Crying and motor behavior of six-week-old infants and postpartum maternal mood.
Identifieur interne : 002028 ( Main/Corpus ); précédent : 002027; suivant : 002029Crying and motor behavior of six-week-old infants and postpartum maternal mood.
Auteurs : A R Miller ; R G Barr ; W O EatonSource :
- Pediatrics [ 0031-4005 ] ; 1993.
English descriptors
- KwdEn :
- Adult (MeSH), Affect (MeSH), Anxiety (etiology), Crying (MeSH), Female (MeSH), Follow-Up Studies (MeSH), Humans (MeSH), Infant (MeSH), Male (MeSH), Mother-Child Relations (MeSH), Motor Activity (MeSH), Pregnancy (MeSH), Pregnancy Trimester, Third (psychology), Puerperal Disorders (psychology), Stress, Psychological (etiology).
- MESH :
- etiology : Anxiety, Stress, Psychological.
- psychology : Pregnancy Trimester, Third, Puerperal Disorders.
- Adult, Affect, Crying, Female, Follow-Up Studies, Humans, Infant, Male, Mother-Child Relations, Motor Activity, Pregnancy.
Abstract
OBJECTIVE
To determine whether prepartum and postpartum emotional distress in first-time mothers is associated with crying and fussing behavior and activity level in 6-week-old infants, after eliminating potential biases.
DESIGN
Observational study examining predictive and concurrent associations between maternal emotions and infant behaviors.
SETTING
General community.
PARTICIPANTS
Expectant primiparas attending obstetricians' offices for routine prenatal care were recruited in the third trimester. Mothers and babies were required to be free of medical complications to complete the study. Of 113 mothers who enrolled, complete crying/fussing data were obtained in 88 dyads. Activity data were obtained in a designated subgroup of 50 infants.
MEASUREMENTS
Mothers completed a self-report scale of emotional distress, the 28-item General Health Questionnaire, at 34 weeks of gestation and at 6 weeks postpartum. Crying/fussing data were obtained using a previously validated parent diary of infant behavior during the sixth week of life. Motor activity was measured objectively in the home setting with actometers.
RESULTS
Third-trimester distress was not related to either infant crying/fussing or activity. Postpartum distress was significantly related to crying/fussing duration and bout frequency (r[88] = .45 and .28, respectively; both P < .01). These relations were not diminished after controlling statistically for background and/or potential mediating variables, nor could they be accounted for by different diary-recording styles in the mothers. Postpartum distress was not, however, related to activity level (r[50] = -.09; not significant). Furthermore, the pattern of maternal distress was associated differentially with crying levels. Distress levels increased from prepartum to postpartum among mothers of infants who met predefined clinical criteria for "colic," while decreasing in the others ("colic" status x period interaction: F(1,86) = 8.2; P < .01). Also, infant crying varied among four groups of mothers who differed according to presence and timing of clinically significant emotional disturbance (one-way analysis of variance, F (3,86) = 9.4; P < .001). Infants of mothers who became significantly distressed postpartum ("reactive") cried more than those in the other groups, even mothers who had been distressed both prepartum and postpartum ("depressed") (3.7 vs 2.7 h/d; P = .05, post hoc Tukey).
CONCLUSIONS
Maternal emotional distress and infant crying behavior are associated in the postpartum period independent of reporting or referral biases. Clinically significant levels of crying (or "colic") are differentially associated with different patterns of clinically significant maternal distress. Reported concern about either maternal mood or infant crying behavior should be taken seriously as a possible indicator of a stressed mother-infant relationship.
PubMed: 8414826
Links to Exploration step
pubmed:8414826Le document en format XML
<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Crying and motor behavior of six-week-old infants and postpartum maternal mood.</title>
<author><name sortKey="Miller, A R" sort="Miller, A R" uniqKey="Miller A" first="A R" last="Miller">A R Miller</name>
<affiliation><nlm:affiliation>Department of Pediatrics, McGill University, Montreal, Quebec, Canada.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Barr, R G" sort="Barr, R G" uniqKey="Barr R" first="R G" last="Barr">R G Barr</name>
</author>
<author><name sortKey="Eaton, W O" sort="Eaton, W O" uniqKey="Eaton W" first="W O" last="Eaton">W O Eaton</name>
</author>
</titleStmt>
<publicationStmt><idno type="wicri:source">PubMed</idno>
<date when="1993">1993</date>
<idno type="RBID">pubmed:8414826</idno>
<idno type="pmid">8414826</idno>
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<sourceDesc><biblStruct><analytic><title xml:lang="en">Crying and motor behavior of six-week-old infants and postpartum maternal mood.</title>
<author><name sortKey="Miller, A R" sort="Miller, A R" uniqKey="Miller A" first="A R" last="Miller">A R Miller</name>
<affiliation><nlm:affiliation>Department of Pediatrics, McGill University, Montreal, Quebec, Canada.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Barr, R G" sort="Barr, R G" uniqKey="Barr R" first="R G" last="Barr">R G Barr</name>
</author>
<author><name sortKey="Eaton, W O" sort="Eaton, W O" uniqKey="Eaton W" first="W O" last="Eaton">W O Eaton</name>
</author>
</analytic>
<series><title level="j">Pediatrics</title>
<idno type="ISSN">0031-4005</idno>
<imprint><date when="1993" type="published">1993</date>
</imprint>
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult (MeSH)</term>
<term>Affect (MeSH)</term>
<term>Anxiety (etiology)</term>
<term>Crying (MeSH)</term>
<term>Female (MeSH)</term>
<term>Follow-Up Studies (MeSH)</term>
<term>Humans (MeSH)</term>
<term>Infant (MeSH)</term>
<term>Male (MeSH)</term>
<term>Mother-Child Relations (MeSH)</term>
<term>Motor Activity (MeSH)</term>
<term>Pregnancy (MeSH)</term>
<term>Pregnancy Trimester, Third (psychology)</term>
<term>Puerperal Disorders (psychology)</term>
<term>Stress, Psychological (etiology)</term>
</keywords>
<keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Anxiety</term>
<term>Stress, Psychological</term>
</keywords>
<keywords scheme="MESH" qualifier="psychology" xml:lang="en"><term>Pregnancy Trimester, Third</term>
<term>Puerperal Disorders</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Adult</term>
<term>Affect</term>
<term>Crying</term>
<term>Female</term>
<term>Follow-Up Studies</term>
<term>Humans</term>
<term>Infant</term>
<term>Male</term>
<term>Mother-Child Relations</term>
<term>Motor Activity</term>
<term>Pregnancy</term>
</keywords>
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<front><div type="abstract" xml:lang="en"><p><b>OBJECTIVE</b>
</p>
<p>To determine whether prepartum and postpartum emotional distress in first-time mothers is associated with crying and fussing behavior and activity level in 6-week-old infants, after eliminating potential biases.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>DESIGN</b>
</p>
<p>Observational study examining predictive and concurrent associations between maternal emotions and infant behaviors.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>SETTING</b>
</p>
<p>General community.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>PARTICIPANTS</b>
</p>
<p>Expectant primiparas attending obstetricians' offices for routine prenatal care were recruited in the third trimester. Mothers and babies were required to be free of medical complications to complete the study. Of 113 mothers who enrolled, complete crying/fussing data were obtained in 88 dyads. Activity data were obtained in a designated subgroup of 50 infants.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>MEASUREMENTS</b>
</p>
<p>Mothers completed a self-report scale of emotional distress, the 28-item General Health Questionnaire, at 34 weeks of gestation and at 6 weeks postpartum. Crying/fussing data were obtained using a previously validated parent diary of infant behavior during the sixth week of life. Motor activity was measured objectively in the home setting with actometers.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>RESULTS</b>
</p>
<p>Third-trimester distress was not related to either infant crying/fussing or activity. Postpartum distress was significantly related to crying/fussing duration and bout frequency (r[88] = .45 and .28, respectively; both P < .01). These relations were not diminished after controlling statistically for background and/or potential mediating variables, nor could they be accounted for by different diary-recording styles in the mothers. Postpartum distress was not, however, related to activity level (r[50] = -.09; not significant). Furthermore, the pattern of maternal distress was associated differentially with crying levels. Distress levels increased from prepartum to postpartum among mothers of infants who met predefined clinical criteria for "colic," while decreasing in the others ("colic" status x period interaction: F(1,86) = 8.2; P < .01). Also, infant crying varied among four groups of mothers who differed according to presence and timing of clinically significant emotional disturbance (one-way analysis of variance, F (3,86) = 9.4; P < .001). Infants of mothers who became significantly distressed postpartum ("reactive") cried more than those in the other groups, even mothers who had been distressed both prepartum and postpartum ("depressed") (3.7 vs 2.7 h/d; P = .05, post hoc Tukey).</p>
</div>
<div type="abstract" xml:lang="en"><p><b>CONCLUSIONS</b>
</p>
<p>Maternal emotional distress and infant crying behavior are associated in the postpartum period independent of reporting or referral biases. Clinically significant levels of crying (or "colic") are differentially associated with different patterns of clinically significant maternal distress. Reported concern about either maternal mood or infant crying behavior should be taken seriously as a possible indicator of a stressed mother-infant relationship.</p>
</div>
</front>
</TEI>
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<Issue>4</Issue>
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<Month>Oct</Month>
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<Title>Pediatrics</Title>
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<ArticleTitle>Crying and motor behavior of six-week-old infants and postpartum maternal mood.</ArticleTitle>
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<Abstract><AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">To determine whether prepartum and postpartum emotional distress in first-time mothers is associated with crying and fussing behavior and activity level in 6-week-old infants, after eliminating potential biases.</AbstractText>
<AbstractText Label="DESIGN" NlmCategory="METHODS">Observational study examining predictive and concurrent associations between maternal emotions and infant behaviors.</AbstractText>
<AbstractText Label="SETTING" NlmCategory="METHODS">General community.</AbstractText>
<AbstractText Label="PARTICIPANTS" NlmCategory="METHODS">Expectant primiparas attending obstetricians' offices for routine prenatal care were recruited in the third trimester. Mothers and babies were required to be free of medical complications to complete the study. Of 113 mothers who enrolled, complete crying/fussing data were obtained in 88 dyads. Activity data were obtained in a designated subgroup of 50 infants.</AbstractText>
<AbstractText Label="MEASUREMENTS" NlmCategory="METHODS">Mothers completed a self-report scale of emotional distress, the 28-item General Health Questionnaire, at 34 weeks of gestation and at 6 weeks postpartum. Crying/fussing data were obtained using a previously validated parent diary of infant behavior during the sixth week of life. Motor activity was measured objectively in the home setting with actometers.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Third-trimester distress was not related to either infant crying/fussing or activity. Postpartum distress was significantly related to crying/fussing duration and bout frequency (r[88] = .45 and .28, respectively; both P < .01). These relations were not diminished after controlling statistically for background and/or potential mediating variables, nor could they be accounted for by different diary-recording styles in the mothers. Postpartum distress was not, however, related to activity level (r[50] = -.09; not significant). Furthermore, the pattern of maternal distress was associated differentially with crying levels. Distress levels increased from prepartum to postpartum among mothers of infants who met predefined clinical criteria for "colic," while decreasing in the others ("colic" status x period interaction: F(1,86) = 8.2; P < .01). Also, infant crying varied among four groups of mothers who differed according to presence and timing of clinically significant emotional disturbance (one-way analysis of variance, F (3,86) = 9.4; P < .001). Infants of mothers who became significantly distressed postpartum ("reactive") cried more than those in the other groups, even mothers who had been distressed both prepartum and postpartum ("depressed") (3.7 vs 2.7 h/d; P = .05, post hoc Tukey).</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Maternal emotional distress and infant crying behavior are associated in the postpartum period independent of reporting or referral biases. Clinically significant levels of crying (or "colic") are differentially associated with different patterns of clinically significant maternal distress. Reported concern about either maternal mood or infant crying behavior should be taken seriously as a possible indicator of a stressed mother-infant relationship.</AbstractText>
</Abstract>
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<CommentsCorrectionsList><CommentsCorrections RefType="ErratumIn"><RefSource>Pediatrics 1994 Feb;93(2):A28</RefSource>
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