Early Stress Exposure and Later Cortisol Regulation: Impact of Early Intervention on Mother-Infant Relationship in Preterm Infants

被引:7
|
作者
Habersaat, Stephanie [1 ]
Pierrehumbert, Blaise [1 ]
Forcada-Guex, Margarita [2 ]
Nessi, Jennifer [3 ]
Ansermet, Francois [4 ]
Mueller-Nix, Carole [5 ]
Borghini, Ayala [5 ]
机构
[1] Univ Lausanne Hosp, Dept Child & Adolescent Psychiat, Lausanne, Switzerland
[2] Univ Lausanne Hosp, Dept Pediat, Div Neonatol, Lausanne, Switzerland
[3] Univ Lausanne Hosp, Dept Child & Adolescent Psychiat, Lausanne, Switzerland
[4] Univ Hosp Geneva, Dept Child & Adolescent Psychiat, Geneva, Switzerland
[5] Univ Lausanne Hosp, Dept Child & Adolescent Psychiat, Lausanne, Switzerland
关键词
intervention on the relationship; prematurity; attachment; maternal posttraumatic stress; depression symptoms; CORTICOTROPIN-RELEASING HORMONE; NEONATAL PROCEDURAL PAIN; PITUITARY-ADRENAL AXIS; BIRTH-WEIGHT INFANTS; MATERNAL STRESS; BEHAVIORAL-INHIBITION; EMOTION REGULATION; BASAL CORTISOL; CHILD-CARE; ATTACHMENT;
D O I
10.1037/a0033878
中图分类号
B849 [应用心理学];
学科分类号
040203 ;
摘要
Preterm birth represents an acute stress for infants considering their physical immaturity and painful care procedures they are submitted to, potentially leading to altered cortisol regulation. It also represents a traumatic event for parents, sometimes leading to psychological diseases with repercussions on mother-infant relationships. Thirty preterm infants were submitted to an intervention on the mother-child relationships and were compared with 30 preterm infants without intervention and with 30 full-term infants. Salivary diurnal cortisol levels were assessed at 6 and 12 months. Diurnal cortisol levels at 6 months were lower in preterm infants without intervention as compared with other groups. At 12 months, such a difference was not found. The results of this study highlight a possible delay in the reorganization of the neuroendocrine system during the 1st year of life in preterm infants without intervention.
引用
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页码:457 / 464
页数:8
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