Prospective cohort study on the influence of early parent-child interactionon the sociality performance of infants under one year old

doi:10.11852/zgetbjzz2019-1646

Abstract

Abstract: Objective To analyze the effects of early parent-child interaction at 1.5―2 months on the sociality performance of infants at the age of 6 and 12 months old,so as to provide scientific guidance for promoting early child development. Methods Mothers and infants who were followed up for 1.5―2 months,6 months and 12 months old till January 2019 were enrolled in this study.The parent-child interaction behavior was evaluated at the age of 1.5 to 2 months old,and the sociality performance of infants was evaluated at the age of 6 months and 12 months old. Results Univariate analysis showed that the early parent-child interaction scored lower in groups of maternal delivery age≥35 years old,postpartum depression,premature birth and low birth weight(P＜0.05).Multivariate Logistic regression analysis showed that less early parent-child interaction was a risk factor for the overall dysplasia of sociality performance in infants aged 6 months[responding to people and things(OR=1.36,95% CI:1.06―1.75),the game reaction(OR=1.39,95% CI:1.08―1.78) and autonomous movement(OR=1.49,95% CI:1.12―1.99)].Moreover,less early parent-child interaction was a risk factor for the overall dysplasia of sociality performance in infants aged 12 months[responding to people and things(OR=1.46,95% CI:1.05―2.04) and autonomous movement(OR=1.52,95% CI:1.09―2.13)]. Conclusion Less early parent-child interaction at 1.5 to 2 months old significantly increase the risk of sociality performance dysplasia in infants at the age of 6 months old,and this impact will continue to affect the development of infants at the age of 12 months old.

Key words: early parent-child interaction, sociality performance, infant

摘要： 目的分析1.5～2月龄时的早期亲子互动对6月龄和12月龄婴儿社会性反应的影响,为促进儿童早期发展提供科学指导。方法本次研究选取截止2019年1月完成1.5～2月龄、6月龄和12月龄随访的母亲及其婴儿。在1.5～2月龄时评价亲子互动行为,6月龄和12月龄时评价婴儿的社会性反应。结果单因素分析显示,母亲分娩年龄≥35岁、有产后抑郁、婴儿早产及低出生体重组的早期亲子互动得分显著性低。多因素Logistic回归分析发现,早期亲子互动较少是6月龄和12月龄婴儿社会性反应总体能力发育不良的危险因素,调整可能的混杂因素后各维度OR值和95%CI分别为:6月龄应人-应物1.36(1.06～1.75),游戏性反应1.39(1.08～1.78),自主运动1.49(1.12～1.99);12月龄应人-应物1.46(1.05～2.04),自主运动1.52(1.09～2.13)。结论 1.5～2月龄早期亲子互动较少会显著增加6月龄婴儿社会性反应发育不良的风险,并且会持续影响到12月龄婴儿发育。

关键词: 早期亲子互动, 社会性反应, 婴儿

CLC Number:

R174

YUAN Lin-lin, SHI Hui-jing, ZHANG Yu-di, JIANG Zi-han, QI Yue, ZHANG Yun-hui. Prospective cohort study on the influence of early parent-child interactionon the sociality performance of infants under one year old[J]. journal1, 2020, 28(9): 958-961.

袁琳琳, 史慧静, 张羽頔, 蒋子晗, 祁月, 张蕴晖. 早期亲子互动对1岁内婴儿社会性反应影响的前瞻性队列研究[J]. 中国儿童保健杂志, 2020, 28(9): 958-961.

References

[1] 陈会昌.儿童社会性发展量表的编制与常模制订[J].心理发展与教育,1994,10(4):52-63.
[2] Domitrovich CE,Durlak JA,Staley KC,et al.Social-Emotional Competence:an essential factor for promoting positive adjustment and reducing risk in school children[J].Child Development,2017,88(2):408-416.
[3] Hopfer CJ.Links between childhood traits and adult criminal behaviors[J].J Am Acad Child Adolesc Psychiatry,2018,57(8):542-543.
[4] 孙艳丽,江澜,王晓燕,等.婴儿期社会性反应评估对18月龄孤独症行为预测作用队列研究[J].中国公共卫生,2016,32(11):1463-1466.
[5] Mahjouri S,Lord CE.What the DSM-5 portends for research,diagnosis,and treatment of autism spectrum disorders[J].Curr Psychiat Rep,2012,14(6):739-747.
[6] 王少芳.探讨早期发展训练对婴幼儿智能发育的影响[J].世界最新医学信息文摘,2017,17(71):63.
[7] Branjerdporn G,Meredith P,Strong J,et al.Associations betweenmaternal-foetal attachment and infant developmental outcomes:asystematic review[J].Matern Child Health,2017,21(3):540-553.
[8] Fuchs A,Möhler E,Reck C,et al.The early mother-to-childbond and its uniqueprospective contribution to child behavior evaluatedby mothers and teachers[J].Psychopathology,2016,49(4):211-216.
[9] 檀丽薇,史慧静,王英,等.上海地区孕早中期孕妇睡眠质量现况及相关的社会结构性因素[J].上海预防医学,2018,30(3):207-211.
[10] 马雪梅,史慧静,王英,等.成人心理弹性量表(RSA)在城市孕妇人群中的信效度评价[J].复旦学报:医学版,2019,46(1):1-7.
[11] 上海市教育委员会办公室.上海市教育委员会关于印发上海市0～3岁婴幼儿教养方案的通知:沪教委基(2008)33号[A/OL].(2008-04-29)[2019-06-03].http://www.age06.com/Age06.Web/Detail.aspx?InfoGuid=fd372fa5-36c2-4c83-82ba-77e6b335b571.html.
[12] 江澜,严双琴,王晓燕,等.婴儿社会性反应问卷的编制与信效度评价[J].中国儿童保健杂志,2014,22(3):231-235.
[13] Bina R,Harrington D.The Edinburgh postnatal depression scale:screening tool for postpartum anxiety as well? findings from a confirmatory factor analysis of the hebrew version[J].Matern Child Health J,2016,20(4):904-914.
[14] 鲍秀兰.0~3岁儿童教育的重要性[J].实用儿科临床杂志,2003,18 (4):243-244.
[15] World Health Organization,United Nations Children′s Fun d,World Bank Group.Nurturing care for early childhood development:a framework for helping children survive andthrive to transform health and human potential [R].Geneva:WHO,2018.
[16] Britto PR,Lye SJ,Proulx K,et al.Nurturing care:promoting early childhood development[J].Lancet,2017,389(10064):91-102.
[17] Black MM,Walker SP,Fernald L,et al.Early childhood development coming of age:science through the life course[J].Lancet,2017,389(10064):77-90.
[18] Cheong JL,Doyle LW,Burnett AC,et al.Association between moderate and late preterm birth and neurodevelopment and social-emotional development at age 2 years[J].JAMA Pediatr,2017,171(4):2-7.
[19] Christopher K,Bishop S,Carpenter LA,et al.The implications of parent-reported emotional and behavioral problems on the modified checklist for autism in toddlers[J].J Autism Dev Disord,2020.DOI:10.1007/s10803-020-04469-5.
[20] Rea-Sandin G,Clifford S,Valiente C,et al.Toddler risk and protective characteristics:common and unique genetic and environmental influences[J].Soc Dev,2019,28(2):482-498.
[21] Binda V,Figueroa-Leigh F,Olhaberry M.Low quality of mother-child interaction in infants at psychosocial risk is associated with risk of developmental delay[J].Rev Chil Pediatr,2019,90(3):260-266.
[22] Scherer E,Hagaman A,Chung E,et al.The relationship between responsive caregiving and child outcomes:evidence from direct observations of mother-child dyads in Pakistan[J].BMC Public Health,2019,19(1):252.
[23] 于真.0~3岁婴幼儿家庭教养需求分析及社区指导方案建构[D].上海:上海师范大学,2016.