Predictors of early childhood insomnia according to parent-rated degree of severity

IF 3.8 2区医学 Q1 CLINICAL NEUROLOGY

Sleep medicine Pub Date : 2025-01-19 DOI:10.1016/j.sleep.2025.01.019

Perran Boran , Hatice Ezgi Barış , Mahmut Caner Us , Hülya Barlak , Öykü Özbörü Aşkan , Zeynep Teke , Karen Spruyt

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引用次数: 0

Abstract

This study aimed to investigate child and maternal-related predictors of Early Childhood Insomnia (ECI) based on a parent-rated severity in a convenience sample of mother-infant dyads with ECI.

We conducted a single-center, cross-sectional prospective study involving infants aged 6–36 months who attended the Pediatric Behavioral Sleep Outpatient Clinic at Marmara University Hospital, Istanbul, over 5 years for ECI. Infant sleep was evaluated by Brief Infant Sleep Questionnaire. Beck Depression and Anxiety Inventories were used to assess maternal depression and anxiety. Predictive factors for parent perceived ECI severity were examined by logistic regression models.

Among 759 registered mother-child dyads, the mean age of the children at diagnosis was 15.5 ± 7.5 months, and 56.7 % were male. Overall, 76.5 % of the mothers rated their child's sleep to be a serious problem. The odds of parent-reported serious sleep problems were increased in children who woke up often and spent longer in wakefulness. The strongest predictor of ECI severity was maternal sleep deprivation and having a former colicky infant. In addition, mothers scoring higher on maternal anxiety symptoms were more likely to rate their children's sleep as serious than women with lower anxiety scores.

This study further underscored that heightened maternal sleep deprivation, elevated maternal anxiety symptoms, and previous exposure to a colicky infant were significant predictors of the perceived severity of ECI. Future research should explore interventions aimed at improving maternal well-being and infant sleep patterns to potentially mitigate the severity of ECI and its impact on family dynamics.

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来源期刊

Sleep medicine 医学-临床神经学

CiteScore

8.40

自引率

6.20%

发文量

1060

审稿时长

49 days

期刊介绍： Sleep Medicine aims to be a journal no one involved in clinical sleep medicine can do without. A journal primarily focussing on the human aspects of sleep, integrating the various disciplines that are involved in sleep medicine: neurology, clinical neurophysiology, internal medicine (particularly pulmonology and cardiology), psychology, psychiatry, sleep technology, pediatrics, neurosurgery, otorhinolaryngology, and dentistry. The journal publishes the following types of articles: Reviews (also intended as a way to bridge the gap between basic sleep research and clinical relevance); Original Research Articles; Full-length articles; Brief communications; Controversies; Case reports; Letters to the Editor; Journal search and commentaries; Book reviews; Meeting announcements; Listing of relevant organisations plus web sites.