Associations between problems with crying, sleeping and/or feeding in infancy and long-term behavioural outcomes in childhood : a meta-analysis
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
WRAP_Wolke_2010_191312v4_Hemmi_Behavioural_outcomes_in_childhood_paper.pdf - Accepted Version - Requires a PDF viewer such as GSview, Xpdf or Adobe Acrobat Reader
Official URL: http://dx.doi.org/10.1136/adc.2010.191312
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|
|Official Date:||July 2011|
|Page Range:||pp. 622-629|
|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|
1 Forsyth BW, Canny PF. Perceptions of vulnerability 3 1/2 years after problems of feeding and crying behavior in early infancy. Pediatrics. 1991;88:757-763.
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