Hayama Junko, Adachi Yoshiko, Nishino Noriko, Ohryoji Fumitake
Institute of Behavioral Health.
Nihon Koshu Eisei Zasshi. 2008 Oct;55(10):693-700.
Maternal health is affected by infant's sleep problems like night awakening or bedtime difficulties. Previous studies indicated that infant's sleep problems are affected by particular parenting behaviour (hereinafter referred to as parenting). However, the relation between maternal sleep and infant's sleep has been unclear and there is only limited information on the interaction between parenting, infant's sleep, maternal sleep, and maternal health. The purpose of this study was: 1. to examine the relationship between infant's sleep problems and maternal sleep and health; and 2. to investigate comprehensive relations of four parameters; maternal sleep, maternal health, infant's sleep, and parenting.
The subjects were 194 mothers who attended health checkup for 4month old infants. The questionnaire consisted of 3 components: 1) infant's and mother's sleep habits and sleep problems; 2) maternal health; 3) parenting. There were 15 items for parenting, divided into desirable and undesirable behavior. Subjects were classified into Problem Group (n = 40) or Control Group (n = 142) according to the infants' sleep problems. Maternal sleep, maternal health, parenting were compared between two groups. In addition, we examined relationships among the four parameters using path analysis.
Over 60% of mothers experienced some sleep problems and about 30% were suspected of being at high risk of insomnia. The most common mother's sleep problem was "poor sleep quality". Over 80% of mothers had some health problems, that most frequently observed being "Shoulder stiffness". Desirable parenting like "Feed fully and checking the diaper before bedtime" was observed in 80% of mothers, while undesirable parenting like "Feeding or checking a diaper immediately" was seen in 71% of mothers. Maternal sleep problems, maternal health problems, and undesirable parenting were more frequent in the Problem Group than the Control Group. As a result of path analysis, the following relations were found: undesirable parenting affected infant's sleep problems, infant's sleep problems influenced maternal sleep, and mother's sleep influenced maternal health.
Thirty percent of mothers were suspected of having sleep disorder and more than half practiced undesirable parenting. Undesirable parenting affected infant's sleep problems which in turn directly affected mothers' sleep and indirectly affected mother's health.
母亲的健康会受到婴儿睡眠问题的影响，如夜间醒来或入睡困难。先前的研究表明，婴儿的睡眠问题受到特定育儿行为（以下简称育儿方式）的影响。然而，母亲睡眠与婴儿睡眠之间的关系尚不清楚，关于育儿方式、婴儿睡眠、母亲睡眠和母亲健康之间相互作用的信息也很有限。本研究的目的是：1. 探讨婴儿睡眠问题与母亲睡眠和健康之间的关系；2. 研究母亲睡眠、母亲健康、婴儿睡眠和育儿方式这四个参数之间的综合关系。
研究对象为194名带4个月大婴儿前来进行健康检查的母亲。问卷由三个部分组成：1）婴儿和母亲的睡眠习惯及睡眠问题；2）母亲的健康状况；3）育儿方式。育儿方式部分有15个项目，分为可取行为和不可取行为。根据婴儿的睡眠问题，将研究对象分为问题组（n = 40）或对照组（n = 142）。比较两组之间母亲的睡眠、母亲的健康状况和育儿方式。此外，我们使用路径分析来研究这四个参数之间的关系。
超过60%的母亲存在一些睡眠问题，约30%的母亲被怀疑有患失眠症的高风险。母亲最常见的睡眠问题是“睡眠质量差”。超过80%的母亲有一些健康问题，最常见的是“肩部僵硬”。80%的母亲有诸如“睡前喂饱并检查尿布”等可取的育儿行为，而71%的母亲有诸如“立即喂奶或检查尿布”等不可取的育儿行为。问题组中母亲的睡眠问题、母亲的健康问题和不可取的育儿行为比对照组更频繁。路径分析的结果发现了以下关系：不可取的育儿方式影响婴儿的睡眠问题，婴儿的睡眠问题影响母亲的睡眠，母亲的睡眠影响母亲的健康。
30%的母亲被怀疑患有睡眠障碍，超过一半的母亲采取了不可取的育儿方式。不可取的育儿方式影响婴儿的睡眠问题，进而直接影响母亲的睡眠，并间接影响母亲的健康。
