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照顾者急性应激范式:对照顾者和婴儿行为和生理的影响。

A Caretaker Acute Stress Paradigm: Effects on behavior and physiology of caretaker and infant.

机构信息

Department of Psychology, University of Massachusetts Boston, Boston, MA, USA.

Department of Newborn Medicine, Harvard Medical School, Boston, MA, USA.

出版信息

Dev Psychobiol. 2021 Mar;63(2):237-246. doi: 10.1002/dev.21974. Epub 2020 Apr 20.

DOI:10.1002/dev.21974
PMID:32311073
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7572457/
Abstract

While experimental stress paradigms of infants (arm restraint; the Still-Face) are powerful tools for infant research, no study has experimentally stressed mothers to observe its independent effects on infant stress regulation. Extant caretaker/maternal stress studies essentially are correlational and confounded by other conditions (e.g., depression). Here, we present a standard procedure, the Caregiver Acute Stress Paradigm (CASP), for stressing mothers during en face interactions with their infants. We hypothesized that infants of the stressed mothers would be more distressed than infants of non-stressed mothers. A total of 106 four-month-old infants and their mothers were randomly assigned to the experimental stress or non-stress manipulation. Confirming our hypothesis, infants of the stressed mothers were significantly more likely to become distressed and require terminating the procedure. While objective ratings of maternal behavior showed no difference between groups, mother in the stress condition self-rated the episode following the caretaker stress significantly lower than mothers in the non-stress group. The self-ratings in the maternal stress-group were reflected in infant cortisol. The findings indicate that CASP is an effective experimental paradigm for exploring the independent effects of an acute stress on caretakers, including effects of conditions, such as poverty or mental illness.

摘要

虽然婴儿的实验性应激范式(手臂束缚;静止面孔)是婴儿研究的有力工具,但尚无研究通过实验对母亲施加应激,以观察其对婴儿应激调节的独立影响。现有的看护人/母亲应激研究本质上是相关的,并且受到其他条件(例如抑郁)的混杂。在这里,我们提出了一种标准程序,即看护人急性应激范式(CASP),用于在与婴儿面对面互动期间对母亲施加应激。我们假设,与未受应激的母亲的婴儿相比,受应激母亲的婴儿会更加痛苦。共有 106 名四个月大的婴儿及其母亲被随机分配到实验组或非应激组。验证了我们的假设,与非应激组的母亲相比,受应激母亲的婴儿更有可能变得痛苦并需要终止该过程。虽然客观的母亲行为评分显示两组之间没有差异,但处于应激状态下的母亲对照顾者应激后阶段的自我评估明显低于非应激组的母亲。母亲应激组的自我评估反映在婴儿的皮质醇水平上。研究结果表明,CASP 是一种有效的实验范式,可以探索急性应激对看护人的独立影响,包括贫困或精神疾病等条件的影响。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0d31/7572457/7490203e0277/nihms-1584158-f0002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0d31/7572457/7d973e5774f3/nihms-1584158-f0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0d31/7572457/7490203e0277/nihms-1584158-f0002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0d31/7572457/7d973e5774f3/nihms-1584158-f0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0d31/7572457/7490203e0277/nihms-1584158-f0002.jpg

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Autonomic regulation of preterm infants is enhanced by Family Nurture Intervention.家庭养育干预增强早产儿的自主神经调节。
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Family nurture intervention for preterm infants facilitates positive mother-infant face-to-face engagement at 4 months.
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