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PubMed2002

The development of infants' circadian rest-activity rhythm and mothers' rhythm.

In order to know when and how infants obtain their circadian sleep-wake rhythm, infants' developing circadian rest-activity rhythm and mothers' circadian rhythm in the postpartum period were examined using actigraph monitoring. The subjects were 11 primipara and their infants. Actigraphic recordings for the infants and their mothers were made over 3-5 continuous days during the 3rd, 6th, 9th and 12th weeks after birth. A 24-h peak on a mean autocorrelogram of the infants' movements was detected at the 3rd week. The infants' circadian rest-activity rhythm already existed in the 3rd week. The amplitude of this 24-h peak gradually increased from the 6th to 12th week. This may be useful as an index of the development of infants' circadian rest-activity rhythm. An 11-h peak was also observed at the 3rd week. This 11-h peak was thought to be a semi-circadian rhythm. Regarding the mothers, the amplitude of the 24-h peak on the mean autocorrelogram at the 3rd week was the smallest of all other weeks, and it became larger from the 3rd to 12th week. This meant that the mothers' circadian rhythm at the 3rd week was influenced by their interrupted sleep at night to take care of their infants. The mother-infant synchronization is probably the 1st factor in the entrainment of infants' circadian sleep-wake rhythm. In this study, we also propose a novel method for compensating for missing data in autocorrelogram analysis.

Activity Cycles↗
PubMedDate not supplied

The role of an early intervention on enhancing the quality of mother-infant interaction.

The study examines an intervention designed to influence mothers' sensitive responsiveness toward their infant by presenting information about the newborn's competence to interact and promoting affectionate handling and interaction with the infant. Thirty-six primiparous mothers and their newborn infants participated in the study. On day 2/3 after delivery, mother-infant dyads were assigned to either: (1) an experimental group that received an intervention program designed to enhance mother-infant interaction; or (2) a control group that was presented with an intervention that emphasized basic caregiving skills. One month later an observation was undertaken in the home to assess mother-infant synchronous and asynchronous co-occurrences during free-play and infant bathing. The enhancement group showed a reliably greater frequency of co-occurrences involving vocal exchanges, looking to the partner, and physical contact. There also were differences in mothers' responsiveness to infant crying and involuntary responses. The findings show that even a modest videotaped early intervention can enhance mothers' sensitive responsiveness to the infant.

Adult↗
PubMedDate not supplied

Parenting stress, infant emotion regulation, maternal sensitivity, and the cognitive development of triplets: a model for parent and child influences in a unique ecology.

To examine the development of triplets, 23 sets of triplets were matched with 23 sets of twins and 23 singletons (N=138). Maternal sensitivity was observed at newborn, 3, 6, and 12 months, and infants' cognitive and symbolic skills at 1 year. Triplets received lower maternal sensitivity across infancy and exhibited poorer cognitive competencies compared with singletons and twins. The most medically compromised triplet showed the lowest regulation, received lower maternal sensitivity, and demonstrated the weakest outcomes compared with siblings. Structural modeling charted three levels of influence on cognitive outcomes: direct, indirect, and contextual. The triplet ecology provides a context for assessing the relations among infant inborn dispositions, the rearing environment, and the role of exclusive parenting in development.

Adult↗
PubMed1995

Duration and pattern of crying in the first year of life.

In a prospective study of fetal and postnatal growth and development in a group of babies whose mothers were residents of an inner-city health district in the north of England, the total amount of crying of 157 infants was recorded at four periods during the first year of life by means of a 24-hour log. The mean number of crying episodes reduced from 4.4 at six weeks to 1.5 at one year. Early crying predicted later crying. It was not possible to predict which babies would cry a lot except that breast-fed infants tended to cry less. Mothers' perceptions of whether their babies cried a lot correlated with their perception of sleep difficulties. Rapid response to crying was associated with significantly less crying overall.

Crying↗
PubMed1997

Interaction between mothers and infants born at risk during the first six months of corrected age.

The effects of preterm birth and the perinatal infant health condition on mother-infant interactions were analysed in 278 mother-infant pairs, divided into four groups according to infants' gestational age at birth: group 1, 23-31 weeks; group 2, 32-36 weeks; group 3, 37-42 weeks; and group 4, a control group of healthy full-term infants. The methodological approach was based on observation of the pairs at 2, 4 and 6 months of infants' corrected age (+/- 1 week) during undressing of the infant and face-to-face interaction. It was found that mother-infant pairs with preterm infants (groups 1 and 2) did not differ in interactional variables from those of the control group. On the other hand, the birth of a full-term infant in need of neonatal intensive care (group 3) affected maternal and infant interactive behaviour. Additionally, infants from group 3 did not show stability in their interactive behaviour between any ages of measurement. This result suggests that interactive behaviour of full-term infants in need of neonatal intensive care are rather unpredictable during their first 6 months of life, which might have contributed to the less optimal interactive pattern observed for their mothers compared with mothers of the control group.

Female↗
PubMed1999

Dopamine D4 receptor (D4DR) and serotonin transporter promoter (5-HTTLPR) polymorphisms in the determination of temperament in 2-month-old infants.

We and others have previously shown that the dopamine D4 exon III repeat (D4DR) and the serotonin-transporter promoter region (5-HTTLPR) polymorphisms are not only associated with adult personality traits1-7 but also with temperament in 2-week-old neonates.8 We now report the results of a second study of these infants and their temperament at 2 months using Rothbart's Infant Behavior Questionnaire (IBQ).9 There were significant negative correlations between neonatal orientation and motor organization as measured by the Neonatal Behavioral Assessment Scale (NBAS)10 at 2 weeks and negative emotionality, especially distress in daily situations, at 2 months of age. There were significant main effects for negative emotionality and distress when the infants were grouped by the D4DR and the 5-HTTLPR polymorphisms. Infants with long D4DR alleles had significantly lower scores on Negative Emotionality (F[1, 72] = 8.50, P = 0.005) and Distress to Limitations (F[1,72] = 4.93, P = 0.03) than infants with short D4DR alleles. In contrast, infants with the short homozygous (s/s) 5-HTTLPR genotype had higher scores on Negative Emotionality (F[1,72] = 3.88, P = 0.053) and Distress to Limitations (F[1,72] = 4.94, P = 0.029) than infants with the I/s or I/I genotypes. The strongest effects occurred in those infants with the s/s 5-HTTLPR polymorphism who also were lacking long D4DR alleles which in some studies has been linked to adult novelty seeking.1,6 These infants showed most negative emotionality and most distress to daily situations, temperament traits that are perhaps the underpinning of adult neuroticism.

Adult↗
PubMed2001

A feeding protocol for healthy preterm infants that shortens time to oral feeding.

OBJECTIVE: To test the hypothesis that healthy preterm infants randomly assigned to a semi-demand feeding protocol would require fewer days to attain oral feeding and have a satisfactory weight gain compared with control infants receiving standard care. STUDY DESIGN: In 2 neonatal intensive care nurseries, 81 infants 32 to < or = 34 weeks' postconceptional age were randomly assigned to the control (n = 41) or experimental (n = 40) protocol for transition from gavage to oral feedings. The control protocol followed the standard practice of gradually increasing scheduled oral feedings, whereas the experimental protocol used a semi-demand feeding method contingent on infant behavior. Analysis of variance techniques were used to compare the study groups for number of days to attain oral feeding and weight gain. RESULTS: The semi-demand method shortened the time for infants to achieve oral feeding by 5 days (P < .001). There were no differences in weight gain between the study groups, and both groups had satisfactory weight gain. CONCLUSION: The semi-demand method for the transition from gavage to oral feeding in healthy, preterm infants 32 to < or = 34 weeks postconceptional age promotes faster attainment of oral feeding and does not compromise their weight gain.

Administration, Oral↗
PubMed1983

The Winnecott "set situation". A useful tool for the pediatrician.

D.W. Winnecott devised a short, simple test which he used to evaluate normal infants. In this study, we compared 9-month-old infants' behaviors elicited during the Winnecott Test (WSS), both with historical data and with their behavior during a structured separation from their mothers. We found significant correlations between the WSS, the structured separation, and historical data. This simple test can provide the practitioner with invaluable information regarding the infant, his temperamental style, and his relationship with others.

Anxiety, Separation↗
PubMed1989

Investigations of learning processes in infants.

This brief review has covered three major areas: what kinds of information can infants encode in the first 6 to 9 months and what methods are available to measure their responses; the status of memory functions in infancy; and current models of synaptogenesis, a process likely underlying the emerging cognitive processes during infancy. We can conclude that infants are capable of learning even from the first hours after birth and show a rapid increase in their capacity to recall information and use it for further learning. Furthermore, neurobiologic models of development are beginning to define a more detailed picture of crucial phases in the first months for learning processes. There are four notable omissions in the above points and in the material covered in this review. Mentioning these in this summary serves to caution the reader that there is much more to consider, and to point to other active areas of investigation of infants' cognitive capacities. These points also serve as a partial response to the questions asked in the beginning of the paper about how far we have yet to go in our understanding of infants' learning and about what may be the observational blind spots for our generation of infancy investigators. First, we have not discussed what drives learning--why infants seek actively to acquire information and seem motivated to retain that information for later use? Lipsitt points out that much of early infant behavior is based on positive and negative responses to diverse stimuli of varying degrees of attractiveness, and that the "hedonic overtones," or the amount of pleasure, involved in a stimulus situation, certainly contribute to the infant's response. Until recently, studies of social and affective development have been essentially separate from studies of cognition. Currently, the field of "social cognition" symbolizes the link between studies of basic cognitive processes and social development.(ABSTRACT TRUNCATED AT 400 WORDS)

Animals↗
PubMed1988

On some roots of creativity.

The possibility has to be considered that the infant, in danger of overwhelming himself with his own excitement, forms object-representations in ways dictated by expediency. It is necessary for survival to establish in one's mind an all-powerful and loving object-representation that contains in it major parts of the self-representation. In fact, all the vital and affective functions are attributed to the parenting object and are used only under a "franchise-like" illusion. From infancy we are just like the "hypnotized" person or the patient who has received a placebo and carries out self-caring or self-soothing functions under the illusion that he/she is not doing it on their own but the transference object is doing it. In considering the challenge of creating a coherent self-representation within the amazing world of perceptions and affects, it can be readily seen that it is very easy to overwhelm oneself, even for an adult just trying to imagine it. It is most helpful to use Stern's suggestion that probably a sense of self emerges gradually from the consolidation of various nuclear clusters of self-views. He listed (1) a self-agency, representing the recognition of one's volition and capacity to act; (2) a sense of self-coherence, representing a sentience of what remains constant within one's own purveyance; (3) a sense of self-affectivity, representing the recognition of feelings, that is, the subjective aspect of affective living; and (4) a sense of self-history, representing a registration of continuity and a recognition of what "goes on being." In our perusal of what we can learn by confronting the alexithymia picture lessons from developmental psychobiology and direct observations of infant behavior, we get useful clues to the origins of creativity. The epigenetic history of affects and the development of affect tolerance show us how these functions evolve in the context of the interaction of the infant and mother. The success in containing one's own excitement and keeping one's affects in manageable intensity so that they are useful for information processing is made possible by congruent responses of the mothering parent. This situation prolongs the illusions of symbiosis and omnipotence to their optimal duration, permitting a period of guilt-free practicing of self-soothing and self-gratification. By not forcing the conscious recognition of mother's externality and the confrontation with one's own rage and helplessness, the mother helps the infant to avoid a premature formation of an "external" object-representation.(ABSTRACT TRUNCATED AT 400 WORDS)

Affective Symptoms↗
PubMed1986

Normal repetitive and abnormal stereotyped behavior of nonretarded infants and young mentally retarded children.

The topographical similarities and differences between repetitive behaviors exhibited by 12 nonretarded infants and 11 severely mentally retarded children were examined. An analysis of stereotyped body-rocking and hand-gazing behavior exhibited by both groups demonstrated topographical differences. The results and methodology of this study may be of value to future investigators examining the ontogenesis of stereotyped behavior and may assist in the early identification and amelioration of these pathological behaviors.

Child Behavior↗
PubMed1995

Behaviors of preterm infants with and without chronic lung disease when alone and when with nurses.

Many clinicians believe that infants with chronic lung disease display more irritability and react more negatively to care than other preterm infants. Therefore, the sleep-wake states and behaviors displayed by 31 high-risk preterm infants without chronic lung disease and 20 infants with chronic lung disease during four-hour observations conducted in intermediate care between 32 and 36 weeks postconceptional age were compared. Separate analyses were conducted for times when infants were alone and when they were with nurses to determine whether behavioral differences might be greater during handling. There were very few differences between the groups in either situation. Sleep-wake states did not differ. The infants with chronic lung disease exhibited more jitters at every age, but only when they were alone. Infants with and without chronic lung disease showed isolated differences in five behaviors when they were alone but in only two behaviors when they were with nurses. Thus, there is no evidence that 32- to 36-week preterm infants with chronic lung disease are more irritable or react more negatively to care than other preterm infants.

Case-Control Studies↗
PubMed1986

Cognitive deficits in iron-deficient and iron-deficient anemic children.

Eighteen- to 60-month-old iron-deficient anemic children given iron therapy (n = 25) and a control group matched for mother's educational level showed no significant difference in mean mental development score at baseline. The control group's mean score was increased significantly over baseline score at 3 and 6 months and was significantly higher than the experimental group's mean score at 3 months. Although the experimental group demonstrated hematologic correction over 6 months, mean mental development score showed no significant improvement. Scores for an iron deficient not anemic group given iron (n = 22), despite complete hematologic correction over the six months of observation, and for its control group, did not change significantly. Baseline scores for an iron-deficient not anemic placebo group (n = 23) and for its control group were not significantly different. At 3 months the control group score had increased significantly, whereas that for the experimental group had not. When experimental and control subjects were matched on baseline mental development score, the control subjects experienced increases in scores over time, further confirming an impaired ability to improve scores with repeated testing in the experimental groups. Behavioral rating data (responsiveness to examiner, responsiveness to environment, and emotional tone) revealed significant differences between the iron-deficient anemic group and its control group at 3 and 6 months, with the control group rated more responsive, suggesting that iron deficiency, alone or in association with anemia, may have some lasting effect on behavior and development. Group differences were also found between the mean number of occurrences of multiple stressful events. Failure to show improvement in scores in the iron-deficient anemic group may reflect the fact that those children were less testable than were children in the control group, despite repeated testings, a theory supported by the infant behavior rating data. This may be related to some irreversible behavioral deficit or to an adverse environmental milieu (e.g., stress).

Anemia, Hypochromic↗
PubMedDate not supplied

Parental Stressor Scale: neonatal intensive care unit.

This article is a report of the development of the Parental Stressor Scale: Neonatal Intensive Care Unit (PSS:NICU), which is designed to measure parental perception of stressors arising from the physical and psychosocial environment of the neonatal intensive care unit. Stress theory, literature reviews, expert consultation, and parent interviews guided instrument development and refinement and established the content validity of the instrument. Construct validity is supported by links with theory, correlation with anxiety measures, and factor analytic results. Alpha coefficients support the tool's internal consistency. Three scales were identified: Parental Role Alterations, Sights and Sounds of the Unit, and Infant Behavior and Appearance. Available metrics allow scoring for stress occurrence levels, overall stress levels, and number of stressors experienced. The PSS:NICU can serve as a research or clinical measure to evaluate stressors experienced by parents with infants in a NICU.

Adolescent↗
PubMed1980

Serum magnesium level and sleep behavior of newborn infants.

Polygraphic studies were performed in 14 full-term newborns. The sleep behavior of the infants was correlated to the serum Mg level. correlations could be demonstrated between serum Mg and active sleep, as well as between serum Mg and quiet sleep. With increasing Mg quiet sleep increased, whereas active sleep decreased. After Mg injection quiet sleep increased and active sleep decreased even more. There were also corresponding correlations between serum Mg and rapid eye movements, submental muscle tone, and gross body movements.

Humans↗
PubMed2001

Dopamine D4 receptor (DRD4) polymorphism and adaptability trait during infancy: a longitudinal study in 1- to 5-month-old neonates.

We have examined the relationship between the common dopamine D4 receptor (DRD4) exon III repeat polymorphism and infants' behavior measured with the Italian version of the Early and Revised Infancy Temperament Questionnaires (EITQ/RITQ) in 122 Italian neonates at 1 and 5 months of life, when the genetic contribution to the behavior can be more clearly assessed. Two-way (genotype x age) analysis of variance revealed a significant correlation with the temperamental subscale of adaptability [F(1, 120) = 5.26, P < 0.02]. At 1 month of life (early assessment), infants with long (L) DRD4 alleles presented significantly low scores (L 2.61 +/- 0.073; S 2.84 + 0.79; Newman-Keuls P = 0.03) in comparison with the high scores of infants with short (S) alleles (L 2.4 +/- 0.059; S 2.25 +/- 0.57). These differences were not detected at 5 months of life (late assessment), denoting a strong environmental effect at this age on the genetic background. These results confirm and extend the genetic influence of the DRD4 gene in human temperament at birth.

Adaptation, Psychological↗
PubMed1997

Ultrasonographic analysis of sucking behavior of newborn infants: the driving force of sucking pressure.

The sucking behaviors of 15 low-risk full-term newborns were observed with ultrasonography and a special device directly measuring sucking pressure. In this study, the sequential changes in the movement of a tongue and other intra-oral structures and the sequential changes of the sucking pressure were successfully examined simultaneously. It was indicated that sucking pressure could be generated by sequential changes of an intra-oral volume caused by a peristalsis of the tongue in the sucking behavior.

Female↗