Neurobehavioral conditions and effects of gender, weight and severity in preterm infants according to the Neonatal Behavioral Assessment Scale

Alvarez-Garcia, Alicia; Fornieles, Albert; Costas-Moragas, Carme; Botet-Mussons, Francesc

doi:10.6018/analesps.31.3.170181

Cited by 5 publications

(4 citation statements)

References 21 publications

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“…However, items that did not contribute to the three factors may still be of interest to individual research studies. For example, in human infant studies, individual items of the NBAS have been used to study neurobehavioral conditions in preterm infants (Alvarez‐Garcia, Fornieles‐Deu, Costas‐Morgas, & Botet‐Mussons, 2015) or the effects of the haemoconcentration on neonatal behavior (Aranda, Hernández‐Martínez, Arija, Ribot, & Canals, 2017). Furthermore, some items that loaded onto the three factors, particularly those related to State Control, are assessed at the end of the test battery and evaluate the infants' behavior throughout the test (e.g.…”

Section: Discussionmentioning

confidence: 99%

A new look at neurobehavioral development in rhesus monkey neonates (Macaca mulatta)

Paukner

Capitanio

Blozis

2020

American J Primatol

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The Brazelton Neonatal Behavioral Assessment Scale (NBAS) evaluates a newborn infant's autonomic, motor, state, temperament, and social-attentional systems, which can help to identify infants at risk of developmental problems. Given the prevalence of rhesus monkeys being used as an animal model for human development, here we aimed to validate a standardized test battery modeled after the NBAS for use with nonhuman primates called the Infant Behavioral Assessment Scale (IBAS), employing exploratory structural equation modeling using a large sample of rhesus macaque neonates (n = 1,056). Furthermore, we examined the repeated assessments of the common factors within the same infants to describe any changes in performance over time, taking into account two independent variables (infant sex and rearing condition) that can potentially affect developmental outcomes. Results revealed three factors (Orientation, State Control, and Motor Activity) that all increased over the 1st month of life. While infant sex did not have an effect on any factor, nurseryrearing led to higher scores on Orientation but lower scores on State Control and Motor Activity. These results validate the IBAS as a reliable and valuable research tool for use with rhesus macaque infants and suggest that differences in rearing conditions can affect developmental trajectories and potentially pre-expose infants to heightened levels of cognitive and emotional deficiencies. K E Y W O R D S exploratory structural equation modeling, IBAS scale, Motor Activity, Orientation, second-order latent growth model, State Control

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Section: Discussionmentioning

confidence: 99%

A new look at neurobehavioral development in rhesus monkey neonates (Macaca mulatta)

Paukner

Capitanio

Blozis

2020

American J Primatol

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“…Sex effects have been extensively documented in preterm infants. Preterm male (vs. female) infants are at greater risk for multiple deficits (Spinillo et al, 2009), perform less optimally on neonatal neurobehavioral tests (Alvarez-Garcia, Fornieles-Deu, Costas-Moragas, & Botet-Mussons, 2015), and are less alert and have more diffuse (immature) sleep states (Foreman, Thomas, & Blackburn, 2008). FNI mothers may have higher levels of gaze vigilance with their male (vs. female) infants due to the initial greater vulnerability of male infants.…”

Section: Discussionmentioning

confidence: 99%

“…Maternal touch is compromised in mothers of preterm infants (Davis & Thoman, 1988; Feldman & Eidelman, 2003), and interventions utilizing touch improve infant outcomes (Alvarez-Garcia, Fornieles-Deu, Costas-Moragas, & Botet-Mussons, 2015; E. Moore, Bergman, Anderson, & Medley, 2016).…”

Section: Discussionmentioning

confidence: 99%

Family nurture intervention for preterm infants facilitates positive mother–infant face-to-face engagement at 4 months.

Beebe¹,

Myers

Lee

et al. 2018

Developmental Psychology

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Although preterm infants are at risk for social deficits, interventions to improve mother-infant interaction in the NICU are not part of standard care (SC). Study participants were a subset from a randomized controlled trial of a new intervention for premature infants, Family Nurture Intervention (FNI), designed to help mothers and infants establish an emotional connection. At 4 months corrected age, mother-infant face-to-face interaction was filmed and coded on a 1-second time base for mother touch, infant vocal affect, mother gaze and infant gaze. Time-series models assessed self- and interactive contingency. Comparing FNI to SC dyads, FNI mothers showed more touch and calmer touch patterns, and FNI infants showed more angry-protest but less cry. In maternal touch self-contingency, FNI mothers were more likely to sustain positive touch, and to repair moments of negative touch by transitioning to positive touch. In maternal touch interactive contingency, when infants looked at mothers, FNI mothers were likely to respond with more positive touch. In infant vocal affect self-contingency, FNI infants were more likely to sustain positive vocal affect, and to transition from negative to positive vocal affect. In maternal gaze interactive contingency, following infant looking at mother, FNI mothers of male infants were more likely to look at their sons. In maternal gaze self-contingency, following mother looking away, FNI mothers of male infants were more likely to look at their sons. Documentation of positive effects of FNI for 4-month mother-infant face-to-face communication is useful clinically and has important implications for an improved developmental trajectory of these infants.

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“…Since the 2000s, the DSC provided in NICUs has achieved tremendous improvements. Nursing intervention programs such as the Newborn Individualized Developmental Care and Assessment Program (NIDCAP) have been well established, and their effectiveness has been substantiated extensively in the literature [ 4 , 5 , 6 ]. In contrast, it is important to review the DSC provided at home after discharge.…”

Section: Introductionmentioning

confidence: 99%

Perception and Educational Needs of Developmentally Supportive Care At-Home for Parents of Pre-Term Newborns

Kim

2023

Healthcare

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After discharge from neonatal intensive care units (NICUs), the parents of pre-term newborns have to provide developmentally supportive care (DSC) to their children; thus, educational support for parents is essential. This study aimed to explore the lived experiences of parents providing DSC to their children born as pre-term newborns at home and to investigate their parenting-related needs. This study included 10 mothers who were identified through theoretical sampling. In-depth interviews were conducted for data collection. For data analysis, grounded theory was used according to Corbin and Strauss’s process. The mother’s perception and educational needs were characterized by the phenomena “Coexistence of familiarity and unfamiliarity” and “Desire for expert support”. Causal conditions include the “Incomplete education system” and “Gap between expectations and reality”. Contextual conditions include the “Fear of developmental disability” and “Lack of good evaluation criteria”. Intervening conditions include the “Difficulty in obtaining useful information”. Action/interaction strategies include the “Active information seeking” and “Continuing to provide DSC”. The consequences were the “Needs for professional educational support”. The core category was the “Parenting routine that continues without awareness” and “Hope to establish parenting system supported by multidisciplinary experts”. These results may provide the preliminary evidence base for suitable educational programs and for developing a social support system for parents.

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Neurobehavioral conditions and effects of gender, weight and severity in preterm infants according to the Neonatal Behavioral Assessment Scale

Cited by 5 publications

References 21 publications

A new look at neurobehavioral development in rhesus monkey neonates (Macaca mulatta)

A new look at neurobehavioral development in rhesus monkey neonates (Macaca mulatta)

Family nurture intervention for preterm infants facilitates positive mother–infant face-to-face engagement at 4 months.

Perception and Educational Needs of Developmentally Supportive Care At-Home for Parents of Pre-Term Newborns

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