Prevalence, Stability, and Outcomes of Cry-Fuss and Sleep Problems in the First 2 Years of Life: Prospective Community-Based Study

Wake, Melissa; Morton-Allen, E; Poulakis, Zeffie; Hiscock, Harriet; Gallagher, Susan Scavo; Oberklaid, Frank

doi:10.1542/peds.2005-0775

Cited by 275 publications

(215 citation statements)

References 24 publications

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“…The effects faded by 6 months, which may reflect the natural improvement in infant crying and daytime sleep. 2,5 Unlike previous prevention trials aimed at improving infant nighttime sleep duration, 9,11,30,35 we found no such improvement. This is despite our program including similar information.…”

Section: Discussioncontrasting

confidence: 74%

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Preventing Early Infant Sleep and Crying Problems and Postnatal Depression: A Randomized Trial

et al. 2014

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WHAT'S KNOWN ON THIS SUBJECT: Infant sleep and crying problems are common and associated with postnatal depression. No programs aiming to prevent all 3 issues have been rigorously evaluated. WHAT THIS STUDY ADDS:A prevention program targeting these issues improves caregiver mental health, behaviors, and cognitions around infant sleep. Implementation at a population level may be best restricted to infants who are frequent feeders because they experience fewer crying and daytime sleep problems. abstract OBJECTIVE: To evaluate a prevention program for infant sleep and cry problems and postnatal depression. METHODS:Randomized controlled trial with 781 infants born at 32 weeks or later in 42 well-child centers, Melbourne, Australia. Follow-up occurred at infant age 4 and 6 months. The intervention including supplying information about normal infant sleep and cry patterns, settling techniques, medical causes of crying and parent self-care, delivered via booklet and DVD (at infant age 4 weeks), telephone consultation (8 weeks), and parent group (13 weeks) versus well-child care. Outcomes included caregiver-reported infant night sleep problem (primary outcome), infant daytime sleep, cry and feeding problems, crying and sleep duration, caregiver depression symptoms, attendance at night wakings, and formula changes. RESULTS:Infant outcomes were similar between groups. Relative to control caregivers, intervention caregivers at 6 months were less likely to score .9 on the Edinburgh Postnatal Depression Scale (7.9%, vs 12.9%, adjusted odds ratio [OR] 0.57, 95% confidence interval [CI] 0.34 to 0.94), spend .20 minutes attending infant wakings (41% vs 51%, adjusted OR 0.66, 95% CI 0.46 to 0.95), or change formula (13% vs 23%, P , .05). Infant frequent feeders (.11 feeds/24 hours) in the intervention group were less likely to have daytime sleep (OR 0.13, 95% CI 0.03 to 0.54) or cry problems (OR 0.27, 95% CI 0.08 to 0.86) at 4 months.CONCLUSIONS: An education program reduces postnatal depression symptoms, as well as sleep and cry problems in infants who are frequent feeders. The program may be best targeted to frequent feeders.

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Section: Discussioncontrasting

confidence: 74%

“…[1][2][3] They are associated with maternal depression, premature weaning, and frequent formula changes. 4,5 Formula changes often occur when infant crying is misdiagnosed as gastroesophageal reflux or food allergy. 6 Infant crying is the most common proximal risk factor for abusive head trauma.…”

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confidence: 99%

Preventing Early Infant Sleep and Crying Problems and Postnatal Depression: A Randomized Trial

et al. 2014

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“…Pediatrics 2013;131:e1857-e1864 1 and occurs in ∼20% of infants. 2 Colic is stressful for caregivers and is associated with elevated depression risk in the postpartum period in several cross-sectional and longitudinal studies. [3][4][5][6] Because maternal depression is a highly prevalent mental health disorder 7,8 and is associated with adverse child social-emotional and cognitive outcomes, 9 efforts to prevent or intervene early in the course of maternal depression are important to reduce depression-related morbidity in both mother and child.…”

Section: Resultsmentioning

confidence: 99%

Inconsolable Infant Crying and Maternal Postpartum Depressive Symptoms

et al. 2013

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WHAT'S KNOWN ON THIS SUBJECT: Studies reveal that mothers of infants with colic (defined by Wessel' s criteria of .3 hours per day of distress) are more likely to develop depression. No studies have examined whether the consolability of infant crying predicts maternal depression risk.WHAT THIS STUDY ADDS: Prolonged inconsolable infant crying has a stronger association with maternal depressive symptoms than overall daily duration of fussing and crying, suggesting that a mother' s report of inability to soothe her infant may be a powerful indicator of her depression risk. abstract OBJECTIVE: To quantify the extent to which maternal report of inconsolable infant crying, rather than colic (defined by Wessel' s criteria of daily duration of fussing and crying .3 hours), is associated with maternal postpartum depressive symptoms.METHODS: Participants were 587 mothers who were recruited shortly before or after delivery and followed longitudinally. At 5 to 6 weeks postpartum, mothers recorded the duration and mode (fussing, crying, or inconsolable crying) of their infant' s distress by using the Baby' s Day Diary. The Edinburgh Postnatal Depression Scale (EPDS) was administered at enrollment and at 8 weeks postpartum. Using regression models that included baseline EPDS scores and multiple confounders, we examined associations of colic and inconsolable crying with later maternal EPDS scores at 8 weeks postpartum. RESULTS:Sixty mothers (10%) met the EPDS threshold for "possible depression" (score $9) at 8 weeks postpartum. For mothers reporting .20 minutes of inconsolable crying per day, the adjusted odds ratio for an EPDS score $9 was 4.0 (95% confidence interval: 2.0-8.1), whereas the adjusted odds ratio for possible depression in mothers whose infants had colic was 2.0 (95% confidence interval: 1.1-3.7). These associations persisted after adjusting for baseline depression symptoms.CONCLUSIONS: Maternal report of inconsolable infant crying may have a stronger association with postpartum depressive symptoms than infant colic. Asking a mother about her ability to soothe her infant may be more relevant for potential intervention than questions about crying and fussing duration alone.

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“…Outros estudos corroboram esses achados 6,9,14,15,21 , mas não foi encontrado nenhum estudo brasileiro que avaliasse a associação entre o quadro depressivo materno e os comportamentos de sono infantil. A hipótese de que as mães deprimidas encontram mais dificuldades para regular o afeto, compreender e responder adequadamente as necessidades dos seus bebês e são mais inconsistentes e ineficazes no manejo com a criança deve ser considerada, uma vez que esses aspectos teriam um papel fundamental na regularização dos padrões do sono 6 .…”

Section: Discussionunclassified

Depressão pós-parto e alterações de sono aos 12 meses em bebês nascidos na zona urbana da cidade de Pelotas/RS

Lopes

Jansen

Quevedo

et al. 2010

J. bras. psiquiatr.

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reSumo objetivo: Verificar se existe associação entre as alterações no sono dos bebês aos 12 meses de vida e a depressão pós-parto materna. métodos: Estudo do tipo transversal aninhado a uma coorte. A amostra foi constituída por mulheres que realizaram o acompanhamento pelo Sistema Único de Saúde (SUS), nas unidades básicas de saúde do município de Pelotas, e que tiveram seus partos a partir de junho/2006. Os bebês de 12 meses oriundos dessa gestação também fazem parte da amostra. Para avaliar a presença de sintomas depressivos nas mães, foi utilizada a Edinburgh Postnatal Depression Scale (EPDS) e foram investigados os seguintes comportamentos do sono dos bebês: horas de sono por dia, regularidade do horário para dormir e acordar, sono agitado e despertar noturno. Para análise, foi utilizada Regressão de Poisson. resultados: 35,7% dos bebês possuem alteração no padrão de sono. Após o ajuste ao modelo hierárquico proposto, a alteração no sono infantil manteve associação com a sintomatologia depressiva da mãe (p ≤ 0,01). conclusões: Os profissionais de saúde devem investigar rotineiramente os comportamentos de sono dos bebês e dar atenção à saúde mental das mães, a fim de identificar os problemas precocemente e oferecer suporte no manejo do sono dos bebês.

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Prevalence, Stability, and Outcomes of Cry-Fuss and Sleep Problems in the First 2 Years of Life: Prospective Community-Based Study

Abstract: Most cry-fuss and sleep problems in the first 2 years of life are transient. Persistent, rather than transient, problems contribute to maternal depression, parenting stress, and subsequent child behavior problems.

Cited by 275 publications

References 24 publications

Preventing Early Infant Sleep and Crying Problems and Postnatal Depression: A Randomized Trial

Preventing Early Infant Sleep and Crying Problems and Postnatal Depression: A Randomized Trial

Inconsolable Infant Crying and Maternal Postpartum Depressive Symptoms

Depressão pós-parto e alterações de sono aos 12 meses em bebês nascidos na zona urbana da cidade de Pelotas/RS

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