Behavioral Sleep Interventions in the First Six Months of Life Do not Improve Outcomes for Mothers or Infants

Journal of Developmental & Behavioral Pediatrics, Journal Year: 2013, Volume and Issue: 34(7), P. 497 - 507

Published: Sept. 1, 2013

Objective: The United Kingdom's National Institute for Health Research has recently invited proposals the design of a multicomponent primary care package behavioral interventions to reduce parental distress caused by excessive infant crying in first 6 months life. A systematic review was performed determine whether sleep, when applied parents infants younger than months, improve maternal and outcomes. Methods: Searches PubMed, CINAHL, Cochrane Database Systematic Reviews were conducted identify reviews, meta-analyses, clinical trials, cohort studies investigating effects sleep (January 1993–August 2013). evidence is critically analyzed, according PRISMA guidelines. Results: Cry-fuss, feeding, problems emerge out multiple dynamically interacting co-evolving variables early life are this reason generically referred as regulatory problems. Studies that link with positive on health demonstrate 3 methodological constraints. They fail control feeding difficulties, distinguish between neurodevelopmentally different second halves year life, apply reductive analyses evaluations complex interventions. Despite substantial investment recent years implementation evaluation these strategies have not been shown decrease crying, prevent later childhood, or protect against postnatal depression. In addition, population strategy prevention from weeks risk unintended outcomes, including increased amounts problem premature cessation breastfeeding, worsened anxiety, and, if required either day night room separate caregiver, an Sudden Infant Death Syndrome. Conclusion: belief intervention improves outcomes mothers babies historically constructed, overlooks problems, biases interpretation data.

Language: Английский

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Long-term effects of pregnancy and childbirth on sleep satisfaction and duration of first-time and experienced mothers and fathers

SLEEP, Journal Year: 2019, Volume and Issue: 42(4)

Published: Jan. 14, 2019

To examine the changes in mothers' and fathers' sleep satisfaction duration across prepregnancy, pregnancy, postpartum period of up to 6 years after birth; it also sought determine potential protective risk factors for during that time.Participants a large population-representative panel study from Germany reported yearly interviews. During observation (2008-2015), 2541 women 2118 men birth their first, second, or third child provided longitudinal data analysis. Fixed-effects regression models were used analyze associated with childbirth.Sleep sharply declined childbirth reached nadir first 3 months postpartum, more strongly affected (sleep reduction compared prepregnancy: women, 1.81 points on 0 10 scale, d = 0.79 vs. men, 0.37 points, 0.16; 62 min, 0.90 13 0.19). In both did not fully recover child. Breastfeeding was slight decrease maternal (0.72 0.32) (14 0.21). Parental age, household income, dual single parenting unrelated, only very weakly related, improved sleep.Following sharp decline neither nor recovers prepregnancy levels

Language: Английский

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Postpartum Maternal Sleep, Maternal Depressive Symptoms and Self-Perceived Mother–Infant Emotional Relationship

Behavioral Sleep Medicine, Journal Year: 2014, Volume and Issue: 14(1), P. 5 - 22

Published: Aug. 15, 2014

This study examined the links between maternal sleep, depressive symptoms, and mothers' perceptions of their emotional relationship with infant in a self-recruited sample mothers. Eighty mothers infants 3–18 months old completed sleep diaries for 5 consecutive nights, questionnaires assessing (Insomnia Severity Index [ISI]), symptom severity (Edinburgh Postnatal Depression Scale [EPDS]), perceived mother–infant (Postpartum Bonding Questionnaire [PBQ] Maternal Attachment [MPAQ]). Significant correlations, controlling depression severity, were found more disturbed negative mother-infant relationship. Regression analyses revealed that EPDS showed strongest association PBQ, whereas ISI demonstrated MPAQ. The present highlights importance deepening expanding our understanding implications problems.

Language: Английский

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Psychometric Properties of the Pittsburgh Sleep Quality Index (PSQI) in a Cohort of Peruvian Pregnant Women

Journal of Clinical Sleep Medicine, Journal Year: 2015, Volume and Issue: 11(08), P. 869 - 877

Published: Aug. 14, 2015

We sought to evaluate the construct validity and factor structure of Spanish-language version Pittsburgh Sleep Quality Index (PSQI) among pregnant Peruvian women.A cohort 642 women were interviewed at ≤ 16 weeks gestation. During interview, we ascertained information about lifestyles, demographics, sleep characteristics, mood symptoms. Stress induced disturbance, depressive symptoms, anxiety symptoms evaluated using Ford Insomnia Response Test (FIRST), Patient Health Questionnaire-9 (PHQ-9), Generalized Anxiety Disorder-7 (GAD-7) assessment scales, respectively. Consistency indices, exploratory confirmatory analyses, correlations, logistic regressions used.Both analyses indicated a three-factor solution: quality, efficiency, medication. observed significantly positive correlations PSQI with FIRST (0.42), PHQ-9 (0.49), GAD-7 (0.46). Poor sleepers (PSQI global score > 5) had increased odds experiencing stress-induced disturbance (odds ratio, OR = 3.57; 95% CI: 2.40, 5.31), depression (OR 5.48; 3.58, 8.37), generalized disorder 4.57; 3.08, 6.76).The instrument was found have good women. Consistent some other studies, structure. Further validation studies are needed determine whether three, factor-specific scoring is favored over in diverse populations.

Language: Английский

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Do psychosocial sleep interventions improve infant sleep or maternal mood in the postnatal period? A systematic review and meta-analysis of randomised controlled trials

Sleep Medicine Reviews, Journal Year: 2015, Volume and Issue: 29, P. 15 - 22

Published: Aug. 20, 2015

Language: Английский

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