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我们为什么渴望触摸?日常轻柔触摸刺激对母婴生理和行为调节及适应力的影响。

Why do we hunger for touch? The impact of daily gentle touch stimulation on maternal-infant physiological and behavioral regulation and resilience.

机构信息

VIPER Research Unit, LIFE Department, Royal Military Academy, Brussels, Belgium.

Experimental and Applied Psychology, Department of Psychology and Educational Sciences, Vrije Universiteit Brussel, Brussels, Belgium.

出版信息

Infant Ment Health J. 2021 Nov;42(6):823-838. doi: 10.1002/imhj.21949. Epub 2021 Nov 9.

Abstract

We report the impact of a Gentle Touch Stimulation (GTS) program. Forty-three mothers provided daily 10-min GTS with C-tactile (CT) afferent optimal stroking touch, for 4 weeks to their 3-12 weeks old infants. CT-afferents are cutaneous unmyelinated, low-threshold mechanosensitive nerves hypothesized to underly the regulatory impact of affective touch. We compared physiological and behavioral responses during a no-touch-baseline (BL), static-touch-baseline (BL-T), intervention/control (GTS/CTRL), Still Face (SF) and Reunion (RU) condition for GTS-infants versus a control-group (CTRL) at the start (T1) and end of (T2) of the program. We collected mother-infant ECG, respiration, cortisol, video-recordings, and diary-reports. At T1, physiological arousal significantly increased during SF in both groups, that is, decreased respiratory sinus arrhythmia (RSA) and R-R interval (RRI). At T2, GTS-infants showed significantly increased RSA, RRI, decreased respiration during GTS, buffering SF-arousal and allowing complete recovery during RU; CTRL-infants showed higher SF-arousal and small recovery, under initial BL-levels. Maternal cardio-respiratory showed a metabolic investment during RU. Cortisol and behavioral analyses showed higher arousal in CTRL-infants than GTS-infants at T2. We suggest that the combination of phasic short-term and tonic long-term responses to CT-optimal stroking touch, delivered in a structured daily manner, contribute to the building of infant stress regulation and resilience.

摘要

我们报告了一种温柔触摸刺激(GTS)方案的影响。43 位母亲每天为 3-12 周大的婴儿提供 10 分钟的 C 触觉(CT)传入最佳刷触感 GTS,持续 4 周。CT 传入纤维是皮肤无髓、低阈值机械敏感神经,假设其基础是情感触摸的调节影响。我们比较了 GTS 婴儿在无触摸基线(BL)、静态触摸基线(BL-T)、干预/对照(GTS/CTRL)、静止面(SF)和团聚(RU)条件下的生理和行为反应,与对照组(CTRL)在方案开始(T1)和结束(T2)时的反应。我们收集了母婴心电图、呼吸、皮质醇、视频记录和日记报告。在 T1,两组在 SF 期间生理唤醒显著增加,即呼吸窦性心律失常(RSA)和 R-R 间隔(RRI)降低。在 T2,GTS 婴儿在 GTS 期间表现出明显增加的 RSA、RRI,呼吸减少,缓冲 SF 唤醒,并在 RU 期间完全恢复;CTRL 婴儿在初始 BL 水平下表现出更高的 SF 唤醒和较小的恢复。母体心肺显示在 RU 期间进行代谢投资。皮质醇和行为分析表明,在 T2 时,CTRL 婴儿的唤醒程度高于 GTS 婴儿。我们认为,对 CT 最佳刷触感的短期相位和长期紧张反应的组合,以结构化的日常方式提供,有助于建立婴儿的应激调节和适应能力。

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