Murdoch Children's Research Institute, Melbourne, Australia;
Murdoch Children's Research Institute, Melbourne, Australia.
Pediatrics. 2019 Mar;143(3). doi: 10.1542/peds.2018-0977. Epub 2019 Feb 8.
: media-1vid110.1542/5984232215001PEDS-VA_2018-0977 OBJECTIVES: To examine profiles of infant regulatory behaviors and associated family characteristics in a community sample of 12-month-old infants and mental health difficulties at 5 and 11 years of age.
Items relating to demographic characteristics, maternal distress, and infant regulation were completed by 1759 mothers when their infants were 8 to 12 months old. The Strengths and Difficulties Questionnaire was completed by mothers at child ages 5 ( = 1002) and 11 ( = 871) years.
Analyses revealed 5 profiles ranging from the most settled infants (36.8%) to those with mainly sleep problems (25.4%), isolated mild-to-moderate tantrums (21.3%), complex regulatory difficulties (13.2%), and complex and severe regulatory difficulties (3.4%). Compared with those in the settled profile, children in the moderately unsettled profile were more likely to score in the clinical range for total difficulties at 11 years of age (odds ratio [OR] 2.85; 95% confidence interval [CI]: 1.28 to 6.36; < .01), and children in the severely unsettled profile were more likely to score in the clinical range at 5 (OR 9.35; 95% CI: 2.49 to 35.11; < .01) and 11 years of age (OR 10.37; 95% CI: 3.74 to 28.70; < .01).
Infants with multiple moderate-to-severe regulatory problems experience substantially heightened odds of clinically significant mental health concerns during childhood, and these symptoms appear to worsen over time. Clinicians must inquire about the extent, complexity, and severity of infant regulatory problems to identify those in the most urgent need of intervention and support.
在一个社区 12 个月大的婴儿样本中，检查婴儿调节行为的特征及其相关家庭特征，并研究其在 5 岁和 11 岁时的心理健康问题。
当婴儿 8 至 12 个月大时，1759 位母亲完成了与人口统计学特征、母亲焦虑和婴儿调节相关的项目。在儿童 5 岁（n=1002）和 11 岁（n=871）时，母亲完成了《长处和困难问卷》。
分析显示，5 种特征的婴儿从最稳定的婴儿（36.8%）到主要存在睡眠问题的婴儿（25.4%）、有孤立的轻度至中度发脾气（21.3%）、复杂的调节困难（13.2%）和复杂且严重的调节困难（3.4%）不等。与稳定型婴儿相比，中度不稳定型婴儿在 11 岁时更有可能在总体困难方面的得分处于临床范围（优势比[OR]2.85；95%置信区间[CI]：1.28 至 6.36；<0.01），而严重不稳定型婴儿在 5 岁（OR 9.35；95% CI：2.49 至 35.11；<0.01）和 11 岁（OR 10.37；95% CI：3.74 至 28.70；<0.01）时更有可能得分处于临床范围。
有多种中度至重度调节问题的婴儿在儿童时期出现明显的心理健康问题的可能性大大增加，并且这些症状似乎随着时间的推移而恶化。临床医生必须询问婴儿调节问题的程度、复杂性和严重程度，以确定那些最需要干预和支持的婴儿。
