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The purpose of this study was to clarify the nature of mother's distress and its related factors resultingfrom the crying of her one-month-old infant.Subjects and MethodsThe subjects were mothers who delivered children in hospitals/maternity clinics in the Hokuriku districtand who gave consent to our survey at the time of health examinations for one-month-old infants. Thecontents of the questionnaire were: characteristics of the infant's crying, states of mother's sleep, feedingand receiving support related to her distress about her infant and its associated factors. Scores were obtainedusing a 4-point Likert scale.ResultsEffective responses were obtained from 630 mothers, who consisted of 298 primiparas (47.3%) and332 multiparas (52.7%). About 50% of the mothers experienced distress because they felt at a loss whentheir infant cried and when the infant did not stop crying even when being held or lulled. New motherswho had no experience with infants were more likely to indicate distress. The distress was significantly associatedwith factors such as the way the infant cried and if the infant failed to fall asleep in a timely way.It also was associated with factors in the mother's life such as feeling burdened with childcare and lack ofconfidence in childcare.ConclusionIn order to support mothers having a one-month-old infant, it is important to pay attention to the characteristicsof infant's crying, states of mother's fatigue, mother's expression of depression, and to knowhow mother comprehends childcare and her infant's crying. For screening to be effective it must includeboth infant and mother factors.目　的　生後1 ヶ月児の泣きに対する母親の困難感とその感情に関連する要因を明らかにすることを目的とした。対象と方法　北陸地方の病産院にて出産し1 ヶ月健診時に調査の同意が得られた母親を対象に自己記入式質問紙調査を実施した。調査内容は児の泣きに対する母親の困難感とその関連要因として児の泣きの性質や母親の睡眠・授乳状況サポート状況などの質問項目を設定し各々4段階リカート尺度で点数化した。結　果　有効回答は初産婦298名47.3経産婦332名52.7合計630名であった。全体の約半数の母親が児が泣くと戸惑ったり抱いたりあやしても泣きやまない困難な状況を経験していた。困難感を示した母親は小さな子どもと接したことのない初産婦に多く子どもの泣き方が特徴的であったりなかなか寝入らないなど子ども側の要因と母親の生活状況育児に対する負担感や自信感等の母親側の要因が困難感に関連していた。結　論　生後1 ヶ月時の母児の支援には児側の要因と母親側の要因の双方に着目し児の泣きの特徴や母親の疲労状態育児に対する気持ち等に注意を向け母親が児の泣きをどのようにとらえているのかを知ることが重要でありこれらのスクリーニングの必要性が示唆された

Mother's feelings of distress and related factors resulting from the crying of her one-month-old infants