Sudden infant death syndrome: cry characteristics.

OBJECTIVE To acoustically evaluate the cries of SIDS infants and compare these cry features to a group of healthy term (HT) infants, as well as previously published results for SIDS infants. METHODS Pain-induced crying episodes were collected from four infants during the first weeks of life that later died of SIDS. Temporal and spectral features of each crying episode were characterized based on measures of cry duration, cry fundamental frequency (F0), and cry formant frequencies (F1 and F2). RESULTS The SIDS infants were found to produce cries with longer duration compared to HT infants. The cries of SIDS infants also differed from HT infants in regard to the absolute difference in F2-F1 frequency. CONCLUSIONS The acoustic features considered in the present study support the contention that the cries of SIDS infants are reflective of atypical respiratory-laryngeal control. Although research of this nature is rare, there is evidence to suggest an acoustic profile of crying that is specific to SIDS.

[1]  K. Scherer,et al.  Effect of experimentally induced stress on vocal parameters. , 1986, Journal of experimental psychology. Human perception and performance.

[2]  J. Newman Neural circuits underlying crying and cry responding in mammals , 2007, Behavioural Brain Research.

[3]  D. Flora,et al.  A longitudinal analysis of the development of infant facial expressions in response to acute pain: Immediate and regulatory expressions , 2012, PAIN®.

[4]  G. Lister,et al.  Multivariable cardiorespiratory monitoring at home: collaborative home infant monitoring evaluation (CHIME) , 1996, Proceedings of 18th Annual International Conference of the IEEE Engineering in Medicine and Biology Society.

[5]  M Robb,et al.  Acoustic examination of preterm and full-term infant cries: the long-time average spectrum. , 1999, Journal of speech, language, and hearing research : JSLHR.

[6]  Michael P. Robb,et al.  Acoustic estimates of respiration in the pain cries of newborns. , 2011, International journal of pediatric otorhinolaryngology.

[7]  John Kattwinkel,et al.  The Changing Concept of Sudden Infant Death Syndrome: Diagnostic Coding Shifts, Controversies Regarding the Sleeping Environment, and New Variables to Consider in Reducing Risk , 2005, Pediatrics.

[8]  Joseph Soltis,et al.  The signal functions of early infant crying , 2004, Behavioral and Brain Sciences.

[9]  Philip Lieberman,et al.  Speech Physiology, Speech Perception, and Acoustic Phonetics , 1988 .

[10]  D. Crowell,et al.  Cry features in siblings of SIDS , 2007, Acta paediatrica.

[11]  Kenneth D. Craig,et al.  Pain expression in neonates: facial action and cry , 1987, Pain.

[12]  G. Gustafson,et al.  Changes in infants' cries as a function of time in a cry bout. , 1998, Child development.

[13]  D. Crowell,et al.  Cry analysis in infants resuscitated for apnea of infancy. , 2007, International journal of pediatric otorhinolaryngology.

[14]  F. CamarasaPiquer Sudden infant death syndrome , 1999 .

[15]  M. Halle,et al.  Preliminaries to Speech Analysis: The Distinctive Features and Their Correlates , 1961 .

[16]  I. Masters,et al.  A novel role for surfactant in the lung with implications for the sudden infant death syndrome. , 1995, Medical hypotheses.

[17]  Harriet Oster,et al.  The repertoire of infant facial expressions: an ontogenetic perspective. , 2005 .

[18]  K. Wermke,et al.  Development of the vocal fundamental frequency of spontaneous cries during the first 3 months. , 2002, International journal of pediatric otorhinolaryngology.

[19]  John Lind,et al.  CRY MOTIONS OF THE NEWBORN INFANT , 1965 .

[20]  C. Hunt,et al.  Sudden infant death syndrome and other causes of infant mortality: diagnosis, mechanisms, and risk for recurrence in siblings. , 2001, American journal of respiratory and critical care medicine.

[21]  E. Arias,et al.  Annual summary of vital statistics--2002. , 2003, Pediatrics.

[22]  H L Golub,et al.  Infant cry: a clue to diagnosis. , 1982, Pediatrics.

[23]  E. Mallet,et al.  Siblings of sudden infant death syndrome and near miss in about 30 families: is there a genetic factor? , 2000, Medical Hypotheses.

[24]  Pippa Mundy,et al.  Crying as a Sign, a Symptom and a Signal , 2002 .

[25]  Angelika Stellzig-Eisenhauer,et al.  Relation of melody complexity in infants' cries to language outcome in the second year of life: A longitudinal study , 2007, Clinical linguistics & phonetics.

[26]  R. Naeye,et al.  Sudden infant death syndrome temperament before death. , 1976, The Journal of pediatrics.

[27]  D. Hoyert,et al.  Annual summary of vital statistics: 2000. , 2001, Pediatrics.

[28]  R H Colton,et al.  The cry characteristics of an infant who died of the sudden infant death syndrome. , 1981, The Journal of speech and hearing disorders.

[29]  M Peucker,et al.  Newborn acoustic cry characteristics of infants subsequently dying of sudden infant death syndrome. , 1995, Pediatrics.