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Individual differences in responsivity to a neurobehavioural examination predict crying patterns of 1-week-old infants at home.

Abstract

Unexplained crying in infants aged 1 to 3 months is a common concern for Western parents and health services. This study examined the hypothesis that the crying is due to high infant responsivity, and provides evidence about the types of stimulation that trigger crying in infants who present with high responsivity. The sample included 93 eight-day-old infants from a community sample (47 females, 46 males; mean birthweight 3457g; mean gestation 39.4 weeks; mean Apgar scores 8.28 at 1 minute and 9.59 at 5 minutes). Infants were tested for their response to two standard, mildly challenging, procedures: a neurobehavioural test involving undressing, putting down, and handling, and the Guthrie test, involving a painful heel prick to obtain a blood sample. The infants' crying over 24 hours was recorded in parental diaries. Newborn infants who exhibited high responsivity during the neurobehavioural assessment cried, rather than fussed, the most at home. High responsivity during the neurobehavioural assessment also predicted those infants who cried a lot and met a definition of 'colic' at home. The findings support the responsivity hypothesis and show that infants with high responsivity are upset by undressing, putting down, and sustained handling. Explanations for this and implications for the management of infant crying and colic are discussed.

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  • Authors+Show Affiliations

    ,

    Thomas Coram Research Unit, Institute of Education, University of London, 27-28 Woburn Square, London WC1H 0AA, UK. i.stjamesroberts@ioe.ac.uk

    , , ,

    Source

    MeSH

    Age Factors
    Colic
    Crying
    Diagnosis, Differential
    Female
    Gestational Age
    Humans
    Individuality
    Infant, Newborn
    Male
    Mental Disorders
    Nervous System Diseases
    Neurologic Examination
    Physical Stimulation
    Predictive Value of Tests
    Severity of Illness Index

    Pub Type(s)

    Evaluation Studies
    Journal Article
    Research Support, Non-U.S. Gov't

    Language

    eng

    PubMed ID

    12785441

    Citation

    St James-Roberts, Ian, et al. "Individual Differences in Responsivity to a Neurobehavioural Examination Predict Crying Patterns of 1-week-old Infants at Home." Developmental Medicine and Child Neurology, vol. 45, no. 6, 2003, pp. 400-7.
    St James-Roberts I, Goodwin J, Peter B, et al. Individual differences in responsivity to a neurobehavioural examination predict crying patterns of 1-week-old infants at home. Dev Med Child Neurol. 2003;45(6):400-7.
    St James-Roberts, I., Goodwin, J., Peter, B., Adams, D., & Hunt, S. (2003). Individual differences in responsivity to a neurobehavioural examination predict crying patterns of 1-week-old infants at home. Developmental Medicine and Child Neurology, 45(6), pp. 400-7.
    St James-Roberts I, et al. Individual Differences in Responsivity to a Neurobehavioural Examination Predict Crying Patterns of 1-week-old Infants at Home. Dev Med Child Neurol. 2003;45(6):400-7. PubMed PMID: 12785441.
    * Article titles in AMA citation format should be in sentence-case
    TY - JOUR T1 - Individual differences in responsivity to a neurobehavioural examination predict crying patterns of 1-week-old infants at home. AU - St James-Roberts,Ian, AU - Goodwin,Jenny, AU - Peter,Bernice, AU - Adams,Diana, AU - Hunt,Steve, PY - 2003/6/6/pubmed PY - 2003/6/18/medline PY - 2003/6/6/entrez SP - 400 EP - 7 JF - Developmental medicine and child neurology JO - Dev Med Child Neurol VL - 45 IS - 6 N2 - Unexplained crying in infants aged 1 to 3 months is a common concern for Western parents and health services. This study examined the hypothesis that the crying is due to high infant responsivity, and provides evidence about the types of stimulation that trigger crying in infants who present with high responsivity. The sample included 93 eight-day-old infants from a community sample (47 females, 46 males; mean birthweight 3457g; mean gestation 39.4 weeks; mean Apgar scores 8.28 at 1 minute and 9.59 at 5 minutes). Infants were tested for their response to two standard, mildly challenging, procedures: a neurobehavioural test involving undressing, putting down, and handling, and the Guthrie test, involving a painful heel prick to obtain a blood sample. The infants' crying over 24 hours was recorded in parental diaries. Newborn infants who exhibited high responsivity during the neurobehavioural assessment cried, rather than fussed, the most at home. High responsivity during the neurobehavioural assessment also predicted those infants who cried a lot and met a definition of 'colic' at home. The findings support the responsivity hypothesis and show that infants with high responsivity are upset by undressing, putting down, and sustained handling. Explanations for this and implications for the management of infant crying and colic are discussed. SN - 0012-1622 UR - https://www.unboundmedicine.com/medline/citation/12785441/full_citation L2 - https://onlinelibrary.wiley.com/resolve/openurl?genre=article&sid=nlm:pubmed&issn=0012-1622&date=2003&volume=45&issue=6&spage=400 DB - PRIME DP - Unbound Medicine ER -