Neonatal sucking: Effects of quantity of the response-contingent fluid upon sucking rhythm and heart rate

The temporal organization of neonatal nutritive sucking and heart rate were studied in two consecutive 4-min periods to analyze the effects of two quantities of response-contingent fluid. One group of newborns experienced only the larger amount, a second experienced the smaller, and two other groups experienced both in counterbalanced order. Cumulative pausing time and intersuck intervals (sucking rate within bursts) were both affected by the amount of fluid delivered at each response. At the start of sucking bursts, heart rate accelerated to a stable level. Within-burst heart rates were higher with increased quantity of contingently delivered fluid. The results are discussed in relation to the distinction between nutritive and nonnutritive sucking and to previous findings on the effects of fluid sweetness upon sucking.     

Reinforcement from the sucking environment and subsequent modification of sucking behavior in the human neonate

The reinforcing aspects of sucking behavior in 36 human newborns was examined in a limited instrumental conditioning paradigm where sucking was both operant and reinforcer. During training, response density (rate based on sucking opportunity time) and latency were measures of two components of nonnutritive sucking, contingent negative pressure suction, and incidental jaw movement. The strategy for determining the reinforcing aspects of sucking involved comparisons of three types of sucking stimuli as reinforcers. The nature of modified operant sucking was investigated during extinction by examining number of sucks per burst, number of bursts emitted, and interburst interval time. The feedback from sucking which acted as reinforcement was concluded to be response density. Sucking was modified by changes in pausing behavior, including response latency and pauses between bursts of sucks. The number of sucks per burst also showed a significant change under certain conditioning arrangements.     

Preference for unreliable reinforcement in children with mental retardation: the role of conditioned reinforcement

We examined the effects of conditioned reinforcement on children's choice between reliable (100%) and unreliable (50%) reinforcement under various stimulus conditions in a concurrent-chains procedure. The study was conducted across three experiments. Experiments 1 and 2 were conducted under conditions similar to basic laboratory work and consisted of participants selecting from one of two black boxes (placed on a table) that were correlated with different reinforcement schedules. In Experiment 3, we assessed a participant's preference for unreliable reinforcement during conditions in which the target responses were aggression and mands. Results of the three experiments showed that the participants preferred unreliable reinforcement under certain conditions. Findings are discussed regarding the role of specific stimuli (i.e., items correlated with a reinforcement schedule, adult reactions) as conditioned reinforcers and how they may influence children's preference for a response (e.g., aggression, self-injury) that produces reinforcement on a leaner schedule than a socially desirable response (e.g., mands).     

Tests of behavior momentum in simple and multiple schedules with rats and pigeons.

Four experiments examined the relationship between rate of reinforcement and resistance to change in rats' and pigeons' responses under simple and multiple schedules of reinforcement. In Experiment 1, 28 rats responded under either simple fixed-ratio, variable-ratio, fixed-interval, or variable-interval schedules; in Experiment 2, 3 pigeons responded under simple fixed-ratio schedules. Under each schedule, rate of reinforcement varied across four successive conditions. In Experiment 3, 14 rats responded under either a multiple fixed-ratio schedule or a multiple fixed-interval schedule, each with two components that differed in rate of reinforcement. In Experiment 4, 7 pigeons responded under either a multiple fixed-ratio or a multiple fixed-interval schedule, each with three components that also differed in rate of reinforcement. Under each condition of each experiment, resistance to change was studied by measuring schedule-controlled performance under conditions with prefeeding, response-independent food during the schedule or during timeouts that separated components of the multiple schedules, and by measuring behavior under extinction. There were no consistent differences between rats and pigeons. There was no direct relationship between rates of reinforcement and resistance to change when rates of reinforcement varied across successive conditions in the simple schedules. By comparison, in the multiple schedules there was a direct relationship between rates of reinforcement and resistance to change during most tests of resistance to change. The major exception was delivering response-independent food during the schedule; this disrupted responding, but there was no direct relationship between rates of reinforcement and resistance to change in simple- or multiple-schedule contexts. The data suggest that rate of reinforcement determines resistance to change in multiple schedules, but that this relationship does not hold under simple schedules.     

The quality of sucking in infants with colic

Feeding problems have been reported in infants with colic. The purpose of this study was to examine the nutritive sucking pattern of infants identified as having colic. Twenty-nine infants (16 with colic and 13 controls) between the ages of 1 to 3 months, being bottle-fed by their mothers, were observed by a blind examiner. We hypothesized that infants with colic would show greater disorganization in nutritive sucking and show greater variability in sucking rate than infants without colic, as assessed by the revised Neonatal Oral Motor Assessment Scale (NOMAS). Infants with colic were found to present a disorganized sucking pattern; namely, a lack of rhythmical movement and a difference in amount of sucks per burst than infants without colic. Methods of intervention are suggested.     

Breast milk odor via olfactometer for tube-fed,premature infants

Human newborns use odor cues to orient to their source of nutrition. However, tube-fed, premature infants have restricted chemosensory experience. New methods of introducing breast milk odor to tube-fed premature infants will permit empiric tests of the effect of controlled exposure to nutrient odor. We therefore developed an infant olfactometer and piloted its use in 7 tube-fed, premature infants in the neonatal intensive care unit. Since nonnutritive sucking shortens the amount of time required to wean from tube-feeding, we tested the effect of breast milk odor on nonnutritive sucking. Six out of 7 subjects responded to breast milk odor with an increase in number of sucks. Statistical analysis supported the hypothesis that breast milk odor reinforces nonnutritive sucking. These results indicate the feasibility and potential of this experimental approach, and warrant further study of the effect of controlled nutrient odor exposure on feeding behavior of premature infants.     

Interventions in early infancy

Infants of high-risk pregnancies and deliveries may need early intervention to facilitate attachment both to and from their caregivers. Three early interventions are described: (1) giving high-risk pregnant women video feedback during prenatal ultrasound, which reduced maternal anxiety, obstetric complications, and fetal activity and improved neonatal outcome (increased weight gain, better performance on the Brazelton, and decreased irritability); (2) providing preterm neonates nonnutritive sucking opportunities to reduce stress during heelsticks and gavage feedings; and (3) providing preterm neonates and preterm cocaine-exposed neonates massage therapy, which facilitated weight gain and better performance on the Brazelton scale. Following improved neonatal behavior, infants would be expected to have better interactions with their caregivers.     

Neonatal stress and coping in intensive care

Examples are given of research on (a) stressful procedures and assessments in the neonatal intensive care nursery and (b) natural caregiving stimulation and self-comforting behaviors that alleviate these stressful experiences. The data from the studies on stressful procedures and assessments revealed that (a) weaning from mechanical ventilation was associated with increased plasma cortisol levels; (b) heelsticks and tube insertions for gavage feedings were accompanied by decreases in oxygen tension (TcPO2); and (c) Brazelton neonatal behavior assessments were followed by increased cortisol levels and decreased growth hormone levels. To alleviate stress, various interventions were tried including caregiver comforting techniques and giving the neonates opportunities to comfort themselves by sucking on pacifiers. The caregiver intervention studies revealed that (a) a simple placement of hands on the head and abdomen of the NICU neonate resulted in a lesser need for oxygen and (b) massaging the NICU neonate resulted in greater weight gain and earlier discharge. In those studies that explored the infant's self-comforting, nonnutritive sucking behavior, the following results emerged: (a) sucking on pacifiers during heelsticks resulted in less crying and lower heart rate and respiration and (b) sucking on pacifiers during tube feedings resulted in smoother bottle feedings later and in greater weight gain. Thus, it appears that several forms of cost-effective interventions can alleviate these stressful procedures and facilitate infant growth and development.     

Analysis and treatment of finger sucking

We analyzed and treated the finger sucking of 2 developmentally typical children aged 7 and 10 years. The functional analysis revealed that the finger sucking of both children was exhibited primarily during alone conditions, suggesting that the behavior was maintained by automatic reinforcement. An extended analysis provided support for this hypothesis and demonstrated that attenuation of stimulation produced by the finger sucking resulted in behavior reductions for both children. Treatment consisted of having each child wear a glove on the relevant hand during periods when he or she was alone. Use of the glove produced zero levels of finger sucking for 1 participant, whereas only moderate reductions were obtained for the other. Subsequently, an awareness enhancement device was used that produced an immediate reduction in finger sucking.     

Differential reinforcement of other-than-vocalization as a control procedure in the conditioning of infant vocalization rate

The purpose of the present study is to demonstrate reinforcement control over infant vocalization rates using a DRO schedule to control for elicitation of social stimulation. Mothers of four 2 1/2- to 3-month-old infants provided social reinforcement for their infants' vocalization under two schedules: continuous reinforcement (CRF) and differential reinforcement of other-than-vocalization (DRO). In a repeated-reversal single-subject experimental design, all four infants produced systematically higher vocalization rates during CRF, even though densities of social stimulation during DRO were equal to or greater than densities provided during CRF. Thus, whatever its elicitation value, social stimulation may reinforce infant vocalization rates.     

Discrimination of color and pattern novelty in one-month human infants

Visual discrimination of novel colors and patterns by one-month infants was studied in two experiments where visual reinforcers were presented contingent upon infants' rate of nonnutritive, high-amplitude sucking. Discrimination was measured by recovery of sucking to the presentation of novel visual reinforcing stimuli following decrements in sucking to familiar visual stimuli. In Expt 1, following decrement to familiar stimuli, independent groups received either a change in color, pattern, both color and pattern, or no stimulus change. Reliable recovery was demonstrated for the three stimulus novelty groups relative to the no-change control. Experiment 2, employing achromatic visual reinforcers also showed reliable recovery to pattern change relative to no-change controls. These findings with one-month infants indicate discrimination between familiar and novel visual reinforcers on the basis of color and pattern differences and an increase due to novelty in the reinforcing effectiveness of visual stimuli. Individual subject differences in response decrement magnitude during familiarization were positively correlated with amount of response recovery to novelty.     

Competitive fixed-interval performance in humans

Two persons responded in the same session in separate cubicles, but under a single schedule of reinforcement. Each time reinforcement was programmed, only the first response to occur, that is, the response of only one of the subjects, was reinforced. “Competitive” behavior that developed under these conditions was examined in three experiments. In Experiment 1 subjects responded under fixed-interval (FI) 30-s, 60-s, and 90-s schedules of reinforcement. Under the competition condition, relative to baseline conditions, the response rates were higher and the pattern was “break-and-run.” In Experiment 2, subjects were exposed first to a conventional FI schedule and then to an FI competition schedule. Next, they were trained to respond under either a differential-reinforcement-of-low-rate (DRL) or fixed-ratio (FR) schedule, and finally, the initial FI competition condition was reinstated. In this second exposure to the FI competition procedure, DRL subjects responded at lower rates than were emitted during the initial exposure to that condition and FR subjects responded at higher rates. For all subjects, however, responding gradually returned to the break-and-run pattern that had occurred during the first FI competition condition. Experiment 3 assessed potential variables contributing to the effects of the competitive FI contingencies during Experiments 1 and 2. Subjects were exposed to FI schedules where (a) probability of reinforcement at completion of each fixed interval was varied, or (b) a limited hold was in effect for reinforcement. Only under the limited hold was responding similar to that observed in previous experiments.     

Dynamics of oralrespiratory coordination in full-term and preterm infants: II. Continuing effects at 3 months post term

Thirty-two infants participating in a longitudinal study of the effects of premature birth on sucking and breathing were tested at 3 months post term. They were assigned at a previous test to either a healthy full-term, healthy preterm, or high risk preterm group on the basis of birth weight, postconceptional age at birth, and perinatal medical status. Positive and negative sucking pressure as well as chest and abdominal breathing movements were recorded during nutritive sucking. The high risk preterms used a simpler and more stable pattern of coordination between sucking and breathing, were more likely to interrupt breathing at milk onset, and produced longer phase lags between positive and negative sucking pressure.     

Can newborns discriminate between their own cry and the cry of another newborn infant?

Two experiments were conducted to test whether newborns could discriminate between their own cry and the cry of another newborn infant. Facial behavior and nonnutritive sucking rate were adopted as dependent measures. In Experiment 1, 20 newborns in an awake state were presented with either their own cry or the cry of another infant. In the latter condition, newborns showed the facial expression of distress more frequently and for a longer duration. In addition, the rate of sucking decreased significantly between the pretest phase and the 1st min of presentation of another infant's cry. Newborns' responses, although delayed and less intense, showed a similar trend in Experiment 2, during which 20 newborns in a sleep state were tested with the same procedure. These results indicate the newborns' capability to discriminate between the 2 cry stimuli and show the effectiveness of a newborn cry in inducing distress signals in another newborn infant.     

Effects of nutritive and non-nutritive sucking on infant heart rate variability during the first 6 months of life

The effects of eating on heart rate variability (HRV) differ between adults and newborns. This may reflect the impact of suckling on the overall psychophysiological and autonomic nervous system maturation. The purpose of the present study was to explore whether the reactions of HRV during feeding change towards the adult pattern during the first 6 months of life. In addition, the effects of non-nutritive and nutritive sucking on heart rate (HR) and HRV were compared. The participants were 23 infants on whom recordings were performed as newborns and at 6, 12 and 24 weeks old. Nutritive sucking caused an increase in HR and a decline in HRV. The results were consistent with previous reports of a decrease in high frequency components of HRV during feeding in newborns, reflecting a decrease in parasympathetic activity. This response was apparent in all four ages studied, and remained similar throughout the 6-month period. However, age as an independent factor seemed to influence both HR and HRV. Pacifier sucking had no significant effects on HRV at any age. The results demonstrate the physical strain that sucking imposes on the baby, with a specific autonomic nervous system response involved. We consider this response an essential part of the overall psychophysiological maturation of infants.     

Preference for intermittent reinforcement

Two experiments were conducted demonstrating that under certain conditions pigeons may peck at a higher rate on a key that produces intermittent reinforcement following a delay than on one that always produces reinforcement following the same delay duration. In both experiments, concurrent chain schedules were employed. In Experiment I, a single peck on one key led to a white light and a delay of 15 sec, which always terminated with food. A peck on the other key led to its illumination by one of two colored lights and a delay period of 15 sec. The delay was followed by either food presentation or timeout, either one lasting 3 sec. In a control group, the lights on this key were not correlated with food or timeout. Under the correlated stimuli, birds more often pecked the key leading to intermittent reinforcement, whereas with uncorrelated stimuli they pecked the key leading to the white light and 100% reinforcement. In Experiment II, concurrent variable-interval schedules were employed in the first link. The results showed generally that the relative rate was higher on the key leading to intermittent reinforcement when the stimuli were correlated with reinforcement and timeout than on the key leading to 100% reinforcement. There was some indication that this performance was affected by (1) the duration of the delay, (2) the percentage of reinforcement on the key yielding the higher percentage of reinforcement (the key with the white light), and (3) prior experimental conditions.     

The schedule dependency of the signaled reinforcement effect

In Experiment 1, rats leverpressed for food reinforcement on either a variable ratio (VR) 30 schedule or a variable interval (VI) 15-s schedule. One group in each condition received a signal filling a 500-ms delay of reinforcement. This treatment enhanced rates on the VR schedule, and attenuated rates on the VI schedule, relative to the rate seen in an unsignaled control condition. In Experiment 2 there was no delay of reinforcement and the signal and food were presented simultaneously. Attenuated rates of responding were observed on VI schedules with a range of mean interval values (15 to 300 s). Experiment 3 used a range of VR schedules (10 to 150) with simultaneous presentations of signal and food. A signal-induced enhancement of response rate was found at all VR values. In Experiment 4, a signal elevated response rates on a tandem VI VR schedule, but depressed rates on a tandem VR VI schedule, compared to control conditions receiving unsignaled delayed reinforcement. These results are taken to show that the effect of a signal accompanying reinforcement depends upon the nature of the behavior that is reinforced during exposure to a given schedule.     

Effects of nonnutritive sucking on state and activity: Term-preterm comparisons

The effects of ad libitum access to a pacifier on the behavioral state and motor activity of preterm infants have been compared with those observed in full-term neonates. Regardless of maturity, nonnutritive sucking (NNS) decreases the amount of time spent in active states and increases that spent in quiescent states, lengthens the longest state bout, and decreases the frequency of state transitions. NNS also reduces overall motor activity as well as that during Active Sleep. Provided such ad libitum sucking opportunity, preterm infants thus appear to derive no less benefit from NNS than do term neonates. This result contrasts with an earlier finding that preterms are less soothed by NNA than are term infants.     

Response decrements produced by extinction and by response-independent reinforcement

The effects of extinction and of response-independent (free) reinforcement in decreasing rates of key pecking by pigeons were compared in single schedule (Phase 1) and multiple (Phase 2) conditions. In both phases, response rates decreased more rapidly with extinction than with free reinforcement conditions. Behavioral contrast was obtained from subjects trained in a multiple schedule involving extinction in Phase 2, whereas subjects trained in a multiple schedule involving free reinforcement showed a slight negative induction effect. Whether subjects experienced extinction or free reinforcement under single stimulus conditions did not affect subsequent performance in the discrimination situation of the second phase. Disinhibition testing was carried out at the end of both phases, but there was no evidence for disinhibitory effects under any condition.     

Mechanisms underlying the effects of unsignaled delayed reinforcement on key pecking of pigeons under variable-interval schedules.

Three experiments were conducted to test an interpretation of the response-rate-reducing effects of unsignaled nonresetting delays to reinforcement in pigeons. According to this interpretation, rates of key pecking decrease under these conditions because key pecks alternate with hopper-observing behavior. In Experiment 1, 4 pigeons pecked a food key that raised the hopper provided that pecks on a different variable-interval-schedule key met the requirements of a variable-interval 60-s schedule. The stimuli associated with the availability of the hopper (i.e., houselight and keylight off, food key illuminated, feedback following food-key pecks) were gradually removed across phases while the dependent relation between hopper availability and variable-interval-schedule key pecks was maintained. Rates of pecking the variable-interval-schedule key decreased to low levels and rates of food-key pecks increased when variable-interval-schedule key pecks did not produce hopper-correlated stimuli. In Experiment 2, pigeons initially pecked a single key under a variable-interval 60-s schedule. Then the dependent relation between hopper presentation and key pecks was eliminated by arranging a variable-time 60-s schedule. When rates of pecking had decreased to low levels, conditions were changed so that pecks during the final 5 s of each interval changed the keylight color from green to amber. When pecking produced these hopper-correlated stimuli, pecking occurred at high rates, despite the absence of a peck-food dependency. When peck-produced changes in keylight color were uncorrelated with food, rates of pecking fell to low levels. In Experiment 3, details (obtained delays, interresponse-time distributions, eating times) of the transition from high to low response rates produced by the introduction of a 3-s unsignaled delay were tracked from session to session in 3 pigeons that had been initially trained to peck under a conventional variable-interval 60-s schedule. Decreases in response rates soon after the transition to delayed reinforcement were accompanied by decreases in eating times and alterations in interresponse-time distributions. As response rates decreased and became stable, eating times increased and their variability decreased. These findings support an interpretation of the effects of delayed reinforcement that emphasizes the importance of hopper-observing behavior.