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PubMed1987

Behavioral states of premature infants: implications for neural and behavioral development.

Nine premature and 28 full-term infants were observed in their homes for 7 hr when they were 2, 3, 4, and 5 weeks post-term, and the sleeping and waking states displayed by these infants were compared. For these comparisons, the observation day was divided into two mutually exclusive contexts: times when the baby was alone and times when the baby was with the mother. The premature infants spent more time alone (mean of 5.4 hr a day) than the full-terms (4.6 hr). Over the total 7-hr day, the premature infants spent more time in alert, nonalert waking activity, and sleep-wake transition than the full-terms, and they spent less time in drowse and total sleep. These results clearly indicate that, at the same post-term ages, the sleep-wake states of premature infants differ markedly from those of full-terms. Four states showed significant Group X Context interactions indicating that state differences between premature and full-term infants were also a function of the context in which the infants were observed. For example, the prematures exhibited more fuss or cry and more drowse when alone; whereas the full-terms exhibited more of these states when with their mothers. This finding of context-related differences between prematures and full-terms has implications for the conflicting reports in the literature, as heretofore the states of prematures and full-terms have been compared from observations made in a single situation. The results indicate that prematures exhibit significant commonality in their neurobehavioral development through the early post-term period despite heterogeneity among them in their exposure to prenatal, perinatal, and early postnatal stresses.

Arousal↗
PubMed2000

Treatment of infant colic with amino acid-based infant formula: a preliminary study.

Infant colic, a common disorder of infancy, is characterized by excessive crying and fussing. In this preliminary study we examined whether Neocate, an amino acid-based formula, would be accepted by formula-fed infants with colic, 3-7 wk of age, and whether Neocate would improve their symptoms. Six infants with colic were studied using Barr-type infant behavior diaries for 3-6 d on their current formula and then for 5-17 d on Neocate exclusively. All infants tolerated Neocate well and all improved, usually within 1-2 d. The total time spent crying and fussing was reduced by an average of 45%, representing a decrease of 1.0 to 5.2 h daily. After colic symptoms improved, infants were challenged with oral doses of 75 mg of bovine IgG at a 1 mg/ml concentration in order to assess its potential role in colic. Bovine IgG challenges resulted in increased crying and fussing behavior, suggesting that this protein may be etiologically important.

Administration, Oral↗
PubMedDate not supplied

The infant as onlooker: learning from emotional reactions observed in a television scenario.

Two studies investigated whether 10- and 12-month-olds can use televised emotional reactions to guide their behavior. Infants watched an actress orient toward 1 of 2 novel objects and react with neutral affect during baseline and with positive or negative affect during test. Infants then had 30 s to interact with the objects. In Study 1, 12-month-olds (N = 32) avoided the target object and showed increases in negative affect after observing the negative-emotion scenario. Twelve-month-olds' responses to positive vs. neutral signals did not differ significantly. In Study 2, 10-month-olds (N = 32) attended to the televised presentations but showed no consistent changes in their object interactions or affect. Thus, 12-month-olds used social information presented on television and associated emotional signals with the intended target.

Affect↗
PubMed1983

Three-month-old infants' reaction to simulated maternal depression.

To investigate the nature of the young infant's social competence, the effect of depressed maternal expression during face-to-face interaction was examined using an experimental analogue of maternal depression. Subjects were 12 female and 12 male infants, ages 96-110 days, and their mothers. 2 counter-balanced experimental treatments consisted of 3 min of normal maternal interaction and 3 min of stimulated depressed interaction. A control treatment consisted of 2 3-min epochs of normal maternal interaction. Interactions were videotaped and infant behavior described on a 5-sec time base that maintained order of occurrence. Infants in the depressed condition structured their behavior differently and were more negative than infants in the normal condition. Infants in the depressed condition produced higher proportions of protest, wary, and brief positive. Infants in the depressed condition cycled among protest, wary, and look away. Infants in the normal condition cycled among monitor, brief positive, and play. In addition, differences in negativity were likely to continue briefly after mothers switched from depressed to normal interaction. The data indicate that infants have a specific, appropriate, negative reaction to simulated depression in their mothers. These results question formulations based on alternate hypotheses and suggest that the infant has communicative intent in its interactions.

Child Behavior↗
PubMed2007

Early predictors of self-biting in socially-housed rhesus macaques (Macaca mulatta).

The development of self-biting behavior in captive monkeys is little understood and poses a serious risk to their well-being. Although early rearing conditions may influence the expression of this behavior, not all animals reared under similar conditions self-bite. The purpose of this study was to examine the effects of three rearing conditions on biting behavior and to determine whether early infant behavior can predict later self-biting. The subjects were 370 rhesus macaques born at the National Institutes of Health (NIH) Animal Center between 1994 and 2004. They were reared under three conditions: mother-reared in social groups (n=183), peer-reared in groups of four (n=84), and surrogate-peer-reared (n=103). Significantly more surrogate-peer-reared animals self-bit compared to peer-only or mother-reared animals. There was no sex difference in self-biting, but this result may have been affected by a sex bias in the number of observations. The durations of behaviors exhibited by the surrogate-peer-reared subjects were recorded in 5-min sessions twice a week from 2 to 6 months of age while the animals were in their home cages and play groups. In the play-group situation, surrogate-peer-reared subjects who later self-bit were found to be less social and exhibited less social clinging than those that did not self-bite. Home-cage behavior did not predict later self-biting, but it did change with increasing age: surrogate clinging and self-mouthing decreased, while environmental exploration increased. Our findings suggest that surrogate rearing in combination with lower levels of social contact during play may be risk factors for the later development of self-biting behavior.

Animals↗
PubMed2001

Regulation of milk intake after exposure to alcohol in mothers' milk.

OBJECTIVE: Contrary to the folklore which claims that drinking alcohol during lactation benefits both mother and infant, previous research in our laboratory revealed that breastfed infants consumed significantly less milk during the immediate hours after their mothers' consumption of an alcoholic beverage. Because breastfed infants are clearly capable of regulating milk intake, the present study tested the hypothesis that infants would compensate for the diminished milk intake if their mothers then refrained from drinking alcohol. METHODS: A within-subjects design that controlled for time of day was implemented because of the great individual and daily variation in both milk composition and intake. To this end, 12 exclusively breastfed infants and their mothers were tested on 2 days separated by 1 week. Each woman drank a 0.3 g/kg dose of alcohol in orange juice on one testing day and orange juice alone on the other; the order was counterbalanced. The infants' behaviors were monitored for the next 16 hr, the first 4 hr of monitoring on each test day occurred at the Monell Center. The infants fed on demand and immediately before and after each feeding, infants were weighed without a change in clothing. RESULTS: Consistent with previous findings, infants consumed significantly less milk during the 4 hr immediately after exposure to alcohol in mothers' milk compared with the control condition. Compensatory increases in intake were then observed during the 8 to 16 hr after exposure when mothers refrained from drinking alcohol. CONCLUSIONS: These findings demonstrate that short-term exposure to small amounts of alcohol in mothers' milk produces distinctive changes in the infants' patterns of feeding.

Adult↗
PubMed2000

Behavioral interventions reduce infant distress at immunization.

OBJECTIVE: To assess the effectiveness of simple behavioral interventions at immunization on behavioral and biochemical indicators of distress in infants and parents in a primary care setting. DESIGN: Subjects were enrolled sequentially to control (standard care) and intervention groups. Intervention parents (n=57) were provided information about techniques to help their infants at immunization. Standard care parents (n=45) did not receive this information. Immunizations were videotaped and coded for infant and parent behaviors. Using a visual analog scale, parents rated their infant's and their own comfort at study enrollment, immediately after immunization, and at check-out. Saliva samples collected from infants and parents at study enrollment and at 15, 30, and 60 minutes after immunization were assayed for cortisol concentration by standard radioimmunoassay. Data were analyzed using chi2, analysis of variance, and general linear modeling. Patterns of salivary cortisol change after immunization were analyzed using hierarchical linear modeling. SETTING: A single, urban pediatric practice during 2 summers (1997 and 1998). SUBJECTS: Infants 2 to 24 months of age (n= 102) and their parents. MAIN OUTCOME MEASURES: Duration of infant distress (in seconds); parent use of behavioral intervention; infant and parent salivary cortisol concentrations (in nanomoles per liter). RESULTS: Intervention parents were more likely to use a behavioral technique with their infants before immunization (P<.05). Total infant distress was shorter for intervention infants at immunization (P<.01), and these infants were rated as more comfortable by their parents (P<.001) immediately after immunization. Salivary cortisol levels were lower for intervention infants at 15, 30, and 60 minutes after immunization (P<.05). CONCLUSION: Simple behavioral interventions before immunization are associated with reductions in behavioral and biochemical indicators of infant distress.

Adaptation, Psychological↗
PubMed2001

Sleep disturbances after acute exposure to alcohol in mothers' milk.

The results of previous research in our laboratory revealed that breast-fed infants experience significantly less active sleep after exposure to alcohol in their mothers' milk than do breast-fed infants not exposed to alcohol. The present study tested the hypothesis that infants would compensate for such reductions if their mothers then refrained from drinking alcohol. To this end, 23 breast-fed infants from 3 to 5 months of age and their mothers were tested on 2 days separated by 1 week. A small, computerized movement detector, an actigraph, was placed on the infants' left ankles to monitor sleep and activity patterning after which they were bottle fed mother's milk alone (control condition) on 1 test day and mother's milk containing 32 mg of ethanol per 100 ml--the average concentration detected in human milk after lactating women drank an acute dose (0.3 g/kg) of alcohol--on the other. The infants' behaviors were monitored for the next 24 h; the first 3.5 h of monitoring on each test day took place at the Monell Center. Consistent with previous findings, infants exhibited significantly less active sleep during the 3.5 h immediately after exposure to alcohol in mothers' milk compared with the control condition; the decrease in active sleep was observed in all but 4 of the infants tested. Compensatory increases in active sleep were then observed in the next 20.5 h, when mothers refrained from drinking alcohol. Although the mechanisms underlying the reduction in sleep remain to be elucidated, these findings demonstrate that short-term exposure to small amounts of alcohol in mothers' milk produces distinctive changes in the infants' sleep-wake patterning.

Adult↗
PubMed2003

[A questionnaire for assessment of "temprament in early childhood" as judged by parents].

OBJECTIVES: This study assesses a German version of Rothbart's Infant Behavior Questionnaire for the internal consistency, inter-correlations and stability of the scales. Associations between the scales with maternal depression and anxiety are analyzed. METHODS: Independent samples of infants aged 6 to 8 months and 10 to 12 months (n = 149, respectively n = 109) and their mothers were studied. A longitudinal study of a sample of 101 mother-infant pairs was carried out at the infant's age of 4, 8 and 12 months. RESULTS: The internal consistency and independence of the five scales on the questionnaire are satisfactory. The stability coefficients correspond to a good degree to those of the American version of the IBQ scales. CONCLUSIONS: Thus a German version is now available that can be used in research and practice to measure the features of early childhood temperament by parental report.

Anxiety Disorders↗
PubMed1975

Modification of the response to separation in the infant rhesus macaque through manipulation of the environment.

Rhesus mother-infant pairs were housed in a playpen apparatus beginning just before the birth of four male infants. The infants were separated from their mothers four times beginning at a mean age of 218 days. In Type A separations (I and IV) the infants were removed and housed away from their familiar environment in a protected setting; in Type B separations (II and III) the infants remained in the familiar setting and mothers were removed. One pair was separated every 2 weeks for 6 days; for a particular infant, a mean of 8 weeks intervened between each of the separations. On the basis of infant behavior during separation. Type B separations appeared to have a more deleterious effect on the infant: infants did not show the typical behavioral signs of depression under Type A housing conditions, whereas, under Type B conditions, infants expressed the typical depressive reaction to separation. However, comparisons of pre- and postseparation behaviors in the mother-infant pairs indicated that Type A separations were more perturbing. Increases in ventral-ventral contact between mothers and infants were greater following Type A separations and increases in time at nipple occurred only after Type A separations; infant grooming by mother increased only after the first, a Type A, separation. Type B separations may have affected mothers more severely in that reciprocity between maternal cradling and infant clinging was greater following Type B separations than following Type A separations when infants clung significantly more often than mother cradled.

Animals↗
PubMed1986

Maternal behavior and attachment in low-birth-weight twins and singletons.

Early mother-infant interaction and later security of attachment were assessed for 17 pairs of twins, 5 singleton survivors of twin pairs, and 20 singletons, all low-birth-weight preterm infants. Mother and infant behavior during home observations at 6 weeks and 3, 6, and 9 months was rated on scales developed by Ainsworth and Egeland and Brunquell. A, B, and C patterns of behavior in the Strange Situation conformed to the frequencies predicted from prior full-term samples and were not affected by twinship. However, the proportion of B1 and B4 dyads in the B group significantly exceeded that predicted from normative data. Mothers in B2 and B3 dyads were rated more sensitive and responsive than all others at all 4 observations. Contrary to our expectations that mothers in A and C dyads would receive the lowest ratings, this occurred only at 6 weeks. At later observations mothers in B1 and B4 dyads consistently received the lowest ratings. The discussion focuses on possible reasons for this unexpected finding.

Birth Weight↗
PubMed2006

Young infants reach correctly in A-not-B tasks: on the development of stability and perseveration.

This paper examines the development of perseverative reaching in the A-not-B task. We describe two recent models that view perseveration as a sign of developmental progress toward stability. In Experiment 1, we test the novel prediction from both models that very young infants should not perseverate in the A-not-B task whereas older infants should. We tracked infants' behavior monthly on the A-not-B task and found that infants reached correctly at 5 months, and only perseverated at 7 and 8 months of age. Experiment 2 provides further evidence on the role of motor development in the emergence of perseveration by exploring the connection between perseveration and detailed changes in reach kinematics in two infants across the first year. These data together suggest that perseveration is a sign of developmental achievement on the path to stable and flexible behavior.

Age Factors↗
PubMed2002

Infant gaze, head, face and self-touch at 4 months differentiate secure vs. avoidant attachment at 1 year: a microanalytic approach.

The study attempted to distinguish avoidant vs. secure infants at 1 year from 4-month infant behavior only, during a face-to-face play interaction with the mother. Thirty-five 4-month-old infants were coded second by second for infant gaze, head orientation, facial expression and self-touch/mouthing behavior. Mother behavior was not coded. At 1 year, 27 of these infants were classified as secure (B), and 8 as avoidant (A) attachment in the Ainsworth Strange Situation. Compared with the B infant, the future A infant spent less time paying 'focused' visual attention (a look of a minimum 2 seconds duration) to the mother's face. Only if the A infant engaged in self-touch/mouthing behavior did its focused visual attention match that of the B. Markovian t to t+1 transition matrices then showed that both for future A and for future B infants, focused visual attention on the mother constrained the movements of the head to within 60 degrees from center vis-à-vis, defining head/gaze co-ordination within an attentional-interpersonal space. However, infant maintenance of head/gaze co-ordination was associated with self-touch/mouthing behavior for the A infant but not the B. Positive affect was associated with a disruption of head/gaze co-ordination for the A but not the B. Whereas the B had more variable facial behavior, potentially providing more facial signaling for the mother, the A had more variable tactile/mouthing behavior, changing patterns of self-soothing more often. Thus, infants classified as A vs. B at 12 months showed different behavioral patterns in face-to-face play with their mothers as early as 4 months.

Age Factors↗
PubMed1995

Neonatal stress reactivity: predictions to later emotional temperament.

To investigate the relations among popular measures of neonatal stress and their link to subsequent temperament, 50 full-term newborns from a normal care nursery were examined responding to a heelstick blood draw. Baseline and heelstick measures of behavioral state, heart period, vagal tone, and salivary cortisol were obtained. Recovery measures of behavioral and cardiac activity were also analyzed. Mothers completed Rothbart's Infant Behavior Questionnaire when their infants reached 6 months of age. Baseline vagal tone predicted cortisol in response to the heelstick, suggesting that baseline vagal tone reflects the infants' ability to react to stressors. Greater reactivity to the heelstick (more crying, shorter heart periods, lower vagal tone, and higher cortisol) was associated with lower scores on "Distress-to-Limitations" temperament at 6 months. This finding was consistent with the expectation that the capacity to react strongly to an aversive stimulus would reflect better neurobehavioral organization in the newborn. Recovery measures of cardiac activity approximated and were correlated with baseline measures indicating the strong self-righting properties of the healthy newborn. Finally, vagal tone and salivary cortisol measures were not significantly related, suggesting the importance of assessing both systems in studies of the ontogeny of stress-temperament relations.

Arousal↗
PubMedDate not supplied

The effects of culture on mother-infant interaction.

A study was conducted to investigate the influence of culture on infant behavior, maternal attitudes toward child rearing, and maternal-infant interaction in 39 Korean and American mother-infant dyads at two to three days after delivery. Significant findings for the Brazelton Neonatal Behavioral Assessment Scale included more rapid habituation by the Korean infants (P = 0.01) and better state regulation by the American infants (P = 0.01). In addition, on the Cohler's maternal scale, Korean mothers were found to view their infants as more passive and dependent than American mothers did (P less than 0.00). No differences were found in maternal reciprocity (Maternal-Infant Adaptation Scale) or maternal sensitivity (Maternal-Infant Play Interaction Scale). The findings are attributed to a combination of culturally specific differences, differences in the testing situation, and maternal medication during labor.

Attitude↗
PubMed2005

Pain reactivity in 2-month-old infants after prenatal and postnatal serotonin reuptake inhibitor medication exposure.

OBJECTIVE: In this prospective study, we examined biobehavioral responses to acute procedural pain at 2 months of age in infants with prenatal and postnatal selective serotonin reuptake inhibitor (SSRI) medication exposure. Based on previous findings showing reduced pain responses in newborns after prenatal exposure, we hypothesized that altered pain reactivity would also be found at 2 months of age. METHODS: Facial action (Neonatal Facial Coding System) and cardiac autonomic reactivity derived from the respiratory activity and heart rate variability (HRV) responses to a painful event (heel-lance) were compared between 3 groups of infants: (1) infants with prenatal SSRI exposure alone (n = 11; fluoxetine, n = 2; paroxetine, n = 9); (2) infants with prenatal and postnatal SSRI (via breast milk) exposure (total n = 30; fluoxetine, n = 6; paroxetine, n = 20; sertraline, n = 4); and (3) control infants (n = 22; nonexposed) during baseline, lance, and recovery periods. Measures of maternal mood and drug levels were also obtained, and Bayley Scales of Infant Development-II were administered at ages 2 and 8 months. RESULTS: Facial action increased in all groups immediately after the lance but was significantly lower in the pSE group during the lance period. HR among infants in the pSE and ppSE groups was significantly lower during recovery. Using measures of HRV and the transfer relationship between heart rate and respiration, exposed infants had a greater return of parasympathetic cardiac modulation in the recovery period, whereas a sustained sympathetic response continued in control infants. Although postnatal exposure via breast milk was extremely low when infant drug levels could be detected in ppSE infants, changes in HR and HRV from lance to recovery were greater compared among infants with levels too low to be quantified. Neither maternal mood nor the presence of clonazepam influenced pain responses. CONCLUSIONS: Blunted facial-action responses were observed among infants with prenatal SSRI exposure alone, whereas both prenatal and postnatal exposure was associated with reduced parasympathetic withdrawal and increased parasympathetic cardiac modulation during recovery after an acute noxious event. These findings are consistent with patterns of pain reactivity observed in the newborn period in the same cohort. Given that postnatal exposure via breast milk was extremely low and altered biobehavioral pain reactivity was not associated with levels of maternal reports of depression, these data suggest possible sustained neurobehavioral outcomes beyond the newborn period. This is the first study of pain reactivity in infants with prenatal and postnatal SSRI exposure, and our findings were limited by the lack of a depressed nonmedicated control group, small sample size, and understanding of infant behaviors associated with pain reactivity that could have also have been influenced by prenatal SSRI exposure. The developmental and clinical implications of our findings remain unclear, and the mechanisms that may have altered 5-hydroxytryptamine-mediated pain modulation in infants after SSRI exposure remain to be studied. Treating maternal depression with antidepressants during and after pregnancy and promoting breastfeeding in this setting should remain a key goal for all clinicians. Additional study is needed to understand the long-term effects of prenatal and early postnatal SSRI exposure.

Adult↗
PubMed2000

The influence of auditory experience on the behavior of preterm newborns.

This review of the research literature is addressed to clinicians who care for, interact with, and advise parents of preterm newborns. In summary, research on the effects of sound on preterm infant behavior and development provide only a little reliable clinical guidance as many of the studies are flawed, some badly. Some studies use a high sound level (i.e., loud) stimulus yet fail to report effects of the stimulus on vital signs, movement, and behavioral state. Only a handful of studies report long term effects regardless of the length of exposure to the experimental stimulus. A consistent problem is that the ambient sound in the nursery research setting is neither described nor considered as a facet of the auditory stimulus yet all reports of ambient nursery sound show high levels without respite periods of quiet. Therefore, unless other documentation is provided, ambient nursery noise is likely an unreported confounding variable in these studies. The clinician is cautioned, therefore, to carefully evaluate any finding before implementing an intervention program of sound stimulation with preterm infants. There are many reports of efforts to reduce nursery noise by changing staff behavior but none describes more than marginal success. Given this general failure of noise reduction through behavior change, an alternative is proposed of achieving quiet by changing the crowded, reverberant nature of the physical space. Recommendations for care that can be drawn from this literature include measuring and reducing nursery noise, facilitating parents' efforts to talk and sing to their own babies, and limiting purposefully added sound stimulation to quite specific clinical situations.

Acoustic Stimulation↗
PubMed1988

Maternally administered tactile, auditory, visual, and vestibular stimulation: relationship to later interactions between mothers and premature infants.

Thirty-three mother-infant pairs were randomly assigned to one of three groups: control, talking, or interactive (RISS). The later treatment included massage, talking, eye contact and rocking. The intervention (RISS) was administered to determine whether mothers and their preterm infants who actively interacted with each other would differ on later maternal and infant behaviors. The talking and RISS treatments were administered at specified time intervals 24 hours after delivery. Prior to hospital discharge, mother-infant interaction was assessed during a feeding. Significant differences were identified among the three groups for maternal (p less than .03) and infant (p less than .05) behaviors. These results suggest that active maternal interaction with the premature infant may enhance specific components of mother-infant interaction.

Adult↗