Pediatric Sleep Center, Dana Children's Hospital, Tel Aviv Medical Center, Tel Aviv, Israel.
Sleep Med. 2013 Mar;14(3):261-5. doi: 10.1016/j.sleep.2012.10.025. Epub 2013 Jan 20.
To investigate (1) maternal cognitions regarding infant's sleep and feeding and maternal depression among mothers of children with behavioral insomnia, feeding disturbances and healthy controls, and (2) the association between maternal cognitions about sleep and those about feeding.
Children 6-36 months of age with either behavioral insomnia or feeding disorders were recruited. Children 6-36 months of age who attended the well-baby clinics were recruited and served as controls. The participants' mothers completed three questionnaires on their cognitions/perceptions of their child's sleep and feeding habits and about their own feelings of depression.
A total of 230 children (31 with behavioral insomnia, 29 with feeding disorders, 170 controls) were enrolled. Their mean age was 16.1 ± 7.6 months. Maternal cognitions/perceptions about sleep (maternal cognition infant sleep questionnaire, MCISQ) did not differ significantly between the behavioral insomnia group and the feeding disorders group. The MCISQ score was significantly higher in the behavioral insomnia group compared with controls (P < .02). Mothers of children with feeding disorders reported being significantly more frustrated or anxious when they fed their child (P < .0005), less confident about their child getting enough food (P < .0005), and less confident in their ability to manage their child's behavior at mealtime (P < .02) compared to the controls. Significant positive correlations were found between the MCISQ scores and the Beck Depression Inventory scores (r = 0.29, P < .0002), and between the MCISQ scores and the maternal cognitions of their child's feeding scores (r = 0.26, P < .0002). The latter remained significant after controlling for maternal depression (r = 0.25, P < .002).
Mothers of children with either behavioral insomnia or feeding disorders differ significantly from mothers of controls regarding their cognitions about sleep and feeding. Maternal cognitions about infant sleep behavior correlated with their cognitions about infant feeding. Maternal cognitions are a modifiable factor that may serve as a target for intervention in both sleep and feeding disorders in children.
（1）调查患有行为性失眠、喂养障碍和健康对照组儿童的母亲的婴儿睡眠和喂养认知以及抑郁情况；（2）探讨母亲对睡眠和喂养认知之间的关系。
招募了 6-36 个月大的患有行为性失眠或喂养障碍的儿童。招募了 6-36 个月大的参加婴儿保健门诊的儿童作为对照组。参与者的母亲完成了三份关于其子女睡眠和喂养习惯的认知/感知以及自身抑郁感的问卷。
共有 230 名儿童（31 名患有行为性失眠，29 名患有喂养障碍，170 名对照组）入组。他们的平均年龄为 16.1 ± 7.6 个月。行为性失眠组和喂养障碍组的母亲对睡眠的认知/感知（婴儿睡眠问卷母亲认知量表，MCISQ）无显著差异。与对照组相比，行为性失眠组的 MCISQ 评分显著升高（P <.02）。喂养孩子时，患有喂养障碍的母亲报告说她们感到更加沮丧或焦虑（P <.0005），对孩子获得足够食物的信心较低（P <.0005），并且在管理孩子用餐时的行为能力方面的信心较低（P <.02）与对照组相比。MCISQ 评分与 Beck 抑郁量表评分之间存在显著正相关（r = 0.29，P <.0002），与母亲对其子女喂养评分的认知之间也存在显著正相关（r = 0.26，P <.0002）。在控制了母亲抑郁后，后者仍然具有统计学意义（r = 0.25，P <.002）。
与对照组母亲相比，患有行为性失眠或喂养障碍的儿童的母亲在睡眠和喂养认知方面存在显著差异。婴儿睡眠行为的母亲认知与婴儿喂养认知相关。母亲认知是一个可改变的因素，可作为儿童睡眠和喂养障碍干预的目标。
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