Mothers' Perceptions of Problems of Feeding and Crying Behaviors

Forsyth, Brian W.C.; Leventhal, John M.; McCarthy, Paul L.

doi:10.1001/archpedi.1985.02140050063023

Cited by 136 publications

(72 citation statements)

References 13 publications

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“…However, the high prevalence of overweight and obesity in young New Zealand children (29.6% at 2-4 years of age) 17 illustrates the urgent need for additional assistance over and above well-child care. Why it appears to be so difficult to influence nutrition 20 or activity 34 behaviors at this age is uncertain, but other health priorities such as infant crying 35 and sleep problems 36 may take precedence for parents. It is also well recognized that parents underestimate their child's weight status, 37 particularly during infancy, 38 a time when weight gain is often equated with good parenting.…”

Section: Discussionmentioning

confidence: 99%

Targeting Sleep, Food, and Activity in Infants for Obesity Prevention: An RCT

et al. 2017

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The few existing early-life obesity prevention initiatives have concentrated on nutrition and physical activity, with little examination of sleep. METHODS:This community-based, randomized controlled trial allocated 802 pregnant women (≥16 years, <34 weeks' gestation) to: control, FAB (food, activity, and breastfeeding), sleep, or combination (both interventions) groups. All groups received standard well-child care. FAB participants received additional support (8 contacts) promoting breastfeeding, healthy eating, and physical activity (antenatal-18 months). Sleep participants received 2 sessions (antenatal, 3 weeks) targeting prevention of sleep problems, as well as a sleep treatment program if requested (6-24 months). Combination participants received both interventions (9 contacts). BMI was measured at 24 months by researchers blinded to group allocation, and secondary outcomes (diet, physical activity, sleep) were assessed by using a questionnaire or accelerometry at multiple time points. RESULTS:At 2 years, 686 women remained in the study (86%). No significant intervention effect was observed for BMI at 24 months (P = .086), but there was an overall group effect for the prevalence of obesity (P = .027). Exploratory analyses found a protective effect for obesity among those receiving the "sleep intervention" (sleep and combination compared with FAB and control: odds ratio, 0.54 [95% confidence interval, 0.35-0.82]). No effect was observed for the "FAB intervention" (FAB and combination compared with sleep and control: odds ratio, 1.20 [95% confidence interval, 0.80-1.81]). CONCLUSIONS:A well-developed food and activity intervention did not seem to affect children's weight status. However, further research on more intensive or longer running sleep interventions is warranted. Departments of a the Dean, Dunedin School of Medicine, b Preventive and Social Medicine, c Women's and Children's Health, d Human Nutrition, and e Medicine, University of Otago, Dunedin, New ZealandProf B Taylor is the co-principal investigator of the Prevention of Overweight in Infancy (POI) study, contributed to study design, co-led the sleep intervention, co-wrote the manuscript, and directed the statistical analyses; Mr Gray contributed to study design, designed and completed all statistical analyses, and wrote the relevant sections of the manuscript; Dr Galland contributed to study design, co-led the sleep intervention, and reviewed and revised the manuscript; Dr Heath contributed to study design, co-led the FAB (food, activity, and breastfeeding) intervention, and reviewed and revised the manuscript; Dr Lawrence contributed to study design, coordinated and led the management of the study, and reviewed and revised the manuscript; Ms Sayers delivered the sleep intervention, and reviewed and revised the manuscript; Drs Cameron, Hanna, and Dale contributed to data collection, and reviewed and revised the manuscript; Dr Coppell contributed to study design, and reviewed and revised the manuscript; and Prof R Taylor is the co-principal inves...

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Section: Discussionmentioning

confidence: 99%

Targeting Sleep, Food, and Activity in Infants for Obesity Prevention: An RCT

et al. 2017

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“…11,12 Infants' prolonged crying is a common concern for parents; it causes family stress and frequent help seeking. [13][14][15] Parents of preterm infants may be even more vulnerable to an infant' s prolonged crying; they may be overly sensitive to their infant' s negative signals and may already be stressed about his or her wellbeing. Mothers of preterm infants illustrate more psychological distress during the first months after birth than mothers of full-term infants.…”

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confidence: 99%

Preterm Infant’s Early Crying Associated With Child’s Behavioral Problems and Parents’ Stress

Korja¹,

Huhtala

Maunu³

et al. 2014

Pediatrics

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WHAT'S KNOWN ON THIS SUBJECT: Preterm infants are at an increased risk of regulatory difficulties during infancy and of behavioral problems in childhood. In the full-term population, persistent crying problems that last beyond 3 months of age have been related to later behavioral problems. WHAT THIS STUDY ADDS:Excessive crying by a preterm infant may reflect an increased risk for later behavioral problems and higher parenting stress even years later. Therefore, it is clinically relevant to assess systematically the crying behavior of preterm infants.abstract OBJECTIVE: To study how the early crying behavior of preterm infants at term, 6 weeks, and 5 months of corrected age is related to later behavioral problems at age 3 and 4 years and parenting stress at 2 and 4 years. METHODS:The study group included 202 live-born, low birth weight infants (birth weight #1500 g) born from January 2001 through December 2006 at the Turku University Hospital, Finland. A Baby Day Diary was used to assess the preterm infants' crying behavior at term, 6 weeks, and 5 months of corrected age. The children' s behavior was assessed using the Child Behavior Check List at 3 and 4 years old, and parenting stress was assessed by using the Parenting Stress Index when the child was 2 and 4 years old. RESULTS:The duration and frequency of crying bouts in infancy was associated with Child Behavior Check List scores at 4 years old and to both mothers' and fathers' stress when the child was 2 and 4 years old.CONCLUSIONS: Early excessive crying, especially if lasting up to 5 months of corrected age, is a clinically relevant signal in preterm infants because it may reflect infants' regulatory problems and/or parenting stress. The crying behavior of preterm infants should be systematically inquired about at well-baby clinics. Copyright © 2014 by the American Academy of Pediatrics FINANCIAL DISCLOSURE: The authors have indicated they have no financial relationships relevant to this article to disclose. FUNDING:Funding for the full-time research work was received from the Emil Aaltonen Foundation and by the Hospital District of South-West Finland. The funding sources had no role in the study design; in the collection, analysis, or interpretation of data; in the writing of the article; or in the decision to submit it for publication. POTENTIAL CONFLICT OF INTEREST:The authors have indicated they have no potential conflicts of interest to disclose. Preterm infants are at a higher risk than term-born infants for regulatory difficulties during infancy and for behavioral problems in childhood. [1][2][3][4] During infancy, 1 sign of regulatory problems is excessive crying and fussing. It has been suggested that an infant' s crying pattern is biologically based but may be modified by environmental factors, such as caregiving styles and physical holding. [5][6][7][8] In test situations in previous studies, preterm infants exhibited more irritability and difficulties in negative affect and state regulation. 9,10 However, in the home environment, preterm infa...

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“…[1][2][3] Persistent crying can be associated with maternal physical and psychological symptoms or marital tension and affect the maternal-infant bonding process. 4,5 Infant crying and the caregiver's inability to console the infant has been identified as a common inciting event for shaken baby syndrome.…”

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confidence: 99%

A Randomized, Controlled Trial of a Behavioral Intervention to Reduce Crying among Infants

McRury¹,

Zolotor

2010

The Journal of the American Board of Family Medicine

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Objective: To evaluate the efficacy of videotaped instruction of a behavioral intervention to reduce crying among newborns.Methods: Mothers of healthy, full-term newborns were recruited from the postpartum unit of a large community hospital for a prospective, randomized, controlled trial of an intervention to reduce infant crying. Mothers participating in the intervention viewed a videotape with instructions involving swaddling, side positioning, white noise, jiggling, and sucking. Mothers in the control group viewed a videotape with instructions for normal newborn care. Intervention was assessed by mean hours per day of infant total crying (fussing, crying, and unsoothable crying) and sleeping as recorded in a diary 3 days a week during the 1st, 4th, 6th, 8th, and 12th weeks of age; the Parenting Stress Index was also used during the 6th and 12th weeks.Results: Fifty-one mother-infant pairs were recruited; 35 completed the study (18 intervention and 17 controls). Sixteen were lost to follow-up. There were no statistically significant differences between the groups in the hours of mean daily total crying or sleeping during the 1st, 4th, 6th, 8th, or 12th weeks of age. For example, during the 6th week of age mean daily total crying was 1.9 hours for infants in the control group versus 2.2 hours for infants in the intervention group (P ‫؍‬ .4); sleep was 14.5 hours for infants in the control group versus 14.4 hours for infants in the intervention group (P ‫؍‬ .8). During the 12th week mean daily total crying was 1.2 hours for infants in the control group versus 1.8 hours for infants in the intervention group (P ‫؍‬ .8) and sleep was 14.1 hours for infants in the control group versus 14.0 hours for infants in the intervention group (P ‫؍‬ 1.0). There was no difference between the groups in the Parenting Stress Index during the 6th week of age.

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Mothers' Perceptions of Problems of Feeding and Crying Behaviors

Cited by 136 publications

References 13 publications

Targeting Sleep, Food, and Activity in Infants for Obesity Prevention: An RCT

Targeting Sleep, Food, and Activity in Infants for Obesity Prevention: An RCT

Preterm Infant’s Early Crying Associated With Child’s Behavioral Problems and Parents’ Stress

A Randomized, Controlled Trial of a Behavioral Intervention to Reduce Crying among Infants

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