婴儿行为评估和干预方案对极早产儿母婴互动的影响。
The effect of the Infant Behavioral Assessment and Intervention Program on mother-infant interaction after very preterm birth.
机构信息
Pediatric Psychology, Tilburg University, The Netherlands.
出版信息
J Child Psychol Psychiatry. 2010 Nov;51(11):1287-95. doi: 10.1111/j.1469-7610.2010.02237.x.
BACKGROUND
Prematurity and perinatal insults lead to increased developmental vulnerability. The home-based Infant Behavioral Assessment and Intervention Program (IBAIP) was designed to improve development of preterm infants. In a multicenter randomized controlled trial the effect of IBAIP on mother-infant interaction was studied as a secondary outcome.
METHOD
Mother-infant interaction was assessed during the Still-face procedure at 6 months corrected age. One hundred and twelve mother-infant dyads (57 intervention, 55 control) were studied.
RESULTS
Findings partially supported our hypothesis that the intervention would increase maternal sensitivity in interaction with their preterm infants. No effects were found on infant self-regulatory behavior or positive interaction behavior.
CONCLUSION
The family-centered and strength-based approach of IBAIP appears to be a promising intervention method to promote sensitive mother-infant interaction at home after discharge from hospital. However, no positive effects were found on infant interaction behavior.
背景
早产和围产期损伤会导致发育脆弱性增加。基于家庭的婴儿行为评估和干预计划（IBAIP）旨在改善早产儿的发育。在一项多中心随机对照试验中，作为次要结果研究了 IBAIP 对母婴互动的影响。
方法
在 6 个月校正年龄时，通过静止面程序评估母婴互动。研究了 112 对母婴对（57 例干预，55 例对照）。
结果
研究结果部分支持了我们的假设，即干预措施会增加母亲与早产儿互动时的敏感性。但对婴儿的自我调节行为或积极互动行为没有影响。
结论
IBAIP 的以家庭为中心和以优势为基础的方法似乎是一种很有前途的干预方法，可以在出院后促进家庭中敏感的母婴互动。然而，对婴儿的互动行为没有发现积极的影响。
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