研究生: |
黃虹瑄 Huang, Hong-Hsuan |
---|---|
論文名稱: |
新生兒痛覺哭聲與其氣質之相關性研究 The Relation between Neonate Pain Cry and Temperament at One Month |
指導教授: | 鍾志從 |
學位類別: |
碩士 Master |
系所名稱: |
人類發展與家庭學系 Department of Human Development and Family Studies |
論文出版年: | 2006 |
畢業學年度: | 94 |
語文別: | 中文 |
論文頁數: | 77 |
中文關鍵詞: | 新生兒 、痛覺哭聲 、氣質 |
論文種類: | 學術論文 |
相關次數: | 點閱:255 下載:34 |
分享至: |
查詢本校圖書館目錄 查詢臺灣博碩士論文知識加值系統 勘誤回報 |
本研究旨在瞭解新生兒接受痛覺的哭聲反應與其一個月的氣質表現,並且檢測兩者之間的相關性。以53位初生3至5日的新生兒為研究樣本,收集其施打B型肝炎疫苗時的痛覺哭聲參數;當受試滿一個月時,再透過量表收集其氣質資料,將新生兒痛覺哭聲參數與其氣質各向度之平均得分進行檢驗。
結果發現,新生兒平均痛覺反應時間為1.08秒,哭聲總時間為42.21秒,痛覺強烈感受時間為17.02秒,疼痛感受與總時間的百分比為51%。與美國常模比較,本研究受試的活動量較大、反應強度較大、情緒較為負向、堅持度較低、反應閾較高,至於規律性、趨避性、適應性與分神度則與國外常模無顯著差異。
新生兒接受痛覺刺激後,可以哭聲變化界定「痛覺調節分界點」,前段為新生兒痛覺感受強烈的哭聲表現,後段則為疼痛感受較舒緩的哭聲表現。若前段哭聲佔總時間比值較高、前段哭聲基頻平均值較高、哭聲基頻變異數較大、哭聲強度最大值與平均值較高,表示新生兒於接受痛覺刺激時,會當下加快聲帶振動頻率、或加強哭聲音量來調適自己的情緒,因此有適應性較佳、正向情緒、反應強度較大、分神度高的氣質表現。若調節分界點後段的哭聲基頻平均值較高,則嬰兒的規律性較低;哭聲基頻最大值較高,嬰兒活動量較大;單位哭聲越長,嬰兒的活動量較低、適應性較高、反應強度較小、分神度較高。也就是說,活動量低、規律性高、適應性佳、反應強度小或分神度高的新生兒在痛覺刺激結束後,聲帶振動的頻率減低,吐氣時間長度拉長,哭聲較不尖銳,呼吸速度也較為趨緩。
壹、中文部份
丁綺文(民91)。寶寶為何哭哭? 民94年7月21日,取自:
http://www.shutien.org.tw/0236_022.htm
王秀枝(民92)。兒童氣質與知覺父母教養方式關係之研究。未出版碩士論文,國立嘉義大學家庭,嘉義市。
王珮玲(民90)。你知道嬰兒的氣質嗎?台北市:遠流。
王珮玲(民92)。兒童氣質: 基本特性與社會構成。台北市:心理。
王珮玲(民93)。家長知覺氣質發展的穩定和變化:六歲至十歲兒童追蹤研究。台北市立師範學院學報,35(2),61-84。
王雪貞、林翠湄、連廷嘉與黃俊豪(譯)(民91)。發展心理學(原作者:D. R. Shaffer)。台北市: 學富文化事業有限公司。
周弘傑(民93)。兩歲前心智動作發展。民94年9月2日,取自:
http://www.people.com.cn/BIG5/kejiao/42/155/20030317/945403.htm
周怡宏(民92)。解讀寶寶的哭聲~一種天生的溝通。民94年6月27日,取自:
http://www.enfamama.com.tw/stage2/mamabox/s2baby02-34.asp
季衛華(民92)。分清寶寶三種哭聲:生理、心理和病理。民94年6月27日,取自:
http://www.people.com.cn/BIG5/kejiao/42/155/20030317/945403.htm
洪蘭(譯)(民85)。天生嬰才(原作者: J.Mehler和E. Dupoux)。台北市:遠流。
袁康就(民92)。淺談陰陽五行。民94年9月2日,取自:
http://www.toaism.irg.hk/taioist-world-today/current-infor-taoist-temples /notes/macau-talk1.pdf
高婉嘉(民93)。國小學齡兒童氣質與親子衝突關係之研究。未出版碩士論文,國立嘉義師範大學,嘉義市。
涂妙如(民94)。幼兒氣質、嬰幼兒其照顧方式與親子依戀之相關研究。未出版碩士論文,國立台灣師範大學,台北市。
張美麗(民80)。中部地區幼兒氣質特徵之研究。台中師院學報,5,47-77。
張銘豐(民89)。以時頻特徵參數為主之嬰兒哭聲辨識系統研製。未出版碩士論文,逢甲大學,台中市。
郭俊顯、蕭世朗(民89)。現代顱象學:科學時代的以貌取人。科學發展月刊,28(9),686-693。
陳可欣(民90)。臺大醫院新生兒疼痛反應研究。未出版碩士論文,國立台灣大學,台北市。
黃又青(譯)(民89)。聽,寶寶在說話:0~3歲孩子的心智發展(原作者: K. Karmiloff, & A. Karmiloff-Smith)。台北市:信誼基金出版社。
黃慧真(譯)(民79)。兒童發展(原作者: S.W. Olds 和D. E. Papalia)。台北市:桂冠心理。
雷庚玲和許功餘(民91)。由「依戀理論」與「氣質理論」分別解析兒童的情緒發展與親子關係。台北:信誼基金出版社。
楊婷舒(譯)(民84)。嬰幼兒發展與保育(原作者:Brazelton)。台北市:桂冠。
楊衛平(民93)。聽懂寶寶的哭聲。民94年7月21日,取自: http://www.jsw.com.cn/zk/gb/content/2004-05/28/content_469733.htm
盧素碧(民81)。嬰幼兒保育。台北市:文景。
戴立梅(民93)。父母教養方式與幼兒氣質之個案研究—以一個收養家庭為例。未出版碩士論文,國立台南師範學院,台南市。
鍾志從(民94)。出生至三個月嬰兒氣質發展之追蹤探討。行政院國家科學委員會專題研究計畫,執行中。
貳、外文部分
Anand, K. J. S., Phil, D., & Hickey, P. R. (1987). Pain and its effects in human neonate and fetus. The New England Journal of Medicine, 327, 1321-1329.
Blackwell, P.L.(2004). The idea of temperament: Does it help parents understand their babies? Zero to Three, 3, 37-40.
Branco, A., Belhlau, M., Rehder, M. I.(2005). The neonate cry after cesarean section and vaginal delivery during the first minutes of life. International Journal of Pediatric Otorhinolaryngology, 69, 681-689.
Buss, A. H., & Plomin, R.(1975). A temperament theory of personality development. Mother’s judgments of infants’ behaviors, 44(7), 2263.
Chess, S., & Thomas, A.(1996). Temperament theory and practice. New York: Brunner/Mazel.
Crockenberg, S. B., & Smith, P.(2002). Antecedents of mother-infant interaction and infant irritability in the first 3 months of life. Infant Behavior and Development, 25, 2-15.
Crockenberg, S. B.(1986). Are temperamental differences in babies associated with predictable differences in care giving? New Directions in Child Development, 31, 53-73.
Delevati, N. M., & Bergamasco, N. H. P.(1999). Pain in the naeonate: an anaysis of facial movements and crying in response to nociceptive stimuli. Infant Behavior and Development, 21(1), 137-143.
Fish, M., & Stifter, C. A. (1993). Mother parity as a main and moderating influence on early mother-infant interaction. Journal of Applied Developmental Psychology, 14, 557-572.
Fish, M., Stifter, C. A., & Belsky, J.(1991). Conditions of continuity and discontinuity in infant negative emotionality: Newborn to five months. Child Development, 62, 1525-1537.
Fox, N. A.(1998). Critical importance of emotional development: temperament and regulation of emotion in the first years of life. PEDIATRICS, 102(5), 1230-1235.
Fox, N. A., & Henderson, H. A.(1999). Does infancy matter? Predicting social behavior from infant temperament. Infant Behavior and Development, 22(4), 445-455.
Gartstein, M. A., & Rothbart , M. K.(2003). Studying infant temperament via the Revised infant behavior questionnaire. Infant Behavior and Development, 26, 64-86.
Goldsmith, H. H., Buss, A. H., Plomin, R., Rothbart, M. K., Thomas, A., Chess, S., Hinde, R. A., & McCall, R. B. (1987). Roundtable: What Is Temperament? Four Approaches. Child Development, 58, 505-529.
Gunnar, M. R., Porter, F. L, Wolf, C. M., Rigatuso, J., & Larson, M. C. (1995). Neonatal Stress Reactivity: Predictions to Later Emotional Temperament. Child Development, 66, 1-13.
Gustanfson, G. E., & Green, J.A. (1989). On the Importance of Fundamental Frequency and Other Acoustic Features in Cry Perception and Infant Development. Child Development, 60, 772-780.
Hagekull, B., & Bohlin, G.(1986).Mother-infant interaction and
perceived infant temperament. International Journal of behavioral Developmental, 9, 297-313.
Heineman, P. L.(1995). Research of Thomas & Chess. Retrieved August 30, 2005, from http://www.personality-project.org/perproj/others/heineman/thomas.htm
Hollingshead, A. B. (1957). Two Factor-Index of Social Position. New Haven, C. T.:Yale.
Huffman, L.C., Bryan Y. E., Pedersen F. A., Lester, B. M., Newman, J. D., & Carmen, R. D.(1994). Infant cry acoustic and maternal ratings oftemperament. Infant Behavior Development, 17, 45-53.
James-Robert I, Bowyer, J., Varghese, S., & Sawdon, J. (1994). Infant crying patterns in Manali and London. Child Care Health Development, 20(5), 323-327.
James-Robert, I. St., Conroy, S., & Wilsher, C. (1998). Stability and outcome of persistent infant crying. Infant Behavior and Development, 21(3), 411-432.
James-Roberts, I. St., & Menon-Johansson, P.(1999).Predicting infant crying from fetal movement data: an exploratory study. Early Human Development, 54, 55-62.
Kagan, J., Reznick, S. J., & Gibbons, J. (1989). Inhibited and Unihibited Types of Children. Child Development, 60, 838-845.
Kristal, J.(2004). The temperament perspective: Working with chidlren’s behavioral styles. Baltimore, MD: Paul H. Brookes Publishing Co.
Korner, A. F., Hutchinson, C. A., Koperski, J. A., Kraemer, H. C., & Schneider, P. A.(1981). Stability of individual differences of neonatal motor and crying patterns. Child Development, 52, 83-90.
LaGasse, L. L., Neal, A. R., & Lester, B. M.(2005).Assessment of infant cry: acoustic cry analysis and parental perception. Mental Retardation and Developmental Disabilities, 11, 83-93.
Lee, K.(2000a).Crying and behavior pattern in breast- and formula- infants. Early Human Development, 58, 133-140.
Lee, K.(2000b). Crying patterns of Korean infants in institutions. Child: Care, Health and Development, 26(3), 217-228.
Lester, B. M.(1976a). Spectrum analysis of low and full birthweight newborn cries. Retrieved August 10, 2005, from
http://search.epnet.com/login.aspx?direct=true&db=eric&an=ED129445&lang=zh-tw
Lester, B. M.(1976b). Spectrum analysis of the cry sounds of well-nourished and malnourished infants. Child Development, 47, 237-241.
Lester, B. M.(1987). Developmental outcome prediction from acoustic cry analysis in term and preterm infants. Pediatrics, 80(4), 529-534.
Lewis, M., Ramsay, D.S., & Kawakami, K.(1993).Differences between Japanese infants and Caucasian American infants in behavioral and cortisol response to inoculation. Child Development, 64, 1722-1731.
Lillie, J., & Anisfeld, M.(1998). Gender differences in neonatal temperament. Infant Behavior and Development, 21, 540.
Lounsbury, M.L., & Bates, J.E.(1982). The cries of infants of differing levels of perceived temperamental difficultness: Acoustic properties and effects on listeners. Child Development, 53, 677-683.
McGlaughlin, A., & Grayson, A.(2001). Crying in the first of
infancy: patterns and prevalence. Journal of Reproductive and Infant Psychology, 19, 47-59.
Michelsson, K.(1971). Cry analyses of symptomless low birth weight neonates and asphyxiated newborn infants. Acta Pediatric, 216, 1-45.
Michelsson, K., & Michelsson, O.(1999). Phonation in the newborn, infant cry. International Journal of Pediatric Otorhinolaryngology, 49(1), 297-301.
Michelsson, K., & Sirvïo, P., Wasz-Höckert(1977). Pain cry in full-term asphyxiated newborn infants correlated with late findings. Acta Pediatric, 66, 611-616.
Mose, H.(1967). Sex, Age, and state as determinants of mother-infant interaction. Merrill-Palmer Quarterly, 13, 19-36.
Nguyen G. D., Wagstaff N. S., & Tamanaha A. J.(2000).The effects of temperament as observed over the stages of development. Retrieved August 10, 2005, from http://www.bc.edu/bc_org/avp/soe/people/profiles/cdep/Lerner.htm
Pauli-Pott, U., Mertesacker, B., Haverkock, A. & Beckmann D.(2000).Contexts of relations of infant negative emotionality to caregiver’s reactivity/sensitivity. Infant Behavior and Development , 23, 23-39.
Pauli-Pott, U., Mertesacker, B., Haverkock, A. & Beckmann D.(2003). Parental perceptions and infant temperament development. Infant Behavior and Development, 26, 1, 27-48.
Porter, F.(1989). Pain in the newborn. Clinics in Perinatology, 16, 549-564.
Poter, F. L., Miller, R. H., & Marshall R. E.(1986). Neonatal pain cries: effect of circumcision on acoustic features and perceived urgency. Child Development, 52, 790-802.
Rosmus, C., Johnston C. C., Chan-Yip, A., & Yang, F.(2000). Pain response in Chinese and non-Chinese Canadian infants: is there a difference? Social Science & Medicine, 51, 175-184.
Rothenberg, S. J., Cansino, S., Sepkoski, C., Torres, L. M., Medina, S., Schnaas, L., Polano, A., & Karchmer, S. (1995). Prenatal and Perinatal Lead Exposures Alter Acoustic Cry Parameters of Neonate. Neurotoxicology and Teratology, 17(2), 151-160.
Runefors, P., Arnbjörnsson, E., Elander, G., & Michelsson, K.(2000). Newborn infant’s cry after heel-prick: analysis with sound spectrogram. Acta Pædiatr, 89 , 68-72.
Salisbury, A., Minard, K., Hunsley, M., & Thoman, E. B.(2001). Audio recording of infant crying: Comparison with maternal cry logs. International Journal of Behavioral Development, 25(5), 458-465.
Stifter, C., & Spinrad, T. L.(2002). The effect of excessive crying on the development of emotion regulation. Infancy, 3(2), 133-152.
Taddio, A., Katz, J., Ilersich, A. L., & Koren, G.(1997). Effect of neonatal circumcision on pain response during subsequent routine vaccination. THE LANCET, 349, 599-603.
Thomas, A., Chess, S., & Birch, H. G. (1968). Temperament and behaviour disorders in children. New York: NY University Press.
Wachs T. D., Pollitt E., Cueto S., Jacoby E.(2004). Infant Behavior and Development, 27, 382-396.
Worby, J., & Lewin, M.(1989). Individual differences in the reactivity of young infants. Developmental Psychology, 25, 663-667.
Worobey, J.(1996).Convergence between temperament rating of 3-month-old infants. Infant Behavior and Development , 19(Supplement 1),830.
Worobey, J., & Blajda, V. M. (1989). Temperment Ratings at 2 Months, and 1 Year: Differential Stability of Activity and Emotionality. Developmental Psychological, 25(2), 257-263.
Zeskind P. S., & Lester B. M.(1981). Analysis of cry features in newborns with differential fetal growth. Child Development, 52, 207-212.