{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T08:09:17Z","timestamp":1777450157252,"version":"3.51.4"},"reference-count":67,"publisher":"American Academy of Pediatrics (AAP)","issue":"6","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2012,12,1]]},"abstract":"<jats:sec><jats:title>BACKGROUND:<\/jats:title><jats:p>We determined the role of risk and protective factors on the trajectories of behavior problems associated with high prenatal cocaine exposure (PCE)\/polydrug exposure.<\/jats:p><\/jats:sec><jats:sec><jats:title>METHODS:<\/jats:title><jats:p>The Maternal Lifestyle Study enrolled 1388 children with or without PCE, assessed through age 15 years. Because most women using cocaine during pregnancy also used other substances, we analyzed for the effects of 4 categories of prenatal drug exposure: high PCE\/other drugs (OD), some PCE\/OD, OD\/no PCE, and no PCE\/no OD. Risks and protective factors at individual, family, and community levels that may be associated with behavior outcomes were entered stepwise into latent growth curve models, then replaced by cumulative risk and protective indexes, and finally by a combination of levels of risk and protective indexes. Main outcome measures were the trajectories of externalizing, internalizing, total behavior, and attention problems scores from the Child Behavior Checklist (parent).<\/jats:p><\/jats:sec><jats:sec><jats:title>RESULTS:<\/jats:title><jats:p>A total of 1022 (73.6%) children had known outcomes. High PCE\/OD significantly predicted externalizing, total, and attention problems when considering the balance between risk and protective indexes. Some PCE\/OD predicted externalizing and attention problems. OD\/no PCE also predicted behavior outcomes except for internalizing behavior. High level of protective factors was associated with declining trajectories of problem behavior scores over time, independent of drug exposure and risk index scores.<\/jats:p><\/jats:sec><jats:sec><jats:title>CONCLUSIONS:<\/jats:title><jats:p>High PCE\/OD is a significant risk for behavior problems in adolescence; protective factors may attenuate its detrimental effects. Clinical practice and public health policies should consider enhancing protective factors while minimizing risks to improve outcomes of drug-exposed children.<\/jats:p><\/jats:sec>","DOI":"10.1542\/peds.2011-3306","type":"journal-article","created":{"date-parts":[[2012,11,27]],"date-time":"2012-11-27T05:29:09Z","timestamp":1353994149000},"page":"e1479-e1488","source":"Crossref","is-referenced-by-count":39,"title":["Protective Factors Can Mitigate Behavior Problems After Prenatal Cocaine and Other Drug Exposures"],"prefix":"10.1542","volume":"130","author":[{"given":"Henrietta S.","family":"Bada","sequence":"first","affiliation":[{"name":"Department of Pediatrics, College of Medicine, University of Kentucky, Lexington, Kentucky;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Carla M.","family":"Bann","sequence":"additional","affiliation":[{"name":"RTI International, Research Triangle Park, North Carolina;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Toni M.","family":"Whitaker","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, University of Tennessee Health Science Center, Memphis, Tennessee;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Charles R.","family":"Bauer","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, University of Miami School of Medicine, Miami, Florida;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Seetha","family":"Shankaran","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Wayne State University School of Medicine, Detroit, Michigan;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Linda","family":"LaGasse","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Brown University Medical School, Providence, Rhode Island; and"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Barry M.","family":"Lester","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Brown University Medical School, Providence, Rhode Island; and"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jane","family":"Hammond","sequence":"additional","affiliation":[{"name":"RTI International, Research Triangle Park, North Carolina;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rosemary","family":"Higgins","sequence":"additional","affiliation":[{"name":"Eunice Kennedy Shriver National Institute of Child Health and Human Development, Rockville, Maryland"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"417","published-online":{"date-parts":[[2012,12,1]]},"reference":[{"issue":"6","key":"2021120823582500000_B1","doi-asserted-by":"crossref","first-page":"483","DOI":"10.1016\/j.ridd.2007.05.006","article-title":"A systematic review of challenging behaviors in children exposed prenatally to substances of abuse.","volume":"29","author":"Dixon","year":"2008","journal-title":"Res Dev Disabil"},{"issue":"3","key":"2021120823582500000_B2","doi-asserted-by":"crossref","first-page":"554","DOI":"10.1542\/peds.2009-0637","article-title":"A review of the effects of prenatal cocaine exposure among school-aged children.","volume":"125","author":"Ackerman","year":"2010","journal-title":"Pediatrics"},{"issue":"1","key":"2021120823582500000_B3","doi-asserted-by":"crossref","first-page":"110","DOI":"10.1016\/j.ntt.2010.06.011","article-title":"Prenatal and postnatal cocaine exposure predict teen cocaine use.","volume":"33","author":"Delaney-Black","year":"2011","journal-title":"Neurotoxicol Teratol"},{"issue":"1","key":"2021120823582500000_B4","doi-asserted-by":"crossref","first-page":"61","DOI":"10.1016\/j.ntt.2010.07.004","article-title":"The effects of prenatal cocaine exposure and gender on inhibitory control and attention.","volume":"33","author":"Carmody","year":"2011","journal-title":"Neurotoxicol Teratol"},{"issue":"1","key":"2021120823582500000_B5","doi-asserted-by":"crossref","first-page":"69","DOI":"10.1016\/j.ntt.2010.06.003","article-title":"Prenatal cocaine exposure: effects on mother- and teacher-rated behavior problems and growth in school-age children.","volume":"33","author":"Richardson","year":"2011","journal-title":"Neurotoxicol Teratol"},{"issue":"2","key":"2021120823582500000_B6","doi-asserted-by":"crossref","DOI":"10.1542\/peds.2006-1404","article-title":"Impact of prenatal cocaine exposure on child behavior problems through school age.","volume":"119","author":"Bada","year":"2007","journal-title":"Pediatrics"},{"issue":"1","key":"2021120823582500000_B7","doi-asserted-by":"crossref","first-page":"78","DOI":"10.1016\/j.ntt.2010.06.005","article-title":"Preadolescent behavior problems after prenatal cocaine exposure: relationship between teacher and caretaker ratings (Maternal Lifestyle Study).","volume":"33","author":"Bada","year":"2011","journal-title":"Neurotoxicol Teratol"},{"issue":"8","key":"2021120823582500000_B8","doi-asserted-by":"crossref","first-page":"800","DOI":"10.1001\/archpedi.156.8.800","article-title":"Children who witness violence, and parent report of children\u2019s behavior.","volume":"156","author":"Augustyn","year":"2002","journal-title":"Arch Pediatr Adolesc Med"},{"issue":"5","key":"2021120823582500000_B9","doi-asserted-by":"crossref","first-page":"648","DOI":"10.1037\/0012-1649.38.5.648","article-title":"Children\u2019s intellectual and emotional-behavioral adjustment at 4 years as a function of cocaine exposure, maternal characteristics, and environmental risk.","volume":"38","author":"Bennett","year":"2002","journal-title":"Dev Psychol"},{"issue":"2","key":"2021120823582500000_B10","doi-asserted-by":"crossref","first-page":"83","DOI":"10.1097\/00004703-200604000-00001","article-title":"Predicting caregiver-reported behavior problems in cocaine-exposed children at 3 years.","volume":"27","author":"Warner","year":"2006","journal-title":"J Dev Behav Pediatr"},{"issue":"1","key":"2021120823582500000_B11","doi-asserted-by":"crossref","first-page":"100","DOI":"10.1016\/j.ntt.2010.06.002","article-title":"Adolescent initiation of licit and illicit substance use: impact of intrauterine exposures and post-natal exposure to violence.","volume":"33","author":"Frank","year":"2011","journal-title":"Neurotoxicol Teratol"},{"issue":"1","key":"2021120823582500000_B12","doi-asserted-by":"crossref","first-page":"88","DOI":"10.1016\/j.ntt.2010.07.003","article-title":"Early adolescent cocaine use as determined by hair analysis in a prenatal cocaine exposure cohort.","volume":"33","author":"Warner","year":"2011","journal-title":"Neurotoxicol Teratol"},{"issue":"6","key":"2021120823582500000_B13","doi-asserted-by":"crossref","first-page":"467","DOI":"10.1097\/DBP.0b013e31811320d8","article-title":"Preadolescent health risk behavior as a function of prenatal cocaine exposure and gender.","volume":"28","author":"Bennett","year":"2007","journal-title":"J Dev Behav Pediatr"},{"issue":"4","key":"2021120823582500000_B14","doi-asserted-by":"crossref","first-page":"254","DOI":"10.1097\/00004703-200408000-00005","article-title":"Prenatal cocaine: quantity of exposure and gender moderation.","volume":"25","author":"Delaney-Black","year":"2004","journal-title":"J Dev Behav Pediatr"},{"issue":"2","key":"2021120823582500000_B15","doi-asserted-by":"crossref","first-page":"191","DOI":"10.1016\/j.ntt.2004.10.005","article-title":"Gender and alcohol moderate caregiver reported child behavior after prenatal cocaine.","volume":"27","author":"Sood","year":"2005","journal-title":"Neurotoxicol Teratol"},{"issue":"5","key":"2021120823582500000_B16","doi-asserted-by":"crossref","first-page":"2014","DOI":"10.1542\/peds.2006-0003","article-title":"Diffusion tensor imaging of frontal white matter and executive functioning in cocaine-exposed children.","volume":"118","author":"Warner","year":"2006","journal-title":"Pediatrics"},{"issue":"4","key":"2021120823582500000_B17","doi-asserted-by":"crossref","first-page":"741","DOI":"10.1542\/peds.2007-1399","article-title":"Volumetric MRI study of brain in children with intrauterine exposure to cocaine, alcohol, tobacco, and marijuana.","volume":"121","author":"Rivkin","year":"2008","journal-title":"Pediatrics"},{"issue":"6","key":"2021120823582500000_B18","doi-asserted-by":"crossref","first-page":"1182","DOI":"10.1542\/peds.110.6.1182","article-title":"The maternal lifestyle study: effects of substance exposure during pregnancy on neurodevelopmental outcome in 1-month-old infants.","volume":"110","author":"Lester","year":"2002","journal-title":"Pediatrics"},{"issue":"1","key":"2021120823582500000_B19","doi-asserted-by":"crossref","first-page":"25","DOI":"10.1016\/j.ntt.2010.07.001","article-title":"Estimated effects of in utero cocaine exposure on language development through early adolescence.","volume":"33","author":"Bandstra","year":"2011","journal-title":"Neurotoxicol Teratol"},{"issue":"3","key":"2021120823582500000_B20","doi-asserted-by":"crossref","first-page":"675","DOI":"10.1017\/S095457940700034X","article-title":"Biological, behavioral, and relational levels of resilience in the context of risk for early childhood behavior problems.","volume":"19","author":"Calkins","year":"2007","journal-title":"Dev Psychopathol"},{"issue":"11","key":"2021120823582500000_B21","doi-asserted-by":"crossref","first-page":"1211","DOI":"10.1111\/j.1469-7610.2008.01941.x","article-title":"The relations among cumulative risk, parenting, and behavior problems during early childhood.","volume":"49","author":"Trentacosta","year":"2008","journal-title":"J Child Psychol Psychiatry"},{"issue":"4","key":"2021120823582500000_B22","doi-asserted-by":"crossref","first-page":"443","DOI":"10.1016\/j.ntt.2010.03.005","article-title":"The effects of prenatal cocaine exposure on problem behavior in children 4-10 years.","volume":"32","author":"Minnes","year":"2010","journal-title":"Neurotoxicol Teratol"},{"issue":"3","key":"2021120823582500000_B23","doi-asserted-by":"crossref","first-page":"487","DOI":"10.1067\/mob.2002.121073","article-title":"The Maternal Lifestyle Study: drug exposure during pregnancy and short-term maternal outcomes.","volume":"186","author":"Bauer","year":"2002","journal-title":"Am J Obstet Gynecol"},{"issue":"2","key":"2021120823582500000_B24","doi-asserted-by":"crossref","first-page":"309","DOI":"10.1542\/peds.107.2.309","article-title":"The Maternal Lifestyle Study: drug use by meconium toxicology and maternal self-report.","volume":"107","author":"Lester","year":"2001","journal-title":"Pediatrics"},{"issue":"2","key":"2021120823582500000_B25","doi-asserted-by":"crossref","first-page":"195","DOI":"10.1017\/S0954579499002011","article-title":"Effects of prenatal alcohol and cocaine exposure on infant cortisol levels.","volume":"11","author":"Jacobson","year":"1999","journal-title":"Dev Psychopathol"},{"issue":"3","key":"2021120823582500000_B26","doi-asserted-by":"crossref","first-page":"279","DOI":"10.1067\/mpd.2003.112","article-title":"The Maternal Lifestyle Study (MLS): effects of prenatal cocaine and\/or opiate exposure on auditory brain response at one month.","volume":"142","author":"Lester","year":"2003","journal-title":"J Pediatr"},{"issue":"3","key":"2021120823582500000_B27","doi-asserted-by":"crossref","first-page":"850","DOI":"10.1111\/j.1467-8624.2004.00710.x","article-title":"Attachment status in children prenatally exposed to cocaine and other substances.","volume":"75","author":"Seifer","year":"2004","journal-title":"Child Dev"},{"issue":"1","key":"2021120823582500000_B28","doi-asserted-by":"crossref","first-page":"47","DOI":"10.1016\/j.ntt.2010.08.002","article-title":"Development of inhibitory control among prenatally cocaine exposed and non-cocaine exposed youths from late childhood to early adolescence: the effects of gender and risk and subsequent aggressive behavior.","volume":"33","author":"Bridgett","year":"2011","journal-title":"Neurotoxicol Teratol"},{"issue":"3","key":"2021120823582500000_B29","doi-asserted-by":"crossref","first-page":"259","DOI":"10.1093\/jpepsy\/27.3.259","article-title":"Behavioral outcome of preschoolers exposed prenatally to cocaine: role of maternal behavioral health.","volume":"27","author":"Accornero","year":"2002","journal-title":"J Pediatr Psychol"},{"issue":"2","key":"2021120823582500000_B30","doi-asserted-by":"crossref","first-page":"172","DOI":"10.1177\/004411802237862","article-title":"Risk and protective factors associated with gang involvement among urban African American adolescents.","volume":"34","author":"Li","year":"2002","journal-title":"Youth Soc"},{"issue":"2","key":"2021120823582500000_B31","doi-asserted-by":"crossref","first-page":"103","DOI":"10.1007\/BF02895772","article-title":"Risk and protective factors influencing adolescent problem behavior: a multivariate latent growth curve analysis.","volume":"22","author":"Duncan","year":"2000","journal-title":"Ann Behav Med"},{"issue":"1","key":"2021120823582500000_B32","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1016\/S0140-1971(02)00118-5","article-title":"Adolescent resilience: a concept analysis.","volume":"26","author":"Olsson","year":"2003","journal-title":"J Adolesc"},{"issue":"2","key":"2021120823582500000_B33","doi-asserted-by":"crossref","first-page":"181","DOI":"10.1016\/j.ntt.2004.10.004","article-title":"Gender and alcohol moderate prenatal cocaine effects on teacher-report of child behavior.","volume":"27","author":"Nordstrom Bailey","year":"2005","journal-title":"Neurotoxicol Teratol"},{"key":"2021120823582500000_B34"},{"issue":"4","key":"2021120823582500000_B35","doi-asserted-by":"crossref","first-page":"677","DOI":"10.1542\/peds.2010-3132","article-title":"Four-year prospective study of BMI and mental health problems in young children.","volume":"128","author":"Sawyer","year":"2011","journal-title":"Pediatrics"},{"key":"2021120823582500000_B36","volume-title":"Weschler Abbreviated Scale of Intelligence","author":"Wechsler","year":"1999","edition":"3rd ed."},{"key":"2021120823582500000_B37"},{"key":"2021120823582500000_B38","volume-title":"Beck Depression Inventory (BDI)","author":"Beck","year":"1978"},{"key":"2021120823582500000_B39","doi-asserted-by":"crossref","first-page":"77","DOI":"10.1016\/0272-7358(88)90050-5","article-title":"Psychometric properties of the Beck Depression Inventory: twenty-five years of evaluation","volume":"8","author":"Beck","year":"1988","journal-title":"Clin Psychol Rev"},{"key":"2021120823582500000_B40"},{"issue":"1","key":"2021120823582500000_B41","doi-asserted-by":"crossref","first-page":"7","DOI":"10.1080\/00332747.1993.11024617","article-title":"The NIMH community violence project: I. Children as victims of and witnesses to violence.","volume":"56","author":"Richters","year":"1993","journal-title":"Psychiatry"},{"key":"2021120823582500000_B42"},{"key":"2021120823582500000_B43","volume-title":"Patterns of Attachment: A Psychological Study of Strange Situation","author":"Ainsworth","year":"1978"},{"key":"2021120823582500000_B44","volume-title":"Home Observation for Measurement of the Environment (HOME) Administration Manual","author":"Caldwell","year":"1984"},{"issue":"3","key":"2021120823582500000_B45","doi-asserted-by":"crossref","first-page":"210","DOI":"10.1097\/01.mlr.0000114909.33878.ca","article-title":"The Parent Report Form of the CHIP-Child Edition: reliability and validity.","volume":"42","author":"Riley","year":"2004","journal-title":"Med Care"},{"key":"2021120823582500000_B46"},{"key":"2021120823582500000_B47","volume-title":"Four Factor Index of Social Status","author":"Hollingshead","year":"1975"},{"issue":"1","key":"2021120823582500000_B48","doi-asserted-by":"crossref","first-page":"39","DOI":"10.1016\/S0095-5108(18)30071-X","article-title":"Interpreting research on prenatal substance exposure in the context of multiple confounding factors.","volume":"26","author":"LaGasse","year":"1999","journal-title":"Clin Perinatol"},{"issue":"2","key":"2021120823582500000_B49","doi-asserted-by":"crossref","first-page":"145","DOI":"10.1177\/10791102009002005","article-title":"Measuring socioeconomic status: reliability and preliminary validity for different approaches.","volume":"9","author":"Cirino","year":"2002","journal-title":"Assessment"},{"key":"2021120823582500000_B50","volume-title":"Enabling and Empowering Families: Principles and Guidelines for Practice","author":"Dunst","year":"1988"},{"issue":"3","key":"2021120823582500000_B51","doi-asserted-by":"crossref","first-page":"580","DOI":"10.2307\/353914","article-title":"Social capital and successful development among at-risk youth.","volume":"57","author":"Furstenberg","year":"1995","journal-title":"J Marriage Fam"},{"key":"2021120823582500000_B52","volume-title":"Extracurricular Activity Survey","author":"Peters","year":"1995"},{"key":"2021120823582500000_B53","doi-asserted-by":"crossref","DOI":"10.1002\/9780470316696","volume-title":"Multiple Imputation for Nonresponse in Survey","author":"Rubin","year":"1987"},{"key":"2021120823582500000_B54","volume-title":"Manual for the Child Behavior Checklist\/4-18 and 1991 Profile","author":"Achenbach","year":"1991"},{"key":"2021120823582500000_B55","unstructured":"Arnold J, Walker D, Britting K. School-age module for CBCL, TRF, & YSR. In: Achenbach T, Rescorla L, eds. Achenbach System of Empirically Based Assessment (ASEBA) Version 4.0 ed [computer program]. Burlington, VT: University of Vermont, Research Center for Children, Youth, & Families; 1999\u20132003. Available at: www.aseba.org\/products\/forms.html#software. Accessed June 20, 2009"},{"key":"2021120823582500000_B56"},{"issue":"2","key":"2021120823582500000_B57","doi-asserted-by":"crossref","first-page":"639","DOI":"10.1111\/1467-8624.00302","article-title":"A mediational model for the impact of exposure to community violence on early child behavior problems.","volume":"72","author":"Linares","year":"2001","journal-title":"Child Dev"},{"key":"2021120823582500000_B58","doi-asserted-by":"crossref","DOI":"10.1007\/s10802-005-9002-y","article-title":"The role of maternal acceptance in the relation between community violence exposure and child functioning.","author":"Bailey","year":"2006","journal-title":"J Abnorm Child Psychol"},{"issue":"3","key":"2021120823582500000_B59","doi-asserted-by":"crossref","first-page":"173","DOI":"10.1097\/DBP.0b013e3181644a79","article-title":"Importance of stability of early living arrangements on behavior outcomes of children with and without prenatal drug exposure.","volume":"29","author":"Bada","year":"2008","journal-title":"J Dev Behav Pediatr"},{"issue":"10","key":"2021120823582500000_B60","doi-asserted-by":"crossref","first-page":"913","DOI":"10.1016\/j.chiabu.2007.12.008","article-title":"Contextual risk and child psychopathology.","volume":"32","author":"Flouri","year":"2008","journal-title":"Child Abuse Negl"},{"issue":"6","key":"2021120823582500000_B61","doi-asserted-by":"crossref","first-page":"1777","DOI":"10.1111\/j.1467-6494.2009.00600.x","article-title":"Resilience comes of age: defining features in later adulthood.","volume":"77","author":"Ong","year":"2009","journal-title":"J Pers"},{"issue":"1","key":"2021120823582500000_B62","doi-asserted-by":"crossref","first-page":"43","DOI":"10.1016\/S1054-139X(99)00077-4","article-title":"Perceived parental monitoring and health risk behaviors among urban low-income African-American children and adolescents.","volume":"27","author":"Li","year":"2000","journal-title":"J Adolesc Health"},{"issue":"2","key":"2021120823582500000_B63","doi-asserted-by":"crossref","first-page":"213","DOI":"10.1037\/0033-2909.101.2.213","article-title":"Child\/adolescent behavioral and emotional problems: implications of cross-informant correlations for situational specificity.","volume":"101","author":"Achenbach","year":"1987","journal-title":"Psychol Bull"},{"issue":"7","key":"2021120823582500000_B64","doi-asserted-by":"crossref","first-page":"961","DOI":"10.1111\/1469-7610.00180","article-title":"Sibling-based association analyses of the serotonin transporter polymorphism and internalizing behavior problems in children.","volume":"44","author":"Young","year":"2003","journal-title":"J Child Psychol Psychiatry"},{"issue":"9","key":"2021120823582500000_B65","doi-asserted-by":"crossref","first-page":"836","DOI":"10.1016\/j.biopsych.2005.10.008","article-title":"Family-based association test of the 5HTTLPR and aggressive behavior in a general population sample of children.","volume":"59","author":"Haberstick","year":"2006","journal-title":"Biol Psychiatry"},{"issue":"10","key":"2021120823582500000_B66","doi-asserted-by":"crossref","first-page":"1258","DOI":"10.1097\/00004583-200310000-00019","article-title":"Genetics of childhood disorders: LV. Prenatal drug exposure.","volume":"42","author":"Mayes","year":"2003","journal-title":"J Am Acad Child Adolesc Psychiatry"},{"key":"2021120823582500000_B67","unstructured":"Child Trends. Program matrix: life course interventions that work. Available at: www.childtrends.org\/_catdisp_page.cfm?LID=AD85078D-C136-4505-B368D5A80098972F. Accessed February 21, 2012"}],"container-title":["Pediatrics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/publications.aap.org\/pediatrics\/article-pdf\/130\/6\/e1479\/898202\/peds_2011-3306.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/publications.aap.org\/pediatrics\/article-pdf\/130\/6\/e1479\/898202\/peds_2011-3306.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,5,2]],"date-time":"2024-05-02T02:28:26Z","timestamp":1714616906000},"score":1,"resource":{"primary":{"URL":"https:\/\/publications.aap.org\/pediatrics\/article\/130\/6\/e1479\/30360\/Protective-Factors-Can-Mitigate-Behavior-Problems"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2012,12,1]]},"references-count":67,"journal-issue":{"issue":"6","published-online":{"date-parts":[[2012,12,1]]},"published-print":{"date-parts":[[2012,12,1]]}},"URL":"https:\/\/doi.org\/10.1542\/peds.2011-3306","relation":{},"ISSN":["0031-4005","1098-4275"],"issn-type":[{"value":"0031-4005","type":"print"},{"value":"1098-4275","type":"electronic"}],"subject":[],"published":{"date-parts":[[2012,12,1]]}}}