Infancy Problem Behaviors
Paula S. Algranati MD1
Paul H. Dworkin MD2
1 Assistant Professor, Department of Pediatrics, University of Connecticut Health Center, Farmington, CT.
2 Professor and Vice-Chairman, Department of Pediatrics, Head, Division of General Pediatrics, University of Connecticut Health Center, Farmington, CT.
The goal of pediatric health supervision is to promote the optimal growth and development of children. Parent-infant interaction and parental attitudes toward their infant are important determinants of child development. Anticipatory guidance during child health supervision enables the pediatric provider to discuss developmental stages and demystify common stage-related behaviors, such as fussing, night-waking, repetitive movements, and clinging. Anticipating the emergence of such behaviors and issues may lessen parental anxiety and concern. When behavioral problems such as colic or sleep difficulties do arise, a consideration of developmental stage is helpful in suggesting specific management strategies. The successful implementation of developmentally-oriented approaches has benefits for the family and pediatric provider, including increased parental self-confidence, enhanced family functioning, and increased parental confidence in the pediatrician. Furthermore, by encouraging developmentally-oriented approaches, parents will be less inclined to adopt inappropriate or ineffectual behavioral management strategies.
