AFFECTIVE DISTURBANCES IN INFANTS AND YOUNG CHILDREN

婴儿和幼儿的情感障碍

• 批准号: 3075676
• 负责人: Tiffany M. Field
• 金额: $ 9.41万
• 依托单位: UNIVERSITY OF MIAMI SCHOOL OF MEDICINE
• 依托单位国家: 美国
• 财政年份: 1992
• 资助国家: 美国
• 起止时间: 1992-03-01 至 1997-02-28
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/3075676
• 关键词: behavior test; catecholamines; child (0-11); child physical development; child psychology; cortisol; depression; disease /disorder proneness /risk; electroencephalography; electromyography; emotional adjustment; heart rate; human subject; infant human (0-1 year); longitudinal human study; mental disorder prevention; mother child interaction; sleep; social behavior; social support network; voice

Infants of mothers who remain depressed postpartum develop depressed behavior during early interactions and experience later developmental delays. The purposes of this research are: 1) to find predictors of the mothers' and infants' continuing depression; 2) based on those predictors to identify those mothers and infants that will need early intervention and to provide intervention for those dyads. In the longitudinal study on identifying risk factors for continuing depression a number of measures (depression, social support, sleep/wake and face-to-face interaction behavior, temperament, heart rate, vagal tone, EEG, EMG and catecholamine/cortisols) will be monitored at birth through 3 years in 200 dyads. In addition, we will conduct a follow-up study from years 3 to 10 on children who were seen as depressed infants. Using a regression model, a cumulative risk index will be formed to determine the variance accounted for by these variables. In another sample of 200 depressed dyads, those expected to remain depressed will be identified based on the high risk index and randomly assigned to intervention or control groups at three months in an attempt to alleviate infant depression by reducing depressed maternal behavior. For this program all mothers will receive high school education, vocational training and free daycare. One group will receive an additional "parent coaching" intervention designed to reduce those maternal behaviors that are likely to contribute to infant depression including depressed mood of the mothers (by music mood induction/relaxation therapy/massage), enhancing sensitivity to infant cues (by infant massage and limitation/interaction coaching) and reducing negative attributions of infant behavior (by video and auditory feedback). The effects of these on infant mood, behavior, growth, development and the immune system will be assessed across the first three years of life. Finally, a number of process-oriented studies will be conducted on the perception and production of emotional expressions in these depressed dyads.

产后抑郁的母亲所生的婴儿也会患上抑郁症 早期互动期间的行为和后期发展经历 延误。 本研究的目的是：1）寻找预测因素 母亲和婴儿持续抑郁； 2）基于那些 预测因子来识别那些需要早期治疗的母亲和婴儿 干预并为这些二元体提供干预。 在 识别持续性风险因素的纵向研究 抑郁症的一些措施（抑郁症、社会支持、 睡眠/觉醒和面对面互动行为、气质、心脏 速率、迷走神经张力、脑电图、肌电图和儿茶酚胺/皮质醇）将 从出生到 3 年，对 200 人进行监测。 此外，我们 将对 3 至 10 年级的儿童进行后续研究 被视为抑郁的婴儿。 使用回归模型， 将形成累积风险指数以确定方差 由这些变量来解释。 在另一个包含 200 名抑郁症患者的样本中 双人组，那些预计将继续抑郁的人将根据 高风险指数并随机分配至干预组或控制组 三个月时进行分组，试图减轻婴儿抑郁症 通过减少抑郁的母亲行为。 对于这个程序所有 母亲将接受高中教育、职业培训和 免费日托。 一组将接受额外的“家长辅导” 旨在减少那些孕产妇行为的干预措施 可能会导致婴儿抑郁症，包括情绪低落 母亲们（通过音乐情绪诱导/放松疗法/按摩）， 增强对婴儿暗示的敏感性（通过婴儿按摩和 限制/互动辅导）和减少负面归因 婴儿行为（通过视频和听觉反馈）。 的影响 这些关于婴儿情绪、行为、生长、发育和免疫的 系统将在生命的前三年进行评估。 最后，将进行一些面向过程的研究 这些情绪表达的感知和产生 郁闷的二人组。