Sleep location and parent-perceived sleep outcomes in older infants
Sleep location and parent-perceived sleep outcomes in older infants
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DOI：
10.1016/j.sleep.2017.08.003
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发表时间：
2017-11-01
期刊：
影响因子：
4.8
通讯作者：
Walters, Russel M.
中科院分区：
文献类型：
--
作者：
Mindell, Jodi A.;Leichman, Erin S.;Walters, Russel M.
目的：初步研究表明，分开睡觉的婴儿在最初的几个月里有更多的独立和巩固的睡眠。然而，对于大婴儿(6-12个月大)的睡眠位置(分开房间、合住房间、同床)与睡眠结果的关系，人们知之甚少。结果：美国6236名婴儿(6-12个月)和国际样本(澳大利亚、巴西、加拿大、英国和新西兰)的3798名婴儿的父母完成了基于智能手机应用程序的扩展版婴儿睡眠简明问卷。结果：37.2%的美国婴儿和48.4%的国际样本婴儿睡在单独的房间里。在这两个样本中，睡在单独房间而不是同住一室或同床的婴儿有父母感知的睡眠结果和睡眠相关行为，反映出上床时间更早，入睡时间更短，夜间和总睡眠时间更长，睡眠巩固程度更高。他们也更有可能有一致的就寝时间，独立入睡，以及不太可能在就寝时间和晚上进食入睡。此外，与睡在父母床上的婴儿相比，睡在单独房间的6到12个月大的婴儿报告的睡眠结果更好，睡觉时父母感觉到的干扰也更少。此外，与睡在父母床上的婴儿相比，单独睡在房间里的婴儿的父母认为睡觉时间不那么困难，睡眠质量更好。(C)2017爱思唯尔B.V.保留所有权利。
Objectives: Initial studies indicate more independent and consolidated sleep in the first few months in infants who sleep separately. Little is known, however, about the relationship of sleep location (separate room, room-sharing, bed-sharing) with sleep outcomes in older infants (ages 6-12 months). It was expected that those who sleep in a separate room would have better parent-perceived sleep outcomes and more positive sleep health behaviors.Methods: Parents of 6236 infants (6-12 months) in the United States (US) and 3798 in an international sample (Australia, Brazil, Canada, Great Britain, and New Zealand) completed a smartphone app-based expanded version of the validated Brief Infant Sleep Questionnaire.Results: A total of 37.2% of the infants in the US and 48.4% in the international sample slept in a separate room. In both samples, infants who slept in a separate room as opposed to room-sharing or bed-sharing had parent-perceived sleep outcomes and sleep-related behaviors that reflected earlier bedtimes, shorter time to fall asleep, more nighttime and total sleep, and increased sleep consolidation. They were also more likely to have a consistent bedtime routine and to fall asleep independently, as well as less likely to feed to sleep at bedtime and during the night. In addition, parents of separate room sleepers perceived bedtime to be less difficult and sleep to be better overall.Conclusions: Overall, 6- to 12-month-old infants who slept in a separate room had better reported sleep outcomes and fewer parent-perceived disturbances at bedtime than infants who room-shared with their parents, as well compared to those who slept in their parents' bed. (C) 2017 Elsevier B.V. All rights reserved.