Sleep problems in young infants and maternal mental and physical health
Sleep problems in young infants and maternal mental and physical health
复制标题
DOI：
10.1111/j.1440-1754.2007.01005.x
复制
发表时间：
2007-01-01
影响因子：
1.7
通讯作者：
Wake, Melissa
中科院分区：
文献类型：
--
作者：
Bayer, Jordana K.;Hiscock, Harriet;Wake, Melissa
目的：婴儿出生后6个月的睡眠问题很常见，并与母亲的抑郁有关。本文扩展了以往的研究，以(I)从更广泛的社会经济层面来确定婴儿睡眠问题的患病率，(Ii)检查婴儿睡眠问题与母亲身体和心理健康之间的关系，以及(Iii)探索母亲的睡眠质量作为这种关系的潜在中介。设计：在澳大利亚墨尔本进行横断面社区调查。样本：3至6个月大的婴儿(平均4.6个月)的母亲从6个社会人口统计学上不同的大都市地方政府地区的健康儿童诊所招募。结果：692位母亲完成了调查，237位(34%)报告了婴儿睡眠问题，其中73位(31%)认为问题严重。问题的睡眠模式包括婴儿每周七个晚上都醒着，晚上一开始就哺乳婴儿睡觉，婴儿睡在父母的房间里，父母在管理婴儿睡眠的问题上存在分歧。睡眠问题与社会经济水平之间没有关系。与没有报告睡眠问题的母亲相比，报告婴儿睡眠问题的母亲的心理和身体健康状况较差。结论：睡眠问题在大都市社会经济水平的婴儿早期很常见，并与较差的母亲健康和幸福感有关。婴儿睡眠问题的预防战略需要在初级保健早期开始，以改善母亲的健康。
Aim: Sleep problems in the second 6 months of life are common and associated with maternal depression. This paper extends previous research to (i) establish the prevalence of sleep problems in younger infants from a broader socio-economic spectrum, (ii) examine the relationship between infant sleep problems and maternal physical, as well as mental, health, and (iii) explore mothers' sleep quality as a potential mediator of this relationship.Methods: Design: Cross-sectional, community survey in Melbourne, Australia. Sample: Mothers of 3- to 6-month-old infants (mean 4.6 months) recruited from well-child clinics in six sociodemographically diverse metropolitan local government areas. Outcome measures: Maternal mental and physical health; standardised questionnaire on infant sleep patterns; maternal report of an infant sleep problem (yes/no).Results: The survey was completed by 692 mothers; 237 (34%) reported an infant sleep problem, of whom 73 (31%) rated the problem as severe. Sleep patterns characterising a problem included the infant waking seven nights per week, nursing the infant to sleep at the beginning of the night, the infant sleeping in the parent's room, and parental disagreement regarding managing infant sleep. There was no relationship between sleep problems and socio-economic levels. Mothers reporting infant sleep problems had poorer mental and physical health compared with those not reporting sleep problems.Conclusion: Sleep problems are common in early infancy across metropolitan socio-economic levels and are associated with poorer maternal health and well-being. Preventive strategies for infant sleep problems need to begin early in primary care to improve mothers' health.