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Cited by 7Infant Health and DevelopmentEar Surgery and Otitis MediaHearing, Cochlea, Tinnitus, Genetics

Large cohort study finds a statistically significant association between excessive crying in early infancy and subsequent ear symptoms

Hestbaek, Lise, Sannes, Marianne Myhre, Lous, Jørgen·2014·Acta Paediatrica
DOI 10.1111/apa.12570
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Abstract

AIM: The diagnosis of infantile colic is based on excessive crying. However, several causal factors can account for this disconcerting, nonspecific symptom. The main aim of this study was to investigate a possible association between excessive crying during the first 6 months of life and subsequent ear problems. METHODS: Data from a cohort study of 26 983 Danish children were used. Mothers participated in four telephone interviews and one questionnaire and provided information on crying in the first 6 months of life and ear symptoms at the ages of 6 months, 18 months and 7 years. RESULTS: There was a statistically significant association between excessive crying in infancy and subsequent ear symptoms. A gradual increase in subsequent ear problems was seen with increasing crying time at all the data collection times. CONCLUSIONS: The results of this study suggest a possible link between excessive crying and ear infections. Whether such a link is causal or due to common underlying factors is still unknown. We recommend thorough ear examinations in children with symptoms compatible with infantile colic.

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  • Infant constitutional difficulties such as colic or dysregulated sleep may increase family stress, which can raise parental sleeplessness, distress and low mood, affecting parenting and making the baby more uncomfortable or difficult.

    “For instance, an infants' constitutional difficulties at any given time (e.g.colic, dysregulated sleep patterns) may contribute to family stress, which in turn may contribute to increased levels of parental sleeplessness, distress and low mood, which can affect parenting, and lead to babies becoming more uncomfortable/difficult (Gross et al., 2008;Hestbaek et al., 2014).”

    From The effects of paternal depression on child and adolescent outcomes: A systematic review (2016) · cites this paper as Hestbaek et al., 2014

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Authors
Hestbaek, L., Sannes, M. M., & Lous, J.
Affiliations
  • Institute of Clinical Biomechanics; University of Southern Denmark; Odense Denmark
  • Kiropraktorklinikken; Horten Sykehus A/S; Horten Norway
  • University of Southern Denmark (DK)
ORCID
Lous, Jørgen
Venue
Acta Paediatrica
Publisher
Wiley
Published
2014-02-12
Volume
103
Issue
5
Pages
e206-e211
ISSN
  • 0365-1436 (ISSN-L)
  • 0803-5253
DOI
10.1111/apa.12570
OpenAlex
W2089666342
Cited by
7
References
28
Citations by year
2026: 1 · 2024: 1 · 2023: 1 · 2021: 1 · 2019: 1 · 2018: 1 · 2016: 1
FWCI
0.78
Type
journal article
Language
en
Open access
closed
Licence
doi.wiley.com/10.1002/tdm_license_1.1 (tdm, 566 d)
Locations
  • Acta Paediatrica (publishedVersion)
  • PubMed (publishedVersion)
  • University of Southern Denmark Research Portal (University of Southern Denmark) (publishedVersion)
Funders
  • Danish National Research Foundation
  • Pharmacy Foundation
  • Egmont Foundation
  • March of Dimes Birth Defects Foundation
  • Augustinus Foundation
  • Health Foundation
  • Lundbeck Foundation
  • Danish Medical Research Council
Topics
  • Health Sciences › Health Professions › Pharmacy › Infant Health and Development
  • Health Sciences › Medicine › Otorhinolaryngology › Ear Surgery and Otitis Media
  • Life Sciences › Neuroscience › Sensory Systems › Hearing, Cochlea, Tinnitus, Genetics
Keywords
infantile colic, excessive crying, ear symptoms, otitis media, infant crying, ear infection, early infancy, child health
MeSH terms
Child, Colic, Crying, Denmark, Diagnosis, Differential, Earache, Female, Follow-Up Studies, Humans, Infant, Male, Otitis, Prospective Studies, Logistic Models, Odds Ratio, Risk Assessment, Self Report

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