AT-RISK IRRITABLE INFANTS

易激惹的高危婴儿

• 批准号: 6753647
• 负责人: JUDE A CASSIDY
• 金额: $ 34.72万
• 依托单位: UNIV OF MARYLAND, COLLEGE PARK
• 依托单位国家: 美国
• 财政年份: 1999
• 资助国家: 美国
• 起止时间: 1999-09-30 至 2006-05-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6753647
• 关键词: behavior prediction; behavior test; behavioral /social science research tag; child behavior; child psychology; clinical research; developmental psychology; electroencephalography; family structure /dynamics; heart rate; human subject; infant human (0-1 year); interview; longitudinal human study; low socioeconomic status; maternal behavior; newborn human (0-6 weeks); outcomes research; personality; psychological adaptation; psychological stressor; questionnaires; social support network

Irritability in infants is more than aversive and stressful to parents; it is associated with a variety of developmental problems. Furthermore, although infant irritability does not appear to be a direct contributor to insecure attachment, infant irritability does interact with other maternal stressors such as low social support and low-SES to contribute to an increased risk of insecure attachment (Crockenberg, 1981; van den Boom, 1994). Insecure attachment, in turn, is associated with a variety of negative outcomes (see Belsky and Cassidy, 1994). Of particular concern from a mental health perspective is mounting evidence of links between early insecure attachment and various forms of psychopathology, including conduct disorder, anxiety, and dissociation (see Greenberg, in press). Given these negative outcomes, attempts to better understand infant irritability and to intervene with irritable infants are crucial The proposed study was designed to address the following four questions: (1) Can we successfully intervene with irritable, low- SES infants to reduce infant irritability and to decrease the risk of insecure attachment? (2) Are there changes in patterns of EEG activity among irritable infants associated with intervention? (3) Is change in maternal sensitivity associated with change in maternal "state of mind with regard to attachment"? (4) How do infant irritability, caregiving experiences, and attachment interact to predict toddler behavioral inhibition and internalizing/externalizing behavior? This study will replicate and extend van den Boom's (1994) intervention study which revealed striking effects from a relatively minor intervention. Seventy-five irritable low-SES infants and mothers will participate in three home-based interventions between 6 and 9 months, and 75 irritable low-SES infants and mothers will serve as a control group. Home observations of maternal and infant behavior will be made at 6m (pre-intervention) and 9m (immediate post-intervention). Longer- term intervention effectiveness will be examined with assessments of attachment (12 and 18m), maternal and child behavior (18 and 24m), child behavior problems (CBCL at 24m), and behavioral inhibition (24m). Two additions in the proposed study will permit examination of a series of important questions: Infant EEG will be measured at 6, 12, and 24m, permitting examination of physiological changes associated with intervention. Maternal Attachment Interviews (at 6 and 12m) will permit examination of several important questions.

婴儿的易怒不仅仅是对父母的厌恶和压力；它与多种发育问题有关。此外，尽管婴儿易怒似乎不是不安全依恋的直接因素，但婴儿易怒确实与其他母亲压力源（如低社会支持和低经济地位）相互作用，导致不安全依恋的风险增加（Crockenberg, 1981; van den Boom, 1994）。不安全依恋反过来又与各种负面结果相关（见Belsky和Cassidy， 1994）。从心理健康的角度来看，特别值得关注的是，越来越多的证据表明，早期不安全依恋与各种形式的精神病理之间存在联系，包括行为障碍、焦虑和分离（见Greenberg，出版中）。鉴于这些负面结果，尝试更好地了解婴儿易怒和干预易怒的婴儿是至关重要的。本研究旨在解决以下四个问题：(1)我们能否成功地干预易怒，低社会经济地位的婴儿，以减少婴儿易怒和降低不安全依恋的风险？(2)干预是否会改变易激婴儿的脑电图活动模式？(3)母亲敏感性的改变是否与母亲“依恋心理状态”的改变有关？(4)婴儿易怒、照顾经历和依恋如何相互作用预测幼儿行为抑制和内化/外化行为？本研究将复制并扩展van den Boom（1994）的干预研究，该研究揭示了一个相对较小的干预会产生惊人的效果。75名易激惹的低经济地位婴儿和母亲将在6到9个月期间参加三个基于家庭的干预，75名易激惹的低经济地位婴儿和母亲将作为对照组。在6点（干预前）和9点（干预后）对母婴行为进行家庭观察。长期干预效果将通过依恋（12和18米）、母婴行为（18和24米）、儿童行为问题（24米时的CBCL）和行为抑制（24米）的评估来检验。在拟议的研究中增加的两个内容将允许对一系列重要问题进行检查：婴儿脑电图将在6、12和24米进行测量，允许检查与干预相关的生理变化。母亲依恋访谈（6点和12点）将允许检查几个重要问题。

项目成果

The development of negative reactivity in irritable newborns as a function of attachment.

易激惹的新生儿中消极反应的发展是依恋的一种功能。

• DOI: 10.1016/j.infbeh.2012.11.004
• 发表时间: 2013
• 期刊: Infant behavior & development
• 影响因子: 2.1
• 作者: Sherman,LauraJ;Stupica,Brandi;Dykas,MatthewJ;Ramos-Marcuse,Fatima;Cassidy,Jude
• 通讯作者: Cassidy,Jude

Secure Base Provision: A New Approach to Examining Links Between Maternal Caregiving and Infant Attachment.

安全基础规定：检查母亲护理和婴儿依恋之间联系的新方法。

• DOI: 10.1111/cdev.13224
• 发表时间: 2020
• 期刊: Child development
• 影响因子: 4.6
• 作者: Woodhouse,SusanS;Scott,JulieR;Hepworth,AllisonD;Cassidy,Jude
• 通讯作者: Cassidy,Jude

Newborn irritability moderates the association between infant attachment security and toddler exploration and sociability.

• DOI: 10.1111/j.1467-8624.2011.01638.x
• 发表时间: 2011-09
• 期刊: Child development
• 影响因子: 4.6
• 作者: Stupica B;Sherman LJ;Cassidy J
• 通讯作者: Cassidy J

Psychotherapy process and relationship in the context of a brief attachment-based mother-infant intervention.

简短的基于依恋的母婴干预背景下的心理治疗过程和关系。

• DOI: 10.1037/a0037335
• 发表时间: 2015
• 期刊: Psychotherapy (Chicago, Ill.)
• 作者: Woodhouse,SusanS;Lauer,Maria;Beeney,JulieRS;Cassidy,Jude
• 通讯作者: Cassidy,Jude