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整夜睡眠:生命第一年自我调节睡眠的巩固。

Sleeping through the night: the consolidation of self-regulated sleep across the first year of life.

机构信息

Department of Psychology, College of Science, University of Canterbury, Private Bag 4800, Christchurch, New Zealand.

出版信息

Pediatrics. 2010 Nov;126(5):e1081-7. doi: 10.1542/peds.2010-0976. Epub 2010 Oct 25.

DOI:10.1542/peds.2010-0976
PMID:20974775
Abstract

OBJECTIVE

To investigate the consolidation of infants' self-regulated nocturnal sleep over the first year, to determine when infants first sleep through the night from 24:00 to 05:00 hours (criterion 1), for 8 hours (criterion 2), or between 22:00 and 06:00 hours (the family-congruent criterion 3).

METHODS

This was a prospective longitudinal study with repeated measures. Parents of 75 typically developing infants completed sleep diaries for 6 days each month for 12 months. Accuracy of parent reports were assessed by using videosomnography.

RESULTS

The largest mean increase (504 minutes) in self-regulated sleep length occurred from 1 to 4 months. The survival function decreased most rapidly (indicating greatest probability of meeting criteria) for criterion 1 at 2 months, criterion 2 at 3 months, and criterion 3 at 4 months. A 50% probability of meeting criteria 1 and 2 occurred at 3 months and at 5 months for criterion 3. The hazard function identified 2 months (criteria 1 and 2) and 3 months (criterion 3) as the most likely ages for sleeping through the night. At 12 months, 11 infants did not meet criteria 1 or 2, whereas 21 failed to meet criterion 3.

CONCLUSIONS

The most rapid consolidation in infant sleep regulation occurs in the first 4 months. Most infants are sleeping through the night at 2 and 3 months, regardless of the criterion used. The most developmentally and socially valid criterion for sleeping through is from 22:00 to 0:600 hours. At 5 months, more than half of infants are sleeping concurrently with their parents.

摘要

目的

研究婴儿自我调节夜间睡眠的巩固情况,确定婴儿何时能首次在 24:00 至 05:00 点(标准 1)、8 小时(标准 2)或 22:00 至 06:00 点(家庭一致标准 3)之间通宵睡眠。

方法

这是一项前瞻性纵向研究,采用重复测量。75 名典型发育婴儿的父母每月完成 6 天的睡眠日记,为期 12 个月。通过视频睡眠描记术评估父母报告的准确性。

结果

自我调节睡眠长度的最大平均增加(504 分钟)发生在 1 至 4 个月。生存函数下降最快(表明最有可能达到标准)的是标准 1 在 2 个月,标准 2 在 3 个月,标准 3 在 4 个月。标准 1 和 2 的 50%可能性在 3 个月时达到,标准 3 在 5 个月时达到。危险函数确定 2 个月(标准 1 和 2)和 3 个月(标准 3)是最有可能夜间入睡的年龄。在 12 个月时,11 名婴儿未达到标准 1 或 2,而 21 名婴儿未达到标准 3。

结论

婴儿睡眠调节的最快巩固发生在头 4 个月。大多数婴儿在 2 至 3 个月时就已经可以整晚睡眠,无论使用哪个标准。最符合发育和社会的夜间睡眠标准是从 22:00 到 0:600 点。在 5 个月时,超过一半的婴儿与父母同时入睡。

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