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A Schedle

Publications and source records attributed to A Schedle.

21 records · Page 2Linked to original sources

Impact of hyperbilirubinaemia and transient mother-child separation in the neonatal period on mother-child attachment in the 1st year of life.

Hyperbilirubinaemia (HyB) is the most common health disturbance in the neonatal period. The aim of this prospective study is to determine whether HyB and/or phototherapy (PhT) together with transient separation during the neonatal period are associated with impaired mother-child attachment after the 1st year of life. We divided 107 healthy term infants into three groups: 29 markedly icteric infants who underwent PhT (mother-child separation), 40 mildly icteric infants without PhT and a control group of 38 nonicteric infants. At the age of 1 year a paediatric examination and a Denver test were performed, and the mother-infants pairs were observed in Ainsworth's strange situation. The results show a similar distribution of the attachment patterns in the three different groups of infants. HyB and PhT do not negatively seem to affect the quality of attachment. Analysis of additional aspects showed that maternal coping and her perception of the child appear to be more important antecedents of the quality of attachment after the 1st year of life.

Adaptation, Psychological↗

[The effect of hyperbilirubinemia and phototherapy on the behavior organization of newborn infants].

Hyperbilirubinemia is the most common problem experienced by neonates and has to be treated with phototherapy. The effects of hyperbilirubinemia and/or phototherapy on the behavior of neonates is investigated in this study by means of Brazelton Neonatal Behavior Assessment Scale. 21 jaundiced infants who received phototherapy (serum bilirubin above 25 mumol/l) are compared with 36 mildly jaundiced infants (150-250 mumol/l) and 35 control infants without any clinical sign of hyperbilirubinemia. The results shows the impact of hyperbilirubinemia on motor performance and the additional impact of phototherapy on autonomic regulation of neonates. The jaundiced infants shows some compensatory effects in their impaired behavior within the first two weeks.

Child Behavior Disorders↗

[Induced imagination as a methodologic paradigm in assessing stress perception and stress processing].

The methodological paradigm of the induced imagination has been tested as an alternative diagnostic access to stress and coping. Assumptions on the therapeutic applications of imagery techniques (i.e. Cautela, 1967; Lang, 1978; Leuner, 1980; Wolpe, 1958) have been integrated with cognitive concepts of visual imagery (Kosslyn, 1980; Kosslyn, Brunn, Cave & Wallach, 1984; Paivio, 1971; Steiner, 1980) to deduce a theoretical framework of emotional imagery. An emotionally involving imagery scene is generated when semantic-, spatial- and motoric-relational representations of an imagined scene are constructed and actions are to be performed by the subject. The electrodermal activity (EDA) serves as a physiological indicator of stress. Ten subjects have been tested. The main results are: 1. Stressful imaginations correlate with significantly higher physiological activity than relaxation phases and imagery scenes with agreable content. 2. Different sequences of a stressful imagination can be differentiated psychophysiologically: Parts of imagery appraisals and emotions show higher physiological activity than sequences which consist of descriptions of situational and environmental elements. 3. It could be shown that not the verbalisation itself but different contents of imagery scenes correlate with different physiological activities. These results provide strong support for the hypothesis that verbalisations of stressful events and coping strategies are related to increased physiological activity. The psychophysiological differentiation of stress processes implies the applicability of the induced imagination as a validity criterion for a criterion oriented questionnaire of stress and coping (Reicherts & Perrez, 1986).

Adaptation, Psychological↗