Interdisciplinary management of infantile colic

Becerra-Granados, Luis Miguel; Bejarano-Roncancio, Jhon Jairo; Bagés-Mesa, M.C.

doi:10.15446/revfacmed.v65n3.55920

Cited by 1 publication

(4 citation statements)

References 49 publications

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“…In the first 6 months of life, between 15 and 35% of parents report a problem with their infant's sleep and 14-29% with infant crying (1)(2)(3)(4)(5)(6). These regulatory problems (RP) may occur separately, but often coexist.…”

Section: Persistent Sleep and Crying Problemsmentioning

confidence: 99%

“…Persistent RP are often managed in primary care with reassurance and education of the parents about normal sleep, eating and crying patterns and/or behavioral strategies (14,15), and/or offered the same treatment as infant colic (a selflimited phenomenon of excessive crying during the first 2-3 months of life discussed in pediatric handbooks), including dietary alterations, probiotics prescriptions and pharmacological treatment (5,6,16).…”

Section: Current Treatment Approachesmentioning

confidence: 99%

“…When primary care doesn't resolve RP, parents often turn to complementary approaches such as swaddling, herbal remedies, acupuncture, manipulative therapies, and reflexology. All of these treatment methods have poor evidence (5,6,16).…”

Section: Current Treatment Approachesmentioning

confidence: 99%

“…These linear approaches have significant limits because only in a minority of the infants an underlying organic cause is found and evidence from diverse fields of investigation of RP demonstrates that it is a complex problem. There are multiple dynamically interacting and co-evolving factors with the compromised parent-infant relationship being a main moderator of infant problem behavior and outcome: prenatal and perinatal stress factors; infant temperament and neurodevelopmental problems with self-regulatory, dietary, and gastrointestinal factors; parent's perception and tolerance to their infant's RP; and parental psychosocial risks such as parental anxiety and depression, (transgenerational) trauma, family dysfunction, and socioeconomic risks (3)(4)(5)(6)(7)(16)(17)(18)(19)(20).…”

Section: Current Treatment Approachesmentioning

confidence: 99%

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Helping Families of Infants With Persistent Crying and Sleep Problems in a Day-Clinic

2021

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Excessive crying and sleep problems affect up to 30% of infants and often coexist. Although usually benign and self-limiting, persistent crying, and sleep problems exceeding 6 months of age need attention as they may impair the mental health of the infant and its family. The source and the impact of these persistent regulatory problems is often not restricted to the infant, but extends to the parents and the parent–infant relationship. Clinical practice needs interdisciplinary and multi-method interventions focusing beyond regulatory problems of the infant but also on parental self-regulation and parent's co-regulatory responses toward the infant. Treating clinicians may encounter limitations of home-visits, outpatient, and pediatric residential settings when working with families in distress. We describe an infant mental health day-clinic treatment, drawing attention to this viable future direction. It offers a therapeutic climate based on forming a triangle of co-regulation between clinician, parent and infant to first help the parent and the infant settle down. This stress reduction restores parent–infant connectedness and parental learning and reflecting capacity. Clinicians then use established therapeutic modalities to support parental self- and co-regulatory skills which is important for the development of self-regulation in the infant. Experience with this treatment program suggests that a day-clinic setting facilitates interdisciplinary and integrative multi-method intervention, infant and parental stress reduction and integration of parental self- and co-regulatory skills in daily family life, improving overall outcomes. This perspective warrants further investigation.

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