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Psychophysiological Assessment of the Effectiveness of Emotion Regulation Strategies in Childhood
08:09

Psychophysiological Assessment of the Effectiveness of Emotion Regulation Strategies in Childhood

Published on: February 11, 2017

Economic evaluation of strategies for managing crying and sleeping problems

S Morris1, I S James-Roberts, J Sleep

  • 1Department of Economics, City University, Northampton Square, London EC1V 0HB, UK. s.morris@city.ac.uk

Archives of Disease in Childhood
|December 22, 2000
PubMed

Insights

Infant crying and sleeping problems cost the NHS £65 million annually. A behavioral intervention proved cost-effective, offering an interruption-free night for a small additional cost.

Area of Science:

  • Health Economics
  • Pediatrics
  • Public Health

Background:

  • Infant crying and sleeping problems are common in the first 12 weeks of life.
  • These issues pose a significant financial burden on healthcare systems.

Purpose of the Study:

  • To estimate the National Health Service (NHS) financial cost of infant crying and sleeping problems.
  • To assess the cost-effectiveness of behavioral and educational interventions compared to usual care.

Main Methods:

  • A cost burden and cost-effectiveness analysis was performed.
  • Data came from the Crying Or Sleeping Infants (COSI) Study, a randomized controlled trial with 610 mothers.
  • Interventions included behavioral, educational, and usual services (control).

Main Results:

  • The annual NHS cost for these infant issues was £65 million (US$104 million).
  • The behavioral intervention cost £0.56 (US$0.92) per interruption-free night gained.
  • The educational intervention cost £4.13 (US$6.80) per interruption-free night gained.

Conclusions:

  • Infant crying and sleeping problems represent a substantial annual cost to the NHS.
  • The behavioral intervention demonstrated cost-effectiveness, yielding significant benefits at 11-12 weeks.
  • The educational intervention showed no significant benefit despite incurring additional costs.
Abstract

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