Richter Katharina, Friedmann Anna, Mall Volker, Augustin Michaela
School of Medicine and Health, Social Pediatrics, Technical University of Munich, 81675 Munich, Germany.
German Center for Child and Adolescent Health (DZKJ), Partner Site Munich, 80337 Munich, Germany.
Children (Basel). 2024 Dec 19;11(12):1540. doi: 10.3390/children11121540.
BACKGROUND/OBJECTIVES: Infant regulatory problems (RPs), i.e., crying, sleeping, and feeding problems, are associated with unfavorable outcomes in later childhood. RPs increased during the pandemic; however, their occurrence in the face of today's societal challenges remains unclear. RPs are strongly linked to parenting stress and less positive parenting behaviors, but their interplay is less investigated.
In this cross-sectional, questionnaire-based study (ntotal = 7039), we compared the incidences of crying, sleeping, and feeding problems in infants (0-2 years) in pandemic (npandemic = 1391) versus post-pandemic (npost-pandemic = 5648) samples in Germany. We also investigated the relationship between post-pandemic infant RPs and parenting behaviors with parenting stress as a potential mediator for fathers and mothers.
Crying/whining/sleeping problems (34.8%) and excessive crying (6.3%) were significantly more prevalent in the post-pandemic sample. In both mothers and fathers, infant RPs were significantly associated with less positive parenting behaviors. Parenting stress partially mediated this relationship.
RPs in the post-pandemic era are even more prevalent than during the pandemic, highlighting the imperative for health care professionals to focus on infant mental health. Parenting stress emerges as an entry point for addressing the cycle of infant RPs and maladaptive behaviors in both fathers and mothers.
背景/目的:婴儿调节问题(RPs),即哭闹、睡眠和喂养问题,与儿童后期的不良后果相关。在疫情期间,RPs有所增加;然而,在当今社会挑战背景下其发生情况仍不清楚。RPs与育儿压力和较不积极的育儿行为密切相关,但它们之间的相互作用较少被研究。
在这项基于问卷调查的横断面研究(n总 = 7039)中,我们比较了德国疫情期间(n疫情 = 1391)与疫情后(n疫情后 = 5648)样本中0至2岁婴儿哭闹、睡眠和喂养问题的发生率。我们还以育儿压力作为父亲和母亲的潜在中介因素,研究了疫情后婴儿RPs与育儿行为之间的关系。
在疫情后样本中,哭闹/呜咽/睡眠问题(34.8%)和过度哭闹(6.3%)明显更为普遍。在父亲和母亲中,婴儿RPs均与较不积极的育儿行为显著相关。育儿压力部分介导了这种关系。
疫情后时代的RPs比疫情期间更为普遍,这凸显了医疗保健专业人员关注婴儿心理健康的紧迫性。育儿压力成为解决父亲和母亲中婴儿RPs与适应不良行为循环的切入点。