Predictive validity of a service-setting-based measure to identify infancy mental health problems: a population-based cohort study

Ammitzbøll, Janni; Thygesen, Lau Caspar; Andersen, Anette; Skovgaard, Anne Mette

doi:10.1007/s00787-017-1069-9

Cited by 14 publications

(21 citation statements)

References 69 publications

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“…The use of different tools to assess RPs before and after 6 months might have influenced the results, and potentially, reduced the effect sizes of the associations. However, it is considered a strength that the CHNs used a validated measure of feeding and eating, sleeping and excessive crying at child age 9–10 months28 32, which by large correspond to the questions in another measure of RPs, the Baby–DIPS (Diagnostic Interview for Regulatory Problems)interview 36…”

Section: Discussionmentioning

confidence: 99%

“…Feeding and eating, sleeping and excessive crying were evaluated as being within the normal range or not 29. At the home visit between 8 and 11 months, the CHNs used a validated tool, the Copenhagen Infant Mental Health Questionnaire,31 which includes specified variables on feeding and eating, on sleeping and on excessive crying, all answered by yes/no to the presence of any problem or not 28 32. The parent–child relationship was evaluated from the parents’ description of their expectations to and their handling of the child, and the CHN’s observations of the interaction and emotional attunement between parents and child, and the relation was finally recorded by the CHNs as problematic or not.…”

Section: Methodsmentioning

confidence: 99%

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Problems of feeding, sleeping and excessive crying in infancy: a general population study

et al. 2019

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ObjectiveTo study regulatory problems (RPs) of feeding, sleeping and excessive crying in infancy, and explore the influence of maternal mental health problems and parent–child relationship problems.Design and settingData were collected in the general child health surveillance delivered to infant families by community health nurses (CHNs). Information on CHNs’ assessments and conclusions were obtained on 2598 infants and merged with data from national registers. Descriptive statistics and logistic regression models were used to study RPs in early and late infancy, and the influences due to child, family and parent–child relationship problems.ResultsCombined RPs (C-RPs), defined as two or more simultaneous problems of feeding, sleeping or excessive crying, was identified in 2.9% and 8.6% of the population between age 2–6 and 8–11 months, respectively. Low maternal schooling and immigrant parents were associated with an increased risk of late C-RPs, but RPs in early infancy stand out as the main predictor of late C-RPs OR 3.4 (95% CI 1.8 to 6.6), and the effect of early maternal mental health problems and parent–child relationship problems seem to be mediated by early C-RPs.ConclusionsCombined problems of feeding, sleeping or excessive crying may exist throughout infancy independently of exposures to maternal mental health problems and parent–child relationship problems. The results indicate that infants with RPs exceeding age 2 months need special attention, in clinical as well as community settings. Suggested intervention includes specific guidance to the parents to help them understand and regulate their infant’s sensitivity and reactions.

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Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Problems of feeding, sleeping and excessive crying in infancy: a general population study

et al. 2019

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“…Two widespread screening methods are the Alarm Baby Distress Scale (ADBB) [17] and the Copenhagen Infant Mental Health Screening [18]. Both screening methods have demonstrated high reliability and validity [19–21]. A study has demonstrated that the Alarm Baby Distress Scale are well received by the health visitors and support their detection of problematic parent–infant relations and stimulate their communication with the parents about ways to stimulate relations and wellbeing [22].…”

Section: Discussionmentioning

confidence: 99%

Social inequality in parent–infant relations: Epidemiological study of community nurse records

Pant

Ammitzbøll

Pedersen

2021

Scand J Public Health

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Background: Some studies suggest that favourable socioeconomic circumstances are associated with better parent–child relations but the documentation of such an association is limited and inconsistent. Few studies focused on infancy, few studies relied on objective measurement of parent–infant relations, and few studies included more than one measurement of parent–infant relations in the first year of life. Aims: To report the prevalence of objectively measured problems in parent–infant relations during the first year of life and to examine the association between socioeconomic circumstances and parent–infant relations in an unselected community sample of infants. Methods: Cross-sectional study of a community sample of children from birth to 10 months in 15 municipalities in Denmark, n = 11,765. The exposure variables were population register data about socioeconomic circumstances: (a) parents’ education, (b) family composition, (c) parents’ origin, and (d) parents’ occupational status. The outcome variable was the health visitor’s concerns about the parent–infant relation assessed at four home visits from birth to 10 months after delivery. Results: The proportion of children with concerns about the parent–infant relation was 10.5%, 7.8% at one home visit and 2.8% at two or more home visits. Logistic regression analyses showed that all four indicators of socioeconomic circumstances were associated with concerns about the parent–infant relation in the first year of life. Conclusions: The risk of problematic parent–infant relations were significantly elevated among, children of immigrant parents, and children of parents with shorter education and not in education or work.

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“…Research has stressed, however, that many parents struggle to identify the optimal approach for transitioning from milk feeds to solid foods, particularly first-time parents (Harrison, Brodribb, & Hepworth, 2017). According to existing research, 25-35% of new parents in Western societies experience eating-related problems in relation to the introduction of solid foods (Ammitzbøll, Thygesen, Holstein, Andersen, & Skovgaard, 2018;Bryant-Waugh, Markham, Kreipe, & Walsh, 2010). Early problems may affect the parents negatively and cause frustration and, potentially, also an increased tendency towards depression (Lucarelli, 2013;Rask, Ørnbøl, Olsen, Fink, & Skovgaard, 2013).…”

Section: Introductionmentioning

confidence: 99%

Infants’ transition from milk to solid foods - the lived experiences of first-time parents

Norlyk

Larsen

Kronborg

2019

International Journal of Qualitative Studies on Health and Well

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Purpose: During the transition from ingesting milk to ingesting solid food, infants substantiate their eating habits. The present study focuses on this transition. Specifically, it aimed to explore first-time parents’ lived experiences of their infants’ transition from milk to solid foods.Method: The study is based on the descriptive phenomenological approach Reflective Lifeworld Research (RLR). Ten mothers and ten fathers were interviewed twice; when the infants were aged four to five months and again at seven to eight months of age. Data were analysed according to RLR principles.Results: The findings show that the transition from milk to solid food is a demanding in-between phase. The physically intimate feeding situation is replaced by unfamiliar situations in which parents and infant are physically separated and new types of food are introduced. The process of feeding requires parents’ full attention and sensitivity towards the infant’s reactions.Conclusion: The study highlights how shared parental experiences were reflected in frames for how a meal should normally proceed, including parents’ desire to create healthy eating habits and uphold harmony duringfamily mealsWe suggest for health professionals to present parents with a wider frame of normality, especially as concerns the concept of what constitutes “normal” eating patterns.

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Predictive validity of a service-setting-based measure to identify infancy mental health problems: a population-based cohort study

Cited by 14 publications

References 69 publications

Problems of feeding, sleeping and excessive crying in infancy: a general population study

Problems of feeding, sleeping and excessive crying in infancy: a general population study

Social inequality in parent–infant relations: Epidemiological study of community nurse records

Infants’ transition from milk to solid foods - the lived experiences of first-time parents

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