与服刑母亲共同生活的婴儿的心理运动发育和唾液皮质醇水平

[Psychomotor development and cortisol salivary levels in infants that live with their inmate mothers].

作者信息

Haquin Macari Gia, Gallardo Tapia Adriana, Iñiguez German, Weisstaub Gerardo

机构信息

Facultad de Medicina, Universidad de Chile, Chile.

Instituto de Investigaciones Materno Infantil, Facultad de Medicina, Universidad de Chile, Chile.

出版信息

Rev Chil Pediatr. 2019 Jun;90(3):275-282. doi: 10.32641/rchped.v90i3.690.

DOI:10.32641/rchped.v90i3.690

PMID:31344187

Abstract

INTRODUCTION

In Chile, the prison system has a program that allows inmate mothers to live with their children un der two years of age. This could imply that these children are more exposed to stress conditions and a higher psychomotor developmental delay (PDD) risk.

OBJECTIVE

To compare the PDD and salivary cortisol concentrations (SCC) of children living in prison with their mothers and to compare the results with control children.

SUBJECTS AND METHOD

Cross-sectional study in 42 infants, 12 of them are children of inmate mothers in the penitentiary center (CPF) of Santiago, and 30 controls from a Primary Care Family Health Center (CESFAM). PDD of infants was assessed through the ASQ-3 questionnaire and salivary cortisol was measured in infants and mothers using radioimmunoassay.

RESULTS

The median salivary cortisol level of the children of CPF and CESFAM mothers was 2.3 ng/ ml (IQR 1.1 to 2.7) and 2.1 ng/ml (IQR 1.6 to 2, 9) respectively. Maternal cortisol was 4.6 ng/ml (IQR 3.8 to 7.3) in the CPF and 3.7 ng/ml (IQR 2.4 to 4.7) in the CESFAM. The PDD deficit was 2.3% and 28.5% for children from the CPF and the CESFAM respectively, without statistical difference (p = 0.06).

CONCLUSIONS

There was no difference in the PDD and salivary cortisol between children of both groups.

摘要

引言

在智利，监狱系统有一项计划，允许有两岁以下子女的女囚犯与孩子同住。这可能意味着这些孩子更容易暴露于压力环境中，且面临更高的精神运动发育迟缓（PDD）风险。

目的

比较与母亲一同生活在监狱中的儿童的PDD和唾液皮质醇浓度（SCC），并将结果与对照儿童进行比较。

对象与方法

对42名婴儿进行横断面研究，其中12名是圣地亚哥监狱中心（CPF）女囚犯的子女，30名是来自初级保健家庭健康中心（CESFAM）的对照儿童。通过ASQ - 3问卷评估婴儿的PDD，并使用放射免疫分析法测量婴儿和母亲的唾液皮质醇。

结果

CPF母亲和CESFAM母亲的孩子的唾液皮质醇水平中位数分别为2.3 ng/ml（四分位间距1.1至2.7）和2.1 ng/ml（四分位间距1.6至2.9）。CPF母亲的皮质醇水平为4.6 ng/ml（四分位间距3.8至7.3），CESFAM母亲的皮质醇水平为3.7 ng/ml（四分位间距2.4至4.7）。CPF和CESFAM儿童的PDD缺陷率分别为2.3%和28.5%，无统计学差异（p = 0.06）。