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[婴儿腹绞痛作为母亲咨询儿科医生的原因:母亲和孩子的特征]

[Infantile colic as maternal reason of consulting a pediatrician: characteristics of mother and child].

作者信息

Becker K, Pauli-Pott U, Beckmann D

机构信息

Abteilung für Medizinische Psychologie der Justus-Liebig-Universität Giessen.

出版信息

Prax Kinderpsychol Kinderpsychiatr. 1998 Nov;47(9):625-40.

PMID:9857677
Abstract

About 10-20% of infants under four months of age suffer from infantile colic (IC), an excessive screaming behaviour caused by multiple factors. WESSELS et al. (1954) definition is that babies in usually good health and nutritional condition are screaming/whining more than three hours daily, more than three days weekly for no apparent reasons. The question is whether/in what way daily routines of infants concerned differ from normal infants. Mothers of colicky infants (n = 25) and mothers in a control group (n = 25) record characteristics of the mother/child relationship, their assumptions why the child is screaming, care and attention they provide and babies' reactions. For seven days the mothers kept a diary about the babies' behaviour and worked on questionnaires concerning social support received, depressant effects and exhaustion. Interviews about the extent of care provided as well as personal thoughts and emotions were conducted. The "colic group" formed two subgroups: one fulfilling Wessels criteria (Wessel-Koliker; WK), the other more conforming with the "control group" babies though mothers complained about screaming (Non-Wessel-Koliker; NWK). "Colic group"-babies received more attention and care (compared to the "control group" babies), attempts to calm them down frequently failed and mothers in this group reacted less promptly to their babies' screaming. "NWK-group"-mothers strongly tend to attribute the babies' screaming to "meteorism" or "discontent". No differences existed between groups concerning social support, depressant effects and exhaustion. There is a risk that the colic may negatively influence the mother/child interaction beyond three months.

摘要

约10%-20%的四个月以下婴儿患有婴儿腹绞痛(IC),这是一种由多种因素引起的过度哭闹行为。韦塞尔等人(1954年)对其定义为,通常健康状况和营养状况良好的婴儿每天无故哭闹/呜咽超过三小时,每周超过三天。问题在于,患有腹绞痛的婴儿的日常活动是否/在哪些方面与正常婴儿不同。患有腹绞痛婴儿的母亲(n = 25)和对照组母亲(n = 25)记录母婴关系的特征、她们对孩子哭闹原因的推测、她们给予的照顾和关注以及婴儿的反应。母亲们连续七天记录婴儿的行为,并填写有关所获得的社会支持、抑郁影响和疲惫状况的问卷。还进行了关于所提供照顾程度以及个人想法和情绪的访谈。“腹绞痛组”分为两个亚组:一组符合韦塞尔标准(韦塞尔-科利克;WK),另一组虽然母亲抱怨婴儿哭闹,但在其他方面更符合“对照组”婴儿(非韦塞尔-科利克;NWK)。与“对照组”婴儿相比,“腹绞痛组”婴儿得到了更多关注和照顾,但安抚他们的尝试常常失败,且该组母亲对婴儿哭闹的反应不那么迅速。“NWK组”的母亲强烈倾向于将婴儿的哭闹归因于“肠胃胀气”或“不满”。两组在社会支持、抑郁影响和疲惫状况方面没有差异。腹绞痛有可能在三个月后对母婴互动产生负面影响。

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