Neonatal Risk, Maternal Sensitive-Responsiveness and Infants' Joint Attention: Moderation by Stressful Contexts.

Alisa Egotubov, Naama Atzaba-Poria, Gal Meiri, Kyla Marks, Noa Gueron-Sela
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引用次数: 2

Abstract

Neonatal risk factors have been associated with atypical development in various areas of social communication, including joint attention (JA), but little is known about factors in the early caregiving environment that can modify the negative implications of neonatal risk. The present study examines the links between neonatal risk and infants' JA, while considering the mediating role of maternal sensitive-responsiveness and the moderating roles of stressful contexts. One hundred and eighty-two families with infants (50% female) born in a wide range of gestational ages and birthweights participated in the study. Neonatal risk was assessed shortly after birth using three indicators: birthweight, gestational age, and degree of medical risk. At age 6 months, maternal sensitive-responsiveness to infants' foci of attention was rated and maternal anxiety and household chaos were measured. Infants' JA behaviors were assessed at age 12 months. A moderated-mediation model revealed that maternal anxiety symptoms and household chaos moderated the links between neonatal risk, maternal sensitive-responsiveness, and infants' responding to JA. Specifically, neonatal risk was related to less maternal sensitive-responsiveness only when maternal anxiety symptoms were above average levels, but not when anxiety symptoms were low. Moreover, maternal sensitive-responsiveness was positively related to infants' responding to JA behaviors when household chaos was low but not when it was high. These findings highlight the complex nature of the links between infants' early biological risk and caregiving environments in the development of social communication skills.

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新生儿风险、母亲敏感-反应性和婴儿共同注意:应激环境的调节作用。
新生儿风险因素与社会沟通各个领域的非典型发展有关,包括共同注意(JA),但对早期护理环境中可以改变新生儿风险负面影响的因素知之甚少。本研究探讨了新生儿风险与婴儿JA之间的联系,同时考虑了母亲敏感-反应的中介作用和压力环境的调节作用。182个家庭的婴儿(50%为女婴)出生在不同的胎龄和出生体重范围内,参与了这项研究。新生儿风险在出生后不久通过三个指标进行评估:出生体重、胎龄和医疗风险程度。在6月龄时,评估母亲对婴儿注意焦点的敏感反应,并测量母亲的焦虑和家庭混乱。在婴儿12个月大时对JA行为进行评估。一个有调节的中介模型显示,母亲焦虑症状和家庭混乱调节新生儿风险、母亲敏感-反应性和婴儿对JA的反应之间的联系。具体而言,只有当母亲焦虑症状高于平均水平时,新生儿风险与母亲敏感反应性较低有关,而当焦虑症状较低时则无关。此外,当家庭混乱程度低时,母亲的敏感-反应性与婴儿对JA行为的反应呈正相关,而当家庭混乱程度高时,母亲的敏感-反应性与婴儿对JA行为的反应不呈正相关。这些发现强调了婴儿早期生理风险与社会沟通技能发展中照料环境之间联系的复杂性。
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期刊介绍: Research on Child and Adolescent Psychopathology brings together the latest innovative research that advances knowledge of psychopathology from infancy through adolescence. The journal publishes studies that have a strong theoretical framework and use a diversity of methods, with an emphasis on empirical studies of the major forms of psychopathology found in childhood disorders (e.g., disruptive behavior disorders, depression, anxiety, and autism spectrum disorder). Studies focus on the epidemiology, etiology, assessment, treatment, prognosis, and developmental course of these forms of psychopathology. Studies highlighting risk and protective factors; the ecology and correlates of children''s emotional, social, and behavior problems; and advances in prevention and treatment are featured. Research on Child and Adolescent Psychopathology is the official journal of the International Society for Research in Child and Adolescent Psychopathology (ISRCAP), a multidisciplinary scientific society.
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