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

To report the prevalence and stability of cry-fuss problems during the first 4 months of life and sleep problems from 2 to 24 months and relationships between the persistence of cry-fuss and sleep problems and outcomes at 24 months. The study was a prospective cohort study in maternal and child heal...

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Veröffentlicht in:Pediatrics (Evanston) 2006-03, Vol.117 (3), p.836-842
Hauptverfasser: Wake, Melissa, Morton-Allen, Elise, Poulakis, Zeffie, Hiscock, Harriet, Gallagher, Susan, Oberklaid, Frank
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container_issue 3
container_start_page 836
container_title Pediatrics (Evanston)
container_volume 117
creator Wake, Melissa
Morton-Allen, Elise
Poulakis, Zeffie
Hiscock, Harriet
Gallagher, Susan
Oberklaid, Frank
description To report the prevalence and stability of cry-fuss problems during the first 4 months of life and sleep problems from 2 to 24 months and relationships between the persistence of cry-fuss and sleep problems and outcomes at 24 months. The study was a prospective cohort study in maternal and child health centers in 3 local government areas in Melbourne, Australia. A total of 483 first-born infants were monitored prospectively from 2 weeks through 2, 4, 8, 12, 18, and 24 months. Child behavior, maternal depression, parenting stress, and marital quality were assessed. Predictor variables were parent reports of moderate or greater cry-fuss problems (2 and 4 months) and sleep problems (8, 12, 18, and 24 months) and parent-reported, 24-hour, sleep/cry-fuss diaries (2, 4, and 12 months). The response rate was 68% (483 of 710 infants); the attrition rate was or =3 of these ages. In multivariate analyses, cry-fuss/sleep problems at > or =3 previous time points (but not 1 or 2 time points) contributed significantly to depression (2.8% of variance), total behavior (1.4% of variance), and total stress (4.6% of variance) scores. Repeated problems had a greater impact than a concurrent sleep problem on depression and stress scores, whereas the reverse was true for behavior scores. 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.
doi_str_mv 10.1542/peds.2005-0775
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The study was a prospective cohort study in maternal and child health centers in 3 local government areas in Melbourne, Australia. A total of 483 first-born infants were monitored prospectively from 2 weeks through 2, 4, 8, 12, 18, and 24 months. Child behavior, maternal depression, parenting stress, and marital quality were assessed. Predictor variables were parent reports of moderate or greater cry-fuss problems (2 and 4 months) and sleep problems (8, 12, 18, and 24 months) and parent-reported, 24-hour, sleep/cry-fuss diaries (2, 4, and 12 months). The response rate was 68% (483 of 710 infants); the attrition rate was &lt;6%. The prevalence of cry-fuss problems decreased from 19.1% at 2 months to 12.8% at 4 months, with 5.6% of mothers reporting cry-fuss problems at both ages. Prevalence rates of sleep problems were 21.2%, 16.2%, 10.0%, and 12.1% at 8, 12, 18, and 24 months, respectively; 6.4% had a problem at &gt; or =3 of these ages. In multivariate analyses, cry-fuss/sleep problems at &gt; or =3 previous time points (but not 1 or 2 time points) contributed significantly to depression (2.8% of variance), total behavior (1.4% of variance), and total stress (4.6% of variance) scores. Repeated problems had a greater impact than a concurrent sleep problem on depression and stress scores, whereas the reverse was true for behavior scores. 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.</abstract><cop>Elk Grove Village, IL</cop><pub>Am Acad Pediatrics</pub><pmid>16510665</pmid><doi>10.1542/peds.2005-0775</doi><tpages>7</tpages></addata></record>
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source MEDLINE; EZB-FREE-00999 freely available EZB journals
subjects Adult
Babies
Biological and medical sciences
Care and treatment
Child, Preschool
Children
Colic
Crying
Disorders of higher nervous function. Focal brain diseases. Central vestibular syndrome and deafness. Brain stem syndromes
General aspects
Health aspects
Humans
Infant
Infant Behavior
Infant, Newborn
Medical sciences
Miscellaneous
Nervous system (semeiology, syndromes)
Neurology
Parent-Child Relations
Parents - psychology
Pediatrics
Public health. Hygiene
Public health. Hygiene-occupational medicine
Sleep
Sleep disorders
Stress, Psychological - etiology
title Prevalence, Stability, and Outcomes of Cry-Fuss and Sleep Problems in the First 2 Years of Life: Prospective Community-Based Study
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