Assessment of infant cry: acoustic cry analysis and parental perception

Infant crying signals distress to potential caretakers who can alleviate the aversive conditions that gave rise to the cry. The cry signal results from coordination among several brain regions that control respiration and vocal cord vibration from which the cry sounds are produced. Previous work has shown a relationship between acoustic characteristics of the cry and diagnoses related to neurological damage, SIDS, prematurity, medical conditions, and substance exposure during pregnancy. Thus, assessment of infant cry provides a window into the neurological and medical status of the infant. Assessment of infant cry is brief and noninvasive and requires recording equipment and a standardized stimulus to elicit a pain cry. The typical protocol involves 30 seconds of crying from a single application of the stimulus. The recorded cry is submitted to an automated computer analysis system that digitizes the cry and either presents a digital spectrogram of the cry or calculates measures of cry characteristics. The most common interpretation of cry measures is based on deviations from typical cry characteristics. Another approach evaluates the pattern across cry characteristics suggesting arousal or under-arousal or difficult temperament. Infants with abnormal cries should be referred for a full neurological evaluation. The second function of crying--to elicit caretaking--involves parent perception of the infant's needs. Typically, parents are sensitive to deviations in cry characteristics, but their perception can be altered by factors in themselves (e.g., depression) or in the context (e.g., culture). The potential for cry assessment is largely untapped. Infant crying and parental response is the first language of the new dyadic relationship. Deviations in the signal and/or misunderstanding the message can compromise infant care, parental effectiveness, and undermine the budding relationship. (c) 2005 Wiley-Liss, Inc. MRDD Research Reviews 2005;11:83-93.     

Judgment of infant cry: The roles of acoustic characteristics and sociodemographic characteristics

Adult judgments of infant cry are determined by both acoustic properties of the cry and listener sociodemographic characteristics. The main purpose of this research was to investigate how these two sources shape adult judgments of infant cry. We systematically manipulated both the acoustic properties of infant cries and contrasted listener sociodemographic characteristics. Then, we asked participants to listen to several acoustic manipulations of infant cries and to judge the level of distress the infant was expressing and the level of distress participants felt when listening. Finally, as a contrasting condition, participants estimated the age of the crying infant. Using tree‐based models, we found that judgments of the level of distress the infant was expressing as well as the level of distress listeners felt are mainly accounted for by select acoustic properties of infant cry (proportion of sound/pause, fundamental frequency, and number of utterances), whereas age estimates of a crying infant are determined mainly by listener sociodemographic characteristics (gender and parental status). Implications for understanding infant cry and its effects as well as early caregiver‐infant interactions are discussed.     

Weinen, ein Bindungsverhalten

Crying is an age-independent behavior of attachment of the (at that moment) weaker part, who cannot cope with a special experience alone. To cry because of anxiety, anger and mourning expresses helplessness and at the same time is an appeal to others to give help and comfort. Crying creates the chance to show relatedness. The considerate other person perceives himself at that moment to be the stronger one when he sees and hears the crying and usually feels the need to comfort and care. The crying of a newborn baby expresses fear to be abandoned, not to be protected and looked after which means to have to die. With growing experience about the reactions to crying the infant quickly learns which behavior is apt to bring the protecting attachment person closer to him. Crying is synchronized with the expectations of others even at the end of the first year of life, especially with those of the attachment person. Whether a child or an adult cries in a manner appropriate to the situation, or surprisingly does not cry or cries in an exaggerated dramatic manner, very much depends on the experiences made in attachment relationships with crying. In the same way, how effective the comfort can be and whether the other wants to care at all, depends on the experiences of both persons concerning crying and comforting in preceding relationships. If those experiences were reassuring then as adults they can also cry or care and comfort, but if crying even aggravates painful experiences then the adult will have difficulties to desire and to accept comfort from others or offer comfort to others himself.     

Infant crying,risk status and social support in families of preterm and term infants

Infant crying influences the caregiver and the broader caregiving environment. In this study, cry acoustics were recorded and acoustically analyzed from a sample of fullterm and preterm infants at 40 weeks gestational age, along with the medical risk and socioeconomic status (SES) of the family. Following factor analysis of the cry acoustics, cry factors, along with medical risk and SES were used to predict patterns of social support in the informal (family, friends) and formal (health care providers) social support networks at 44 weeks gestational age. One cry factor, temporal patterning, indicative of the influence of respiratory factors on the infant's cry, predicted a significant amount of variance in the amount of support from the informal network, beyond that predicted from medical risk and SES. Medical risk alone predicted the amount of contact with the formal network, and SES predicted satisfaction with help from the formal network. There were different patterns of relationship between cry acoustics and social support for families with term and preterm infants, indicating that caregivers may interpret and respond to different information in the acoustics of their infants' cries. These findings have implications for understanding how infant crying and behavior influence the caregiving environment and for the clinical management of early cry problems in families with infants differing in risk status. © 1998 John Wiley & Sons, Ltd.     

Infant cry as a graded signal: Experimental modifications of durations of pauses and expiratory sounds alter mothers' perceptions

The purpose of this study was to examine experimentally the effects of the temporal structure of infant crying on mothers' perceptions. Eighteen mothers of young infants rated variations of a 10-sec cry in which durations of all expiratory sounds and pauses were digitally lengthened and shortened by 50%. Results showed a general monotonic effect in which cries with increasingly shorter pauses were perceived to be more arousing, aversive, informative, and rough. Similarly, cries with short expirations were perceived to be more rhythmic and rough than cries with long expirations. The strength of the monotonic effect for pause duration on ratings of urgency interacted with the duration of expiratory sounds such that the combination of short pauses and short expirations created the greatest perceived urgency. This study replicates and extends previous findings which show that gradations in acoustic features of crying are associated with gradations in the intensity of adults' perceptions.     

Baby cries

In this report the history of cry studies will be reviewed and various phenomena associated with neonatal vocalization, including the processes of audition, respiration, phonation, and reflexive noisemaking are described. Some of the causes of crying are discussed, along with changes in the acoustical structure of cries as these relate to an infant's maturation. It may be concluded that crying has a powerful evocative effect generally. Cries also can arouse specific physiological responses (e.g., increased lactation) in mothers, and have a diagnostic value for the pediatrician. In the field of developmental linguistics, detailed analysis of crying, cooing, babbling, and other vocalizations of early life may shed light on the verbal and nonverbal aspects of speech, particularly as these grow out of the first few years of life. Rhythmic and musical elements of infant behavior seem to contribute to what has been called “postural conformity” in the infant-mother relationship, undoubtedly an important ingredient in attachment behavior and in the emotional development of the infant.     

Do distracting activities increase tolerance for an infant cry?

Professionals recommend parents engage in distracting activities to mitigate negative effects of inconsolable infant crying (e.g., Deyo, Skybo, & Carroll, 2008; Goulet et al., 2009). We evaluated the availability of alternative activities on six undergraduates’ tolerance for a recorded infant cry; three students tolerated the cry longer when distracting activities were available. Our results show that distracting activities could decrease the aversiveness of inconsolable infant crying for some individuals; additional research in natural caregiving situations will help determine the generality and social validity of this finding.     

Pitch of infant crying and caregiver responses in a natural setting

The naturally occurring cries of 13 infants in a day-care center were tape-recorded and spectrum-analyzed for the peak fundamental frequency. Caregivers' responses to higher-pitched cries were rated by observers as more urgent, and they more frequently included additional attempts to soothe the infant. These results provide some of the first ecologically valid evidence that the pitch of infant crying is related to the urgency and nature of caregivers' responses.     

Infants at risk for child abuse

Child abuse is most likely to occur when socially isolated parents react impulsively to aversive stimuli emitted by their children. Certain child signals and characteristics are aversive to adults. Infant cries are aversive to all parents, but children who are unusually irritable or whose cries are especially grating may become aversive to their parents even when they are not crying. Studies show that the cries of premature infants and the cries of babies incorrectly labelled premature are more aversive to parents, and that abusive mothers and the mothers of premature infants find cries more aversive than other mothers do. The incidence of abuse would be reduced by the availability of supportive social networks and the elimination of distorted parental expectations.     

Predicting adult responses to infant distress: Adult characteristics associated with perceptions,emotional reactions,and timing of intervention

This study examined adult characteristics associated with different responses to infant distress. One hundred eighty‐eight parents viewed four 20‐second segments of videotape in which a 4‐week‐old infant was either (a) fussing mildly, (b) fussing vigorously, (c) crying, or (d) crying vigorously. Participants rated their emotional reactions and perception of cry characteristics following each segment. Participants then viewed a 4‐minute videotape depicting the same infant progressing from calm to vigorous crying, and indicated when they would intervene to pick up the infant. Relatively high levels of empathy and extraversion and low levels of conscientiousness were associated with more sensitive responses to infant distress. Infant‐rearing attitudes had a strong impact on response patterns as well, suggesting that education may be an effective means of increasing parental sensitivity. ©2003 Michigan Association for Infant Mental Health.     

Acoustic features of infant crying related to intended caregiving intervention

The present study investigated the acoustic features of crying associated with intended caregiving intervention. One hundred eighty‐eight parents (138 females, 50 males) viewed a videotape depicting a healthy 4‐week‐old infant progressing from fussing to crying over the course of 4 minutes, and indicated if and when they would pick up the infant in a real‐life situation. There was a distinct peak in responding corresponding to an increase in duration but not fundamental frequency of the infant's cries. This finding is discussed in terms of the existing empirical literature. It is hypothesized that, whereas frequency may convey information about a newborn's neurological integrity and health status at birth, duration and other acoustical variables provide information about slightly older, normal infants' level of distress. Copyright © 2004 John Wiley & Sons, Ltd.     

Toddlers' responses to the distress of their peers

Toddlers' spontaneous prosocial responses to their peer's crying distress were examined in this study. Forty-three children ranging in age from 16 to 33 months were observed as they interacted with their peers in day-care centers. Each child was observed for 16, 5-min periods. If a child cried, the response of the peer and the response of the teacher were recorded. Teachers independently identified peer friendships. Ninety-three percent of peer responses to cries were prosocial in nature. Children who responded more often prosocially to crying peers were the children who more often cried themselves. The response of the teacher to the child's own cry was related to that child's response to a peer. Children were more likely to respond to friends' cries than to cries of acquaintances.     

Attentiveness of mothers and fathers to their baby's cries

Thirty-two mother-father-infant triads participated in a study to examine whether parents' responsiveness to their own infant's distress was affected by the infant's birth order and gender. After separating from their 10- to 11-month-old baby, one parent from each family (16 mothers and 16 fathers) was selected to hear cries that were attributed to the child. Consistent with previous findings regarding physiological reactions to crying and observations of caretaking behavior, first-time parents gave quicker and more frequent attention to their infants than did multiporous parents. Speedy intervention was related to the amount of caretaking responsibilities that parents reported they assumed and to the age at which parents believed that their infant first recognized them. The results demonstrate the importance of caretaking for promoting parental sensitivity to infant signals.     

Maternal self-efficacy and experimentally manipulated infant difficulty effects on maternal sensory sensitivity: a signal detection analysis

The impact of differences in maternal self-efficacy and infant difficulty on mothers' sensitivity to small changes in the fundamental frequency of an audiotaped infant's cry was explored in 2 experiments. The experiments share in common experimental manipulations of infant difficulty, a laboratory derived measure of maternal efficacy (low, moderate, and high illusory control), and the use of signal detection methodology to measure maternal sensory sensitivity. In Experiment 1 (N = 72), easy and difficult infant temperament was manipulated by varying the amount of crying (i.e., frequency of cry termination) in a simulated child-care task. In Experiment 2 (N = 51), easy and difficult infant temperament was manipulated via exposure to the solvable or unsolvable pretreatment of a learned helplessness task to mirror mothers' ability to soothe a crying infant. In both experiments, only mothers with high illusory control showed reduced sensory sensitivity under the difficult infant condition compared with the easy infant condition.     

Clinical,developmental and social aspects of infant crying and colic

Persistent unexplained infant crying in the first few months is a common source of distress for parents and is costly for the health services. The aim was to assess the merits of developmental and social conceptualizations of this phenomenon, compared to the clinical approach as represented by the concept of colic. From a community sample of 530 infants, 67 who met the ‘rule of threes’ definition of colic by fussing and crying for 3 or more hours per day at 4-5 weeks of age were chosen. To avoid confusion, these infants were called ‘persistent criers’. Groups of ‘evening criers’ (N = 38) and ‘moderate cries’ (N = 55) were also selected. These 160 infants were assessed by researcher measures of their consolability and by maternal diary measures of their amounts of fussing, crying and colic behaviour when 5-6 weeks old. The persistent and evening criers cried more than the moderate criers. However, irritable, ‘fussy’ behaviour was the predominant form of distress for all three groups of infants. Colic bouts–defined as ‘bouts of intense, unsoothable crying and other behaviour, perhaps due to stomach or bowel pain’–were rare even among the persistent criers and only 7% of these infants were found to be inconsolable. The results support growing evidence that normal infant developmental processes are central to this phenomenon. In addition, social interactions between infants and parents, and parental subjective variables, appear to be involved. Colic was distinguished as a rare and separate form of distress by the infants' mothers. Further evidence needs to determine whether colic is a distinct clinical phenomenon or an extreme degree of normal distress interpreted within a western cultural framework.     

Increasing parenting self-efficacy: The Fussy Baby Network® intervention

High levels of infant crying place families at risk for disrupted relationships, parenting stress, and even for child maltreatment. We conducted an evaluation of the Fussy Baby Network^® (FBN), a program supporting families struggling with infant crying and related concerns. The study contrasted 29 families who sought help from FBN with 27 families with excessively crying infants who did not seek services. Researchers measured parenting self-efficacy, depression, and stress in each group before and after the intervention. Results from hierarchical multiple regression analysis indicated greater improvements over time in parenting self-efficacy for parents receiving FBN services. Furthermore, the greater improvements in parenting self-efficacy in the intervention group were not directly attributable to reductions in infant crying. These findings provide preliminary evidence that the FBN approach may be effective at boosting the confidence of parents struggling with caring for their infants. Future research with larger samples with baseline equivalence and stronger research designs should explore this intervention further. This study also suggests that interventions for families with excessively crying infants should move beyond the focus of reducing infant crying to a broader strategy of supporting parents and strengthening relationships between parents and their infants to build parenting capacity.     

Affective reactivity to cry sounds predicts young women’s reactivity and behavior in a simulated caregiving task

Different populations of adults (experienced vs. inexperienced caregivers, men vs. women, abusive vs. nonabusive parents, etc.) have been reported to differ in their affective reactions to the sounds of infant crying. These differences are thought to impact caregiving behavior and, in some instances, to affect long-term outcomes for infants. There can be great intra-group variation, however, even when group differences are significant; modeling developmental process will require a finer grained approach. We have undertaken a pair of studies intended to validate the Negative Affect Scale (NA) from the PANAS as a measure of individuals’ affective reactivity to cry sounds. In Study 1, 306 young women who were not yet mothers listened either to infant crying or to birdsong. The results supported the NA as a measure of reactivity to crying. In Study 2, a new sample of 301 young women listened to crying in a screening task; a group of “high reactors” (n = 21) and a group of “low reactors” (n = 22) then participated in a simulated caregiving situation. Individuals’ affective reactivity to the caregiving simulation mirrored their affective reactivity in the screening task, and rates and overall organization of caregiving behavior differed between the groups. Changes in negative affect, then, appear to be both a result of infant crying and a determinant of some aspects of caregiving behavior. Further studies will extend these laboratory results to real infants and their caregivers, and further validate the NA as a measure of individual differences in reactivity to cry sounds.     

Comparison of perceptual dimensions uncovered from infant-cry signals using the method of pair-comparisons and the semantic differential

Since infant cry sounds may provide caregivers with information concerning an infant's needs, several studies have examined the perceptual features of cry signals. This tradition is followed in the present study, which utilises two techniques; the method of pair-comparisons (coupled to INDSCAL) and the Semantic Differential (SD). In each case 24 infant cries (six each of pain, hunger, pleasure and birth) are used as stimuli. Data were collected from mothers; 39 rated each cry on 50 SD scales, and 26 provided ratings of similarity for every possible pairwise combination of cries. The similarity of the perceptual spaces described by the two techniques is demonstrated by a canonical analysis which compared the SD factor matrix with the INDSCAL dimension-weight matrix. Two of three possible common dimensions were uncovered. This similarity is also indicated by a standard multiple regression analysis by which the INDSCAL dimensions were described in terms of the SD scales. However, it appears the SD emphasised emotional characteristics of the cry signals whereas INDSCAL emphasised physical attributes.     

Changes in cry acoustics and distress ratings while the infant is crying

Acoustics and distress ratings were examined during four minutes of naturally occurring crying from 20 healthy, 1‐month‐old infants. Two listeners made continuous judgements of infant distress during every 10‐s segment of each cry sample. Dysphonation, number of wails, and pause duration were related to distress ratings across the 4 min of crying. Means and variances of ratings and acoustics, and the predictive value of each acoustic variable to ratings, differed in the first and second halves of the samples. Differences in the pattern of results occurred for individual infants. The results highlight the importance of studying the cry as a dynamic acoustic signal that may provide unique information about an individual infant's level of distress. Copyright © 2009 John Wiley & Sons, Ltd.     

Young adult couples’ behavioral and physiological responses to the infant simulator: A preliminary illustration of coparenting

This exploratory application of the infant simulator with two couples is designed to illustrate individual reactivity and coparenting behaviors in young couples in serious relationships who do not yet have children. A 35-min protocol with standardized onsets and offsets of inconsolable baby cries was used to capture partner’s individual behavioral and physiological responses as well as the couple’s joint efforts to soothe the crying baby. Task feasibility was demonstrated by couples’ persistent and wide-ranging efforts to calm the baby including rocking, feeding, changing, talking to the baby, and singing. Within-person fluctuations in ongoing heart rate (HR) and electrodermal activity (EDA) through the protocol suggested evidence of heightened physiological reactivity during baby crying compared to silence. During bouts of crying, higher HR also was evidenced when participants took the lead in caregiving as contrasted with assisting or busying themselves in another task. Behavioral observations indicated that this task elicited examples of coparenting behaviors including cooperation, support, undermining, and negotiating the division of labor. These preliminary pilot data demonstrate the potential of infant simulator paradigms with couples who are not yet pregnant but envision being future parents, and set the stage for future research to identify how individual and couple characteristics might impact reactions to shared baby caregiving.