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Updated: Aug 12, 2026

Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale
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"Colic"--primary excessive crying as an infant-environment interaction

W B Carey

    Pediatric Clinics of North America
    |October 1, 1984
    PubMed

    Insights

    Infant colic, defined as excessive crying, is better understood through an interactional model considering multiple factors. This approach guides management strategies for infants, environments, and their interactions, improving research quality.

    Area of Science:

    • Pediatrics
    • Infant Health
    • Child Psychology

    Background:

    • Infant colic is characterized by excessive crying in young infants.
    • Current theories often oversimplify causes into single factors like feeding, environment, or infant issues.

    Purpose of the Study:

    • To review existing theories on infant colic causes.
    • To propose an interactional model for understanding colic.
    • To offer management recommendations and suggest research improvements.

    Main Methods:

    • Literature review of colic theories.
    • Development of an interactional model.
    • Formulation of management strategies.

    Main Results:

    • Single-cause theories for colic are insufficient.
    • An interactional model integrating intrinsic and extrinsic factors provides a more comprehensive framework.
    • Specific management recommendations address infant handling, environmental adjustments, and their interplay.

    Conclusions:

    • Infant colic requires a multifactorial, interactional approach for effective understanding and management.
    • Future research should focus on the complex interplay of factors contributing to colic.
    • Improved management strategies can enhance infant well-being and parental support.

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