Department of Psychiatry, Washington University in St. Louis School of Medicine, St. Louis, Missouri.
Department of Psychological and Brain Sciences, Indiana University, Bloomington, Indiana.
Behav Sleep Med. 2021 Nov-Dec;19(6):795-813. doi: 10.1080/15402002.2020.1865356. Epub 2020 Dec 26.
Family processes during the pre-bedtime period likely have a crucial influence on toddler sleep, but relatively little previous research has focused on family process in this context. The current study examined several aspects of family process during the pre-bedtime period, including the use of bedtime routines, the qualities of the child's home sleep environment, and the promotion of child emotional security, in families of 30-month-old toddlers (= 546; 265 female) who were part of a multi-site longitudinal study of toddler development. These characteristics were quantified using a combination of parent- and observer-reports and examined in association with child sleep using correlation and multiple regression. Child sleep was assessed using actigraphy to measure sleep duration, timing, variability, activity, and latency. Bedtime routines were examined using parents' daily records. Home sleep environment and emotional security induction were quantified based on observer ratings and in-home observation notes, respectively. All three measures of pre-bedtime context (i.e., bedtime routine inconsistency, poor quality sleep environments, and emotional security induction) were correlated with various aspects of child sleep (significant correlations:.11-.22). The most robust associations occurred between the pre-bedtime context measures and sleep timing (i.e., the timing of the child's sleep schedule) and variability (i.e., night to night variability in sleep timing and duration). Pre-bedtime variables, including bedtime routine consistency, home sleep environment quality, and positive emotional security induction, also mediated the association between family socioeconomic status and child sleep. Our findings underscore the value of considering family context when examining individual differences in child sleep.
在睡前阶段,家庭过程可能对幼儿睡眠产生至关重要的影响,但之前相对较少的研究关注这一背景下的家庭过程。本研究考察了睡前阶段家庭过程的几个方面,包括睡前常规的使用、儿童家庭睡眠环境的质量以及促进儿童情绪安全感,这些方面在参与一项关于幼儿发展的多地点纵向研究的 30 个月大幼儿(= 546;265 名女性)的家庭中进行了量化。这些特征使用父母和观察者报告的组合进行量化,并使用关联和多元回归分析与儿童睡眠进行关联。使用活动记录仪评估儿童睡眠以测量睡眠持续时间、时间、可变性、活动和潜伏期。睡前常规使用父母的日常记录进行检查。家庭睡眠环境和情绪安全感诱导分别根据观察者评分和家庭观察笔记进行量化。睡前环境的三个方面(即睡前常规不一致、睡眠环境质量差和情绪安全感诱导)与儿童睡眠的各个方面都存在相关性(显著相关性:.11-.22)。最显著的相关性发生在睡前环境测量值和睡眠时间(即儿童睡眠时间表的时间)和可变性(即睡眠时间和持续时间的夜间变化)之间。睡前变量,包括睡前常规一致性、家庭睡眠环境质量和积极的情绪安全感诱导,也调节了家庭社会经济地位与儿童睡眠之间的关联。我们的研究结果强调了在研究儿童睡眠的个体差异时考虑家庭背景的重要性。