Catherine Nicole L A, Ko Jenny J, Barr Ronald G
Centre for Community Child Health Research, Child and Family Research Institute, Vancouver, BC, Canada.
J Dev Behav Pediatr. 2008 Dec;29(6):508-11. doi: 10.1097/DBP.0b013e31818d0c0c.
The objective of this study is to determine whether advice in parenting magazines reflects current evidence-based understanding of early infant crying and colic, where (1) "colic" is the upper end of a spectrum of crying behavior reflective of normal infant development, and (2) physical abuse--in particular, shaken baby syndrome (SBS)--is a serious medical consequence of early crying. All available issues of 11 popular Canadian parenting magazines published between January 2000 and December 2004 were hand-searched and systematically reviewed. Fifty-one articles were found with information on: (1) causes of, (2) responses to, and/or (3) mention of SBS or abuse as a consequence of crying and/or colic. There were 105 specific causes suggested, but almost no agreement concerning the causes of crying and colic. Similarly, there were 231 specific responses to crying and colic mentioned, but little agreement among the suggested responses. For both crying and colic together, the consequence of abuse was mentioned only 7 times, and SBS only twice. Making the advice literature a truly helpful vehicle for parents concerning normal behavioral development and its consequences for their new infant seems to be a significant challenge. Arguably, this is an important shared responsibility of physicians, researchers, and journalists.
本研究的目的是确定育儿杂志中的建议是否反映了当前基于证据的对婴儿早期哭闹和腹绞痛的理解，其中：（1）“腹绞痛”是反映正常婴儿发育的一系列哭闹行为的上限；（2）身体虐待——特别是摇晃婴儿综合征（SBS）——是早期哭闹的严重医学后果。对2000年1月至2004年12月期间在加拿大出版的11种流行育儿杂志的所有期次进行了人工检索和系统回顾。发现了51篇文章，内容涉及：（1）哭闹和腹绞痛的原因；（2）对哭闹和腹绞痛的应对措施；和/或（3）提及SBS或虐待是哭闹和/或腹绞痛的后果。共提出了105种具体原因，但对于哭闹和腹绞痛的原因几乎没有达成共识。同样，提到了231种对哭闹和腹绞痛的具体应对措施，但建议的应对措施之间也几乎没有达成共识。对于哭闹和腹绞痛两者而言，仅7次提到虐待后果，仅2次提到SBS。使建议性文献成为帮助父母了解正常行为发育及其对新生儿影响的真正有用工具似乎是一项重大挑战。可以说，这是医生、研究人员和记者共同承担的一项重要责任。
