早产或低出生体重婴儿睡眠-觉醒调节的交互模型。
A transactional model of sleep-wake regulation in infants born preterm or low birthweight.
作者信息
Schwichtenberg A J M, Poehlmann Julie
机构信息
MIND Institute, University of California Davis, Sacramento, CA 95817, USA.
出版信息
J Pediatr Psychol. 2009 Sep;34(8):837-49. doi: 10.1093/jpepsy/jsn132. Epub 2008 Dec 19.
OBJECTIVE
To test a transactional model of sleep-wake development in infants born preterm or low birthweight (PT LBW), which may inform clinical practice, interventions, and future research in this at risk population.
METHODS
One hundred and twenty-eight mother-infant dyads participated from hospital discharge to 4 months postterm. Assessments of prematurity, infant sleep-wake patterns, maternal interaction quality, depression, feeding route, and sociodemographic factors were conducted.
RESULTS
Path analyses revealed that maternal interactions directly related to infant sleep patterns and family sociodemographic risks related to less optimal parenting. In addition, bottle fed infants experienced fewer night wakings and more nighttime sleep.
CONCLUSIONS
Two potential pathways to sleep patterns in PT LBW infants were identified. The findings suggest directions for clinical work, such as supporting healthy infant sleep through parenting interventions or supporting interpersonal relations between parents and their PT LBW infants by encouraging more daytime naps. Additionally, clinicians should assess parents' nighttime sleep concerns within the larger sociodemographic and feeding context.
目的
测试早产或低出生体重（PT LBW）婴儿睡眠-觉醒发育的交互模型，该模型可为这一高危人群的临床实践、干预措施及未来研究提供参考。
方法
128对母婴二元组从出院至足月后4个月参与研究。对早产情况、婴儿睡眠-觉醒模式、母亲互动质量、抑郁情况、喂养方式及社会人口学因素进行评估。
结果
路径分析显示，母亲互动与婴儿睡眠模式直接相关，家庭社会人口学风险与不太理想的养育方式相关。此外，奶瓶喂养的婴儿夜间醒来次数较少，夜间睡眠时间较长。
结论
确定了PT LBW婴儿睡眠模式的两条潜在途径。研究结果为临床工作提供了方向，例如通过养育干预支持婴儿健康睡眠，或通过鼓励更多日间小睡来支持父母与其PT LBW婴儿之间的人际关系。此外，临床医生应在更广泛的社会人口学和喂养背景下评估父母对夜间睡眠的担忧。
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