Literature DB >> 21429518

Infant distress at five weeks of age and caregiver frustration.

Takeo Fujiwara1, Ronald G Barr, Rollin Brant, Marilyn Barr.   

Abstract

OBJECTIVE: To investigate the differential association of three modes (fussing, crying, unsoothable crying) and three properties (duration/day, frequency/day, maximum bout length) of infant distress with daily caregiver frustration. STUDY
DESIGN: Replicated cross-sectional studies were completed in Vancouver, British Columbia (n = 1065) and Seattle, Washington (n = 1857). Infant fussing, crying, and unsoothable crying and caregiver frustration were measured daily for 4 days at 5 weeks of age by the Baby's Day Diary. Generalized estimating equation models were used to predict caregiver frustration from nine measurements of distress.
RESULTS: In Vancouver, measurements of distress significantly associated with caregiver frustration in decreasing order of magnitude were as follow: (1) maximum bout length of unsoothable crying; (2) duration/day of crying; and (3) frequency of unsoothable crying and duration/day of fussing. In Seattle, associated measurements of distress were: (1) maximum bout length of unsoothable crying; (2) maximum bout length and duration/day of crying, frequency of unsoothable crying, and duration/day of fussing; and (3) frequency/day of crying.
CONCLUSIONS: Daily caregiver frustration is associated differentially with different modes and properties of infant distress. Specifically, maximum bout length of unsoothable crying was most strongly related in both sites. Additionally, frequency/day of unsoothable crying and duration/day of crying and of fussing were significantly associated at both sites.
Copyright © 2011 Mosby, Inc. All rights reserved.

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Year:  2011        PMID: 21429518     DOI: 10.1016/j.jpeds.2011.02.010

Source DB:  PubMed          Journal:  J Pediatr        ISSN: 0022-3476            Impact factor:   4.406


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