholar 

  16. Gould F et al (2012) The effects of child abuse and neglect on cognitive functioning in adulthood. J Psychiatr Res 46(4):500–506

    Article  Google Scholar 

  17. Kim W, Kim S (2008) Women’s alcohol use and alcoholism in Korea. Subst Use Misuse 43(8–9):1078–1087

    Article  Google Scholar 

  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. Song H (2014) Validity of child-adolescent self-reported executive function difficulty screening questionnaire. Korean J Clin Psychol 33(1):121–137

    Article  Google Scholar 

  20. Kessler RC et al (2003) Screening for serious mental illness in the general population. Arch Gen Psychiatry 60(2):184–189

    Article  Google Scholar 

  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. Jung T, Wickrama KAS (2008) An introduction to latent class growth analysis and growth mixture modeling. Soc Pers Psychol Compass 2(1):302–317

    Article  Google Scholar 

  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):376–385

    Article  Google Scholar 

  24. De Genna NM et al (2017) Maternal age and trajectories of risky alcohol use: a prospective study. Alcohol Clin Exp Res 41(10):1725–1730

    Article  Google Scholar 

  25. Laborde ND, Mair C (2012) Alcohol use patterns among postpartum women. Matern Child Health J 16(9):1810–1819

    Article  Google Scholar 

  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):142–151

    Article  Google Scholar 

  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):531–538

    Article  Google Scholar 

  28. Goodman SH et al (2011) Maternal depression and child psychopathology: a meta-analytic review. Clin Child Fam Psychol Rev 14(1):1–27

    Article  Google Scholar 

  29. Lee SH et al (2010) Alcohol use during pregnancy and related risk factors in Korea. Psychiatry Investig 7(2):86–92

    Article  Google Scholar 

  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):279–289

    Article  Google Scholar 

  31. Yeom GJ, Choi SY, Kim IO (2011) The influencing factors on alcohol use during pregnancy. J Korean Soc Maternal Child Health 15(1):71–81

    Article  Google Scholar 

  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):502–512

    Article  Google Scholar 

  33. Stahre M et al (2006) Measuring average alcohol consumption: the impact of including binge drinks in quantity–frequency calculations. Addiction 101(12):1711–1718

    Article  Google Scholar 

  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 73:133–136

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Yeon Ha Kim.

Ethics declarations

Conflict of interest

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

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Kim, Y.H. Korean mothers’ alcohol consumption trajectories from childbirth to 6 years postpartum and children’s executive function difficulties at first grade. Soc Psychiatry Psychiatr Epidemiol 55, 497–506 (2020). https://doi.org/10.1007/s00127-019-01804-9

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00127-019-01804-9

Keywords

Navigation