[Early childhood mental disorders: excessive crying, sleep and feeding disorders, and interventions using the "Munich model" as an example].

作者信息

Ziegler Margret, Wollwerth de Chuquisengo Ruth, Mall Volker, Licata-Dandel Maria

机构信息

Sozialpädiatrisches Zentrum und Klinik für Sozialpädiatrie, Kbo-Kinderzentrum München, Heiglhofstr. 65, 81377, München, Deutschland.

Technische Universität München, München, Deutschland.

出版信息

Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz. 2023 Jul;66(7):752-760. doi: 10.1007/s00103-023-03717-0. Epub 2023 Jul 4.

Abstract

About 20% of all healthy infants and toddlers show problems in the area of mental health during their first years of life such as inconsolable crying (so-called cry-babies), sleeping problems, and feeding problems. The prevalence of enduring feeding problems and sleeping problems is distinctly higher in premature children and in children with neuropediatric disorders. These problems present a higher risk for the development of internalizing and externalizing disorders of mental health in later childhood. The parent-child relationship is often strained. Parents report experiencing severe exhaustion, extreme uncertainty, and helplessness.Pediatricians and midwives are the first points of contact for families. Outpatient clinics for cry-babies such as the "Munich Consultation for Cry-Babies," founded by Mechthild Papoušek in 1991 at the kbo-Children's Center Munich, provide a low-threshold service for the highly stressed families. They can contribute to the prevention of neglect, maltreatment, and psychological secondary disorders of the child. Intervention strategies are based on parent-infant and attachment research and integrate child- and parent-oriented approaches.During the COVID-19 pandemic, psychosocial stress factors in families increased. This development was also observable in the outpatient clinics for cry-babies.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dbef/10328885/b4759d1e6e15/103_2023_3717_Fig1_HTML.jpg

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