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Associations between problems with crying, sleeping and/or feeding in infancy and long-term behavioural outcomes in childhood : a meta-analysis
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Hemmi, Mirja Helen, Wolke, Dieter and Schneider, Silvia (2011) Associations between problems with crying, sleeping and/or feeding in infancy and long-term behavioural outcomes in childhood : a meta-analysis. Archives of Disease in Childhood, Vol.96 (No.7). pp. 622-629. doi:10.1136/adc.2010.191312 ISSN 0003-9888.
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WRAP_Wolke_2010_191312v4_Hemmi_Behavioural_outcomes_in_childhood_paper.pdf - Accepted Version - Requires a PDF viewer. Download (286Kb) |
Official URL: http://dx.doi.org/10.1136/adc.2010.191312
Abstract
Background Excessive crying, sleeping or feeding problems are found in approximately 20% of infants and may predict behavioural problems in childhood.
Methods A quantitative meta-analysis of 22 longitudinal studies from 1987 to 2006 that statistically tested the association between infant regulatory problems and childhood internalising, externalising and attention-deficit/hyperactivity disorder (ADHD) problems was carried out; 1935 children with regulatory problems were tested. Cohen's d was used to express the association between regulatory problems and behavioural problems. Heterogeneity of the effect sizes was assessed using the I 2 statistic and meta-analysis of variance and meta-regressions were conducted to assess the influence of moderators. Rosenthal's classic fail-safe N and correlation of sample sizes to effect sizes were used to assess publication bias.
Results The weighted mean effect size for the main regulatory problems-behavioural problems association was 0.41 (95% CI 0.28 to 0.54), indicating that children with previous regulatory problems have more behavioural problems than controls. Externalising and ADHD problems were the strongest outcome of any regulatory problem, indicated by the highest fail-safe N and lowest correlation of sample size to effect size. Meta-analyses of variance revealed no significant moderating influences of regulatory problem comorbidity (I(2) = 44.0, p > 0.05), type (I(2) = 41.8, p > 0.05) or duration (I(2) = 44.0, p > 0.05). However, cumulative problems and clinical referral increased the risk of behavioural problems.
Conclusions The meta-analyses suggest that children with previous regulatory problems have more behavioural problems than controls, particularly in multi-problem families. Further studies are required to assess the behavioural outcomes of previously sleep, feeding or multiply disturbed children.
Item Type: | Journal Article | ||||
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Subjects: | R Medicine > RJ Pediatrics | ||||
Divisions: | Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School | ||||
Library of Congress Subject Headings (LCSH): | Crying in infants, Infants -- Sleep, Behavior disorders in children | ||||
Journal or Publication Title: | Archives of Disease in Childhood | ||||
Publisher: | BMJ | ||||
ISSN: | 0003-9888 | ||||
Official Date: | July 2011 | ||||
Dates: |
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Volume: | Vol.96 | ||||
Number: | No.7 | ||||
Page Range: | pp. 622-629 | ||||
DOI: | 10.1136/adc.2010.191312 | ||||
Status: | Peer Reviewed | ||||
Publication Status: | Published | ||||
Access rights to Published version: | Restricted or Subscription Access | ||||
Date of first compliant deposit: | 18 December 2015 | ||||
Date of first compliant Open Access: | 18 December 2015 | ||||
Funder: | Schweizerischer Nationalfonds zur Förderung der Wissenschaftlichen Forschung [Swiss National Science Foundation] (SNSF), Universität Basel, F. Hoffmann-La Roche & Co. (FHLRCo.), Freiwilligen Akademische Gesellschaft (FAG) | ||||
Grant number: | 51A240-104890 (SNF) | ||||
Version or Related Resource: | Wolke, D. (2011). Associations between problems with crying, sleeping, and/or feeding in infancy and long-term behavioural outcomes in childhood : a meta analysis. 11th International Infant Cry Research Workshop, The Netherlands, 8-10 June. http://wrap.warwick.ac.uk/id/eprint/40699 | ||||
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