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PubMed1997

Pain behaviors in LBW infants accompany some "nonpainful" caregiving procedures.

Painful procedures may lead to both long- and short-term complications in low birth weight (LBW) infants. This study investigated neonatal pain responses (grimace, slight cry expression, increased cry expression, and knee/leg flexion) during six painful and three nonpainful procedures. The 30 LBW infants studied were less than 48 hours of age and less than 34 weeks gestation, with a mean birth weight of 1,320 gm. The design was comparative; data analysis included repeated measures of analysis of variance, independent t-tests, and paired t-tests. The four pain responses were found to be present 75 to 100 percent of the time after painful procedures (suctioning, skin puncture, dressing change or removal, discontinuation of intravenous line, and insertion of a nasogastric tube). They were also found to be present 49 to 69 percent of the time after nonpainful procedures (total position change, addition/withdrawal of fluid from umbilical catheter, and IV administration of medication).

Humans↗
PubMed1988

Mothers' attributions of communication to prelinguistic behavior of developmentally delayed and mentally retarded infants.

Some investigators have suggested that mothers of severely handicapped infants do not attribute communication to their infants' behavior as frequently as do other mothers because such infants exhibit developmentally younger and more ambiguous behavior. This premise was tested, and several factors that may influence the frequency with which mothers attribute communication to their babies' behavior were examined. Sixteen mother-handicapped infant pairs participated. Results did not support the simple notion that mothers of severely handicapped babies attribute less communication than do mothers of mildly handicapped infants. Results suggest that the mothers' attributions of communication may be influenced by a number of factors besides the actual behavior emitted by the infants, factors that may allow the mothers to interact effectively with an even severely handicapped baby.

Adult↗
PubMed2004

Is visual reference necessary? Contributions of facial versus vocal cues in 12-month-olds' social referencing behavior.

To examine the influences of facial versus vocal cues on infants' behavior in a potentially threatening situation, 12-month-olds on a visual cliff received positive facial-only, vocal-only, or both facial and vocal cues from mothers. Infants' crossing times and looks to mother were assessed. Infants crossed the cliff faster with multimodal and vocal than with facial cues, and looked more to mother in the Face Plus Voice compared to the Voice Only condition. The findings suggest that vocal cues, even without a visual reference, are more potent than facial cues in guiding infants' behavior. The discussion focuses on the meaning of infants' looks and the role of voice in development of social cognition.

Affect↗
PubMed1989

Defensive behaviors in infant rhesus monkeys: environmental cues and neurochemical regulation.

To survive, primates must detect danger in time to activate appropriate defensive behaviors. In this study, the defensive behaviors of infant rhesus monkeys exposed to humans were characterized. It was observed that the direction of the human's gaze is a potent cue for the infant. Infants separated from their mothers were active and emitted frequent distress vocalizations. When a human entered the room but did not look at the infant, it became silent and froze in one position. If the human stared at the infant, it responded with aggressive barking. Alterations of the opiate system affected the frequency of the infant's distress calls without affecting barking and freezing, whereas benzodiazepine administration selectively reduced barking and freezing. This suggests that opiate and benzodiazepine systems regulate specific defensive behaviors in primates and that these systems work together to mediate behavioral responses important for survival.

Aggression↗
PubMedDate not supplied

An intervention program for families with irritable infants.

PURPOSE: To describe and evaluate a home-based nursing intervention program, the REST routine, which incorporates the use of infant behavior assessment, pattern recognition, individualized infant schedules, specific management strategies, and parent education and support. STUDY DESIGN AND METHOD: A two-site clinical trial was conducted on 164 healthy full-term infants with excessive unexplained irritability or colic. Infants between the ages of 2 to 6 weeks were randomized to routine care or a home-based intervention program (n = 121). A third group (n = 43) of infants too old at entry for randomization (mean age = 10.4 weeks) were entered into a posttest-only group. RESULTS: Infants in the REST routine treatment group cried 1.3 hours per day on average following the intervention program as compared to the control group crying 3 hours per day (p = .02). Infant irritability was resolved (< 1 hour) in 62% of the treatment group while only in 29% of the control group at the time of the 8-week follow-up visit (p = .04). CLINICAL IMPLICATIONS: Families in both the treatment and control groups reported benefiting from a nurse visiting in their home to inquire about their infant and their well-being. Options for individualizing the program for those most in need of intensive home visiting and other delivery modes for the intervention are areas for further investigation.

Crying↗
PubMed1997

Mothers' affective behavior with infant siblings: stability and change.

To evaluate within-family differences in maternal affective behavior toward siblings, face-to-face interactions were observed between 39 mothers and their firstborn and second-born infants at 2 months of age. Mother and infant affect was coded on a 1-s time base with behavioral descriptors. Mothers were more positive with second-born infants, and second-born infants were more positive than were firstborns. The siblings' affective behaviors were unrelated, but maternal positive affect was both moderately stable between siblings and correlated with each infant's affect. Thus, in the context of stable individual differences in maternal positive affect, siblings experienced unique affective interactions with their mothers as early as 2 months.

Adult↗
PubMed2004

Forming attachments in foster care: infant attachment behaviors during the first 2 months of placement.

This study investigated the development of attachment relationships in 38 foster infant-caregiver dyads over the first 2 months of placement. We used the Parent Attachment Diary to measure foster infants' daily attachment behaviors, the Adult Attachment Interview to examine foster parents' attachment states of mind, and Ainsworth's Strange Situation to capture attachment classifications. We examined differences in diary scales (secure, avoidant, resistant, and coherence) as they related to age at placement and foster parent attachment, using hierarchical linear modeling and analyses of variance. The results indicated infants with autonomous foster parents and infants placed at younger ages showed higher early and overall levels of secure behavior, less avoidant behavior, and more coherent attachment strategies compared to infants placed with nonautonomous foster parents. Changes in attachment behaviors over time were not predicted by the models; however, there was a significant decrease in the daily coherence of attachment behaviors associated with Strange Situation disorganization. Finally, we found significant concordance between the diary and Strange Situation scales for secure and avoidant behaviors.

Age Factors↗
PubMed2001

Maturation of extinction behavior in infant rats: large-scale regional interactions with medial prefrontal cortex, orbitofrontal cortex, and anterior cingulate cortex.

The ability to express a behavior during the postnatal period may be related to developmental changes in the recruitment of particular neural systems. Here, we show that developmental changes in the functional interactions involving three cortical regions (the medial prefrontal cortex, orbitofrontal cortex, and anterior cingulate cortex) are associated with maturation of extinction behavior in infant rats. Postnatal day 17 (P17) and P12 pups were trained in a straight-alley runway on an alternating schedule of reward and nonreward [patterned single alternation (PSA)] or on a pseudorandom schedule of partial reinforcement (PRF); the pups were then injected with fluorodeoxyglucose (FDG) and shifted to continuous nonreward (extinction). Handled control groups exposed to the same training environment but not trained on a particular schedule were included. Among P17 pups, extinction proceeded faster in PSA pups relative to PRF pups. No differences were found between P12 groups. FDG uptake, an index of acute changes in functional activity, was quantified in the three cortical regions and 27 other brain regions of interest. A multivariate covariance analysis, seed partial least squares, revealed that functional relationships involving the three cortical regions and large-scale systems of regions throughout the rostrocaudal extent of the brain changed with training in P17 pups. The cortical regions were primarily uncoupled in the younger group. The data suggest that functional maturation of the frontal cortical regions and their interactions with other brain systems are related to the maturational shift in behavior.

Aging↗
PubMed1995

Evidence of robust recognition memory early in life even when assessed by reaching behavior.

Infants of only 5-6 months prefer to look at something new when given the choice of looking at a stimulus shown earlier or something new, even after a long delay (the visual paired comparison task). However, if infants must reach and displace a stimulus to retrieve a reward, even 18-month-olds respond randomly when given the choice of reaching to the stimulus shown earlier or to something new, even after a brief delay (the delayed nonmatching to sample task). To investigate this paradox we modified the delayed nonmatching to sample task to make it more similar to visual paired comparison. Each stimulus served as its own reward; no rewards were hidden under any stimuli. Infants were habituated to a sample object, a delay was imposed, and then the sample and a new object were presented. Infants could choose to look at (in visual paired comparison) or reach for (in delayed nonmatching to sample (stimulus = reward)) either object. One hundred twenty infants were tested: 60 (20 each at 4, 6, and 9 months) on visual paired comparison and 60 (20 each at 6, 9, and 12 months) on delayed nonmatching to sample (stimulus = reward). The same 10 pairs of stimuli were used on both tasks. Each subject was tested twice at all five delays (10, 15, 60, 180, and 600 s). At even the youngest age that reaching was tested (6 months), infants showed evidence of recognition memory on the reaching task at delays at least as long as those at which they demonstrated recognition memory on the looking task. Indeed, when subjects reached, not in order to obtain something else, but to obtain the stimulus itself, they succeeded on a recognition memory task even at delays 10 min long very early in life.

Age Factors↗
PubMed2003

Care of preterm infants: programs of research and their relationship to developmental science.

The purpose of this review was to examine the topics covered in current programs of nursing research on the care of the preterm infant and to determine the extent to which this research is informed by developmental science. A researcher was considered to have a current program of research if he or she had at least five publications published since 1990 and was the first author on at least three of them. The infants in a study could be any age from birth throughout childhood; studies focusing on parenting, nursing, or other populations of infants were not included. Seventeen nurse researchers had current programs of research in this area. These programs had four themes. Those of Becker, Evans, Pridham, Shiao, and Zahr focused on infant responses to the neonatal intensive care unit (NICU) environment and treatments. Franck, Johnston, and Stevens focused on pain management. Harrison, Ludington-Hoe, and White-Traut's research focused on infant stimulation. Holditch-Davis, McCain, McGrath, Medoff-Cooper, Schraeder, and Youngblut studied infant behavior and development. These research programs had many strengths, including strong interdisciplinary focus and clinical relevance. However, additional emphasis is needed on the care of the critically ill infant. Also, despite the fact that the preterm infant's neurological system develops rapidly over the first year, only three of these researchers used a developmental science perspective. Only research on infant behavior and development focused on the developmental changes that the infants were experiencing. Most of the studies were longitudinal, but many did not use statistics appropriate for identifying stability and change over time. The response of individual infants and the broader ecological context as evidenced by factors such as gender, ethnic group, culture, and intergenerational effects were rarely examined. Thus research on the care of preterm infants could be expanded if the developmental science perspective formed the basis of more studies.

Child Development↗
PubMed2006

Featural and configural face processing in adults and infants: a behavioral and electrophysiological investigation.

We sought to elucidate the behavioral and electrophysiological correlates of face processing, in adults and infants, by manipulating either the featural or configural information within the face. Two different experiments are reported. In these experiments, event-related potentials (ERPs) were recorded from the scalp while adult, 8-month-old, and 4-month-old participants completed configural-change and featural-change face tasks. The infants also completed a behavioral visual paired-comparison task with featural and configural face changes. ERP results reveal hemispheric differences in processing featural but not configural changes for the N170 in adults. Furthermore, featural and configural changes are processed differently within the right and left hemispheres. The right hemisphere N170 is significantly greater for configural compared to featural changes. The left hemisphere N170, however, exhibits the opposite effect. Infant data suggest that similar to adults, 8-month-old, but not 4-month-old participants, exhibit similar hemispheric differences between featural and configural changes for the P400 component. Behavioral results suggest increased sensitivity to both featural and configural face changes in 8-month-olds compared to 4-month-olds.

Adult↗
PubMedDate not supplied

Behavioral responses to pain are heightened after clustered care in preterm infants born between 30 and 32 weeks gestational age.

OBJECTIVE: To compare biobehavioral pain responses of preterm infants born at differing gestational ages (GAs) when pain was preceded by a rest period or by a series of routine nursing interventions. METHODS: In a randomized, within subjects, cross-over design, facial (Neonatal Facial Coding System), sleep/wake state and heart rate (HR) responses of 43 preterm infants [mean birth weight: 1303 g (range 590 g to 2345 g); mean GA at birth: 30 weeks (range 25 to 32)] were examined across 3 phases of blood collection (Baseline, Lance, and Recovery) under 2 conditions: pain after a 30-minute rest period versus pain after a series of routine nursing interventions (clustered care). Infant behavioral responses were coded from continuous bedside videotapes. HR was analyzed using custom physiologic signal processing software. RESULTS: Infants born at earlier GA (<30 wk) had equally intense facial responses during the Lance phase regardless of condition. However, later born infants (> or =30 wk GA) showed heightened facial responses indicative of sensitized responses during blood collection when it was preceded by clustered care (P=0.05). Moreover, later born infants had significantly lower facial (P=0.05) and HR (P=0.04) reactivity during Recovery when blood collection followed clustered care. DISCUSSION: Earlier born preterm infants showed heightened states of arousal and poor ability to modulate HR during Recovery when an invasive procedure was preceded by routine tactile nursing procedures. Alternatively, later born infants exhibited sensitized responses when clustered care preceded blood collection. Our findings support the importance of cue based individualized approaches to care.

Facial Expression↗
PubMed1997

Sequential arousal and airway-defensive behavior of infants in asphyxial sleep environments.

Infants are prone to accidental asphyxiation. Therefore, we studied airway-defensive behaviors and their relationship to spontaneous arousal behavior in 41 healthy sleeping infants (2-26 wk old), using two protocols: 1) infant was rebreathing expired air, face covered by bedding material; and 2) infant was exposed to hypercarbia, face uncovered. Multiple measurements of respiratory and motor activities were recorded (video, polygraph). The infants' response to increasing hypercarbia consisted of four highly stereotyped behaviors: sighs (augmented breaths), startles, thrashing limb movements, and full arousal (eyes open, cry). These behaviors occurred abruptly in self-limited clusters of activity and always in the same sequence: first a sigh coupled with a startle, then thrashing, then full arousal. Incomplete sequences (initial behaviors only) occurred far more frequently than the complete sequence and were variably effective in removing the bedding covering the airway. In both protocols, as inspired CO2 increased, incomplete arousal sequences recurred periodically and with increasing frequency and complexity until the infant either succeeded in clearing his/her airway or was completely aroused. Spontaneous arousal sequences, identical to those occurring during hypercarbia, occurred periodically during sleep. This observation suggests that the infant's airway-defensive responses to hypercarbia consist of an increase in the frequency and complexity of an endogenously regulated, periodically occurring sequence of arousal behaviors.

Arousal↗
PubMed1994

Maternal sensitivity as an external organizer for biobehavioral regulation in infancy.

Recent findings from both animal and human research have clearly demonstrated connections between behavioral coping mechanisms and adrenocortical function. The aim of this study was to address the role of maternal sensitivity as an external organizer of psychobiological function in infants during the first year of life. Forty-one infants and their mothers were observed during play at 3, 6, and 9 months of age. Age-specific patterns of relation between maternal sensitivity and infant behavioral organization were found indicating contextual dependence of infant behavior at 3 months and experience-related behavioral function at 9 months. An affect of maternal sensitivity on adrenocortical function during the free play was demonstrated at 3 and 6 months, because an increase in cortisol was most frequently observed in infants of highly insensitive mothers. The findings indicate the importance of maternal behavior for infant biobehavioral organization.

Adrenal Cortex↗
PubMed1986

Effects on the behavior of infant common marmosets (Callithrix jacchus) of separation from caregivers and of drug-induced reduction in caregiver responsiveness.

The effects of separating 4-week-old twin marmosets for 8 days from their families are compared with the effects of leaving 4-week-old infants with their families, but reducing the responsiveness of their caregivers for 8 days by administration of the tranquilizer fluphenazine decanoate. Both treatments reduce infant mobility, abolish play, and increase the time that infants spend with each other. During the period after the termination of the treatment, both treatment groups continue to play and move less than controls, and try to climb onto the mothers more frequently. These results are consistent with the hypothesis that the principal factor precipitating disturbed behaviors in infant monkeys subjected to long-term separation is disruption of the infant-caregiver relationship rather than the separation itself. Some post-treatment differences occur between separated and tranquilized groups. Notably, reunion after separation appears to involve a marked readjustment of the behavior of all family members to the return of the infants, whereas withdrawal of the tranquilizer does not.

Animals↗