Related Experiment Video
Updated: Jun 6, 2025

Clinical Practice Protocol of Creative Music Therapy for Preterm Infants and Their Parents in the Neonatal Intensive Care Unit
Published on: January 7, 2020
Affective Touch in Preterm Infant Development: Neurobiological Mechanisms and Implications for Child-Caregiver
Valentina Lucia La Rosa1, Alessandra Geraci1, Alice Iacono1
1Department of Educational Sciences, University of Catania, 95124 Catania, Italy.
Insights
Affective touch, like skin-to-skin contact (SSC) and kangaroo care (KC), is vital for preterm infant development. These tactile interventions improve bonding, reduce stress, and enhance neurodevelopmental outcomes in the neonatal intensive care unit (NICU).
Area of Science:
- Neuroscience
- Developmental Psychology
- Neonatal Care
Background:
- Affective touch is essential for infant emotional, cognitive, and physiological regulation.
- Preterm infants often lack tactile stimulation, potentially impacting long-term development.
- Early tactile interventions are crucial for mitigating developmental deficits in vulnerable infants.
Purpose of the Study:
- To review the neurobiological mechanisms of affective touch in infant development.
- To highlight the efficacy of skin-to-skin contact (SSC) and kangaroo care (KC) for preterm infants.
- To examine the impact of tactile interventions on neurodevelopmental outcomes in the neonatal intensive care unit (NICU).
Main Methods:
- Systematic literature review focusing on affective touch and tactile interventions.
- Analysis of studies examining C-tactile fiber activation and its effects.
- Evaluation of interventions like SSC and massage therapy in neonatal care settings.
Main Results:
- Affective touch, via C-tactile fibers, enhances caregiver-infant bonding and reduces infant stress.
- SSC and kangaroo care (KC) significantly improve physiological regulation (heart rate, breathing, temperature).
- Tactile interventions promote emotional regulation and cognitive development in preterm infants.
Conclusions:
- Affective touch is a critical factor for early development, especially in NICU preterm infants.
- Integrating SSC and KC into neonatal care can substantially improve long-term developmental trajectories.
- Further research into epigenetic mechanisms and refined tactile interventions is recommended.
Background/Objectives:
Affective touch is crucial in infant development, particularly in regulating emotional, cognitive, and physiological processes. Preterm infants are often deprived of essential tactile stimulation owing to their early exposure to the external environment, which may affect long-term developmental outcomes. This review aimed to examine the neurobiological mechanisms of affective touch and highlight effective interventions, such as skin-to-skin contact (SSC) and kangaroo care (KC), to promote development in preterm infants.
Methods:
This review summarizes recent studies in the literature on affective touch, the role of C-tactile fibers, and the effects of tactile interventions in neonatal care. Studies were selected based on their relevance to the care and development of preterm infants, with a focus on physiological and neurodevelopmental outcomes. Key interventions, including SSC and massage therapy, are discussed in relation to their effectiveness in the neonatal intensive care unit (NICU).
Results:
The results suggest that affective touch, mainly through activation of tactile C-fibers, improves caregiver-infant bonding, reduces stress responses, and supports neurodevelopment in preterm infants. Interventions such as SSC and KC have also been shown to improve physiological regulation in these infants, including heart rate, breathing, and temperature control while promoting emotional regulation and cognitive development.
Conclusions:
Affective touch is a key component of early development, particularly in preterm infants admitted to the NICU. Integrating tactile interventions such as SSC and KC into neonatal care practices may significantly improve long-term developmental outcomes. Future research should explore the epigenetic mechanisms underlying affective touch and further refine tactile interventions to optimize neonatal care.
More Related Videos
Related Concept Videos
Attachment
Socioemotional Development during Infancy
Primary Temperament Types
Techniques of therapeutic communication I: Active Listening, Sharing Observations, Validation, and Using Touch
Therapeutic communication is not the same as social interaction. Social interaction has no goal or purpose and consists of casual information sharing, whereas therapeutic communication has a plan or purpose for the conversation. Therapeutic...
Theory of Romantic Attachment in Adulthood
The Nativist Approach
Parental Care

