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完整後設資料紀錄
DC 欄位 | 值 | 語言 |
---|---|---|
dc.contributor.advisor | 鄭素芳(Suh-Fang Jeng) | |
dc.contributor.author | Yu-Wen Ho | en |
dc.contributor.author | 何郁文 | zh_TW |
dc.date.accessioned | 2021-06-15T06:00:47Z | - |
dc.date.available | 2010-09-09 | |
dc.date.copyright | 2010-09-09 | |
dc.date.issued | 2010 | |
dc.date.submitted | 2010-08-17 | |
dc.identifier.citation | 1.Saigal S, Doyle LW. An overview of mortality and sequelae of preterm birth from infancy to adulthood. Lancet 2008;371:261-9.
2.Eckerman CO, Hsu HC, Molitor A, Leung EH, Goldstein RF. Infant arousal in an en-face exchange with a new partner: effect of prematurity and perinatal biological risk. Dev Psychol 1999;35:282-93. 3.Clark CAC, Woodward LJ. Development of emotional and behavioral regulation in children born extremely preterm and very preterm: biological and social influences. Child Dev 2008;79:1444-62. 4.Hughes MB, Shults J, McGrath J, Medoff-Cooper B. Temperament characteristics of premature infants in the first year of life. J Dev Behav Pediatr 2002;23:430-5. 5.Kopp CB. Regulation of distress and negative emotion: A developmental view. Dev Psychol 1989;25:343-54. 6.Symington AJ, Pinelli J. developmental care for promoting development and preventing morbidity in preterm infants. Cochrane Database Syst Rev 2006:1-62. 7.Westrup B, Westrup B. Newborn Individualized Developmental Care and Assessment Program (NIDCAP) - family-centered developmentally supportive care. Early Hum Dev 2007;83:443-9. 8.Westrup B, Bohm B, Lagercrantz H, Stjernqvist K. Preschool outcome in children born very prematurely and cared for according to the Newborn Individualized Developmental Care and Assessment Program (NIDCAP). Acta Paediatr 2004;93:498-507. 9.Mahoney MC, Cohen MI. Effectiveness of developmental intervention in the neonatal intensive care unit: Implications for neonatal physical therapy. Pediatr Phys Ther 2005;17:194-208. 10.Spittle AJ, Doyle LW, Boyd RN. A systematic review of the clinimetric properties of neuromotor assessments for preterm infants during the first year of life. Dev Med Child Neurol 2008;50:254-66. 11.Koldewijn K, Wolf MJ, van Wassenaer A, Meijssen D, van Sonderen L, van Baar A et al. The Infant Behavioral Assessment and Intervention Program for very low birth weight infants at 6 months corrected age. J Pediatr 2009;154:33-8 e2. 12.Koldewijn K, Wolf MJ, van Wassenaer A, Beelen A, de Groot IJ, Hedlund R. The Infant Behavioral Assessment and Intervention Program to support preterm infants after hospital discharge: a pilot study. Dev Med Child Neurol 2005;47:105-12. 13.Koldewijn K, Wassenaer A, Wolf MJ, Meijssen D, Houtzager B, Beelen A et al. A Neurobehavioral Intervention and Assessment Program in Very Low Birth Weight Infants: Outcome at 24 Months. J Pediatr 2010;156:359-65. 14.Barrera ME, Doucet DA, Kitching KJ. Early Home Intervention and Socio-Emotional Development of Preterm Infants. Infant Ment Health J 1990;11:142-57. 15.Blair C. Early intervention for low birth weight, preterm infants: The role of negative emotionality in the specification of effects. Dev Psychopathol 2002;14:311-32. 16.Zeman J, Cassano M, Perry-Parrish C, Stegall S. Emotion regulation in children and adolescents. J Dev Behav Pediatr 2006;27:155-68. 17.Putnam SP, Stifter CA. Reactivity and regulation: The impact of Mary Rothbart on the study of temperament. Infant Child Dev 2008;17:311-20. 18.Stifter CA, Spinrad T. The effect of excessive crying on the development of emotion regulation. Infancy 2002;3:133-52. 19.Braungart-Rieker JM, Stifter CA. Infants' responses to frustrating situations: continuity and change in reactivity and regulation. Child Dev 1996;67:1767-79. 20.Moscardino U, Axia G. Infants’ responses to arm restraint at 2 and 6 months: A longitudinal study. Infant Behavior and Development 2006;29:59-69. 21.Calkins SD, Dedmon SE, Gill KL, Lomax LE, Johnson LM. Frustration in infancy: implications for emotion regulation, physiological process, and temperament. Infancy 2002;3:175-97. 22.Stifter CA, Braungart JM. The regulation of negative reactivity in infancy: Function and development. Dev Psychol 1995;31:448-55. 23.Maclean PC, Erickson SJ, Lowe JR. Comparing emotional reactivity and regulation in infants born ELGA and VLGA. Infant Behav Dev 2009;32:336-9. 24.Camras LA, Oster, H., Campos, J., Miyake, K., Bradshaw, D. Japanese and American infants’ responses to arm restraint. Dev Psychol 1992;28:578-83. 25.Porter CL, Jones BL, Evans CA, Robinson CC. A Comparative Study of Arm-Restraint Methodology: Differential Effects of Mother and Stranger Restrainers on Infants' Distress Reactivity at 6 and 9 Months of Age. Infancy, 2009;14:306-24. 26.Porges SW. The polyvagal theory: phylogenetic substrates of a social nervous system. Int J Psychophysiol 2001;42:123-46. 27.Fox NA, Porges SW. The relation between neonatal heart period patterns and developmental outcome. Child Dev 1985;56:28-37. 28.Moore GA. Infants' and mothers' vagal reactivity in response to anger. Child Psychol Psychiatry 2009;50:1392-400. 29.Bazhenova OV, Plonskaia O, Porges SW. Vagal reactivity and affective adjustment in infants during interaction challenges. Child Dev 2001;72:1314-26. 30.Bazhenova OV, Stroganova TA, Doussard-Roosevelt JA, Posikera IA, Porges SW. Physiological responses of 5-month-old infants to smiling and blank faces. Int J Psychophysiol 2007;63:64-76. 31.Porter FL, Porges SW, Marshall RE. Newborn pain cries and vagal tone: parallel changes in response to circumcision. Child Dev 1988;59:495-505. 32.Stifter CA, Fox NA, Porges SW. Facial expressivity and vagal tone in 5- and 10-month-old infants. Infant Behav Dev 1989;12:127-37. 33.Als H, Lawhon G, Brown E, Gibes R, Duffy FH, McAnulty G et al. Individualized behavioral and environmental care for the very low birth weight preterm infant at high risk for bronchopulmonary dysplasia: neonatal intensive care unit and developmental outcome. Pediatrics 1986;78:1123-32. 34.Ramey CT, Ramey SL. Early intervention and early experience. Am Psychol 1998;53:109-20. 35.Stern D. Mother and infant at play: The dyadic interaction involving facial, vocal, and gaze behavior. New York: Wiley; 1974. 36.Heart rate variability. Standards of measurement, physiological interpretation, and clinical use. Task Force of the European Society of Cardiology and the North American Society of Pacing and Electrophysiology. Eur Heart J 1996;17:354-81. 37.Camras LA, Oster H, Campos JC, Campos R, Ujiie T, Miyake K et al. Production of emotion facial expressions in European American, Japanese, and Chinese infants. Dev Psychol 1998;34:616-28. 38.Weijer-Bergsmai EV, Wijnroks L, Jongmans MJ. Attention development in infants and preschool children born preterm: A review. IInfant Behav Dev 2008;31:333-51. 39.Calkins SD, Fox NA. Self-regulatory processes in early personality development: a multilevel approach to the study of childhood social withdrawal and aggression. Dev Psychopathol 2002;14:477-98. 40.Moore GA, Propper CB, Hill-Soderlund AL, Calkins SD, Mills-Koonce WR, Cox MJ. Mother-infant vagal regulation in the face-to-face still-face paradigm is moderate by maternal sensitivity. Child Dev 2009;80:209-23. 41.Porges SW, Doussard-Roosevelt JA, Maiti AK. Vagal tone and the physiological regulation of emotion. Monogr Soc Res Child Dev 1994;59:167-86. 42.Porges SW, Doussard-Roosevelt JA, Portales AL, Greenspan SI. Infant regulation of the vagal 'brake' predicts child behavior problems: a psychobiological model of social behavior. Dev Psychobiol 1996;29:697-712. 43.Porges SW. Social engagement and attachment: a phylogenetic perspective. Ann N Y Acad Sci 2003;1008:31-47. 44.Feldman R. The development of regulatory functions from birth to 5 years: Insights from premature infants. Child Dev 2009;80:544-61. | |
dc.identifier.uri | http://tdr.lib.ntu.edu.tw/jspui/handle/123456789/47459 | - |
dc.description.abstract | 實驗背景:極低出生體重早產兒(出生體重小於1,500公克)在兒童及青少年時期有較高比例產生發展與情緒行為的問題。雖然之前的研究顯示早期介入對於極低出生體重早產兒認知與動作發展有輕度至中等的短期療效,但是較少檢視社會情緒發展的結果。因此,本篇研究目的為檢視早期介入對於極低出生體重早產兒在矯正年齡六個月時其情緒調節功能之療效。嬰兒將於手臂限制實驗中,藉由行為與生理的測量,進行早期情緒調節功能的評估。
實驗方法:本實驗共徵召178位極低出生體重早產兒,經隨機分配至常規照護組、門診介入組以及家訪介入組。同時徵召62位性別配對的足月兒擔任本實驗的參照組別。早期介入計畫提供嬰兒照護、家長支持及親子互動的服務,介入時間從出生開始至矯正年齡12個月。所有嬰兒在矯正年齡6個月接受情緒調節功能的評估,施測情境為手臂限制活動。嬰兒的行為使用錄影機紀錄的方式,而生理部分則是使用心電圖來測量。記錄下來的行為以負向反應與調節行為的出現做分析,而心電圖的數據則是以心跳變異率分析為主。 實驗結果:所有回來接受追蹤且有完整生理資料的嬰兒中,門診介入組和常規照護組負向情緒持續增加(p<0.05);然而,家訪介入組從手臂限制至手臂釋放過程中並無顯著負向情緒的改變。手臂釋放期間,門診介入組和常規性照護組甚至呈現比足月兒及家訪介入組更高強度負向情緒的表現(p<0.05)。但在各調節行為中,各組間則無顯著的差異。在生理調節的反應,門診介入組呈現與足月兒相似的模式:心跳變異率高頻能量從基準點至手臂限制呈現顯著的上升,而在手臂釋放之後呈現顯著的下降。相較之下,接受家訪介入和常規性照護早產兒在生理反應部分並無隨著階段不同而變化。在這些於手臂限制下使用增加心跳變異率高頻能量的嬰兒中,門診介入組採用較多注視母親的行為策略來調控其負向的情緒,而足月兒則是使用注視環境中的物體為主要的行為調節反應(p<0.05)。 實驗結論:早產兒早期介入於矯正年齡六個月時情緒調節的療效主要呈現在門診介入組。在嬰兒早期,對於觀察情緒調節在手臂限制活動下,其生理的反應似乎比行為觀察更能反應出調控的變化。 | zh_TW |
dc.description.abstract | Background and Purpose: Very low birth weight (VLBW) preterm infants (birth weight <1,500 g) sustain an increased risk of developmental and emotional/behavioral disorders in childhood and adolescence. Although previous studies have demonstrated small to moderate benefits of early intervention to the cognitive and motor function in VLBW preterm infants, these studies have rarely examined the socio-emotional outcome. This study was, therefore, aimed to examine the effect of early intervention on emotion regulation in VLBW preterm infants at 6 months of corrected age. Methods: A total of 178 VLBW preterm infants were randomly assigned to the usual care program (UCP), clinic-based intervention program (CBIP) and home-based intervention program (HBIP). Sixty-two full-term infants were also included to serve as the reference group. Early intervention consisted of child- and parent-focused services that began in hospitalization and ended at 12 months of corrected age. Infants were assessed for emotion regulation under the arm restraint procedure at 6 months of corrected age with their behaviors recorded using a video camera and physiological responses by an electrocardiography. The video records were coded for negative reactivity and regulatory behaviors; the heart rate data were analyzed for variability. Results: For infants who returned for follow up and had complete physiological data, full-term, UCP and CBIP groups showed an increase in negative vocalization (all p<0.05); whereas HBIP exhibited no change from the restraint to release period. Furthermore, UCP and CBIP groups manifested higher levels of negative vocalization than full-term and HBIP groups in the release period (all p<0.05). However, regulatory behaviors in response to arm restraint did not vary between groups. Physiologically, CBIP and full-term groups exhibited similar tendency showing an incline in high-frequency power of heart rate variability (lnHF) from the baseline to restraint period, which was followed by an incline from the restraint to release period (both p<0.05). In contrast, HBIP and UCP groups manifested no change in lnHF throughout the procedure. For those exhibiting increased lnHF from the baseline to restraint period, CBIP group showed more mother orientation and full-term group showed more object orientation in self regulation (both p<0.05).
Conclusion: Early intervention, specifically CBIP, appeared to favor emotion regulation in VLBW preterm infants at 6 months of corrected age. Physiological regulation was more sensitive to infants’ reactivity to arm restraint procedure than that of behavioral reactivity at 6 months. | en |
dc.description.provenance | Made available in DSpace on 2021-06-15T06:00:47Z (GMT). No. of bitstreams: 1 ntu-99-R97428009-1.pdf: 702864 bytes, checksum: e4cf97c27695881e10450dd318568437 (MD5) Previous issue date: 2010 | en |
dc.description.tableofcontents | 口試委員會審定書……………………………………………………i
致謝……………………………………………………………………ii Abstract………………………………………………………………iii 中文摘要………………………………………………………………v 目錄……………………………………………………………………vii 表目錄…………………………………………………………………viii 圖目錄…………………………………………………………………ix 1.Introduction………………………………………………………1 2.Methods…………………………………………………………… 4 2.1 Participants…………………………………………………4 2.2 Intervention Protocol…………………………………… 5 2.3 Assessment Procedure………………………………………6 2.4 Measurements…………………………………………………7 2.5 Statistic Analysis…………………………………………9 3.Results…………………………………………………………… 10 3.1 Primary Analysis……………………………………………10 3.2 Secondary Analysis…………………………………………11 4.Discussion…………………………………………………………14 4.1 Intervention Effect on Emotion Regulation in Infants Who Returned for Follow up………………………………14 4.2 Intervention Effect on Emotion Regulation in Infants Who Had Complete Physiological Data………………… 16 5.Conclusion…………………………………………………………20 參考文獻………………………………………………………………36 | |
dc.language.iso | en | |
dc.title | 早期介入對於極低出生體重早產兒在矯正年齡六個月情緒調節功能之療效 | zh_TW |
dc.title | Effects of Early Intervention on Emotion Regulation in Very Low Birth Weight Preterm Infants at 6 Months of Corrected Age | en |
dc.type | Thesis | |
dc.date.schoolyear | 98-2 | |
dc.description.degree | 碩士 | |
dc.contributor.oralexamcommittee | 謝武勳(Wu-Shiun Hsieh),許惠瑾(Hui-Chin Hsu),陸哲駒(Jer-Ju Luh),陳麗秋(Li-Chiou Chen) | |
dc.subject.keyword | 早期介入,早產兒,情緒調節,心跳變異率, | zh_TW |
dc.subject.keyword | early intervention,preterm infants,emotion regulation,heart rate variability, | en |
dc.relation.page | 40 | |
dc.rights.note | 有償授權 | |
dc.date.accepted | 2010-08-17 | |
dc.contributor.author-college | 醫學院 | zh_TW |
dc.contributor.author-dept | 物理治療學研究所 | zh_TW |
顯示於系所單位: | 物理治療學系所 |
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