婴儿的哭泣,睡眠和饮食问题的影响,儿童的行为结果:一个元分析
Britta Galling1,2, Hannah Brauer2, Pia Struck3
1Department of Child and Adolescent Psychiatry, Psychosomatic Medicine and Psychotherapy, Charité-Universitätsmedizin Berlin, Berlin, Germany.
Frontiers in child and adolescent psychiatry
|January 16, 2025
概括
患有过度哭泣或睡眠问题等调节性问题 (RP) 的婴儿有更高的风险发展儿童行为问题. 早期发现和支持可以促进亲子关系,防止未来的问题.
科学领域:
- 发展心理学 发展心理学
- 儿童精神病学 儿童精神病学
- 行为科学 行为科学
背景情况:
- 婴儿期的调节性问题 (RP),包括过度哭泣,睡眠和食困难,越来越多地与儿童行为问题有关.
- 这一元分析研究了婴儿RP与随后的行为问题之间的关联的强度和特征.
研究的目的:
- 量化婴儿调节问题与儿童行为问题的发生率和严重程度之间的关联.
- 根据婴儿时期经历的RP的类型和数量,检查行为结果的差异.
主要方法:
- 在PubMed/PsycInfo上进行了系统的文献搜索,寻找纵向前性研究.
- 包括涉及RPs的婴儿和行为问题的后续评估 (2-14岁) 的研究.
- 使用元分析,子组分析和元回归来分析累积发病率和症状严重程度.
主要成果:
- 分析了30项涉及34,582名参与者的研究.
- 在患有RP的儿童中,行为问题的累积发病率为23.3%.
- 与对照组相比,患有RP的婴儿表现出明显更明显的行为问题 (SMD=0.381),特别是那些患有多个RP的婴儿.
结论:
- 婴儿的调节问题与儿童期外化,内化和ADHD症状的风险增加有关.
- 虽然根本因素尚不清楚,但早期识别患有RP的婴儿可以为支持性干预提供信息.
- 有针对性的支持可以加强亲子关系,减轻行为问题的发展.
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