Interactive behaviors between mothers and their prematurely born infants in the face-to-face Still-Face Paradigm

Chiodelli, Taís; Rodrigues, Olga Maria Piazentin Rolim; Pereira, Veronica Aparecida; Santos, Pedro Lopes dos; Fuertes, Marina

doi:10.1590/1982-0275202037e180164

Acessibilidade / Reportar erro

Brasil

Estudos de Psicologia (Campinas)

Español English

Brasil

Español English

sumário « anterior atual seguinte »

Sumário

PSYCHOLOGY OF DEVELOPMENT • Estud. psicol. (Campinas) 37 • 2020 • https://doi.org/10.1590/1982-0275202037e180164 copy

Interactive behaviors between mothers and their prematurely born infants in the face-to-face Still-Face Paradigm

Relações entre os comportamentos interativos maternos e de bebês prematuros no contexto do Face-to-Face Still-Face

Authorship SCIMAGO INSTITUTIONS RANKINGS

Abstract

The present study compared and correlated interactive behaviors of 15 mothers and their very preterm infants (gestational age: 28-32 weeks). Mothers and infants were observed in the experimental Face-to-Face Still-Face paradigm, consisting of three episodes: in the first and third episodes (play and reunion episodes), mother and infant interact freely; in the second (still-face episode), the mother maintains a still-face expression. The behaviors of the infants were allocated in three categories: positive social orientation, negative social orientation and self-regulation. Maternal behaviors were classified into positive and negative social orientation. Intragroup comparisons indicated that maternal vocalizations were significantly higher in the play episode. Compared to other studies with preterm infants, babies in this study exhibit fewer interactive behaviors and more self-soothing behaviors in the still-face episode. In addition, in the reunion episode, values of the behaviors presented in the play episode were recovered. Correlations between intrusive maternal behaviors and noninteractive or negative-interaction behaviors of the infant suggest the relevance of providing intervention to promote maternal sensitivity.

Keywords:
Infant, premature; Infant behavior; Mother-child relations

Maternal interactive behaviors	Play episode				Reunion episode				PxR
Maternal interactive behaviors	M	(SD)	Mdn	(Mín-Max)	M	(SD)	Mdn	(Mín-Max)	p*
PSO
Approaching the infant’s face	12	(15.0)	10	(0-36)	11	(12.4)	4	(0-35)	0.169
Body contact with the infant	29	(10.4)	34	(5-36)	30	(8.4)	34	(17-36)	0.245
Vocalizing directly to the infant	36	(8.4)	37	(3-42)	33	(7.7)	36	(8-40)	0.027
Singing to the infant	1	(4.5)	0	(0-8)	3	(6.0)	0	(0-16)	0.207
Tickling the infant	2	(2.5)	0	(0-9)	2	(3.2)	1	(0-11)	0.725
Kissing the infant	1	(2.2)	0	(0-9)	1	(2.3)	0	(0-8)	0.798
Play with the infant	1	(1.6)	0	(0-6)	1	(2.1)	0	(0-7)	0.607
Responding to the infant’s contact initiatives	3	(3.2)	2	(0-5)	3	(3.8)	2	(0-11)	0.972
Total PSO	85	(23.1)	83	(40-125)	85	(25.1)	85	(44-116)	0.944
PSO
Moving away from the infant	1	(1.1)	1	(0-4)	2	(2.1)	1	(0-7)	0.129
Avoiding play with the infant	0	(0.9)	0	(0-4)	0	(0.4)	0	(0-2)	0.593
Avoiding eye or body contact with the infant	1	(1.7)	0	(0-5)	1	(1.3)	1	(0-4)	1.000
Making negative infant atrributions or descriptions of their states	4	(5.6)	1	(0-11)	3	(2.9)	2	(0-11)	0.929
Sucking the infant’s hands	0	(0.2)	0	(0-1)	0	(1.2)	0	(0-5)	0.102
Proximity with the infant's face	2	(8.0)	0	(0-2)	2	(4.6)	0	(0-16)	0.465
Physically restrict of infant’s movements	11	(14.2)	3	(0-34)	15	(12.7)	14	(0-36)	0.293
Total PSO	20	(17.9)	14	(1-45)	23	(14.5)	22	(4-49)	0.293

Infant’s interactive behaviors	Play episode		Still-face episode		Reunion episode		PxS	PxR	SxR
Infant’s interactive behaviors	Mdn	(Mín-Max)	Mdn	(Mín-Max)	Mdn	(Mín-Max)	p*	p*	p*
PSO
Looking at the mother’s face	25	(2-35)	17	(1-35)	26	(1-36)	0.132	0.450	0.442
Looking at the mother’s body	7	(1-27)	0	(0-2)	8	(0-21)	0.001	0.001	0.528
Smiling	6	(0-19)	0	(0-14)	3	(0-19)	0.012	0.061	0.008
Reaching the mother	1	(0-15)	0	(0-1)	0	(0-12)	0.011	0.959	0.034
Positive or neutral vocalizations	4	(0-22)	1	(0-19)	1	(0-23)	0.012	0.045	0.208
Motor agitation	0	(0-10)	1	(0-21)	0	(0-12)	0.759	0.035	0.759
Total PSO	51	(14-85)	23	(5-74)	42	(21-85)	0.002	0.346	0.004
OSN
Negative facial expression	2	(0-20)	5	(0-18)	6	(0-28)	0.266	0.051	0.495
Vocal protests	1	(0-16)	3	(0-33)	6	(0-11)	0.009	0.574	0.080
Escaping from the mother	0	(0-1)	0	(0-3)	0	(0-2)	0.480	1.000	0.127
Arching the body	0	(0-4)	1	(0-18)	0	(0-2)	0.127	0.595	0.061
Pushing away from the mother	0	(0-6)	0	(0-3)	0	(0-7)	0.059	0.201	0.026
Crying	0	(0-8)	0	(0-4)	0	(0-17)	0.916	0.128	0.068
Excessive motor activity	1	(0-12)	7	(0-33)	0	(0-11)	0.003	0.836	0.008
Total NSO	11	(0-57)	31	(3-87)	22	(5-66)	0.016	0.061	0.523
SR
Mother’s gaze aversion	11	(0-29)	19	(0-35)	11	(1-32)	0.038	0.887	0.050
Closing the eyes	0	(0-1)	0	(0-1)	0	(0-5)	0.564	0.285	0.197
Taking hand to mouth	0	(0-14)	1	(0-34)	1	(0-13)	0.221	0.624	0.050
Oral objects	0	(0-0)	0	(0-8)	0	(0-2)	0.180	0.157	0.414
Avoiding mother	0	(0-17)	0	(0-7)	0	(0-5)	0.497	0.248	0.227
Squeezing hands against each other	0	(0-3)	0	(0-20)	0	(0-3)	0.127	0.783	0.058
Handling objects	1	(0-22)	9	(0-35)	0	(0-22)	0.049	0.683	0.013
Total SR	19	(0-45)	43	(0-81)	19	(2-42)	0.010	0.220	0.005

Play episode
V1 (infant)	V2 (maternal)	Rô
Smiling (PSO)	Establishing physical contact with the infant (PSO)	-0.522*
Vocal protests (NSO)	Proximity with the infant’s face (NSO)	-0.640*
Vocal protests (NSO)	Making negative infant attributions or negative descriptions of their states (NSO)	0.644**
Arching the body (NSO)	Establishing physical contact with the infant (PSO)	0.562*
Pushing away from the mother (NSO)	Vocalizing directly to the infant (PSO)	-0.527*
Look away (SR)	Proximity with the infant’s face (NSO)	-0.590*
Put the hand in the mouth (SR)	Kissing the infant (PSO)	0.557*
Avoiding mother (SR)	Establishing physical contact with the infant (PSO)	-0.795**
Reunion episode
Looking at mother's face (PSO)	Singing to the infant (PSO)	0.546*
	Moving away from the infant (NSO)	0.542*
Smiling (PSO)	Establishing physical contact with the infant (PSO)	-0.525*
	Singing to the infant (PSO)	0.664**
	Moving away from the infant (NSO)	0.546*
Positive or neutral vocalizations (PSO)	Avoiding eye contact or body contact with the infant (NSO)	-0.585*
Negative facial expression (NSO)	Responding to the infant’s contact initiatives (PSO)	0.595*
Escaping from the mother (NSO)	Tickling the infant (PSO)	0.618*
	Avoiding play with the infant (NSO)	0.732*
Arching the body (NSO)	Play with the infant (PSO)	-0.549*
	Responding to the infant’s contact initiatives (PSO)	0.537*
Crying (NSO)	Responding to the infant’s contact initiatives (PSO)	0.822**
Excessive motor activity (NSO)	Physically restrict of infant’s movements (NSO)	-0.674**
Closing the eyes (SR)	Singing to the infant (PSO)	0.593*
	Sucking the infant’s hands (NSO)	0.568*
	Physically restrict of infant’s movements (NSO)	0.553*
Taking hands to mouth (SR)	Establishing physical contact with the infant (PSO)	-0.521*
Oral objects (SR)	Tickling the infant (PSO)	0.623*

Programa de Pós-Graduação em Psicologia, Pontifícia Universidade Católica de Campinas Núcleo de Editoração SBI - Campus II, Av. John Boyd Dunlop, s/n. Prédio de Odontologia, 13060-900 Campinas - São Paulo Brasil, Tel./Fax: +55 19 3343-7223 - Campinas - SP - Brazil
E-mail: psychologicalstudies@puc-campinas.edu.br

Acompanhe os números deste periódico no seu leitor de RSS

[1] Correspondence to: O.M.P.R. RODRIGUES. E-mail: olga.rolim@unesp.br.