Räihä H, Lehtonen L, Huhtala V, Saleva K, Korvenranta H
Department of Psychology, University of Turku, Turky, Finland.
Child Care Health Dev. 2002 Sep;28(5):419-29. doi: 10.1046/j.1365-2214.2002.00292.x.
We studied mother-infant, father-infant and mother-father interaction in 32 families with an excessively crying infant and in 30 control families. The group with excessive criers was divided further into subgroups of severe colic (n=13) and moderate colic (n=19). The three dyads of the family were video-recorded when the infants were an average of 5 weeks old. The assessment was carried out during the infant's feeding, nappy change and discussion between the parents. During the assessment, only four infants were crying. The Parent Child Early Relational Assessment Scale and the Beavers Scale were used.
The main findings suggest that both parents of colicky infants had less optimal parent-child interaction compared with the control parents. The problems in the interaction were most pronounced between the fathers and infants in the severe colic group. The father-infant interaction was less optimal in 13 items of 65 (20%) in the severe colic group, in one item of 65 (2%) in the moderate colic group and in none of the items in the control group. The mother-infant interaction was less optimal in six items out of 65 (9%) in the severe colic group, in three items out of 65 (5%) in the moderate colic, and in none of the items in the control group. Severely colicky infants were also less competent in interacting with their parents. In addition, interaction between the parents was more often dysfunctional in the severe colic group.
The problems in early family interaction may threaten the well-being of families with excessively crying infants and they therefore deserve special attention from the health care professionals.
我们研究了32个有过度哭闹婴儿的家庭以及30个对照家庭中的母婴、父子和夫妻互动情况。有过度哭闹婴儿的组进一步分为严重肠绞痛亚组(n = 13)和中度肠绞痛亚组(n = 19)。当婴儿平均5周大时,对家庭中的三个二元组进行了录像。评估在婴儿进食、换尿布以及父母之间的讨论期间进行。评估期间,只有4名婴儿在哭闹。使用了亲子早期关系评估量表和海狸量表。
主要研究结果表明,与对照家庭的父母相比,患有肠绞痛婴儿的父母的亲子互动都不太理想。互动问题在严重肠绞痛组的父亲与婴儿之间最为明显。严重肠绞痛组中,父子互动在65项中的13项(20%)不太理想,中度肠绞痛组在65项中的1项(2%)不太理想,而对照组中没有一项不太理想。严重肠绞痛组中,母婴互动在65项中有6项(9%)不太理想,中度肠绞痛组在65项中有3项(5%)不太理想,对照组中没有一项不太理想。严重肠绞痛的婴儿与父母互动的能力也较差。此外,严重肠绞痛组中父母之间的互动功能失调更为常见。
早期家庭互动中的问题可能会威胁到有过度哭闹婴儿的家庭的幸福,因此值得医护人员给予特别关注。