A LONGITUDINAL-STUDY OF OFFSPRING BORN TO METHADONE-MAINTAINED WOMEN .2. DYADIC INTERACTION AND INFANT BEHAVIOR AT 4 MONTHS
A LONGITUDINAL-STUDY OF OFFSPRING BORN TO METHADONE-MAINTAINED WOMEN .2. DYADIC INTERACTION AND INFANT BEHAVIOR AT 4 MONTHS
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DOI：
10.3109/00952998409002779
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发表时间：
1984-01-01
影响因子：
2.7
通讯作者：
MARCUS, J
中科院分区：
文献类型：
--
作者：
BERNSTEIN, V;JEREMY, RJ;MARCUS, J
作为药物滥用者所生后代纵向研究的一部分，17例美沙酮暴露组和23例对照组4个月。使用贝利量表对大婴儿进行评估，并对他们与母亲的互动进行录像。在分析贝利婴儿行为记录时，美沙酮暴露组与对照组在运动功能上不同，但在社会或认知行为上不显着;美沙酮暴露组婴儿比对照组更紧张，活跃和协调性差。使用一个开发的规模，在二元互动的沟通功能，和mothresh的互动表现，他们的心理和心理社会资源和婴儿的互动表现，他们的行为功能评估贝利婴儿行为记录进行了评级。应用多维技术，Guttman's Partial Order Scalogram Analysis by Coordinates（POSAC），发现了一种在药物组和对照组中普遍存在的有趣关系：张力大于活动，特别是高张力，与较差的功能相关，但张力低于活动与更好的功能相关。紧张和不活跃的婴儿在社会功能方面也最差（对人的反应性低，合作性低），注意力持续时间短，持久性低，对视觉和声音的兴趣高。表现出低到中度紧张和中到高度活动的婴儿反应灵敏，合作性强;有些婴儿的注意力持续时间长，持久性高，对视觉和声音也很感兴趣。那些既紧张又活跃的婴儿在社会功能上很差。大多数紧张高于活动的婴儿在与母亲的交流中表现较差，而紧张低于活动的婴儿则表现良好。POSAC技术已经能够识别有意义的婴儿亚组，这些婴儿不仅在数量上而且在质量上在行为功能上不同。在药物组和对照组中，在互动方面表现不佳的母亲可能对母亲的功能资源很差。美沙酮只是影响相互作用的危险因素之一。
As part of a longitudinal study of offspring born to substance abusers, 17 methadone-exposed and 23 comparison 4-mo. old infants were assessed using the Bayley Scales, and their interaction with their mothers was videotaped. In analyzing the Bayley Infant Behavior Record, the methadone-exposed group differed from the comparison group on motor functioning but not significantly on social or cognitive behaviors; methadone-exposed infants were more tense, active and poorly coordinated than comparisons. Using a developed scale, communicative functioning in dyadic interactions, and mothres'' interactive performance to their psychological and psychosocial resources and infants'' interactive performance to their behavioral functioning as assessed on the Bayley Infant Behavior Record were rated. Applying a multidimensional technique, Guttman''s Partial Order Scalogram Analysis by Coordinates (POSAC), an intriguing relationship that generalized across drug and comparison groups was found: greater tension than activity, with high tension especially, related to poorer functioning, but tension lower than activity related to better functioning. Infants who were tense and not active were also poorest on social functioning (low responsiveness to people and low cooperativeness) and showed short attention span and low persistence combined with high interest in sights and sounds. Infants who showed low-to-moderate tension and moderate-to-high activity were highly responsive and cooperative; some also had long attention span and high persistence coupled with interest in sights and sounds. Infants who were both very tense and very active were poor on social functioning. Most infants with tension higher than activity did poorly in communicating with their mothers, while infants with tension lower than activity interacted well. The POSAC technique has enabled are to identify meaningful subgroups of infants who were not merely quantitatively but qualitatively different in their behavioral functioning. Cutting across drug and comparison groups, mothers who performed poorly on interaction were likely to have poor resources for maternal functioning. Methadone was only one among the risk factors affecting interaction.