Regulatory Problems in Very Preterm and Full-Term Infants Over the First 18 Months

Bilgin, Ayten; Wolke, Dieter

doi:10.1097/dbp.0000000000000297

Cited by 53 publications

(49 citation statements)

References 68 publications

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“…These findings are in line with prevalence studies of older preschool children [28–31]. Moreover, the findings on differences in prevalence of CIMHS items of sleep regulation, feeding and eating, reduced level of activity, and impressive language development in infants born preterm, are in line with existing evidence on a higher risk of immature regulation and developmental delays in children born premature [32, 33]. Similarly, CIMHS identified higher frequencies of eating problems manifested as vomiting without being ill, as well as problems of impressive language in infants born with low birth weight [33, 34].…”

Section: Discussionsupporting

confidence: 88%

A new measure for infant mental health screening: development and initial validation

et al. 2016

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BackgroundMental health problems are a major public health challenges, and strategies of early prevention are needed. Effective prevention depends on feasible and validated measures of screening and intervention. Previous research has demonstrated potentials for infant mental health screening by community health nurses (CHN) in existing service settings in Denmark. This study was conducted to describe the development of a service setting based measure to screen for infant mental health problems, to investigate problems identified by the measure and assess the validity and feasibility in existing public health settings.MethodsExperts within the field developed a short, feasible and comprehensive measure. A consecutive sample of 2973 infants from 11 municipalities around the city of Copenhagen was screened at 9–10 months. Face validity and feasibility were evaluated among CHNs. Data on child and family factors and the results of screening were included in descriptive analyses. Exploratory factor analysis (EFA) was used to assess content validity.ResultsThe measure identified problems of communication and interaction in 20.7% of the children, problems of eating in 20.1%, attention problems in 15.9% and problems of emotional regulation in 14.3%. Significant gender differences were seen. EFA demonstrated that among 27 items 11 items were clustering into five areas: Problems of eating, emotions, attention, language and communication and attachment, respectively. High face validity and feasibility was demonstrated, and the participation was 91%.ConclusionsThe new measure shows potentials for infant mental health screening. However, further exploration of construct validity and reliability is needed.

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Section: Discussionsupporting

confidence: 88%

A new measure for infant mental health screening: development and initial validation

et al. 2016

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“…Consistent with past research, child sex, family SES, and gestational age at birth affected attention regulation and inhibitory control (Jaekel et al., ; Reveillon et al., ; Williams & Sciberras, ), whereas crying, feeding, and sleeping problems were not affected by child sex, family SES, and gestational age. Previous studies reported mixed results, with some studies showing an association between crying, feeding, and sleeping problems and gestational age (Bilgin & Wolke, ; Schmid et al., ), family SES (Hyde et al., ; Santos et al., ) or sex (Schmid & Wolke, ; Sidor, Fischer, Eickhorst, & Cierpka, ), whereas other studies found no effects for gestational age and birthweight (Hyde et al., ; Santos et al., ), family SES (Schmid et al., ), or sex (Santos et al., ; Schmid et al., ) on crying, feeding, and sleeping problems. These inconsistent results may be explained by differences in sample size, study design, and definition of crying, feeding, and sleeping problems, and in particular, control for potential confounders, across studies.…”

Section: Discussionmentioning

confidence: 98%

“…This relationship may be strongest in those children who have multiple crying, feeding, and sleeping problems (Hemmi et al, 2011;Schmid et al, 2010;Wake et al, 2006;Winsper & Wolke, 2014). Furthermore, multiple crying, feeding, and sleeping problems are moderately persistent across infancy into childhood (Bilgin & Wolke, 2016;von Kries et al, 2006;Schmid et al, 2010). Recent evidence suggests that multiple or persistent crying, feeding, and sleeping problems are associated with a trajectory of attention problems from childhood to adulthood (Bilgin et al, 2018).…”

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confidence: 99%

The association of infant crying, feeding, and sleeping problems and inhibitory control with attention regulation at school age

Baumann

Jaekel

Breeman

et al. 2019

Infancy

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Regulatory problems in infancy and toddlerhood have previously been associated with an increased risk of developing attention problems in childhood. We hypothesized that early regulatory problems are associated with attention problems via reduced inhibitory control. This prospective study assessed 1,459 children from birth to 8 years. Crying, feeding, and sleeping problems were assessed at 5 and 20 months via parent interviews and neurological examinations. At 20 months, inhibitory control was tested with a behavioral (snack delay) task. Attention regulation was assessed at 6 and 8 years using multiple instruments and informants. Detrimental effects of crying, feeding, and sleeping problems on attention regulation were partly mediated by children's ability to inhibit unwanted behaviors (β = −0.04, p = 0.013). Accounting for cognition diminished this indirect effect (β = −0.01, p = 0.209). Instead, the effects of crying, feeding, and sleeping problems on attention regulation were fully mediated by children's cognitive functioning (β = −0.10, p < 0.001). These results support that inhibitory control abilities partly mediate effects of crying, feeding, and sleeping problems. However, these effects may be accounted for by children's general cognitive abilities. Early regulatory problems may set infants on a course of under control of behavior into school age, and such trajectories are highly associated with general cognitive development.

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“…Definition of crying, sleeping and feeding problems were derived from the literature [23] and are shown in Table 2. Based on the specific criteria for each regulatory problem, three categorical variables were created: 1) crying problem: 0= no crying problem, 1= crying problem; 2) sleeping problem: 0= no sleeping problem, 1= sleeping problem; 3) feeding problem: 0= no feeding problem, 1= feeding problem.…”

Section: Comorbid Regulatory Problemsmentioning

confidence: 99%

Development of comorbid crying, sleeping, feeding problems across infancy: Neurodevelopmental vulnerability and parenting

Bilgin

Wolke

2017

Early Human Development

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Background: Regulatory problems (excessive crying, feeding, and sleeping difficulties), specifically their comorbidity, are early warning signs of future problems. Insensitive parenting and neurodevelopmental vulnerabilities have been suggested as factors explaining development or maintenance of regulatory problems. Nevertheless, none of the previous studies investigated these factors within the same sample across infancy, taking into account the reciprocal influences between maternal sensitivity and regulatory problems.Aim: To investigate the prospective association between very preterm birth, comorbid regulatory problems and maternal sensitivity.Subjects: 178 participants including 73 very preterm/very low birth weight and 105 full-term infants and their caretakers.Study Design: A prospective study from birth to 18 months.Measures: Regulatory problems were measured at term, 3 months and 18 months with a structured parental interview. Maternal sensitivity was measured with a nurse observation at term; and a researcher observation of play tasks at 3 months and at 18 months.Results: Very preterm birth was associated with regulatory problems at term (β=0.19, SE= 0.10, p< 0.05) and at 18 months (β=0.21, SE= 0.10, p< 0.05), while it had no association to maternal sensitivity across infancy. There were no cross-lagged reciprocal effects between maternal sensitivity and regulatory problems across infancy. Maternal sensitivity at term had a negative association to regulatory problems at 3 months (β=-0.26, SE= 0.12, p< 0.05), but not from 3 to 18 months.Conclusions: Neurodevelopmental vulnerabilities provided more consistent prediction of regulatory problems in comparison to sensitive parenting.

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Regulatory Problems in Very Preterm and Full-Term Infants Over the First 18 Months

Cited by 53 publications

References 68 publications

A new measure for infant mental health screening: development and initial validation

A new measure for infant mental health screening: development and initial validation

The association of infant crying, feeding, and sleeping problems and inhibitory control with attention regulation at school age

Development of comorbid crying, sleeping, feeding problems across infancy: Neurodevelopmental vulnerability and parenting

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