One hundred and twenty, full-term, normal, first-born infants were categorized at one month of age into a high-risk or low-risk group for possible development of emotional and developmental deviations. The predictions were based on measurements of the mother's perception of her infant as compared to the average. At age 4 1/2, the children were evaluated by two child psychiatrists who had no knowledge of the children's predictive risk rating. A statistically significant association was evident between prediction and outcome. This paper describes the methodology and discusses the implications of the findings.
To our knowledge, this is one of the first pediatric studies to demonstrate that using a short, multifaceted educational module, it is possible to change DV screening practices and to increase identification of DV victims among pediatric residents, continuity clinic faculty, and certified-registered nurse practitioners at a pediatric teaching hospital.
This paper describes some of the findings from the most recent phase of a prospective longitudinal study of firstborns, begun in 1963, to determine the relationship between the primipara's perception of her neonate and the child's subsequent emotional development [1].Previous phases of the study, describing the methodology and discussing the implications of earlier findings, have been reported elsewhere [2, 3, 4] and will not be elaborated. However, some background information is indicated.
Method
SubjectsThe original study population consisted of 318 primiparas delivering single, full-term, normal, firstborn infants, weighing 2.41 kg (5 lbs. 5 ozs.) or more, in five Pittsburgh hospitals during a 21~-month period in 1963.The selection of a population of newborns, physically healthy during their hospital stay, ensured that the infants were within the range of normal endowment--thus, biologically equipped to elicit response from the mother and not handicapped in their ability to respond to the care of the mother.
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