1 Division of General Pediatrics, Children's Hospital of Philadelphia, Philadelphia, PA 19104
Colic, or excessive crying in young infants, continues to be described typically in pediatric textbooks as being of uncertain cause and as having no generally satisfactory solution. Despite this confusion and pessimism, much is now known about predisposing factors and successful management. The paper by Wolke, Gray, and Meyer in this issue of Pediatrics (Excessive infant crying: a controlled study of mothers helping mothers) makes a significant further contribution to understanding the interactional nature of the problem and the effectiveness of parent counseling about infant management in reducing the amount of crying.
Researchers now usually define colic as >3 hours a day of irritability, fussing, and crying on >3 days in any 1 week (and perhaps also for 3 weeks or more) during the first 3 or 4 months of life in an infant who is otherwise healthy and well fed.1
Submitted on June 1, 1994
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