Links between maternal care and persistent infant crying in the early months.
Links between maternal care and persistent infant crying in the early months.
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母亲护理与婴儿出生后几个月持续哭闹之间的联系。
DOI：
10.1046/j.1365-2214.2002.00089.x
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发表时间：
1998
期刊：
影响因子：
--
通讯作者：
K. Wilsher
中科院分区：
文献类型：
--
作者：
I. St James;S. Conroy;K. Wilsher
我们对社区样本进行了筛选，根据婴儿在 6 周龄（婴儿哭闹的高峰年龄）时的哭闹程度，选择了三组婴儿及其母亲。通过日记、观察和问卷调查的方式对三组——中度哭闹者（n = 55）、晚间哭闹者（n = 38）和持续哭闹者（n = 67）及其母亲进行评估，以了解母亲和婴儿的特征以及婴儿在 6 周和 5 个月时的互动情况。第六周时，持续哭泣的母亲会花更多时间与婴儿互动并进行身体刺激。低于最佳的母亲敏感性/情感与婴儿总体哭闹程度适度增加有关。然而，大多数持续哭泣的母亲表现出最佳的敏感性和情感，而在持续哭泣组中，没有发现母亲的敏感性/情感与婴儿哭泣之间存在显着联系。到了 5 个月时，当婴儿哭闹减少时，持续哭闹的母亲与其他母亲之间的差异范围和大小也随之缩小。家庭观察和标准游戏测量未能显示这个年龄段母亲敏感性、感情和侵入性方面的群体差异。研究结果表明，尽管有高质量的母亲护理，婴儿在最初几个月的持续哭闹仍然经常发生，因此在大多数情况下，哭闹可能不是由于养育不当造成的。强调了区分一般社区病例与具有社会或医疗风险的病例的必要性，并讨论了研究结果对专业人员的影响。
A community sample was screened to select three groups of infants and their mothers according to how much the babies cried at 6 weeks of age, the peak age for infant crying. The three groups--of moderate (n = 55), evening (n = 38) and persistent criers (n = 67) and their mothers--were assessed by diary, observation and questionnaire measures of mother and infant characteristics and interactions at 6 weeks and 5 months of infant age. At 6 weeks, mothers of persistent criers spent more time interacting with and physically stimulating their babies. Below-optimum maternal sensitivity/affection was linked to moderately increased crying in the infants overall. However, most mothers of persistent criers showed optimum sensitivity and affection, while no significant links between maternal sensitivity/affection and infant crying were found in the persistent crying group. By 5 months, when infant crying declined, the range and size of differences between mothers of persistent criers and other mothers declined. Home observations and a standard play measure failed to show group differences in maternal sensitivity, affection and intrusiveness at this age. The findings show that persistent infant crying in the early months often occurs in spite of high quality maternal care, so that in most cases the crying is probably not due to inadequate parenting. The need to distinguish general community cases from those at social or medical risk is emphasized and the findings' implications for professionals are discussed.