The role of attachment security, temperament, maternal perception, and care-giving behavior in persistent infant sleeping problems
The role of attachment security, temperament, maternal perception, and care-giving behavior in persistent infant sleeping problems
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DOI：
10.1002/imhj.10072
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发表时间：
2003-09-01
影响因子：
2.4
通讯作者：
Steele, H
中科院分区：
文献类型：
--
作者：
Morrell, J;Steele, H
本研究探讨婴儿在出生后第一年及第二年随访时，病因与婴儿睡眠问题的关系。同时存在睡眠问题的相关因素(由大到小)依次为：母亲对婴儿设限的认知问题、婴儿的挑剔-难相处的气质、母亲的焦虑-抑郁、矛盾依恋、以及某些涉及主动身体安慰的母亲照顾行为(拥抱入睡、睡在沙发或父母床上、喂食)。最初睡眠问题的高水平很大程度上解释了婴儿睡眠问题随着时间的推移而持续存在的原因。然而，这种连续性显著地受到问题母亲认知和婴儿气质对父母使用积极的身体安慰来安抚婴儿入睡的影响。此外，矛盾依恋对持续性问题的独立贡献虽小，但意义重大。关于婴儿睡眠问题随着时间的推移而中断的问题，出现睡眠问题的婴儿是那些父母使用高水平主动身体安慰的婴儿，而那些睡眠问题恢复的婴儿更有可能母亲的抑郁焦虑程度较低。讨论了这些结果对于婴儿睡眠问题的发育模型以及婴儿睡眠问题的评估和治疗的意义。
This study investigates the relationship of etiological factors to infant sleeping problems during the first year, and at follow-up during the second year of life. The relevant factors for concurrent sleeping problems (in order of importance) were problematic maternal cognition concerning setting limits on the infant, fussy-difficult infant temperament, maternal anxiety-depression, ambivalent attachment, and certain maternal care-giving behaviors involving the use of active physical comforting (cuddling to sleep, settling on sofa or in parental bed, and giving a feed). High initial levels of sleeping problems largely explained the continuity in infant sleeping problems over time. However, this continuity was significantly mediated by the influence of both problematic maternal cognition and infant temperament on the parental use of active physical comforting to settle infants to sleep. In addition, ambivalent attachment had a small but significant independent contribution to persistent problems. Regarding discontinuity in infant sleeping problems over time, infants who developed sleeping problems were those whose parents used high levels of active physical comforting, whereas those infants whose sleeping problems recovered were more likely to have mothers with low depression-anxiety. The significance of these results is discussed with respect to developmental models of infant sleeping problems, and the assessment and treatment of infant sleeping problems.