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临时母亲声音干预有助于改善患有神经损伤的住院早产儿的注意力。

Contingent mother's voice intervention facilitates attention in hospitalized preterm infants with neural insults.

作者信息

Kjeldsen Caitlin P, Neel Mary Lauren, Stark Ann R, He Zhulin, Chorna Olena, Benninger Kristen, Maitre Nathalie L

机构信息

Emory University School of Medicine, Department of Pediatrics and Children's Healthcare of Atlanta, Atlanta, Georgia, USA.

Department of Neonatology, Beth Israel Deaconess Medical Center, Boston, Massachusetts, USA.

出版信息

Mind Brain Educ. 2025 Feb;10(1):37-46. doi: 10.1111/mbe.70000. Epub 2025 Feb 22.

DOI:10.1111/mbe.70000
PMID:40486963
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12140178/
Abstract

Neurologic insults in infancy can have significant long-term effects on developmental processes including attention and learning; however, heterogeneity of diagnoses and treatments in this population often lead to exclusion from interventional trials to improve outcome. This study sought to determine whether hospitalized infants with neural insults have the capacity to attend to and engage in an intervention leveraging recorded mother's voice contingent on non-nutritive suck (NNS). Eighty-four hospitalized infants with neural insult were randomized to receive 20 sessions of intervention (recorded mother's voice contingent on NNS) or control (passive exposure to recorded mother's voice). Pause time between suck bursts was 29% lower for infants receiving contingent mother's voice compared to passive exposure (<.001). Hospitalized infants with evidence of neural insult have the capacity to engage in active interventions leveraging recorded mother's voice and demonstrate greater attention during active versus passive presentation of stimuli. Clinical Trial Registration: NCT03230032.

摘要

婴儿期的神经损伤会对包括注意力和学习在内的发育过程产生重大的长期影响;然而,该人群诊断和治疗的异质性往往导致被排除在改善预后的干预试验之外。本研究旨在确定患有神经损伤的住院婴儿是否有能力参与并接受一种基于非营养性吸吮(NNS)的、利用母亲录音声音的干预措施。84名患有神经损伤的住院婴儿被随机分为两组,一组接受20次干预(基于NNS的母亲录音声音),另一组为对照组(被动接触母亲录音声音)。与被动接触相比,接受有条件母亲声音的婴儿吸吮间歇时间缩短了29%(<.001)。有神经损伤证据的住院婴儿有能力参与基于母亲录音声音的积极干预,并在刺激的主动呈现与被动呈现过程中表现出更高的注意力。临床试验注册号:NCT03230032。

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Contingent mother's voice intervention facilitates attention in hospitalized preterm infants with neural insults.临时母亲声音干预有助于改善患有神经损伤的住院早产儿的注意力。
Mind Brain Educ. 2025 Feb;10(1):37-46. doi: 10.1111/mbe.70000. Epub 2025 Feb 22.
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本文引用的文献

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Identifying Facilitators and Barriers to Neonatal Intensive Care Unit Visitation in Mothers of Low Socioeconomic Status: A Qualitative Investigation.识别社会经济地位低下的母亲在新生儿重症监护病房探视的促进因素和障碍:一项定性研究。
Children (Basel). 2024 Nov 16;11(11):1390. doi: 10.3390/children11111390.
2
School-age outcomes of children after perinatal brain injury: a systematic review and meta-analysis.围产期脑损伤儿童的学龄期结局:系统评价和荟萃分析。
BMJ Paediatr Open. 2023 Jun;7(1). doi: 10.1136/bmjpo-2022-001810.
3
Looking is not enough: Multimodal attention supports the real-time learning of new words.看是不够的:多模态注意力支持实时学习新单词。
Dev Sci. 2023 Mar;26(2):e13290. doi: 10.1111/desc.13290. Epub 2022 Jun 8.
4
A Neurodevelopmental Shift in Reward Circuitry from Mother's to Nonfamilial Voices in Adolescence.青少年时期,从母亲的声音到非家庭声音,奖励回路的神经发育转变。
J Neurosci. 2022 May 18;42(20):4164-4173. doi: 10.1523/JNEUROSCI.2018-21.2022. Epub 2022 Apr 28.
5
Neurodevelopmental outcomes of premature infants with intraventricular hemorrhage across a lifespan.早产儿脑室出血的全生命周期神经发育结局。
Semin Perinatol. 2022 Aug;46(5):151594. doi: 10.1016/j.semperi.2022.151594. Epub 2022 Mar 12.
6
School Readiness in 4-Year-Old Very Preterm Children.4岁极早产儿的入学准备情况。
Children (Basel). 2022 Mar 1;9(3):323. doi: 10.3390/children9030323.
7
Randomized Trial to Increase Speech Sound Differentiation in Infants Born Preterm.随机试验增加早产儿言语声音分辨能力。
J Pediatr. 2022 Feb;241:103-108.e3. doi: 10.1016/j.jpeds.2021.10.035. Epub 2021 Oct 25.
8
NICU music therapy effects on maternal mental health and preterm infant's emotional arousal.NICU 音乐疗法对产妇心理健康和早产儿情绪唤醒的影响。
Infant Ment Health J. 2021 Sep;42(5):672-689. doi: 10.1002/imhj.21938. Epub 2021 Aug 11.
9
Music therapy enhances preterm infant's signs of engagement and sustains maternal singing in the NICU.音乐治疗增强早产儿的参与迹象,并维持母亲在新生儿重症监护病房唱歌。
Infant Behav Dev. 2021 Aug;64:101596. doi: 10.1016/j.infbeh.2021.101596. Epub 2021 Jun 9.
10
Relationship between resting-state fMRI functional connectivity with motor and language outcome after perinatal brain injury - A systematic review.围生期脑损伤后静息态 fMRI 功能连接与运动和语言预后的关系 - 系统评价。
Eur J Paediatr Neurol. 2021 Jul;33:36-49. doi: 10.1016/j.ejpn.2021.05.007. Epub 2021 May 15.