Dihigo S K
North Texas Colic Specialists, Inc, Grand Prairie 75052, USA.
J Pediatr Health Care. 1998 Sep-Oct;12(5):256-62. doi: 10.1016/s0891-5245(98)90206-1.
The purpose of this study was to validate the effectiveness of behavior modification in treating colicky infants. Colic was defined as a self-limiting condition in infants less than 4 months of age with a complex of physical behaviors and inconsolable crying (> 2 hours a day for 3 days). It was hypothesized that when parents are given specific instructions about how to respond quickly and appropriately to their infant's cues (modification of the parent/infant interaction), the amount of crying by the infant decreases.
A quasi-experimental design with an untreated control group and a pretest and posttest was used for the study. Twenty-three infants were randomly assigned to intervention, nonintervention, and control groups. Crying diaries kept by the parents were used to obtain quantitative measurements of crying before and after intervention. The Nursing Child Assessment Feeding Scale (NCAFS) was used to measure parent/infant interaction.
Crying was significantly reduced from 3.79 hours per day to 1.12 hours per day (F = 46.00, df = 2, P < .05) among infants whose parents received interventions of individualized counseling and education. Caregivers of colicky infants in the intervention group scored lower on the NCAFS (F = 5.59, df = 2, P < .05).
Findings support previous research suggesting that crying can be reduced by modifying parental responses to the infant.
本研究的目的是验证行为矫正疗法在治疗腹绞痛婴儿方面的有效性。腹绞痛被定义为一种自限性疾病，发生在4个月以下婴儿身上，伴有一系列身体行为和无法安抚的哭闹（每天超过2小时，持续3天）。研究假设，当父母得到关于如何快速且适当地回应婴儿暗示的具体指导（改变亲子互动方式）时，婴儿的哭闹量会减少。
本研究采用准实验设计，设有未接受治疗的对照组，并进行了前测和后测。23名婴儿被随机分配到干预组、非干预组和对照组。父母记录的哭闹日记用于获取干预前后哭闹情况的定量测量数据。使用儿童护理评估喂养量表（NCAFS）来测量亲子互动情况。
在父母接受个性化咨询和教育干预的婴儿中，哭闹时间从每天3.79小时显著减少至每天1.12小时（F = 46.00，自由度 = 2，P < .05）。干预组中腹绞痛婴儿的照料者在NCAFS上的得分较低（F = 5.59，自由度 = 2，P < .05）。
研究结果支持先前的研究，即通过改变父母对婴儿的反应可以减少婴儿哭闹。
