Breastfeeding and infant temperament at age three months.

Breastfeeding and infant temperament at age three months.
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DOI:
10.1371/journal.pone.0029326
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发表时间:
2012
期刊:
影响因子:
3.7
通讯作者:
Ong KK
Ong KK
中科院分区:
综合性期刊3区
文献类型:
--
作者:
Lauzon-Guillain Bd;Wijndaele K;Clark M;Acerini CL;Hughes IA;Dunger DB;Wells JC;Ong KK

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为了研究母乳喂养与3个月时母亲评定的婴儿气质之间的关系,英国前瞻性剑桥婴儿生长研究中的316名婴儿在3个月时由母亲使用修订的婴儿行为问卷评估婴儿气质,该问卷从14个分量表中产生气质的三个主要维度的分数。婴儿气质评分与婴儿3个月龄时的母乳喂养模式(仅母乳喂养;仅配方奶喂养;或混合喂养)相关,并根据评估时婴儿的年龄和剥夺指数进行调整。三个婴儿喂养组的婴儿气质维度得分不同,但纯母乳喂养和混合喂养的婴儿之间似乎是可比的。与配方奶喂养的婴儿相比,纯母乳喂养和混合喂养的婴儿被评为具有较低的冲动性和对刺激的积极反应(配方奶喂养组、混合喂养组和母乳喂养组的"冲动/外向"校正均值[95% CI]:4.3 [4.2 - 4.5] vs. 4.0 [3.8 - 4.1] vs. 4.0 [3.9 - 4.1]; p-异质性= 0.0006),调节自身情绪的能力较低("定向/调节":5.1 [5.0 - 5.2] vs. 4.9 [4.8 - 5.1] vs. 4.9 [4.8 - 5.0]; p = 0.01),情绪不稳定性较高("消极情感":2.8 [2.6 - 2.9] vs. 3.0 [2.8 - 3.1] vs. 3.0 [2.9 - 3.1]; p = 0.03)。      母乳喂养和混合喂养的婴儿被他们的母亲评定为在所有三个维度上都具有更具挑战性的气质;特定的分量表包括更大的痛苦,更少的微笑,大笑和发声,以及更低的安抚性。提高对母乳喂养的行为动力学的认识,更好地期望正常婴儿的气质和支持,以应付困难的婴儿气质可能有助于促进成功的母乳喂养。
To examine the relationship between breastfeeding and maternally-rated infant temperament at age 3 months, 316 infants in the prospective Cambridge Baby Growth Study, UK had infant temperament assessed at age 3 months by mothers using the Revised Infant Behavior Questionnaire, which produces scores for three main dimensions of temperament derived from 14 subscales. Infant temperament scores were related to mode of infant milk feeding at age 3 months (breast only; formula milk only; or mixed) with adjustment for infant's age at assessment and an index of deprivation. Infant temperament dimension scores differed across the three infant feeding groups, but appeared to be comparable between exclusive breast-fed and mixed-fed infants. Compared to formula milk-fed infants, exclusive breast-fed and mixed-fed infants were rated as having lower impulsivity and positive responses to stimulation (adjusted mean [95% CI] “Surgency/Extraversion” in formula-fed vs. mixed-fed vs. breast-fed groups: 4.3 [4.2–4.5] vs. 4.0 [3.8–4.1] vs. 4.0 [3.9–4.1]; p-heterogeneity = 0.0006), lower ability to regulate their own emotions (“Orienting/Regulation”: 5.1 [5.0–5.2], vs. 4.9 [4.8–5.1] vs. 4.9 [4.8–5.0]; p = 0.01), and higher emotional instability (“Negative affectivity”: 2.8 [2.6–2.9] vs. 3.0 [2.8–3.1] vs. 3.0 [2.9–3.1]; p = 0.03). Breast and mixed-fed infants were rated by their mothers as having more challenging temperaments in all three dimensions; particular subscales included greater distress, less smiling, laughing, and vocalisation, and lower soothability. Increased awareness of the behavioural dynamics of breastfeeding, a better expectation of normal infant temperament and support to cope with difficult infant temperament could potentially help to promote successful breastfeeding.
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发表时间: 2006-12-01
影响因子: 2.1
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