@article {Smart:April 2007:1034-4810:284,
	author = "Smart, Jayne",
	author = "Hiscock, Harriet",
	title = "Early infant crying and sleeping problems: A pilot study of impact on parental well-being and parent-endorsed strategies for management",
	journal = "Journal of Paediatrics and Child Health",
	volume = "43",
	year = "April 2007",
	abstract = "Aims:&#8195; <P></P>Infant sleeping and crying problems are common and impact adversely on maternal mental health but their impact on paternal mental health is unknown. A consistent approach to managing such problems has not been identified. Parents may be able to identify useful management strategies, which could then inform the content of a prevention&#47;early intervention approach to such problems. We aimed to determine the impact of infant behaviour problems on maternal and paternal mental health and management strategies that parents find useful. Methods:&#8195; <P></P><I>Design</I>: Pre-post intervention pilot. <I>Setting</I>: Paediatric outpatient clinic at the Royal Children's Hospital, Melbourne. <I>Participants</I>: 71 mothers and 60 fathers of infants aged 2&#8201;weeks to 7&#8201;months recruited from July 2004 to April 2005. <I>Main outcome measures:</I> Pre and post questionnaires measuring maternal and paternal well-being (Edinburgh Postnatal Depression Scale (EPDS)), parent report of infant behaviour problems, usefulness of consultation strategies. Results:&#8195; <P></P>Three weeks post consultation, fewer parents reported that their infant's behaviour was still a problem (64&#37; of mothers and 55&#37; of fathers). Thirty per cent fewer mothers reported an EPDS score &#62;12 (45&#37; pre vs. 15&#37; post clinic) while 11&#37; fewer fathers reported an EPDS score &#62;9 (30&#37; pre vs. 19&#37; post clinic). Most parents (80&#37; or more) rated exclusion of medical causes and information about normal sleeping&#47;crying as useful. Conclusions:&#8195; <P></P>Problem infant behaviours are associated with poor parental mental health. An intervention&#47;prevention approach to infant behaviour problems should include fathers and contain information about normal infant sleeping and crying patterns and exclusion of medical causes.",
	pages = "284-290(7)",
	url = "http://www.ingentaconnect.com/content/bsc/jpc/2007/00000043/00000004/art00013"
	doi = "doi:10.1111/j.1440-1754.2007.01060.x"
}