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1.
The Brazelton Neonatal Behavioral Assessment Scale with Kansas Supplement (NBAS-K) was administered midway between feedings to 60 newborns who were between 32 and 122 hours old. 35 of the newborns were classified as extremely healthy and normal (Subgroup I), whereas 25 (Subgroup II) were characterized by slight perinatal problems including gestational age 36-37 weeks or 42+ weeks, and fetal distress during labor. All of the newborns were healthy enough to be cared for in a healthy newborn, Level I nursery. Immediately following administration of the NBAS-K, a blood sample was obtained for plasma cortisol determination. Correlations between behavioral responding on the NBAS-K and levels of plasma cortisol revealed few significant relations for the sample as a whole. When the 2 subgroups were examined separately, a number of significant relations emerged. Newborns in Subgroup I who were more competent in their motor control and state regulation capacities as assessed by Lester's Cluster Scores for the NBAS-K exhibited higher levels of plasma cortisol. In contrast, newborns in Subgroup II who exhibited a greater adrenocortical response to the examination showed more behaviors indicative of high behavioral arousal and distress. This pattern of relations for Subgroup II appeared to be mediated by the number of hours that had elapsed since delivery. As postpartum time increased, the strength of the association between adrenocortical activity and behavioral arousal/distress decreased for Subgroup II. A systems theory approach is used to interpret the difference in patterns of correlations found for the 2 subgroups.  相似文献   

2.
Spangler, Gottfried, and Scheubeck, Roswitha. Behavioral Organization in Newborns and Its Relation to Adrenocortical and Cardiac Activity. Child Development, 1993, 64 , 622–633. The aim of this study was to assess relations between behavioral organization and adrenocortical and cardiac activity in newborns. Twice during the neonatal period, the behavioral organization of 42 newborns, in terms of orientation and irritability, was assessed by the Neonatal Behavioral Assessment Scale (NBAS), and the newborns' cortisol response to the NBAS procedure was determined. In addition, cardiac activity was assessed during 1 of the NBAS. Whereas there were only inconsistent correlations between newborn irritability and the adrenocortical response during NBAS, low orientation was associated with a higher increase in cortisol in both of the assessments. In addition, orientation was predicted by basal cortisol level. High heart rates were associated with high irritability and low regulation of state, and, in addition, negative relations were indicated between orientation and heart rate variability. The findings support a coping model of biobehavioral relations in newborns.  相似文献   

3.
Cortisol Release in Infants in Response to Inoculation   总被引:1,自引:0,他引:1  
Using a cross-sectional design, salivary cortisol was obtained from infants aged 2, 4, and 6 months, prior to and 15 min following an inoculation. Cortisol rose significantly following inoculation. Behavioral responses to inoculation were consistent with the observed patterns of cortisol release. Cortisol base level was significantly and negatively related to the cortisol change score. At 6 months the basal levels also were influenced by an adult-like circadian rhythm; infants tested shortly after awakening had higher basal levels than those tested later in the day. These data provide strong evidence that studies of stress and cortisol release in infants must be sensitive to basal level, circadian rhythm, and behavioral effects, and that appropriate statistical procedures should be employed.  相似文献   

4.
Observations were made on 40 newborns prior to hospital discharge in which states were scored every 10 sec in two 35-70-min periods separated by 6-48 hours. Newborns' states, particularly sleep states and crying, were fairly reliable across observation sessions. Cluster analyses identified 3 separable state profiles that subsequently differentiated infants on the Neonatal Behavioral Assessment Scale with Kansas Supplements (NBAS-K) at 2 weeks of age. Additionally, state observations and NBAS-K exams showed significant agreement on individual differences in neurologically based measures, such as startles, tremulousness, and lability of state.  相似文献   

5.
Neonatal Stress Reactivity: Predictions to Later Emotional Temperament   总被引:1,自引:0,他引:1  
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.  相似文献   

6.
The effectiveness of continuous stimulation in lowering arousal level, as indexed by state and heart rate, was studied in 30 uncircumcised males, 30 circumcised males, and 30 female subjects. The continuous-stimulation effect was shown to be directly related to auditory stimulus intensity. It is more complexly related to preexisting stress, operationally defined as subjects' circumcision status.  相似文献   

7.
Changes in cortisol and behavioral responses were examined longitudinally in 83 infants (39 girls, 44 boys) tested at their well-baby exams with inoculations at 2, 4, 6, and 15 months (72 infants completed all testing). Another sample of 2-, 4-, and 6-month-olds ( n = 18 per age) received mock exams without inoculations to determine early developmental changes to the exam procedures. Behavioral distress was coded every 30 sec during the exam, a 5-min inoculation period, and a 20-min recovery period. Salivary cortisol was obtained upon arrival at the clinic and 25 min after the beginning of the inoculation period. To the exam-inoculation procedures, cortisol responses were high at 2 months, decreased significantly between 2 and 4 months, remained comparable between 4 and 6 months, and then declined again between 6 and 15 months. Between 6 and 15 months there was also a decrease in pretest cortisol. By 15 months, significant increases in cortisol from pre- to posttest were no longer observed for most infants. To the exam-only procedures, cortisol responses decreased between 2 and 4 months, and by 4 months most infants failed to show pre- to posttest increases in cortisol. Behavioral distress decreased between 2 and 6 months, but increased again at 15 months. While crying and cortisol were modestly correlated during the 2- to 6-month exam-inoculation procedures, at 15 months no significant correlations were obtained. Behavioral and hormonal reactions thus followed different ontogenetic paths and may provide different information about infant functioning. There was some evidence that the emergence of the circadian rhythm in cortisol might be related to the early decrease in cortisol response.  相似文献   

8.
Self-regulation ability is an important component of children's academic success. Physiological reactivity may relate to brain activity governing attention and behavioral regulation. Saliva samples collected from 186 preschool children (101 boys, mean age = 53 months, 34% minority) before and after a series of mildly challenging games and again 30 min following the challenges were used to assess hypothalamic–pituitary–adrenal (HPA) (cortisol) and sympathetic nervous system (SNS; alpha-amylase) activity. Behavioral regulation was measured in delay of gratification and slow-down motor activities included in the challenge task. Cortisol and alpha-amylase were related differentially to aspects of behavioral regulation. Low cortisol was related to classroom regulation difficulties. Children with greater cortisol elevations following the challenge task had poorer performance on the slow-down motor task. Children with greater increases in salivary alpha-amylase following challenge were less able to delay gratification. Results suggest that HPA axis and SNS arousal may contribute differentially to behavioral regulation ability.  相似文献   

9.
3 studies of adrenocortical activity in healthy 9-month-old infants were conducted to examine unanticipated results obtained in previous research. In the first study, morning naps were examined and found to be associated with significant decreases in salivary cortisol. These decreases were followed by a significant return to prenap cortisol concentrations. In the second study, riding for 40 min in the car was also shown to significantly lower salivary cortisol concentrations. This effect was obtained both for infants who did and who did not sleep during the car trip. In the third study, the effect of 30 min of maternal separation in the laboratory on salivary cortisol was compared to the effect of 30 min of play with mother present. Separation resulted in significantly higher salivary cortisol concentrations as compared to play with mother present. In general, correlations between cortisol and behavior were found to be nonsignificant under conditions that did not produce stress elevations in cortisol, while less positive, more distressed behaviour was significantly correlated with cortisol under separation or stress conditions.  相似文献   

10.
This study examined the relationship between moderate-level prenatal alcohol exposure, prenatal stress, and postnatal response to a challenging event in 6-month-old rhesus monkeys. Forty-one rhesus monkey (Macaca mulatta) infants were exposed prenatally to moderate level alcohol, maternal stress, or both. Offspring plasma cortisol and adrenocorticotrophic hormone (ACTH) were determined from blood samples before maternal separation and after separation. Behavioral observations were made repeatedly across separation. Moderate-level prenatal alcohol exposure was associated with significantly higher plasma ACTH response to maternal separation. Offspring exposed to prenatal alcohol, prenatal stress, and prenatal alcohol and stress showed reduced behavioral adaptation to stress compared with controls. Baseline, 2-hr, and 26-hr plasma ACTH levels were intercorrelated and predicted behavior during separation.  相似文献   

11.
To describe the behavioral and physiological responses associated with colic, the responses of 20 two-month-old infants with and 20 without colic were studied during a physical examination. Parents kept a diary of infant behaviors (including crying and fussing) for 3 days following the visit. Using Wessel, Cobb, Jackson, Harris, & Detwiler criteria, colic was defined as fussing/crying for 3 hr or more on each of the 3 days. Behavioral data coded by "blind" observers showed that during the physical exam, colic infants cried twice as much, cried more intensely, and were more inconsolable than were control infants. Despite these behavioral differences, heart rate, vagal tone, and cortisol measures indicated no appreciable difference in physiological responsivity for the two groups. At home, parents collected saliva cortisol samples at wakeup, midmorning, midafternoon, and evening for 2 days. In a finding similar to that shown by the laboratory data, the colic and control infants did not have different levels of daily average cortisol. These laboratory and home data provide no evidence of greater responsivity in the physiological substrate of difficult temperament for colic infants and are consistent with evidence of similarity in temperament once colic is resolved. At home, compared with control infants, colic infants did display a blunted rhythm in cortisol production. By diary, they also slept about 2 hr less per day than did control infants. Nighttime sleep was still significantly different when fussing/crying was statistically controlled. These data suggest that colic might be associated with a disruption or delay in the establishment of the circadian rhythm in activity of the hypothalamic-pituitary-adrenocortical axis and associated sleep-wake activity.  相似文献   

12.
Event-related po-potentials (ERPs) were recorded from year-old infants presented with sets of familiar faces presented frequently and infrequently, and a set of novel faces presented infrequently. The normative response of infants in this sample was a late positive slow wave to the Infrequent Familiar faces, and a return to baseline to the Frequent Familiar and Infrequent Novel faces (although there was a tendency for some infants to show a positive slow wave to the latter events). A factor score based on data from frontal and central leads that reflected this normative pattern was significantly associated with infant emotional behavior and cortisol. Infants scoring higher on the normative ERP factor were more distressed during separation, were reported by their parents to smile and laugh more, and had lower cortisol concentrations during ERP testing. These data were interpreted as reflecting the coordination of adaptive responding among different physiological and behavioral systems.  相似文献   

13.
Sex Differences in Neonatal Stress Reactivity   总被引:3,自引:0,他引:3  
The question of whether a sexually dimorphic stress reaction exists prior to extensive socialization was addressed by examining sex differences in physiological and behavioral stress reactivity, in healthy, term neonates, after a mildly stressful behavioral assessment procedure. The Neonatal Behavior Assessment Scale (NBAS; Brazelton, 1973) was administered to 18 male and 18 female neonates. Heart rate (HR), salivary cortisol, and behavioral states were assessed before and after the exam. Sex differences included higher cortisol response in males and a greater change in HR and higher NBAS motor performance cluster score in females. Salivary cortisol, HR change, NBAS cluster scores, and behavioral states after NBAS provided 100% discrimination between male and female infants. These findings suggest that there are neonatal sex differences in behavioral and physiological stress reactivity prior to socialization.  相似文献   

14.
The role of the mother-toddler attachment relationship in moderating the relations between behavioral inhibition and changes in salivary cortisol levels in response to novel events was examined in 77 18-month-olds. Behavioral inhibition was determined by observing toddler inhibition of approach to several novel events. Attachment security to mother was assessed using the Ainsworth Strange Situation. Changes in salivary cortisol were used to index activity of the stress-sensitive hypothalamic-pituitary-adrenocortical (HPA) system. In addition, toddler coping behaviors and the behaviors used by mothers to help toddlers manage novel events were examined. Elevations in cortisol were found only for inhibited toddlers in insecure attachment relationships. Mothers in these relationships appeared to interfere with their toddlers' coping efforts. These results are discussed in the context of a coping model of the relations between temperament and stress reactivity.  相似文献   

15.
Clinical studies have demonstrated that the cries of chronically stressed, medically compromised infants are characteristically higher and more variable in pitch than those of healthy infants. Other studies have indicated that the vagal tone of chronically stressed infants is significantly reduced in comparison to that of normal infants. A neural model of cry production has been proposed which suggests that decreased vagal tone among infants at risk may, in fact, be related to these increases in cry pitch. Using routine, unanesthetized circumcision as a model of stress, we were able to examine the relation between cry acoustics and vagal tone in normal, healthy newborns undergoing an acutely stressful event. Vocalizations, heart, and respiratory waveforms were continuously recorded from 49 (32 experimental; 17 control) 1-2-day-old, full-term infants during preoperative, surgical, and postoperative periods. Vagal tone, as measured by the amplitude of respiratory sinus arrhythmia extracted from heart period data, was significantly reduced during the severe stress of circumcision, and these reductions were paralleled by significant increases in the pitch of the infants' cries. In addition, individual differences in vagal tone measured prior to circumcision surgery were predictive of physiological and acoustic reactivity to subsequent stress. These results emphasize the potential role of vagal control of the autonomic nervous system during stress.  相似文献   

16.
The effects of appetitive controllability on behavioral and cortisol reactivity to novelty in 12 infant rhesus monkeys were studied. Surrogate-peer-reared infants had homecage access to food treats contingently via lever pressing ("master") or noncontingently ("yoked") for 12 weeks from postnatal month 2. Masters lever-pressed more, but did not differ in baseline cortisol. At month 5, infants were exposed to a novel environment in social groups and individually. Masters were significantly more active and exhibited significantly lower cortisol reactivity to the novel environment, but only in the individual context. Also, individual differences in operant behavior were positively correlated with behavioral activity and negatively correlated with cortisol reactivity to the novel environment. The results reveal context-specific benefits of contingent stimulation in infancy.  相似文献   

17.
Behavioral and physiological assessments of 41 7 1/2-year-old children who had been selected to be inhibited or uninhibited at 21 months and observed again at 4 and 5 1/2 years revealed that each of the 2 original behavioral profiles predicted theoretically reasonable derivatives. A majority of the formerly shy, timid children became quiet and socially avoidant in unfamiliar social situations, while a majority of the formerly sociable children became talkative and interactive with peers and adults. Absolute heart-rate and cortisol level at 7 1/2 years were not as discriminating of the 2 behavioral groups as they had been 2 years earlier.  相似文献   

18.
窒息新生儿的行为神经测定   总被引:3,自引:0,他引:3  
目的:探讨新生儿行为神经测定(NBNA)对足月窒息新生儿评定的临床意义。方法:对62例足月窒息新生儿7d.14d行NBNA评分测定。分析其在轻重度窒息儿及窒息时间长短不同病情中的变化。结果:NBNA评分在窒息新生儿中均下降,并与窒息程度呈相关。结论:NBNA评分有助于判断窒息新生儿的病情并估计预后。  相似文献   

19.
80 infants, toddlers, and preschoolers were observed before, during, and after separations from their mothers, who were attending conferences (M duration = 4 days). Half the sample was separated only once and the other half experienced 3 separations across a 6-month period. The study was designed: (a) to determine how separations affect children's behavior when there are no changes in the family constellation as there typically are during other separations, such as the birth of a new child, and (b) to determine the effects of repeated separations. Fewer changes in sleep and play behaviors suggested that this type of separation was less stressful than separations for the birth of another child. Nonetheless, the separations were still stressful, but principally for the single-separation group. In that group, changes were noted in both play and sleep behaviors. Following reunion, their sleep behaviors and more sophisticated play behaviors returned to baseline. However, activity level and the more insecure behaviors, such as wandering aimlessly, watching other children play, and interacting with their teachers, remained elevated following the mother's return. The multiple-separation group, in contrast, showed only 1 behavior change during their third separation, i.e., reduced interactions with their peers during the separation period, which returned to baseline following reunion. Repeated-measures analyses of the first and third separations of the multiple-separations group suggested that only the first separation was stressful. Thus, the infants and children in this study seemed to adapt to repeated separations.  相似文献   

20.
Developmental Change in Infants' Responses to Stress   总被引:2,自引:0,他引:2  
Infant stress responses to a well-baby physical examination and inoculation were observed longitudinally at 2, 4, and 6 months of age. In general, there were cortisol increases over base to the procedures. Cortisol level and cortisol response decreased with age. These data indicate a developmental shift in adrenocortical functioning between 2 and 6 months of age. Further evidence for this shift was seen in the stability of individual responses between 4 and 6 months of age. Individual differences in both cortisol and behavioral responses showed the most stability between these 2 ages. Moreover, diurnal variation in baseline cortisol level was present only at 6 months of age. While a sizable minority of infants showed stress-related cortisol decreases to the procedures at a given age, there was no evidence for cross-age consistency in individual infants showing these cortisol decreases.  相似文献   

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