Predictors of crying, feeding and sleeping problems : a prospective study
Schmid, G. (Gabriele), Schreier, Andrea, Meyer, R. (Renate) and Wolke, Dieter. (2011) Predictors of crying, feeding and sleeping problems : a prospective study. Child: Care, Health and Development, Vol.37 (No.4). pp. 493-502. ISSN 0305-1862Full text not available from this repository.
Official URL: http://dx.doi.org/10.1111/j.1365-2214.2010.01201.x
Background Infant regulatory problems, that is, excessive crying, feeding and/or sleeping difficulties, are precursors of adverse development. However, the aetiology of regulatory problems is still unclear. The aim of this study was to investigate pre-, peri- and post-natal neurophysiological and psychosocial predictors of single and multiple regulatory problems at 5 months of age.
Methods This prospective longitudinal study included all children born at neonatal risk in a geographically defined area in southern Germany. The data of n= 5093 singleton infants (83.6%) were analysed using crude and multivariate logistic regression analyses. As outcome measures we used single and multiple regulatory problems, that is, crying, feeding and/or sleeping difficulties at 5 months of age, which were assessed via a standardized interview with the parents by study paediatricians as part of a neurodevelopmental examination.
Results In total, 30.7% of the sample suffered from single or multiple regulatory problems at 5 months. Breastfeeding increased the odds of single sleeping problems 5.12-fold, but decreased the odds of single feeding problems [odds ratio (OR) 0.51; 95% confidence interval (CI) 0.35–0.74]. Very preterm birth was predictive of single feeding (OR 1.79; 95% CI 1.25–2.55) and multiple regulatory problems (OR 2.03; 95% CI 1.19–3.46), and foetal abnormalities increased the odds of single feeding and multiple regulatory problems from 1.53- to 1.64-fold. Family adversity and psychosocial stress factors were associated with single crying and multiple regulatory problems.
Conclusions Pre-, peri- and post-natal neurophysiological and psychosocial factors are predictive of single and multiple regulatory problems. The results may be useful in terms of early recognition of at risk groups for regulatory problems.
|Item Type:||Journal Article|
|Subjects:||B Philosophy. Psychology. Religion > BF Psychology
R Medicine > RJ Pediatrics
|Divisions:||Faculty of Medicine > Warwick Medical School > Health Sciences > Mental Health and Wellbeing
Faculty of Science > Psychology
Faculty of Medicine > Warwick Medical School
|Library of Congress Subject Headings (LCSH):||Eating disorders in children -- Research, Sleep disorders in children -- Research, Crying in infants -- Research, Longitudinal method|
|Journal or Publication Title:||Child: Care, Health and Development|
|Publisher:||Wiley-Blackwell Publishing Ltd.|
|Page Range:||pp. 493-502|
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