Polan H J, Leon A, Kaplan M D, Kessler D B, Stern D N, Ward M J
Department of Psychiatry, Cornell University Medical College, New York, NY.
J Am Acad Child Adolesc Psychiatry. 1991 Nov;30(6):897-903. doi: 10.1097/00004583-199111000-00006.
Positive and negative affects were assessed in 28 6- to 36-month-old children with failure-to-thrive and 14 normally growing children in feeding and nonfeeding situations. The roles of malnutrition and severity of organic effects also were examined. Failure-to-thrive children expressed less positive affect in the feeding and nonfeeding situations and more negative affect in feeding than normally growing children. Among failure-to-thrive children, the presence of both acute and chronic malnutrition was associated with heightened negative affect during feeding, whereas the degree of organic contribution had no effect. These results, if replicated, may have implications for clinical assessment and are discussed in terms of current theories of failure-to-thrive.
对28名6至36个月大的发育迟缓儿童和14名正常生长儿童在进食和非进食情况下的积极和消极情绪进行了评估。同时还研究了营养不良和器质性影响的严重程度所起的作用。发育迟缓儿童在进食和非进食情况下表现出的积极情绪比正常生长儿童少，在进食时表现出的消极情绪更多。在发育迟缓儿童中，急性和慢性营养不良的存在都与进食时增强的消极情绪有关，而器质性影响的程度则没有作用。这些结果如果得到重复验证，可能对临床评估有启示意义，并根据目前关于发育迟缓的理论进行了讨论。
