Hairston Ilana S, Solnik-Menilo Tal, Deviri Dana, Handelzalts Jonathan E
Academic College of Tel Aviv-Yaffo, 2 Rabenu Yeruham St., Tel Aviv-Jaffa, Israel.
Arch Womens Ment Health. 2016 Dec;19(6):1029-1039. doi: 10.1007/s00737-016-0652-2. Epub 2016 Jul 20.
Parent-infant bonding has long-term consequences for the psychological wellbeing of the child. Considering the centrality of infant sleep patterns in infant-caregiver interactions in the first year of life, we propose that infant sleep patterns act as a catalyst or disruptor for mother-infant relationship, such that infant sleep patterns contribute to maternal mood, maternal sleep quality, perception of infant temperament, and her bonding experience. One hundred fifty-two Israeli mothers, of 5-8-month-old infants, responded to Internet-based questionnaires regarding their sleep, their mood, their infant's sleep, the infant's temperament, and their bonding experience. Eight percent of the mothers reported clinically significant depression, while 67 % reported significant sleep difficulties. Infant sleep difficulties correlated with maternal mood and sleep quality, infant fussiness, and bonding. Structural equation modeling demonstrated that maternal sleep partially mediated the relationship between infant sleep and maternal mood. Additionally, 22 % of the variance in bonding was explained by infant sleep problems and temperament. Notably, maternal depression moderated this effect such that infant sleep problems correlated with bonding only in those mothers who were depressed. The results suggest that infant sleep is a vector by which maternal cognitions and mood are transmitted to her child, with long-term implications for psychological development.
母婴联结对儿童的心理健康具有长期影响。鉴于婴儿睡眠模式在生命第一年的婴儿-照料者互动中的核心地位,我们提出婴儿睡眠模式是母婴关系的催化剂或干扰因素,即婴儿睡眠模式会影响母亲的情绪、睡眠质量、对婴儿气质的感知以及她的联结体验。152名以色列母亲,其婴儿年龄在5至8个月,她们通过网络问卷回答了关于自己的睡眠、情绪、婴儿的睡眠、婴儿的气质以及她们的联结体验等问题。8%的母亲报告有临床显著的抑郁症状,而67%的母亲报告有严重的睡眠困难。婴儿睡眠困难与母亲的情绪和睡眠质量、婴儿的烦躁以及母婴联结相关。结构方程模型表明,母亲的睡眠部分介导了婴儿睡眠与母亲情绪之间的关系。此外,母婴联结中22%的变异可由婴儿睡眠问题和气质来解释。值得注意的是,母亲的抑郁调节了这种效应,使得婴儿睡眠问题仅在那些抑郁的母亲中与母婴联结相关。研究结果表明,婴儿睡眠是母亲的认知和情绪传递给孩子的一个载体,对心理发展具有长期影响。