Role of the mother's touch in failure to thrive: a preliminary investigation.
Role of the mother's touch in failure to thrive: a preliminary investigation.
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母亲的触摸在发育不良中的作用：初步调查。
DOI：
10.1097/00004583-199410000-00005
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发表时间：
1994
影响因子：
13.3
通讯作者：
Ward,MJ
中科院分区：
文献类型：
--
作者：
Polan,HJ;Ward,MJ
目的本研究调查了这样的假设：在发育不良（FTT）的情况下，可能促进婴儿生长的特定类型的母亲触摸会减少，并测试了在 FTT 中母亲的身体互动和身体情感减少的报告。方法由盲法评估者根据 21 名 9 至 19 个月大的 FTT 儿童和 18 名正常生长的对照儿童的母子喂养和游戏互动录像，对可操作定义的母亲触摸类别的频率进行评分。评分和统计分析完成后，研究人员对小组状态和临床数据不设盲，审查了触摸得分最低的二人组的录像带。结果与对照组相比，FTT 儿童的母亲在喂食时提供的实事触摸 (p= .017) 和游戏中无意识的触摸 (p= .048) 较少，并且有一种趋势 (p= .082)，她们在游戏中提供较少的本体感觉刺激。非盲病例审查表明，在患有 FTT 的儿童中，极不频繁的触摸表明母亲或孩子明显厌恶触摸。 结论 在 FTT 中，可能促进生长或促进喂养的母亲触摸类型减少，在极端情况下，这是由于母亲或儿童触摸厌恶。评估 FTT 的临床医生应警惕母子互动中非常罕见的触摸，并考虑这是否可能代表母亲无法容忍与婴儿的身体接触或婴儿的喂养能力存在问题。
ObjectiveThis study investigated the hypothesis that specific types of maternal touch that might promote infant growth are reduced in cases of failure to thrive (FTT) and tested reports that maternal physical interaction and physical affection are diminished in FTT.MethodFrequencies of operationally defined maternal touch categories were scored by blinded raters from videotaped mother-child feeding and play interactions of 21 children, aged 9 to 19 months, with FTT and 18 normally growing comparison children. After scoring and statistical analyses were completed, investigators unblinded to group status and clinical data reviewed the videotapes of the dyads with the lowest touch scores.ResultsMothers of children with FTT provided less matter-of-fact touch in feeding (p= .017) and unintentional touch in play (p= .048) than the comparison group, and there was a trend (p= .082) for them to provide less proprioceptive stimulation in play. Unblinded case reviews indicate that, among children with FTT, extremely infrequent touch signals a marked touch aversion by either the mother or child.ConclusionsTypes of maternal touch that may promote growth or facilitate feeding are reduced in FTT, due, in extreme cases, to maternal or child touch aversion. Clinicians evaluating FTT should be alert to very infrequent touch in the mother-child interaction and consider whether it may represent a maternal intolerance of physical contact with her infant or a problem with the infant's feeding competence.