Department of Psychotherapy and Psychosomatic Medicine, Faculty of Medicine of the TU Dresden, Germany.
Department for Infant Mental Health, Regional Centre for Child and Adolescent Mental Health, Eastern and Southern Norway, Oslo, Norway.
Behav Sleep Med. 2021 May-Jun;19(3):303-317. doi: 10.1080/15402002.2020.1746661. Epub 2020 Apr 4.
: Poor sleep quality is a common problem in pregnant women, however there is scarce research evidence regarding the association between maternal perinatal insomnia and later social-emotional child development.: This study is part of the Akershus Birth Cohort, a longitudinal population-based study. Birth record and questionnaire data of 1,346 women were used.: Maternal symptoms of insomnia were measured at pregnancy week 32 and at eight weeks postpartum and social-emotional child development was assessed at two years of child age. Correlational and multiple linear regression analyzes were performed.: Both, pre- and postnatal symptoms of insomnia were significantly correlated with poorer social-emotional child development two years later (r = 0.09, < .01 and r = 0.13, < .001). Adjusting for potential confounding factors, the prospective effect of maternal symptoms of perinatal insomnia on social-emotional child development remained significant in the multiple linear regression analyzes (β = 0.08, < .01 and β = 0. 10, < .01).: We found a prospective effect of maternal symptoms of perinatal insomnia on social-emotional child development, highlighting the potential relevance of both pre- and postnatal maternal sleep for later social-emotional child development. Future studies ought to examine the bio-psycho-social mechanisms and implications of poor maternal sleep in the perinatal time in more detail.
孕妇睡眠质量差是一个常见问题，但关于围产期失眠与儿童后期社会情感发展之间的关系，研究证据很少。
本研究是阿克什胡斯出生队列的一部分，这是一项基于人群的纵向研究。使用了 1346 名女性的出生记录和问卷调查数据。孕妇在妊娠第 32 周和产后 8 周测量失眠症状，在儿童 2 岁时评估社会情感发育。进行了相关和多元线性回归分析。
产前和产后的失眠症状均与两年后较差的社会情感儿童发育显著相关(r=0.09， < 0.01 和 r=0.13， < 0.001)。在校正潜在混杂因素后，围产期失眠的母亲症状对社会情感儿童发育的前瞻性影响在多元线性回归分析中仍然显著(β=0.08， < 0.01 和 β=0.10， < 0.01)。
我们发现了围产期失眠母亲症状对社会情感儿童发育的前瞻性影响，这突出了围产期母亲睡眠质量对儿童后期社会情感发育的潜在重要性。未来的研究应该更详细地研究围产期不良母亲睡眠的生物心理社会机制及其影响。
