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. ISSN 0003-9888

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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
Subjects:	R Medicine > RJ Pediatrics
Divisions:	Faculty of 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
Date:	July 2011
Volume:	Vol.96
Number:	No.7
Page Range:	pp. 622-629
Identification Number:	10.1136/adc.2010.191312
Status:	Peer Reviewed
Publication Status:	Published
Access rights to Published version:	Restricted or Subscription Access
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
Related URLs:	Related item in WRAP
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URI:	http://wrap.warwick.ac.uk/id/eprint/40062

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