CASE REPORT
Breath-holding spells in infants as a defense emotional reaction: A case presentation
 
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1
Department of Rehabilitation and Orthopedics, Faculty of Medicine, Collegium Medicum, University of Warmia and Mazury in Olsztyn, Poland
 
2
Clinic of Rehabilitation, Provincial Specialist Children’s Hospital, Olsztyn, Poland
 
 
Submission date: 2020-01-24
 
 
Final revision date: 2020-03-06
 
 
Acceptance date: 2020-03-25
 
 
Online publication date: 2020-07-11
 
 
Publication date: 2020-07-10
 
 
Corresponding author
Kamila Julia Regin   

Żołnierska 18A, 10-561 Olsztyn, Poland. Tel.: +4889 539 32 83.
 
 
Pol. Ann. Med. 2020;27(2):189-193
 
KEYWORDS
TOPICS
ABSTRACT
Introduction:
Emotional affect in infants can occur without identifying a stimulus and can be based on an automatic reconstruction of a reaction pattern. Nonepileptic paroxysmal disorders, such as breath-holding spells (BHSs), are a frequent pattern of emotional reaction in todlers. Intense development of nervous system is closely connected with both social and emotional development and is influenced by most immediate family environment.

Aim:
Aim of this work was to present clinical case of a child with respiratory arrest and effects of psychological therapeutic interventions.

Case study:
An 11-month-old child with manifestations of respiratory arrest while crying was examined using the child’s developmental scale in order to determine the child’s developmental resources in psychomotor area. An interview and a neurological examination confirmed the initial diagnosis of BHSs. Psychological tests assesed development of the patient as average/high in relation to a peer group. Therapeutic sessions with parents aimed at implementing positive changes in child’s home environment.

Results and discussion:
Therapeutic psychological interventions resulted in cessation of fits of apnea in the patient. Psychological testing performed 6 months later still described the psychomotor development of the child as average/high in the performance scale. However, important differences in the area of temperamental features were recorded.

Conclusions:
(1) Improvement obsereved after implemented psychological indications allows to conclude that BHSs presented by the child were a defense emotional reaction to an unfavourable home environment. (2) Emotional development of a child should be understood in a multifaceted way.

FUNDING
The study was financed from the statutory funds of the Faculty of Medical Sciences of the University of Warmia and Mazury in Olsztyn. The research project ‘Analysis of child’s developmental resources in the period of early childhood’ (code 25.610.001-300). The founding source had no involvement in the preparation of the manuscript or in the collecton, analysis or interpretation of the data.
CONFLICT OF INTEREST
The authors declare that they have no competing interests.
 
REFERENCES (23)
1.
Flom R, Bahrick LE. The development of infant discrimination of affect in multimodal and unimodal stimulation: The role of intersensory redundancy. Dev Psychol. 2007;43(1):238–252. https://doi.org/10.1037/0012-1....
 
2.
Leerkes EM, Paradise MJ, O’Brien M, Calkins SD, Lange G. Emotion and cognition processes in preschool children. Merrill Palmer Quarterly. 2008;54(1):102–124. http://doi.org/10.1353/mpq.200....
 
3.
Friedman NP, Miyake A. The relations among inhibition and interference control functions: A latent-variable analysis. J Exp Psychol Gen. 2004;133(1):101–135. https://doi.org/10.1037/0096-3....
 
4.
Niedenthal PM, Barsalou LW, Winkielman P, Krauth-Gruber S, Ric F. Embodiment in attitudes, social perception and emotion. Pers Soc Psych Rev. 2005;9(3):184–211. https://doi.org/10.1207/s15327....
 
5.
Fraley RC, Roisman GI, Haltigan JD. The legacy of early experiences in development: Formalizing alternative models of how early experiences are carried forward over time. Dev Psychol. 2013;49(1):109–126. https://doi.org/10.1037/a00278....
 
6.
Ramsey MA, Gentzler AL. An upward spiral: Bidirectional associations between positive affect and positive aspects of close relationships across the life span. Develop Rev. 2015;36:58–104. http://dx.doi.org/10.1016/j.dr....
 
7.
Adam EK, Gunnar MR, Tanaka A. Adult attachment, parent emotion, and observed parenting behavior: mediator and moderator models. Child Dev. 2004;75(1):110–122. https://doi.org/10.1111/j.1467....
 
8.
Eisenberg N, Spinrad TL. Emotion-related regulation: Sharpening the definition. Child Dev. 2004;75(2):334–339. https://doi.org/10.1111/j.1467....
 
9.
Mesman J, van IJzendoorn MH, Bakermans-Kranenburg MJ. The many faces of the still-face paradigm: A review and meta analysis. Develop Rev. 2009;29:120–162. https://doi.org/10.1016/j.dr.2....
 
10.
DiMario Francis J. Prospective study of children with cyanotic and pallid breath-holding spells. Pediatrics. 2001;107(2):265–269. https://doi.org/10.1542/peds.1....
 
11.
Goraya JS, Virdi VS. Persistence of breath holding spells into late childhood. J Child Neurol. 2001;16(9):697–698. https://doi.org/10.1177/088307....
 
12.
Kolkiran A, Tutar E, Atalay S, Deda G, Cin S. Autonomic nervous system functions in children with breath-holding spells and effects of iron deficiency. Acta Paediatr. 2005;94(9):1227–1231. https://doi.org/10.1111/j.1651....
 
13.
Kelly AM, Porter CJ, McGoon MD, Espinosa RE, Osborn MJ, Hayes DL. Breathholding spells associated with significant bradycardia: successful treatment with permanent pacemaker implantation. Pediatrics 2001;108(3):698–702. https://doi.org/10.1542/peds.1....
 
14.
Daoud AS, Batieha A, Al-Sheyyab M, Hijazi S. Effectiveness of iron therapy on breath-holding spells. J Pediat. 1997;130(4):547–550. https://doi.org/10.1016/s0022-....
 
15.
Gençgönül H, Cin S, Akar N, Deda G. Iron and zinc levels in breathholding spells. J Ankara Med School. 2002;24(3):99–104.
 
16.
Honig AS. Psychosexual development in infants and young children: Implications for caregivers. Young Children. 2000;55(5):70–77.
 
17.
Feldman R. The development of regulatory functions from birth to 5 years: Insights from premature infants. Child Dev. 2009;80(2):544–561. https://doi.org/10.1111/j.1467....
 
18.
Carver LJ,Vaccaro BG. 12-month-old infants allocate increased neural resources to stimuli associated with negative adult emotion. Dev Psychol. 2007;43(1):54–69. https://dx.doi.org/10.1037%2F0....
 
19.
Subbarayan A, Ganesan B, Anbumani, Jayanthini. Temperamental traits of breath holding children: A case control study. Indian J Psychiatry. 2008;50(3):192–196. https://doi.org/10.4103/0019-5....
 
20.
Azab SAF, Siam AG, Saleh SH, et al. Novel findings in breath-holding spells: A cross-sectional study. Medicine. 2015;94(28):e1150. https://doi.org/10.1097/MD.000....
 
21.
Matczak A, Jaworska A, Ciechanowicz A, Fecenec D, Stańczak J, Zalewska E. [DSR. Children Development Scale]. Warszawa: Pracownia Testów Psychologicznych; 2007.
 
22.
Regin KJ, Gadecka W, Kowalski PM, Kowalski IM, Gałkowski T. Generational transfer of psychological resilience. Pol Ann Med. 2016;23(2):102–107. https://www.researchgate.net/d....
 
23.
Lewis M, Sullivan M, Stanger C, Weiss M. Self-development and self-conscious emotions. Child Dev. 1989;60(1):146–156. https://doi.org/10.2307/113108....
 
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