Family nurture intervention for preterm infants facilitates positive mother-infant face-to-face engagement at 4 months.
Family nurture intervention for preterm infants facilitates positive mother-infant face-to-face engagement at 4 months.
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DOI：
10.1037/dev0000557
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发表时间：
2018-11
影响因子：
4
通讯作者：
Welch MG
中科院分区：
文献类型：
--
作者：
Beebe B;Myers MM;Lee SH;Lange A;Ewing J;Rubinchik N;Andrews H;Austin J;Hane A;Margolis AE;Hofer M;Ludwig RJ;Welch MG
虽然早产儿有社交缺陷的风险，但改善NICU中母婴互动的干预措施并不是标准护理（SC）的一部分。研究参与者是一项针对早产儿的新干预措施的随机对照试验的一个子集，家庭养育干预（FNI）旨在帮助母亲和婴儿建立情感联系。在4个月的矫正年龄，母亲-婴儿面对面的互动拍摄和编码的1秒的时间基础上，母亲触摸，婴儿的声音影响，母亲凝视和婴儿凝视。时间序列模型评估自我和互动的偶然性。比较FNI SC的二人组，FNI的母亲表现出更多的触摸和平静的触摸模式，FNI的婴儿表现出更多的愤怒抗议，但哭少。在母亲的触摸自我应急，民族阵线的母亲更有可能保持积极的触摸，并修复的时刻，消极的触摸过渡到积极的触摸。在母亲触摸互动的偶然性，当婴儿看着母亲，民族阵线的母亲可能会作出更积极的触摸。在婴儿的声音影响自我权变，FNI婴儿更容易维持积极的声音影响，并从消极的声音影响过渡到积极的声音影响。在母亲的凝视互动的偶然性，婴儿看母亲，FNI的男婴的母亲更有可能看自己的儿子。在母亲凝视自我偶然性中，在母亲看向别处之后，FNI的男婴母亲更有可能看着他们的儿子。记录FNI对4个月母婴面对面交流的积极影响在临床上是有用的，对改善这些婴儿的发育轨迹具有重要意义。
Although preterm infants are at risk for social deficits, interventions to improve mother-infant interaction in the NICU are not part of standard care (SC). Study participants were a subset from a randomized controlled trial of a new intervention for premature infants, Family Nurture Intervention (FNI), designed to help mothers and infants establish an emotional connection. At 4 months corrected age, mother-infant face-to-face interaction was filmed and coded on a 1-second time base for mother touch, infant vocal affect, mother gaze and infant gaze. Time-series models assessed self- and interactive contingency. Comparing FNI to SC dyads, FNI mothers showed more touch and calmer touch patterns, and FNI infants showed more angry-protest but less cry. In maternal touch self-contingency, FNI mothers were more likely to sustain positive touch, and to repair moments of negative touch by transitioning to positive touch. In maternal touch interactive contingency, when infants looked at mothers, FNI mothers were likely to respond with more positive touch. In infant vocal affect self-contingency, FNI infants were more likely to sustain positive vocal affect, and to transition from negative to positive vocal affect. In maternal gaze interactive contingency, following infant looking at mother, FNI mothers of male infants were more likely to look at their sons. In maternal gaze self-contingency, following mother looking away, FNI mothers of male infants were more likely to look at their sons. Documentation of positive effects of FNI for 4-month mother-infant face-to-face communication is useful clinically and has important implications for an improved developmental trajectory of these infants.
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影响因子：
3.2
作者：
Beebe B;Jaffe J;Markese S;Buck K;Chen H;Cohen P;Bahrick L;Andrews H;Feldstein S
通讯作者：
Feldstein S
影响因子：
4
作者：
COHN, JF;TRONICK, EZ
通讯作者：
TRONICK, EZ
影响因子：
2.2
作者：
Feldman, Ruth;Eidelman, Arthur I.
通讯作者：
Eidelman, Arthur I.
影响因子：
3.8
作者：
Feldman, R;Eidelman, AI
通讯作者：
Eidelman, AI
影响因子：
4
作者：
Beebe, Beatrice;Jaffe, Joseph;Andrews, Howard
通讯作者：
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