Autonomic nervous system functioning assessed during the Still-Face Paradigm: A meta-analysis and systematic review of methods, approach and findings.
Autonomic nervous system functioning assessed during the Still-Face Paradigm: A meta-analysis and systematic review of methods, approach and findings.
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DOI：
10.1016/j.dr.2018.06.002
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发表时间：
2018-12
期刊：
影响因子：
--
通讯作者：
Bush NR
中科院分区：
文献类型：
--
作者：
Jones-Mason K;Alkon A;Coccia M;Bush NR
动物和人类的研究表明，自主神经系统（ANS）的发展对早期的养育经历特别敏感。静止面孔范式（SFP）是评估婴儿反应性和情绪能力最广泛使用的方法之一，它唤起了婴儿对父母互动和脱离的自我调节反应。这篇对33项同行评议研究的系统综述确定了SFP期间1岁以下婴儿表现出的副交感神经（PNS）和交感神经（SNS）神经系统活动模式，并在样本人口统计学特征、研究方法和分析的背景下描述了结果。一项对14项具有足够可用的呼吸性窦性心律失常（RSA）数据的研究子集进行的荟萃分析检查了SFP是否可靠地引起父母分离期间PNS戒断（RSA降低）或团聚期间PNS恢复（RSA增加），以及结果是否因社会经济地位（SES）而异。在SES中，荟萃分析证实RSA在静止面部发作期间降低，在团聚期间增加。当研究按SES分层时，低SES或高风险组也显示RSA在静止面部发作期间降低，但未能显示RSA在团聚期间增加。迄今为止，很少有研究审查SFP期间的SNS活动，从而阻止了该领域的结论。该综述还确定了SFP ANS结果模式的多种资格，包括种族，婴儿性别，父母敏感性和遗传学的差异。在现存的研究，可以解释一些变化的研究结果在整个文献中的优势和劣势进行了讨论，并为加强未来的研究提供了建议。
Animal and human research suggests that the development of the autonomic nervous system (ANS) is particularly sensitive to early parenting experiences. The Still-Face Paradigm (SFP), one of the most widely used measures to assess infant reactivity and emotional competence, evokes infant self-regulatory responses to parental interaction and disengagement. This systematic review of 33 peer-reviewed studies identifies patterns of parasympathetic (PNS) and sympathetic (SNS) nervous system activity demonstrated by infants under one year of age during the SFP and describes findings within the context of sample demographic characteristics, study methodologies, and analyses conducted. A meta-analysis of a subset of 14 studies with sufficient available respiratory sinus arrhythmia (RSA) data examined whether the SFP reliably elicited PNS withdrawal (RSA decrease) during parental disengagement or PNS recovery (RSA increase) during reunion, and whether results differed by socioeconomic status (SES). Across SES, the meta-analysis confirmed that RSA decreased during the still-face episode and increased during reunion. When studies were stratified by SES, low-SES or high-risk groups also showed RSA decreases during the still face episode but failed to show an increase in RSA during reunion. Few studies have examined SNS activity during the SFP to date, preventing conclusions in that domain. The review also identified multiple qualifications to patterns of SFP ANS findings, including those that differed by ethnicity, infant sex, parental sensitivity, and genetics. Strengths and weaknesses in the extant research that may explain some of the variation in findings across the literature are also discussed, and suggestions for strengthening future research are provided.
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影响因子：
4.6
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