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母婴互动评估:静脸范式在厄瓜多尔农村职业女性群体中的应用

Assessment of Maternal-Infant Interaction: Application of the Still Face Paradigm in a Rural Population of Working Women in Ecuador.

作者信息

Handal Alexis J, Garcia Saavedra Luigi, Schrader Ronald, Aragón Crystal L, Páez Maritza, Lowe Jean R

机构信息

Public Health Program, Department of Family Community Medicine, MSC09 5040, 1 University of New Mexico, Albuquerque, NM, 87131-0001, USA.

Clinical and Translational Science Center, University of New Mexico, Albuquerque, NM, 87131, USA.

出版信息

Matern Child Health J. 2017 Mar;21(3):458-466. doi: 10.1007/s10995-016-2123-9.

Abstract

Objectives The importance of mother-child interaction in early infancy on child development has been well documented. The purpose of this study was to assess the feasibility of using the Still Face Paradigm to measure mother interactive style, infant affect and emotional regulation in a rural Ecuador setting. Methods Infant's emotional regulation and the quality of mother's interaction were measured with the Still Face Paradigm at 4 months of age (±15 days). Twenty-four infants and their mothers were assessed in their home. Mother interactive style was coded for attention seeking and contingent responding. Emotional regulation was described by change in infant affect between Still Face episodes. Results A significant difference was found for infant affect between the five Still Face episodes (F = 9.185, p = 0.003). A significant negative correlation was found for infant affect between episode 3 and 2 with attention seeking mother interactive style during episode 3 (rho = -0.44, p = 0.03), indicating that mothers using more contingent-responding interactions had infants with more positive affect. Conversely, a significant positive association was found for infant affect between episode 3 and 2 and contingent responding mother interactive style during episode 3 (rho = 0.46, p = 0.02), indicating that mothers who used more attention seeking play had infants who showed less positive affect. Conclusion for Practice Study results demonstrate feasibility in using the Still Face Paradigm in working populations residing in a rural region in Ecuadorian highlands and may be feasible in other similar populations in Latin America, and as a successful approach to measuring maternal-child interactions within a field-based epidemiological study design.

摘要

目标 母婴互动在婴儿早期对儿童发育的重要性已有充分记录。本研究的目的是评估在厄瓜多尔农村地区使用静态脸范式来测量母亲的互动方式、婴儿情感及情绪调节的可行性。方法 在婴儿4个月大(±15天)时,使用静态脸范式测量婴儿的情绪调节和母亲互动质量。24名婴儿及其母亲在其家中接受评估。对母亲的互动方式进行编码,以确定寻求关注和应急反应情况。通过静态脸情节之间婴儿情感的变化来描述情绪调节。结果 发现五个静态脸情节之间婴儿情感存在显著差异(F = 9.185,p = 0.003)。在情节3与情节2之间,婴儿情感与情节3中寻求关注的母亲互动方式存在显著负相关(rho = -0.44,p = 0.03),这表明使用更多应急反应互动方式的母亲,其婴儿有更积极的情感。相反,在情节3与情节2之间,婴儿情感与情节3中应急反应的母亲互动方式存在显著正相关(rho = 0.46,p = 0.02),这表明使用更多寻求关注式玩耍的母亲,其婴儿表现出的积极情感较少。实践结论 研究结果证明了在厄瓜多尔高地农村地区的劳动人口中使用静态脸范式的可行性,在拉丁美洲其他类似人群中可能也可行,并且是在基于现场的流行病学研究设计中测量母婴互动的一种成功方法。

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