Preterm-infant emotion regulation during the still-face interaction

Yaari, Maya; Rotzak, Natalie Lisette; Mankuta, David; Harel‐Gadassi, Ayelet; Friedlander, Edwa; Eventov‐Friedman, Smadar; Bar‐Oz, Benjamin; Zucker, David M.; Shinar, Oren; Yirmiya, Nurit

doi:10.1016/j.infbeh.2018.05.008

Cited by 18 publications

(21 citation statements)

References 64 publications

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“…This result corroborates the body of knowledge found in the context of FFSF by Hsu and Jeng (2008), Jean and Stack (2012), Montirosso et al (2010) and Yaari et al (2018). Full-term infants handling objects more than PT, while PT infants squeezed their hands more, a pattern similar to the self-comfort behaviors shown by the moderate preterm infants in the study by Yaari et al(2018), differing from infants born very prematurely and the term, who did not show significant differences in self-comfort behaviors during the FFSF episodes.…”

Section: Discussionsupporting

confidence: 88%

“…Regarding the Self-comfort behaviors of the infants in the PT Group, it was observed that they did not have difficulties in self-regulation during the still-face episode and were able to resume interaction with their mothers, presenting a result similar to that obtained by Yaari et al (2018) in the group of moderate preterm infants and by Chiodelli et al (2020) with very preterm infants. This result may also suggest that the mothers were able to support their infants in their selfregulatory processes.…”

Section: Discussionsupporting

confidence: 54%

“…According to the authors, this result may suggest less maternal support for regulation and difficulties in the behavioral organization of the preterm infant to regulate itself. Yaari et al (2018) observed differences in the emotional regulation behaviors of infants born very preterm (gestational age between 24 to 32 weeks), moderate preterm infants (gestational age between 32 to 34 weeks) and full-term infants (between 37 to 41 weeks) at four months of age, with corrected age for preterm infants. In comparisons between groups, infants born prematurely (from both groups) emitted significantly less positive affect and more looking away at the play and reunion episodes than full-term infants.…”

mentioning

confidence: 90%

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Face-to-Face Still-Face: Comparison between Interactive Behaviors of Full-Term and Preterm Infants

Chiodelli

Rodrigues

Pereira

et al. 2021

Paidéia (Ribeirão Preto)

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Some studies indicate differences in self-regulatory behaviors of infants, depending on their gestational age. This paper aimed to compare interactive behaviors of full-term and preterm infants in the Face-to-Face Still-Face (FFSF) paradigm. Thirty prematurely born infants and thirty full-term infants were observed in the FFSF’s experimental procedure, which consists in exposing the infant to two episodes of interaction with the mother plus another episode in which the interaction gets interrupted. The Coding System and Analysis of Infant Behaviors Expressed in Still-Face adapted was used to analyze the infants’ interactive behaviors. Significant differences were observed in self-comfort behaviors. All the infants showed the still-face and the recovery effect, and full-term infants showed a carry-over effect. Results contribute to planning interventions that will help mothers promote more positive dyadic interactions.

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Section: Discussionsupporting

confidence: 88%

Section: Discussionsupporting

confidence: 54%

mentioning

confidence: 90%

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Face-to-Face Still-Face: Comparison between Interactive Behaviors of Full-Term and Preterm Infants

Chiodelli

Rodrigues

Pereira

et al. 2021

Paidéia (Ribeirão Preto)

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“…Our findings are consistent with those of others that indicate that VLBW/PT children have difficulties in socio-emotional domains relative to their fullterm peers (e.g., Doiron and Stack, 2017; Zmyj et al, 2017; Nadeau et al, 2018). They have been demonstrated to have more limited regulatory skills (e.g., Jean and Stack, 2012; Yaari et al, 2018), show more distancing and social monitoring (Montirosso et al, 2010), and rely more on their mothers in a reunion period following the still-face (Jean and Stack, 2012). These results suggest that preterm infants rely less on their own self-regulatory abilities and more on their mothers than their fullterm counterparts.…”

Section: Discussionmentioning

confidence: 99%

“…For example, they have been shown to have difficulties self-regulating and communicating (Nadeau et al, 2018). In addition, a few studies have examined emotion regulation strategies in VLBW/PT infant–mother dyads at 4 (Yaari et al, 2018), 6 (Jean and Stack, 2012), and up to 18 months (Atkinson et al, 2018), and results suggest subtle effects. There is also research that has examined neurodevelopmental vulnerabilities and parenting (e.g., sensitivity) as they relate to regulatory problems from birth to 18 months (Bilgin and Wolke, 2017).…”

Section: Introductionmentioning

confidence: 99%

Persistence of Effects of VLBW/PT Birth Status and Maternal Emotional Availability (EA) on Child EA Trajectories

2019

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Few studies have examined the longitudinal impact of birth status on the infant–mother relationship and on children’s socio-emotional development. In the present study we investigated developmental patterns of such relationships [using the Emotional Availability (EA) Scales] in fullterm and VLBW/PT infants from infancy to emerging school age. Our objectives were to: (a) model the developmental trajectories of EA dimensions (maternal sensitivity, structuring, non-hostility; child responsiveness, involvement) in a VLBW/PT and fullterm sample, (b) identify potential effects of VLBW/PT status on these trajectories, and (c) determine whether the effects of VLBW/PT status on children’s socio-emotional development (child EA) remained after accounting for the effect of maternal EA. Child–mother dyads (n = 109) were observed in home-based interactions (face-to-face and free play) when children were 6, 12, 18, and 57-months-old in fullterm (37–41 weeks, >2500 g; n = 48) and healthy VLBW/PT (26–32 weeks gestation, birth weight 800–1500 g, corrected for gestational age; n = 61) children. Developmental trajectories of maternal and child EA were assessed using multilevel growth modeling in Mplus. Results indicated that, even after controlling for maternal EA, there was a persistent negative effect of VLBW/PT birth status on child EA trajectories. Both initially and over time, VLBW/PT infants lagged behind their fullterm counterparts on levels of responsiveness and involvement with mothers. There was also a persistent positive effect of maternal EA (sensitivity and structuring) on child EA trajectories. Higher average levels of maternal sensitivity and structuring across time were also associated with higher and persistent levels of child responsiveness and involvement of their mothers. Importantly, results held after modeling both effects together, and after controlling for maternal education and child gender. Our results have implications for VLBW/PT children’s development, the parent–child relationship, and integrating family level factors and relationship dimensions in early prevention and intervention programs.

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Infant emotion regulation in the context of stress: Effects of heart rate variability and temperament

Weiss,

Keeton,

Leung

et al. 2024

Stress and Health

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Stressful events are inherently emotional. As a result, the ability to regulate emotions is critical in responding effectively to stressors. Differential abilities in the management of stress appear very early in life, compelling a need to better understand factors that may shape the capacity for emotion regulation (ER). Variations in both biologic and behavioural characteristics are thought to influence individual differences in ER development. We sought to determine the differential contributions of temperament and heart rate variability (HRV; an indicator of autonomic nervous system function) to infant resting state emotionality and emotional reactivity in response to a stressor at 6 months of age. Participants included 108 mother‐infant dyads. Mothers completed a measure of infant temperament at 6 months postnatal. Mother and infant also participated in a standardized stressor (the Repeated Still Face Paradigm) at that time. Electrocardiographic data were acquired from the infant during a baseline resting state and throughout the stressor. Fast Fourier Transformation was used to analyse the high frequency (HF) domain of HRV, a measure of parasympathetic nervous system activity. Infant ER was measured via standardized coding of emotional distress behaviours from video‐records at baseline and throughout the stressor. Severity of mothers' depressive symptoms was included as a covariate in analyses. Results of linear regression indicate that neither temperament nor HRV were associated significantly with an infant's emotional resting state, although a small effect size was found for the relationship between infant negative affectivity and greater emotional distress (β = 0.23, p = 0.08) prior to the stressor. Higher HF‐HRV (suggesting parasympathetic dominance) was related to greater emotional distress in response to the stressor (β = 0.34, p = 0.009). This greater emotional reactivity may reflect a more robust capacity to mount an emotional response to the stressor when infants encounter it from a bedrock of parasympathetic activation. Findings may inform eventual markers for assessment of ER in infancy and areas for intervention to enhance infant management of emotions, especially during stressful events.

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Preterm-infant emotion regulation during the still-face interaction

Cited by 18 publications

References 64 publications

Face-to-Face Still-Face: Comparison between Interactive Behaviors of Full-Term and Preterm Infants

Face-to-Face Still-Face: Comparison between Interactive Behaviors of Full-Term and Preterm Infants

Persistence of Effects of VLBW/PT Birth Status and Maternal Emotional Availability (EA) on Child EA Trajectories

Infant emotion regulation in the context of stress: Effects of heart rate variability and temperament

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