支持婴儿过度哭闹父母的干预措施：系统评价。
完整摘要 · 中文译文
背景：父母报告称，约10%至20%的婴儿在婴儿早期无明显原因地大量哭闹。这种“过度”婴儿哭闹可导致不良结局，包括父母抑郁、停止母乳喂养、亲子关系受损，极端情况下还可导致婴儿虐待。需要具有成本效益的父母支持服务。 目的：评估旨在为过度哭闹婴儿的父母提供支持的干预措施的有效性和成本效益。 数据来源：检索了MEDLINE、Embase、EconLit、Web of Science、Scopus、PsycINFO、CINAHL和CENTRAL，检索时间自建库至2025年4月8日。使用NIHR CRN数据库和手工检索以识别进一步的研究。 研究选择：纳入报告任何针对≤1岁过度哭闹婴儿父母提供支持的干预措施的父母结局的比较研究。 数据提取：两名独立评价者进行数据提取并评估偏倚风险。在可能的情况下进行荟萃分析；否则进行叙述性综合。 结果：荟萃分析发现，教育干预显著降低了父母压力或焦虑。叙述性分析产生了不一致的结果，但指出了成功教育干预的共同组成部分。对给婴儿施用益生菌的研究进行的荟萃分析发现，父母生活质量有显著改善，但父母抑郁无显著改善。未发现安全性数据和有限的经济学证据。 局限性：很少有研究测量的父母结局足够相似，能够合并进行荟萃分析 . 偏倚风险范围从不明确到高风险。 结论：教育干预和益生菌干预在支持过度哭闹婴儿的父母方面显示出前景。需要在上述发现基础上开展更多采用循证干预措施和结局指标及成本效果分析的对照试验。
完整摘要 · 英文原文
CONTEXT: Parents report that around 10% to 20% of babies cry a lot without an apparent reason during early infancy. This "excessive" infant crying can lead to adverse outcomes, including parental depression, breastfeeding cessation, impaired parent-child relationships, and, in extreme cases, infant abuse. Cost-effective parent-support services are needed. OBJECTIVE: To assess the effectiveness and cost-effectiveness of interventions designed to support parents of excessively crying babies. DATA SOURCES: MEDLINE, Embase, EconLit, Web of Science, Scopus, PsycINFO, CINAHL and CENTRAL were searched from inception to 8th April 2025. The NIHR CRN database and handsearching were used to identify further studies. STUDY SELECTION: Comparative studies reporting parental outcomes for any intervention supporting parents of excessively crying infants aged ≤1 year were included. DATA EXTRACTION: Two independent reviewers conducted data extraction and assessed risk of bias. Meta-analysis was performed when possible; otherwise, narrative synthesis was conducted. RESULTS: Meta-analysis found that educational interventions significantly reduced parental stress or anxiety. Narrative analyses produced mixed findings, but components common to successful educational interventions were indicated. Meta-analyses of studies administering probiotics to infants found significant improvements in parents' quality of life but not in parental depression. No safety data and limited economic evidence were found. LIMITATIONS: Few studies measured similar enough parental outcomes to be pooled in meta-analysis. Risk of bias ranged from unclear to high risk. CONCLUSIONS: Educational and probiotic interventions show promise for supporting parents of excessively crying babies. Additional controlled trials employing evidence-based interventions and outcome measures and cost-effectiveness analyses are needed to build on these findings.