Das exzessive Schreien bei 5 Monate alten Säuglingen und prä-, peri- und postnatale Belastungen ihrer Mütter in einer Hoch-Risiko-Stichprobe

Sidor, Anna; Thiel-Bonney, Consolata; Kunz, Elisabeth; Eickhorst, Andreas; Cierpka, Manfred

doi:10.1024/1422-4917/a000177

Cited by 13 publications

(4 citation statements)

References 38 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Consistent with other research on families of children with crying, sleeping, and feeding problems [ 18 , 80 , 81 ], initial parenting stress levels in our sample were very high compared with normative values (EBI parental subscale scores >85 were above the 98 percentile and above the cutoff for individuals with very high stress levels). The finding that the use of our psychoeducational app contributed to the reduction in parenting stress is in line with several previous studies investigating the effects of psychoeducational interventions on stress [ 82 , 83 ].…”

Section: Discussionsupporting

confidence: 90%

Effects of a Mobile-Based Intervention for Parents of Children With Crying, Sleeping, and Feeding Problems: Randomized Controlled Trial

Augustin¹,

Licata-Dandel²,

Breeman³

et al. 2023

JMIR Mhealth Uhealth

View full text Add to dashboard Cite

Background Excessive crying, sleeping, and feeding problems in early childhood are major stressors that can result in parents feeling socially isolated and having low self-efficacy. Affected children are a risk group for being maltreated and developing emotional and behavioral problems. Thus, the development of an innovative and interactive psychoeducational app for parents of children with crying, sleeping, and feeding problems may provide low-threshold access to scientifically based information and reduce negative outcomes in parents and children. Objective We aimed to investigate whether following the use of a newly developed psychoeducational app, the parents of children with crying, sleeping, or feeding problems experienced less parenting stress; gained more knowledge about crying, sleeping, and feeding problems; and perceived themselves as more self-effective and as better socially supported and whether their children’s symptoms decreased more than those of the parents who did not use the app. Methods Our clinical sample consisted of 136 parents of children (aged 0-24 months) who contacted a cry baby outpatient clinic in Bavaria (Southern Germany) for an initial consultation. Using a randomized controlled design, families were randomly allocated to either an intervention group (IG; 73/136, 53.7%) or a waitlist control group (WCG; 63/136, 46.3%) during the usual waiting time until consultation. The IG was given a psychoeducational app that included evidence-based information via text and videos, a child behavior diary function, a parent chat forum and experience report, tips on relaxation, an emergency plan, and a regional directory of specialized counseling centers. Outcome variables were assessed using validated questionnaires at baseline test and posttest. Both groups were compared at posttest regarding changes in parenting stress (primary outcome) and secondary outcomes, namely knowledge about crying, sleeping, and feeding problems; perceived self-efficacy; perceived social support; and child symptoms. Results The mean individual study duration was 23.41 (SD 10.42) days. The IG reported significantly lower levels of parenting stress (mean 83.18, SD 19.94) after app use compared with the WCG (mean 87.46, SD 16.67; P=.03; Cohen d=0.23). Furthermore, parents in the IG reported a higher level of knowledge about crying, sleeping, and feeding (mean 62.91, SD 4.30) than those in the WCG (mean 61.15, SD 4.46; P<.001; Cohen d=0.38). No differences at posttest were found between groups in terms of parental efficacy (P=.34; Cohen d=0.05), perceived social support (P=.66; Cohen d=0.04), and child symptoms (P=.35; Cohen d=0.10). Conclusions This study provides initial evidence of the efficacy of a psychoeducational app for parents with child crying, sleeping, and feeding problems. By reducing parental stress and increasing knowledge of children’s symptoms, the app has the potential to serve as an effective secondary preventive measure. Additional large-scale studies are needed to investigate long-term benefits. Trial Registration German Clinical Trials Register DRKS00019001; https://drks.de/search/en/trial/DRKS00019001

show abstract

Section: Discussionsupporting

confidence: 90%

Effects of a Mobile-Based Intervention for Parents of Children With Crying, Sleeping, and Feeding Problems: Randomized Controlled Trial

Augustin¹,

Licata-Dandel²,

Breeman³

et al. 2023

JMIR Mhealth Uhealth

View full text Add to dashboard Cite

show abstract

“…One of the most challenging task for parents to manage, however, is prolonged and inconsolable infant crying. In a high-risk group, persistent infant crying was associated with a higher rate of maternal post-partum depressive symptoms, maternal stress, dysfunctional mother–child interactions, perception of the infant as being « difficult » , as well as bonding problems [ 8 , 9 ]. Indeed, mothers who reported excessive crying were 5.7 times more likely to score high on the parenting stress index (PSI) [ 10 ].…”

Section: Introductionmentioning

confidence: 99%

Excessive infant crying doubles the risk of mood and behavioral problems at age 5: evidence for mediation by maternal characteristics

Smarius¹,

Strieder²,

Loomans

et al. 2016

Eur Child Adolesc Psychiatry

View full text Add to dashboard Cite

The onset of behavioral problems starts in early life. This study examined whether excessive infant crying (maternal ratings) is a determinant of emotional and behavioral problems at age 5–6 years. In the Amsterdam Born Children and their Development (ABCD) study, a large prospective, observational, population-based multiethnic birth cohort, excessive infant crying (crying for three or more hours per 24 h day over the past week) during the 13th week after birth (range 11–25 weeks, SD 2 weeks), maternal burden of infant care and maternal aggressive behavior (either angry speaking, or physical aggression) was assessed using a questionnaire. Children’s behavioral and emotional problems at the age of 5–6 were assessed by Goodman’s Strengths and Difficulties Questionnaire (SDQ), by the subscale of generalized anxiety of the preschool anxiety scale (PAS), and by the Short Mood and Feelings Questionnaire (SMFQ). Inclusion criterion was singleton birth. Exclusion criteria were preterm born babies or congenital disorders. Among 3389 children, excessive infant crying (n = 102) was associated with a twofold increased risk of the overall problem behavior, conduct problems, hyperactivity, and mood problems at the age of 5–6 [ORs between 1.75 (95 % CI 1.09–2.81) and 2.12 (95 % CI 1.30–3.46)]. This association was mediated by maternal burden of infant care (change in odds’ ratio 1–17 %) and maternal aggressive behavior (change in odds’ ratio 4–10 %). There was no effect modification by the child’s gender or maternal parity. Excessive infant crying was not associated with general anxiety problems. Excessive infant crying doubles the risk of behavioral, hyperactivity, and mood problems at the age of 5–6, as reported by their mother. Maternal burden of infant care partially mediates the association between excessive crying and behavioral and mood problems. Special care for mothers with a high burden of care for their excessive crying infant, notwithstanding their own good health, can be a feasible strategy for possible prevention of mood and behavioral problems in their children later in life.

show abstract

“…Another interesting line of research is the one that investigates the association between attachment orientations and self-esteem. In this research field, studies that used the Experience in Close Relationships Scales founded that both anxiously and avoidantly attached people tend to have a low self-esteem (e.g., Cassidy et al 2003;Gentzler and Kerns 2004;Luke et al 2004;Treboux et al 2004;Favez et al 2016). For people anxiously attached, these findings were to be expected because attachment anxiety is defined in terms of fear of rejection and abandonment, and that kind of fear could drive people to feel insecure and doubtful about his/her own value.…”

Section: The Use Of the Experience In Close Relationships Scales In The Study Of Personality And Individual Differencesmentioning

confidence: 99%

Ego

Patrick¹,

Diamond²

2020

Encyclopedia of Personality and Individual Differences

View full text Add to dashboard Cite

Various theories and models of evolutionary psychology posit that personality traits are part of adaptive strategies regulating behavioral adaptation to various environmental (ecological and/or social) conditions encountered during childhood.Life history theory provides the most comprehensive framework to understand how circumstances experienced in early life might influence personality. It proposes that personality traits develop into a certain profile depending on different conditional factors. Actual circumstances define resource allocation, that is, how the individual utilizes available resources (e.g., food, parental support, etc.) in order to maximize survival and/or reproduction. The most dominant environmental components to affect allocation strategies are level of mortality, level of stability or predictability of conditions, and level of heterogeneity of the trait in the local environment. Less favorable conditions (i.e., higher mortality rates and less parental investment) are suggested to form personality traits linked to more exploitative behavioral strategies with unrestrictive sexual behavior, whereas more advantageous circumstances proposedly shape rather prosocial behaviors and more restricted sexuality. Early childhood experiences (i.e., quality of caregiving, low socioeconomic status of the family) can be seen as indicators for such environmental factors which might also promote the development of personality profiles linked to certain life history strategies.

show abstract

Das exzessive Schreien bei 5 Monate alten Säuglingen und prä-, peri- und postnatale Belastungen ihrer Mütter in einer Hoch-Risiko-Stichprobe

Cited by 13 publications

References 38 publications

Effects of a Mobile-Based Intervention for Parents of Children With Crying, Sleeping, and Feeding Problems: Randomized Controlled Trial

Effects of a Mobile-Based Intervention for Parents of Children With Crying, Sleeping, and Feeding Problems: Randomized Controlled Trial

Excessive infant crying doubles the risk of mood and behavioral problems at age 5: evidence for mediation by maternal characteristics

Ego

Contact Info

Product

Resources

About