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婴儿腹绞痛:三年后的儿童与家庭

Infantile colic: child and family three years later.

作者信息

Rautava P, Lehtonen L, Helenius H, Sillanpää M

机构信息

Department of Public Health, University of Turku, Finland.

出版信息

Pediatrics. 1995 Jul;96(1 Pt 1):43-7.

PMID:7596720
Abstract

OBJECTIVE

To assess differences in family functioning or child-rearing attitudes within families with previously colicky infants and to assess whether the children differed in their behavior, development, or frequency of allergies.

STUDY DESIGN

A controlled, prospective study with infants (3 months to 3 years of age) and their families.

PARTICIPANTS

Three hundred thirty-eight infants with and 866 infants without exhibited colic and their families.

METHODS

Questionnaires to mothers and nurses regarding infantile colic (3 months of age); questionnaires to mothers, fathers, and nurses regarding interactions within the family, parents' satisfaction with daily life, child caring, child behavior, and development (3 years old); the Denver Developmental Screening Test (parents filled out at home during the whole 3 years of infant development); the Achenbach Behavior Checklist for 2- to 3-year-old children (the 3-year visit at a well baby clinic).

RESULTS

The families of previously colicky infants demonstrated more dissatisfaction with the arrangements of daily family responsibilities and with the amount of both leisure time and shared activities. The children in the colic group had more sleeping problems and more frequent temper tantrums (at 3 years of age) than the control group.

CONCLUSIONS

The families with colicky infants had more distress 3 years later. Families with colicky infants should be provided practical support in improving daily family functioning and child rearing. In addition, underlying problems in family relationships should be managed appropriately.

摘要

目的

评估家中曾有患腹绞痛婴儿的家庭在家庭功能或育儿态度上的差异,并评估这些孩子在行为、发育或过敏频率方面是否存在差异。

研究设计

一项针对婴儿(3个月至3岁)及其家庭的对照前瞻性研究。

参与者

338名曾患腹绞痛的婴儿及其家庭,以及866名未患腹绞痛的婴儿及其家庭。

方法

向母亲和护士发放关于婴儿腹绞痛(3个月大时)的问卷;向母亲、父亲和护士发放关于家庭内部互动、父母对日常生活的满意度、育儿、孩子行为和发育(3岁时)的问卷;丹佛发育筛查测试(在婴儿3年的发育过程中,由父母在家填写);针对2至3岁儿童的阿肯巴克行为清单(在健康婴儿诊所进行3岁访视时填写)。

结果

家中曾有患腹绞痛婴儿的家庭对日常家庭责任安排以及休闲时间和共同活动量的满意度较低。与对照组相比,腹绞痛组的孩子睡眠问题更多,发脾气更频繁(3岁时)。

结论

家中曾有患腹绞痛婴儿的家庭在3年后困扰更多。应向家中曾有患腹绞痛婴儿的家庭提供实际支持,以改善日常家庭功能和育儿方式。此外,应妥善处理家庭关系中的潜在问题。

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