Associations between problems with crying, sleeping and/or feeding in infancy and long-term behavioural outcomes in

Mirja Helen Hemmi1, Dieter Wolke, Silvia Schneider

  • 1Swiss Etiological Study of Adjustment and Mental Health, National Centre of Competence in Research, Institute of Psychology, University of Basel, Birmannsgasse 8, Basel, Switzerland. mirja.hemmi@unibas.ch

Insights

Infant regulatory problems like excessive crying or feeding issues predict childhood behavioral issues. Children with these early problems show increased externalizing and attention-deficit/hyperactivity disorder (ADHD) symptoms.

Area of Science:

  • Developmental Psychology
  • Child Psychiatry
  • Behavioral Science

Background:

  • Approximately 20% of infants experience excessive crying, sleeping, or feeding problems.
  • These early regulatory issues may predict later behavioral problems in childhood.

Purpose of the Study:

  • To conduct a quantitative meta-analysis on the association between infant regulatory problems and childhood behavioral issues.
  • To investigate the link between infant regulatory problems and internalizing, externalizing, and attention-deficit/hyperactivity disorder (ADHD) problems.

Main Methods:

  • A meta-analysis of 22 longitudinal studies (1987-2006) involving 1935 children.
  • Statistical analysis using Cohen's d to quantify the association.
  • Assessment of heterogeneity and publication bias using I(2) statistic, meta-analysis of variance, and Rosenthal's fail-safe N.

Main Results:

  • A significant association (effect size 0.41) between infant regulatory problems and increased childhood behavioral problems was found.
  • Externalizing and ADHD problems were the strongest behavioral outcomes linked to regulatory issues.
  • Cumulative problems and clinical referral exacerbated the risk of behavioral problems, though comorbidity, type, or duration of regulatory problems did not significantly moderate the outcomes.

Conclusions:

  • Infants with regulatory problems are at higher risk for developing behavioral problems in childhood.
  • The risk is particularly elevated in multi-problem families.
  • Further research is needed to understand the long-term behavioral outcomes for infants with sleep, feeding, or multiple regulatory disturbances.
Abstract

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