Crying and feeding problems in infancy and cognitive outcome in preschool children born at risk : a prospective population study

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Wolke, Dieter ; Schmid, Gabriele ; Schreier, Andrea ; Meyer, Renate (2009)

Objective: To investigate whether regulatory problems, i.e., crying and feeding problems in infants > 3 months of age, predict cognitive outcome in preschool children born at risk even when controlled for confounding factors.\ud Methods: A prospective longitudinal study of children born in a geographically defined area in Germany. N = 4427 children of 6705 eligible survivors (66%) participated at all four assessment points (neonatal, 5, 20, and 56 months of age). Excessive crying and feeding problems were measured at 5 months. Mental development was assessed with the Griffiths Scale at 20 months, and cognitive assessments were conducted at 56 months. Neonatal complications, neurological, and psychosocial factors were controlled as confounders in structural equation modeling and analyses of variance.\ud Results: One in five infants suffered from single crying or feeding problems, and 2% had multiple regulatory problems, i.e., combined crying and feeding problems at 5 months. In girls, regulatory problems were directly predictive of lower cognition at 56 months, even when controlled for confounders, whereas in boys, the influence on cognition at 56 months was mediated by low mental development at 20 months. Both in boys and girls, shortened gestational age, neonatal neurological complications, and poor parent-infant relationship were predictive of regulatory problems at 5 months and lower cognition at 56 months.\ud Conclusion: Regulatory problems in infancy have a small but significant adverse effect on cognitive development.
  • References (114)
    114 references, page 1 of 12

    1. Task Force on Research Diagnostic Criteria. Research diagnostic criteria for infants and preschool children: The process and empirical support. J Am Acad Child Adolesc Psychiatry. 2003;42:1504-1512.

    2. Skovgaard AM, Houmann T, Christiansen E, et al. The prevalence of mental health problems in children 1 1/2 years of age - the Copenhagen Child Cohort 2000. J Child Psychol Psychiatry. 2007;48:62-70.

    3. Egger HL, Angold A. Common emotional and behavioral disorders in preschool children: presentation, nosology, and epidemiology. J Child Psychol Psychiatry. 2006;47:313-337.

    4. St James-Roberts I, Halil T. Infant crying patterns in the first year: normal community and clinical findings. J Child Psychol Psychiatry. 1991;32:951-968.

    5. St James-Roberts I. Infant crying and sleeping: Helping parents to prevent and manage problems. Prim Care. 2008;35:547.

    6. Remschmidt H, Schmidt MH, Poustka F. Multiaxiales Klassifikationsschema für psychische Störungen des Kindes- und Jugendalters nach ICD-10 der WHO. Mit einem synoptischen Vergleich von ICD-10 und DSM-IV. 5. ed. Bern: Verlag Hans Huber; 2006.

    7. World Health Organization. International Statistical Classification of Diseases and Related Health Problems. 10th revision, Version for 2007.

    8. American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders. Vol Fourth Edition, Text Revision (DSM-IV-TR). Washington, DC; 2000.

    9. DeGangi GA, DiPietro JA, Greenspan SI, Porges SW. Psychophysiological characteristics of the regulatory disordered infant. Infant Behav Dev. 1991;14:37-50.

    10. Zero to Three. Diagnostic classification: 0-3. Diagnostic classification of mental health and developmental disorders of infancy and early childhood: Revised edition (DC:0-3R). Washington, DC: Zero to Three Press; 2005.

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