Evidence-based intervention for young children born premature: preliminary evidence for associated changes in physiological regulation.

Evidence-based intervention for young children born premature: preliminary evidence for associated changes in physiological regulation.
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DOI:
10.1016/j.infbeh.2012.04.001
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发表时间:
2012-06
影响因子:
2.1
通讯作者:
Lester BM
Lester BM
中科院分区:
心理学3区
文献类型:
--
作者:
Graziano PA;Bagner DM;Sheinkopf SJ;Vohr BR;Lester BM

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当前的研究探讨了在基于实证的治疗方法——亲子互动疗法(PCIT)之后,母亲行为的改变是否与早产儿心脏迷走神经调节的改善有关。参与者包括28名幼儿(平均年龄 = 37.79个月),他们均为早产儿且存在较高的外化行为问题。为了评估心脏迷走神经调节,在治疗前后分别获取了呼吸性窦性心律不齐(RSA)的静息测量值以及在清理任务中RSA的变化(减弱或抑制)情况。结果表明,母亲在治疗期间被教导使用的行为(即技能——表扬、回应和行为描述)的增加与儿童治疗后RSA抑制水平的提高有关。当前的研究阐明了照顾者行为在促进早产儿生理调节方面的重要作用。
The current study examined whether changes in maternal behaviors following an evidence-based treatment—Parent Child Interaction Therapy (PCIT)—was associated with improvements in cardiac vagal regulation in young children born premature. Participants included 28 young children (mean age = 37.79 months) that were born premature and presented with elevated externalizing behavior problems. To assess cardiac vagal regulation, resting measures of respiratory sinus arrhythmia (RSA) and RSA change (withdrawal or suppression) to a clean-up task were derived pre and post-treatment. Results indicated that an increase in behaviors mothers are taught to use during treatment (i.e., do skills—praise, reflection, and behavioral descriptions) were associated with an improvement in children’s post-treatment RSA suppression levels. The current study illustrates the important role of caregiver behavior in promoting physiological regulation in children born premature.
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