你的宝宝有睡眠问题吗?自动录像睡眠描记和父母报告的感知婴儿睡眠问题的相关性

IF 3.4 2区 医学 Q1 CLINICAL NEUROLOGY
Michal Kahn , Maya Poches , Natalie Barnett , Michael Gradisar
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引用次数: 0

摘要

寻求专业帮助来改善婴儿睡眠通常是基于父母认为他们的孩子有睡眠问题的信念。这种感知可能不仅反映了孩子的实际睡眠,也反映了父母的行为和情绪。本研究考察了哪些客观婴儿睡眠测量和父母因素与婴儿睡眠问题最密切相关,以及这些关联是否因父母性别而异。3158例1 ~ 18月龄婴儿家长(M = 8.4月龄,SD = 4.5;(46%的女孩)参与了这项横断面研究。使用自动视频睡眠记录仪评估婴儿睡眠和父母的婴儿床访问。通过在线调查评估了感知睡眠问题、父母抑郁、白天嗜睡、哭泣耐受性和社会人口学特征。利用广义估计方程和优势度分析分析关联关系。父母夜间婴儿床访问与感知婴儿睡眠问题的相关性最强(Wald = 105.88, p <;0.001):每增加一次就诊,发现问题的几率就增加18%。其他重要的相关因素包括父母哭声耐受性较低、抑郁症状较严重、婴儿睡眠时间较短、父母嗜睡程度较高、母乳喂养、教育程度较高和婴儿睡眠抵消时间较早。性别分层分析表明,婴儿的睡眠时间和父母的困倦程度只与母亲的问题感知有关,而哭泣耐受力对父亲的影响更大。父母对婴儿睡眠问题的看法更多地取决于父母的行为和情绪,而不是婴儿的睡眠模式。研究结果强调了支持父母健康以及让父母双方参与针对早期睡眠问题的临床和研究工作的重要性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Does your baby have a sleep problem? Auto-videosomnography and parent-reported correlates of perceived infant sleep problems

Does your baby have a sleep problem? Auto-videosomnography and parent-reported correlates of perceived infant sleep problems
Seeking professional help to improve infant sleep is typically based on parental beliefs that their child has a sleep problem. Such perceptions may reflect not only the child's actual sleep, but also parental behaviors and emotions. This study examined which objective infant sleep measures and parent factors are most strongly associated with perceived infant sleep problems, and whether these associations differed by parent gender.
Parents of 3158 infants aged 1–18 months (M = 8.4 months, SD = 4.5; 46 % girls) participated in this cross-sectional study. Infant sleep and parental crib visits were assessed using auto-videosomnography. Perceived sleep problems, parent depression, daytime sleepiness, cry tolerance, and sociodemographic characteristics were assessed via an online survey. Associations were analyzed using generalized estimating equations and dominance analysis.
Parental nighttime crib visits were the strongest correlate of perceived infant sleep problems (Wald = 105.88, p < 0.001): each additional visit increased the odds of perceiving a problem by 18 %. Other significant correlates included lower parental cry tolerance, greater depressive symptoms, shorter infant sleep duration, higher parental sleepiness, breastfeeding, higher education, and earlier infant sleep offset times. Gender-stratified analyses indicated that infant sleep duration and parental sleepiness were associated with problem perception among mothers only, while cry tolerance was a stronger predictor for fathers.
Parental perceptions of infant sleep problems are shaped more by parents’ behaviors and emotions than by infant sleep patterns. Findings highlight the importance of supporting parental well-being and involving both mothers and fathers in clinical and research efforts targeting early sleep concerns.
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来源期刊
Sleep medicine
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.
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