[Early childhood mental disorders: excessive crying, sleep and feeding disorders, and interventions using the "Munich
Margret Ziegler1, Ruth Wollwerth de Chuquisengo2,3, Volker Mall1
1Sozialpädiatrisches Zentrum und Klinik für Sozialpädiatrie, Kbo-Kinderzentrum München, Heiglhofstr. 65, 81377, München, Deutschland.
Insights
Infant mental health issues like excessive crying, sleep, and feeding problems affect 20% of young children, increasing risks for later disorders. Specialized clinics offer crucial support to stressed families, preventing severe outcomes.
Area of Science:
- Pediatrics
- Developmental Psychology
- Child Mental Health
Context:
- 20% of healthy infants and toddlers experience mental health challenges.
- Higher prevalence of feeding and sleep issues in premature or neurologically impaired infants.
- Parent-child relationship strain, parental exhaustion, and helplessness are common.
Purpose:
- To highlight the prevalence and risks associated with early childhood mental health problems.
- To introduce specialized outpatient clinics for infant behavioral issues.
- To emphasize the role of these clinics in preventing severe developmental and psychological disorders.
Summary:
- Early childhood mental health problems, including inconsolable crying, sleep, and feeding difficulties, affect a significant portion of infants and toddlers.
- These issues are more common in vulnerable populations and can lead to long-term internalizing and externalizing disorders.
- Parental stress is high, impacting the parent-child relationship.
- Specialized 'cry-baby' clinics provide low-threshold support, utilizing attachment-based interventions.
- The COVID-19 pandemic exacerbated psychosocial stress in families, increasing demand for these services.
Impact:
- Early intervention in infant mental health can prevent neglect, maltreatment, and secondary psychological disorders.
- Support for families improves parent-infant relationships and parental well-being.
- Specialized clinics offer vital resources for at-risk families, particularly during periods of increased societal stress like the COVID-19 pandemic.
Abstract:
About 20% of all healthy infants and toddlers show problems in the area of mental health during their first years of life such as inconsolable crying (so-called cry-babies), sleeping problems, and feeding problems. The prevalence of enduring feeding problems and sleeping problems is distinctly higher in premature children and in children with neuropediatric disorders. These problems present a higher risk for the development of internalizing and externalizing disorders of mental health in later childhood. The parent-child relationship is often strained. Parents report experiencing severe exhaustion, extreme uncertainty, and helplessness.Pediatricians and midwives are the first points of contact for families. Outpatient clinics for cry-babies such as the "Munich Consultation for Cry-Babies," founded by Mechthild Papoušek in 1991 at the kbo-Children's Center Munich, provide a low-threshold service for the highly stressed families. They can contribute to the prevention of neglect, maltreatment, and psychological secondary disorders of the child. Intervention strategies are based on parent-infant and attachment research and integrate child- and parent-oriented approaches.During the COVID-19 pandemic, psychosocial stress factors in families increased. This development was also observable in the outpatient clinics for cry-babies.
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