Department of Pediatrics, St Antonius Hospital, Nieuwegein, The Netherlands.
University Medical Center, Utrecht, The Netherlands.
Acta Paediatr. 2021 Aug;110(8):2455-2461. doi: 10.1111/apa.15873. Epub 2021 Apr 18.
The aim of this case-control study was to compare parental stress, depression, anxiety and bonding problems between fathers and mothers of babies with infant colic and parents of control infants.
Parents of 34 infants with infant colic and 67 control dyads were included. Parental feelings were assessed using validated questionnaires.
Fathers as well as mothers of infants with infant colic showed significantly higher mean scores compared with controls on stress (20.9 ± 5.8 and 25.5 ± 7.2 vs 16.4 ± 6.1 and 14.7 ± 7.0), depression (5.6 ± 4.0 and 9.1 ± 4.8 vs 2.9 ± 2.9 and 4.0 ± 3.1), anxiety (41.9 ± 9.2 and 46.0 ± 10.2 vs 32.4 ± 8.4 and 32.2 ± 9.3) and bonding problems (16.1 ± 8.1 and 13.7 ± 5.9 vs 8.7 ± 6.3 and 5.0 ± 4.4). In fathers, after adjustments for infant and parental confounders and maternal negative feelings, depression and anxiety were significantly increased in the infant colic group (difference of 2.7 (p = 0.017) and 8.6 (p = 0.002)).
In fathers of infants with infant colic, the experienced distress is strongly associated with maternal distress, except for depression and anxiety. Paediatricians should be aware of these paternal feelings as parental reassurance and support is one of the cornerstones in the treatment of infants with colic.
本病例对照研究旨在比较婴儿绞痛患儿的父母与对照组婴儿的父母在父母压力、抑郁、焦虑和亲子关系问题方面的差异。
纳入了 34 名婴儿绞痛患儿的父母和 67 对对照组父母。使用经过验证的问卷评估父母的感受。
与对照组相比，婴儿绞痛患儿的父亲和母亲的压力（20.9±5.8 和 25.5±7.2 与 16.4±6.1 和 14.7±7.0）、抑郁（5.6±4.0 和 9.1±4.8 与 2.9±2.9 和 4.0±3.1）、焦虑（41.9±9.2 和 46.0±10.2 与 32.4±8.4 和 32.2±9.3）和亲子关系问题（16.1±8.1 和 13.7±5.9 与 8.7±6.3 和 5.0±4.4）的平均得分均显著更高。在父亲中，在校正婴儿和父母混杂因素以及母亲的负面情绪后，婴儿绞痛组的抑郁和焦虑显著增加（差异分别为 2.7（p=0.017）和 8.6（p=0.002））。
在患有婴儿绞痛的婴儿的父亲中，所经历的痛苦与母亲的痛苦密切相关，除了抑郁和焦虑。儿科医生应该意识到这些父亲的感受，因为父母的安慰和支持是治疗绞痛婴儿的基石之一。
