Mothers' postpartum sleep disturbance is associated with the ability to sustain sensitivity toward infants.
Caregiving
Maternal sensitivity
Postpartum sleep
Journal
Sleep medicine
ISSN: 1878-5506
Titre abrégé: Sleep Med
Pays: Netherlands
ID NLM: 100898759
Informations de publication
Date de publication:
01 2020
01 2020
Historique:
received:
25
02
2019
revised:
17
07
2019
accepted:
19
07
2019
pubmed:
18
11
2019
medline:
27
10
2020
entrez:
18
11
2019
Statut:
ppublish
Résumé
Infancy is a period of rapid development when the quality of caregiving behavior may be particularly consequential for children's long-term functioning. During this critical period for caregiving behavior, parents experience changes in their sleep that may affect their ability to provide sensitive care. The current study investigated the association of mothers' sleep disturbance with both levels and trajectories of maternal sensitivity during interactions with their infants. At 18 weeks postpartum, mothers and their infants were observed during a home-based 10-minute "free play" interaction. Mothers' nighttime sleep was objectively measured using actigraphy and subjectively measured using sleep diaries. Maternal sensitivity was coded in two-minute intervals in order to characterize changes in sensitivity across the free play interaction. We used exploratory factor analysis to reduce the dimensionality of the objective and subjective measures of mothers' sleep, identifying a subjective sleep disturbance and an objective sleep continuity factor. Using multi-level modeling, we found that mothers with poorer objective sleep continuity evidenced decreasing sensitivity toward their infants across the interaction. Mothers' self-reports of sleep disturbance were not associated with maternal sensitivity. Although future research is necessary to identify the mechanisms that may explain the observed association between poor sleep continuity and the inability to sustain sensitivity toward infants, mothers' postpartum sleep continuity may be one factor to consider when designing interventions to improve the quality of caregiving. Clinicaltrials.gov, NCT01846585.
Sections du résumé
BACKGROUND/OBJECTIVE
Infancy is a period of rapid development when the quality of caregiving behavior may be particularly consequential for children's long-term functioning. During this critical period for caregiving behavior, parents experience changes in their sleep that may affect their ability to provide sensitive care. The current study investigated the association of mothers' sleep disturbance with both levels and trajectories of maternal sensitivity during interactions with their infants.
METHODS
At 18 weeks postpartum, mothers and their infants were observed during a home-based 10-minute "free play" interaction. Mothers' nighttime sleep was objectively measured using actigraphy and subjectively measured using sleep diaries. Maternal sensitivity was coded in two-minute intervals in order to characterize changes in sensitivity across the free play interaction. We used exploratory factor analysis to reduce the dimensionality of the objective and subjective measures of mothers' sleep, identifying a subjective sleep disturbance and an objective sleep continuity factor.
RESULTS
Using multi-level modeling, we found that mothers with poorer objective sleep continuity evidenced decreasing sensitivity toward their infants across the interaction. Mothers' self-reports of sleep disturbance were not associated with maternal sensitivity.
CONCLUSIONS
Although future research is necessary to identify the mechanisms that may explain the observed association between poor sleep continuity and the inability to sustain sensitivity toward infants, mothers' postpartum sleep continuity may be one factor to consider when designing interventions to improve the quality of caregiving.
CLINICAL TRIAL REGISTRATION
Clinicaltrials.gov, NCT01846585.
Identifiants
pubmed: 31734620
pii: S1389-9457(19)30254-0
doi: 10.1016/j.sleep.2019.07.017
pmc: PMC10173890
mid: NIHMS1536358
pii:
doi:
Banques de données
ClinicalTrials.gov
['NCT01846585']
Types de publication
Journal Article
Research Support, N.I.H., Extramural
Research Support, U.S. Gov't, Non-P.H.S.
Langues
eng
Sous-ensembles de citation
IM
Pagination
74-83Subventions
Organisme : NINR NIH HHS
ID : R01 NR013662
Pays : United States
Informations de copyright
Copyright © 2019 Elsevier B.V. All rights reserved.
Références
J Child Psychol Psychiatry. 2007 Dec;48(12):1233-42
pubmed: 18093029
Dev Psychobiol. 2014 Jul;56(5):1027-35
pubmed: 24523069
Am J Obstet Gynecol. 2010 Nov;203(5):465.e1-7
pubmed: 20719289
Infant Behav Dev. 2017 May;47:62-71
pubmed: 28347907
J Fam Psychol. 2014 Jun;28(3):401-6
pubmed: 24730379
Obstet Gynecol. 2019 May;133(5):911-919
pubmed: 30969203
Child Dev. 2010 Jan-Feb;81(1):212-23
pubmed: 20331663
Early Hum Dev. 2014 Jul;90(7):377-85
pubmed: 24794304
Health Psychol. 2013 Jul;32(7):810-9
pubmed: 23088174
Parent Sci Pract. 2010 Jul 1;10(3):219-239
pubmed: 20824194
Sleep Med. 2017 May;33:6-12
pubmed: 28449907
J Child Psychol Psychiatry. 2017 Jan;58(1):38-45
pubmed: 27616434
Sleep. 2013 Jan 01;36(1):73-81
pubmed: 23288973
J Am Acad Child Adolesc Psychiatry. 2010 Jul;49(7):699-707
pubmed: 20610139
Physiol Behav. 2013 Oct 2;122:134-9
pubmed: 24041725
Child Psychiatry Hum Dev. 2013 Dec;44(6):751-65
pubmed: 23408268
Dev Psychol. 2017 Apr;53(4):611-628
pubmed: 28333524
Clin Psychol Rev. 2000 Aug;20(5):561-92
pubmed: 10860167
J Fam Psychol. 2014 Feb;28(1):1-11
pubmed: 24377731
J Clin Child Adolesc Psychol. 2018;47(sup1):S113-S126
pubmed: 27399174
Sleep. 2016 Apr 01;39(4):937-44
pubmed: 26715232
Dev Rev. 2015 Jun 1;36:105-126
pubmed: 26028796
Behav Sleep Med. 2016;14(1):5-22
pubmed: 25127316
Early Hum Dev. 2013 Feb;89(2):69-74
pubmed: 22884007
Arch Dis Child. 2014 Feb;99(2):119-25
pubmed: 24347573
J Am Geriatr Soc. 2008 Jul;56(7):1218-27
pubmed: 18482295
Obstet Gynecol. 1997 Sep;90(3):381-6
pubmed: 9277648
Psychol Aging. 2014 Sep;29(3):658-65
pubmed: 25244484
J Fam Psychol. 2017 Mar;31(2):160-169
pubmed: 27991811
Annu Rev Psychol. 2013;64:135-68
pubmed: 23020641
J Obstet Gynecol Neonatal Nurs. 2009 Jan-Feb;38(1):60-8
pubmed: 19208049
J Dev Behav Pediatr. 2014 Jun;35(5):309-16
pubmed: 24906032
Infant Behav Dev. 2012 Apr;35(2):179-86
pubmed: 22306183
J Sleep Res. 2008 Mar;17(1):34-41
pubmed: 18275553
Biol Res Nurs. 2004 Apr;5(4):311-8
pubmed: 15068660
Front Aging Neurosci. 2015 Sep 07;7:166
pubmed: 26441633
Perspect Psychol Sci. 2015 Jan;10(1):82-96
pubmed: 25910383
Front Psychol. 2018 Nov 02;9:2103
pubmed: 30450067
Sleep. 2014 Jan 01;37(1):9-17
pubmed: 24470692
Sleep. 2013 Nov 01;36(11):1747-55
pubmed: 24179309
Arch Womens Ment Health. 2013 Feb;16(1):29-38
pubmed: 23064898
Monogr Soc Res Child Dev. 2015 Mar;80(1):107-24
pubmed: 25704738
Sleep. 2018 Feb 1;41(2):
pubmed: 29267979
J Fam Psychol. 2019 Apr;33(3):349-359
pubmed: 30762410
Infant Behav Dev. 2010 Feb;33(1):50-60
pubmed: 20004022
Am J Psychiatry. 2001 Jun;158(6):848-56
pubmed: 11384888
Physiol Behav. 2016 Mar 15;156:137-47
pubmed: 26776447
Proc Natl Acad Sci U S A. 2015 May 5;112(18):5637-42
pubmed: 25902515
PLoS One. 2012;7(6):e39116
pubmed: 22723942
Psychosom Med. 2011 Nov-Dec;73(9):810-6
pubmed: 22021463
Child Dev. 1997 Aug;68(4):571-91
pubmed: 9306636
Br J Psychiatry. 1987 Jun;150:782-6
pubmed: 3651732
Cogn Emot. 2013;27(3):567-76
pubmed: 23025547
Arch Womens Ment Health. 2013 Dec;16(6):539-47
pubmed: 23733081
Sleep Med. 2001 Jul;2(4):297-307
pubmed: 11438246
Child Dev. 2018 Sep;89(5):1735-1751
pubmed: 28548307
Sleep. 2012 Feb 01;35(2):287-302
pubmed: 22294820
Dev Psychol. 2010 Jul;46(4):791-804
pubmed: 20604602
Infant Behav Dev. 2010 Jun;33(3):251-65
pubmed: 20207419
Sci Rep. 2017 Nov 22;7(1):16020
pubmed: 29167485
Infant Behav Dev. 2010 Dec;33(4):605-12
pubmed: 20723998
Sleep. 2013 Nov 01;36(11):1699-706
pubmed: 24179304
Psychol Bull. 2016 Sep;142(9):969-990
pubmed: 27416139
Attach Hum Dev. 2013;15(5-6):507-23
pubmed: 24299132
J Sleep Res. 2015 Jun;24(3):296-304
pubmed: 25524529
Child Dev. 2006 Jan-Feb;77(1):44-58
pubmed: 16460524
Infant Behav Dev. 2010 Feb;33(1):1-6
pubmed: 19962196
Curr Opin Psychol. 2017 Oct;17:1-6
pubmed: 28950954
Sleep. 2018 Feb 1;41(2):
pubmed: 29244170