Barr R G
McGill University-Montreal Children's Hospital Research Institute, Qc., Canada.
Child Care Health Dev. 1998 Sep;24(5):425-39. doi: 10.1046/j.1365-2214.2002.00092.x.
Excessive crying and colic in the first 3 months of life remain as mysterious and unsolved clinical problems. The mystery is contributed to by the relative lack of long-term follow-up studies. The findings from four new follow-up studies of infants with prior colic are analyzed in an attempt to derive a clearer picture of what 'life after colic' might be like for parents, infants, and their interactions. The bad news is that, for a subgroup of infants and parents, especially those with substantial additional risk factors, early excessive crying may not resolve, but evolve into a more generalized 'persistent mother-infant distress' syndrome. For some mothers of infants with colic, the risk of depressive symptoms or decreased self-efficacy may be increased. However, there appears to be good news for a substantial majority of infants with colic and for their parents. This includes a significant reduction over time in the amount of crying, intact parental and infant capacities to be responsive in interactive contexts, no significant maternal stress, and normal attachment relationships.
出生后头3个月内过度哭闹和腹绞痛仍是神秘且未解决的临床问题。长期随访研究相对匮乏加剧了这一谜团。本文分析了四项针对曾患腹绞痛婴儿的新随访研究结果，试图更清晰地描绘出对父母、婴儿及其互动而言，“腹绞痛之后的生活”可能是怎样的。坏消息是，对于一部分婴儿及其父母，尤其是那些有大量额外风险因素的，早期过度哭闹可能不会缓解，而是演变成一种更普遍的“母婴持续困扰”综合征。对于一些患有腹绞痛婴儿的母亲，出现抑郁症状或自我效能感降低的风险可能会增加。然而，对于绝大多数患有腹绞痛的婴儿及其父母来说，似乎有好消息。这包括随着时间推移哭闹量显著减少、父母和婴儿在互动情境中有良好的反应能力、母亲无明显压力以及依恋关系正常。
