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The aim of the study was to investigate the influence of maternal behavior, infant-mother attachment, and behavioral inhibition on the biobehavioral organization of toddlers during a primary non-attachment-related challenging context. In a sample of 76 toddlers, quality of attachment (secure, avoidant, ambivalent, disorganized) was assessed at 12 months. At 22 months, the subjects were observed in a challenging task according to [Matas et al. (1978) Child Development 49: 547-556], and salivary cortisol was assessed before and afterwards. Behavioral analyses included child task orientation and exploration, help seeking, proximity seeking, and attachment-exploration-balance as well as maternal supportive presence and quality of assistance. Behavioral inhibition was assessed from maternal reports. Findings from concurrent analyses indicate relations between toddler behavior and adrenocortical function and the importance of concurrent maternal support for toddler behavior. Longitudinal analyses showed that quality of attachment predicted task orientation, help seeking behavior, and the quality of the attachment-exploration-balance, while behavioral inhibition was related to approach to the task. In line with previous findings, adrenocortical activation was found only in insecure infants with high behavioral inhibition indicating the function of attachment security as a social buffer against less adaptive temperamental dispositions. Finally, within-group analyses indicated a social regulation pattern in secure toddlers while the behavior of insecure ones was additionally linked to behavioral inhibition and physiological reactivity., (Copyright 2005 Wiley Periodicals, Inc)

Recent findings from both animal and human research have clearly demonstrated connections between behavioral coping mechanisms and adrenocortical function. The aim of this study was to address the role of maternal sensitivity as an external organizer of psychobiological function in infants during the first year of life. Forty-one infants and their mothers were observed during play at 3, 6, and 9 months of age. Age-specific patterns of relation between maternal sensitivity and infant behavioral organization were found indicating contextual dependence of infant behavior at 3 months and experience-related behavioral function at 9 months. An affect of maternal sensitivity on adrenocortical function during the free play was demonstrated at 3 and 6 months, because an increase in cortisol was most frequently observed in infants of highly insensitive mothers. The findings indicate the importance of maternal behavior for infant biobehavioral organization.

A report is given on a family examination, issuing from 213 persons with an acquired valvular defect for the establishment of further cases on altogether 783 relations of the direct line. In 19 families other 21 patients with an acquired valvular defect were found; this corresponds to a share of 2.7 % of the relations examined and 8.1% of the families affected, respectively. The result repays the expenditure and, apart from this, leads to an essential furthering of the confidence between physician, patient and family as the smallest social unity for prophylaxis, diagnostics, therapy and metaphylaxis of chronic diseases.