Brazelton T B, Tryphonopoulou Y, Lester B M
Pediatrics. 1979 Feb;63(2):279-85.
Three groups of 30 Greek neonates each (an adoptive group from the Metera orphanage, a lower-class group, and a middle-class group) were evaluated at days 1, 5, and 10 after birth using a behavioral scale of 21 items and a neurologic evaluation of 16 items. Behaviors were examined for group differences and group-by-age recovery curves were determined during the first ten days. Significant differences were found in the separate items and items grouped to reflect interactive, motor, and state behavioral dimensions. The adoptive babies at the Metera orphanage generally performed the most poorly. This difference seems not only to reflect intrauterine differences, especially in regard to nutrition, but to point to the likelihood of eliciting less than optimal responses from future environments. The middle-class group had the worst scores on physiologic items and were similar to the Metera babies in having initially depressed interactive, motor, and state behavior. Improvement in these areas over ten days suggested that temporary effects of maternal medication caused the poor scores. The recovery curves of the infants pointed to the important effects of such perinatal variables as maternal medication on early neonatal behavior.
将三组各30名希腊新生儿(一组来自梅特拉孤儿院的收养组,一组下层社会组,一组中产阶级组)在出生后第1天、第5天和第10天使用一个由21项内容组成的行为量表和一个由16项内容组成的神经学评估量表进行评估。检查各行为组间差异,并确定出生后头十天内各年龄组的恢复曲线。在单独项目以及归为反映互动、运动和状态行为维度的项目组中发现了显著差异。梅特拉孤儿院的收养婴儿总体表现最差。这种差异似乎不仅反映了子宫内差异,特别是在营养方面,而且还表明未来环境引发的反应不太理想的可能性。中产阶级组在生理项目上得分最差,并且在互动、运动和状态行为最初受抑制方面与梅特拉孤儿院的婴儿相似。这些方面在十天内的改善表明,母亲用药的暂时影响导致了较差的得分。婴儿的恢复曲线表明,诸如母亲用药等围产期变量对早期新生儿行为有重要影响。