Steward D K
College of Nursing, The Ohio State University, 1585 Neil Avenue, Columbus, Ohio 43210, USA.
MCN Am J Matern Child Nurs. 2001 Mar-Apr;26(2):79-85. doi: 10.1097/00005721-200103000-00006.
To examine the behavioral responses of infants with nonorganic failure to thrive (NOFTT) during play interactions with their mothers.
Comparative descriptive.
The sample consisted of 31 infants; 17 with nonorganic failure to thrive (NOFTT) and 16 matched healthy controls. The infants were videotaped during a play interaction with their mothers. The behaviors exhibited by the infants were scored with the Parent-Child Early Relational Assessment. The environmental context of the play interaction was also rated for how play was initiated, maternal involvement, and the presence of chaos.
Infants with NOFTT exhibited more difficult behaviors during play such as more negative affect, less vocalizing, and more gaze aversion. Mothers of the infants with NOFTT were less likely to remain involved during the play interaction. The environments of the infants with NOFTT were also found to be more chaotic during play.
Assessment of the infant-mother interaction during play may provide insight into the interactions that occur during other caretaking activities. Strategies could be developed to assist the mother with interacting with her difficult infant. Future research could lead to interventions that could help improve the dynamics of the infant-mother interaction in infants with NOFTT.
研究非器质性发育不良（NOFTT）婴儿在与母亲玩耍互动期间的行为反应。
比较性描述研究。
样本包括31名婴儿；17名非器质性发育不良（NOFTT）婴儿和16名匹配的健康对照婴儿。在婴儿与母亲玩耍互动期间对他们进行录像。使用亲子早期关系评估对婴儿表现出的行为进行评分。还对玩耍互动的环境背景在游戏发起方式、母亲参与度和混乱程度方面进行了评级。
非器质性发育不良（NOFTT）婴儿在玩耍期间表现出更难相处的行为，如更多的负面情绪、更少的发声和更多的目光回避。非器质性发育不良（NOFTT）婴儿的母亲在玩耍互动期间较少持续参与。还发现非器质性发育不良（NOFTT）婴儿的玩耍环境在玩耍期间更混乱。
对玩耍期间母婴互动的评估可能有助于深入了解其他照料活动期间发生的互动。可以制定策略来帮助母亲与难相处的婴儿进行互动。未来的研究可能会带来有助于改善非器质性发育不良（NOFTT）婴儿母婴互动动态的干预措施。
