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Measuring Cardiac Autonomic Nervous System ANS Activity in Toddlers - Resting and Developmental Challenges
Published on: February 25, 2016
Autonomic Nervous System Maturation and Emotional Coordination in Interactions of Preterm and Full-Term Infants With
Christina Koumarela1, Theano Kokkinaki1, Giorgos Giannakakis2
1Laboratory of Applied Psychology, Department of Psychology, University of Crete, Rethymnon, Greece.
Insights
This study explores how heart rate variability (HRV) in preterm infants relates to emotional coordination with parents and later development. Findings may inform interventions for preterm infant social-emotional growth.
Area of Science:
- Developmental Psychology
- Pediatrics
- Psychophysiology
Background:
- Limited understanding of pathways affecting preterm infant development, particularly autonomic nervous system maturation and social behavior.
- Need to explore the link between heart rate variability (HRV) and early social interactions in infants.
Purpose of the Study:
- Investigate the relationship between emotional coordination and HRV in preterm and full-term infant-parent interactions.
- Examine how emotional coordination and HRV correlate with infant developmental outcomes at 18 months.
- Assess the influence of parental postnatal depression, family cohesion, and coping on these relationships.
Main Methods:
- Longitudinal, mixed-methods observational study with video recordings of infant-parent interactions.
- Collection of infant HRV parameters and parental self-report questionnaires (depression, cohesion, coping).
- Assessment of toddler social and cognitive development at 18 months.
Main Results:
- Study protocol approved; recruitment of full-term and preterm infants and parents ongoing.
- Data collection planned for completion by March 2023, with initial results expected by end of 2023.
- Focus on understanding the interplay between physiological regulation and social-emotional development.
Conclusions:
- Investigating HRV's regulatory role in preterm infants and social reciprocity is crucial.
- Findings may offer insights for both medical and psychological interventions for preterm infants.
Background:
There is limited knowledge on the physiological and behavioral pathways that may affect the developmental outcomes of preterm infants and particularly on the link between autonomic nervous system maturation and early social human behavior. Thus, this study attempts to investigate the way heart rate variability (HRV) parameters are related to emotional coordination in interactions of preterm and full-term infants with their parents in the first year of life and the possible correlation with the developmental outcomes of infants at 18 months.
Objective:
The first objective is to investigate the relationship between emotional coordination and HRV in dyadic full-term infant-parent (group 1) and preterm infant-parent (group 2) interactions during the first postpartum year. The second objective is to examine the relationship of emotional coordination and HRV in groups 1 and 2 in the first postpartum year with the developmental outcomes of infants at 18 months. The third objective is to investigate the effect of maternal and paternal postnatal depression on the relation between emotional coordination and HRV in the two groups and on developmental outcomes at 18 months. The fourth objective is to examine the effect of family cohesion and coping on the relation between emotional coordination and HRV in the two groups and on developmental outcomes at 18 months.
Methods:
This is an observational, naturalistic, and longitudinal study applying a mixed method design that includes the following: (1) video recordings of mother-infant and father-infant interactions at the hospital, in the neonatal period, and at home at 2, 4, 6, 9, and 12 months of the infants' life; (2) self-report questionnaires of parents on depressive symptoms, family cohesion, and dyadic coping of stress; (3) infants' HRV parameters in the neonatal period and at each of the above age points during and after infant-parent video recordings; and (4) assessment of toddlers' social and cognitive development at 18 months through an observational instrument.
Results:
The study protocol has been approved by the Research Ethics Committee of the University of Crete (number/date: 170/September 18, 2020). This work is supported by the Special Account for Research Funds of the University of Crete (grant number: 10792-668/08.02.2021). All mothers (with their partners) of full-term and preterm infants who give birth between March 2021 and January 2022 at the General University Hospital of Crete (northern Crete, Greece) will be invited to participate. The researcher will invite the parents of infants to participate in the study 1 to 2 days after birth. Data collection is expected to be completed by March 2023, and the first results will be published by the end of 2023.
Conclusions:
Investigating the regulatory role of HRV and social reciprocity in preterm infants may have implications for both medicine and psychology.
International Registered Report Identifier (Irrid):
PRR1-10.2196/28089.
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