The early social environment of premature and fullterm infants

Davis, Diane Holditch; Thoman, Evelyn B.

doi:10.1016/s0378-3782(88)80009-4

Cited by 28 publications

(14 citation statements)

References 31 publications

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“…This ability, in turn, was affected by factors such as social support and self-esteem, the same two factors that we found included in our factor of Readiness for Motherhood. In addition, Davis and Thoman's (1988) findings, that mothers of premature infants who expressed negative perceptions on the early mother -child interaction during the first weeks of life initiated significantly less interactive behaviors than mothers of full term babies, are in accordance with our factor of Readiness for Motherhood. These findings also support our hypothesis that the CLIP interview depicts quantifiable variables that are significant in terms of the early mother -child relationship.…”

Section: Discussionsupporting

confidence: 82%

“…Such maternal perceptions during the first weeks may have a negative impact on the early mother -infant relationship. Mothers of premature infants tend to spend less time with their infants, talk, look, and touch the infant less frequently, and attend less regularly to the infant's basic care needs during the first weeks of life (Davis & Thoman, 1988). The disruption in the mother -infant relationship is likely to persist into the first months of life.…”

Section: * * *mentioning

confidence: 99%

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Clinical Interview for high‐risk Parents of premature infants (CLIP) as a predictor of early disruptions in the mother–infant relationship at the nursery

Keren

Feldman

Eidelman³

et al. 2003

Infant Mental Health Journal

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ABSTRACT:The relations between mothers' narrative regarding the infant and the premature birth and the quality of mother-infant interaction were examined in mothers of 47 very low birth weight (Ͻ1650 g) premature singletons prior to discharge. Maternal representations were assessed with the Clinical Interview for high-risk Parents of premature babies (CLIP), a semistructured interview that explores mothers' experiences of the pregnancy, delivery, hospitalization period, thoughts and feelings about the infant, and impending discharge. Ten minutes of mother-infant interaction were videotaped, and global and microanalytic codes were used to define three interactive variables: maternal adaptation, maternal touch, and infant withdrawal. Factor analysis of the CLIP items identified two factors with eigen values of 2.00 and above, termed Readiness for Motherhood and Maternal Rejection. Regression analyses were used to predict the three interactive variables by the infant's medical condition, maternal anxiety and depression, and the CLIP factors. Maternal adaptation to the infant's signal and maternal positive touch were each uniquely predicted by the mother's readiness for the maternal role, and were each negatively related to maternal depression. The infant's interactive withdrawal was independently predicted by maternal rejection. The clinical implications of the findings and the potential use of the CLIP for routine detection of early disruptions in the mother-infant relationship are discussed.RESUMEN: Se examinó la relación entre lo que dice la madre sobre el infante y el nacimiento prematuro y la calidad de la interacción entre la madre y el infante, en un grupo de madres de 47 niños sietemesinos Direct correspondence to: M. Keren, Community Infant Mental Health Unit, Kupat Holim Klalit, Orlanski Street 8, Petah, Tiqwa, Israel; e-mail: ofkeren@zahav.net.il. • M. Keren et al.de muy bajo peso al nacer (Ͻ1650 gr), antes de dárseles de alta. Las representaciones maternas fueron evaluadas por medio de la Entrevista Clínica para Madres de alto riesgo de niños prematuros (CLIP); una entrevista semiestructurada que explora las experiencias maternas en los períodos de embarazo, parto y hospitalización; los pensamientos y sentimientos acerca del infante, y la inminente dada de alta. Se grabaron en vídeo diez minutos de interacción entre la madre y el infante, y se usaron códigos globales y microanalíticos para definir tres variables interactivas: la adaptación materna, el tacto materno, y los síntomas de aislamiento y abandono en el infante. El análisis de factores de los puntos de CLIP identificó dos factores con valores de 2.00 o más: la buena disposición a la maternindad y el rechazo materno. Se usaron los análisis de regresión para predecir las tres variables interactivas, según la condición médica del infante, la ansiedad y depresión materna, y los factores de CLIP. La adaptación materna a las señales del infante y el positivo tacto materno fueron ambos previstos en forma única por la disposición de la madre hacia el pa...

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Section: Discussionsupporting

confidence: 82%

Section: * * *mentioning

confidence: 99%

Clinical Interview for high‐risk Parents of premature infants (CLIP) as a predictor of early disruptions in the mother–infant relationship at the nursery

Keren

Feldman

Eidelman³

et al. 2003

Infant Mental Health Journal

View full text Add to dashboard Cite

show abstract

“…This method can be used to quantify naturally occurring behavior observed in naturalistic contexts (Holditch Davis & Thoman, 1988;Martin & Bateson, 1986;Thoman, Acebo, Dreyer, Becker, & Freese, 1979;Thoman, Becker, & Freese, 1978). Discrete behaviors are identified, predefined, and assigned single letter codes.…”

Section: Homementioning

confidence: 99%

“…Discrete behaviors are identified, predefined, and assigned single letter codes. The coding system used in this study was modified by Holditch-Davis, based on 6 months of observing preschool-age children in day care centers and homes (Holditch- Davis, 1990;Holditch-Davis & Belyea, 1994;Miller & Holditch-Davis, 1992), from a schema developed by Thoman over 20 years (Holditch- Davis & Thoman, 1988;Thoman et al, 1979;Thoman et al, 1978). During a naturalistic observation, mother behaviors and child behaviors are continuously recorded onto paper using a 1-0 sampling method.…”

Section: Homementioning

confidence: 99%

HOME inventory and NCATS: Relation to mother and child behaviors during naturalistic observations

Tesh

Holditch‐Davis

1997

Res. Nurs. Health

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The purpose of this study was to determine the relationships among the Nursing Child Assessment Teaching Scale (NCATS), the Home Observation for Measurement of the Environment (HOME) inventory, and interactive behaviors observed in the home for fifty-three 3-year-old, prematurely born children and their mothers. The total HOME score showed high internal consistency, with moderate subscale levels. NCATS total score showed high internal consistency, but low to moderate subscale consistency. Combining NCATS subscales into a mother subscale and child subscale improved internal consistency. The HOME and the NCATS mother subscale correlated with observed maternal behaviors, but the NCATS child subscale was unrelated to child behaviors. Relationships between observed behaviors and HOME scores did not differ for high- and low-education mothers or for Caucasians and African Americans, but only low-education mothers and African Americans exhibited correlations between NCATS scores and observed behaviors. These results show the HOME, NCATS, and naturalistic observations measure related, but not overlapping, aspects of the mother's contribution to her relationship with her child, but the NCATS child subscale should be used with caution with 3-year-olds.

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“…In the first 6 months after term, premature infants are less responsive, vocalize less, avert their gaze more frequently, and show less positive affect than fullterms (Bakeman & Brown, 1980;Crnic, Ragozin, Greenberg, Robinson, & Basham, 1983;DiVitto & Goldberg, 1979;Field, 1977). Mothers leave premature infants alone more, and they talk to, look at, hold, and play games with them less often (Davis & Thoman, 1988;Field, 1979). During brief interactions, mothers of premature infants work harder to initiate and maintain interactions than do mothers of fullterms but receive fewer positive responses from their infants (Bakeman & Brown, 1980;Barnard, Bee, & Hammond, 1984;Harrison, 1990).…”

mentioning

confidence: 99%

Interactions of parents and nurses with high‐risk preterm infants

Miller

Holditch‐Davis

1992

Research in Nursing & Health

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The interactions of preterm infants with parents were compared with their interactions with nurses. Twenty-nine high-risk preterm infants who were a part of a larger longitudinal study of behavioral development were observed once weekly from 7 p.m. to 11 p.m. A single observation for each infant that contained a minimum of 2 min of parental care and 2 min of nursing care was selected for analysis. Results showed that nurses and parents provided different types of stimulation with nurses more likely to engage in procedural care and parents more likely to hold, talk to, move, and touch the infants affectionately. Infants showed more sleep-wake transition, large body movements, and jitters when with nurses and more active sleep and more smiles when with parents. Similar differences were found when parents and nurses were just holding or touching the infants, but no differences in infant responses were seen during feeding or changing. Thus, the different infant behavioral responses appeared to result primarily from the different stimulation provided by parents and nurses. Implications of these findings for research and clinical practice are discussed.

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The early social environment of premature and fullterm infants

Cited by 28 publications

References 31 publications

Clinical Interview for high‐risk Parents of premature infants (CLIP) as a predictor of early disruptions in the mother–infant relationship at the nursery

Clinical Interview for high‐risk Parents of premature infants (CLIP) as a predictor of early disruptions in the mother–infant relationship at the nursery

HOME inventory and NCATS: Relation to mother and child behaviors during naturalistic observations

Interactions of parents and nurses with high‐risk preterm infants

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