Liu Jun, Sun Yu, Fan Xiaoxiao, Zang Tianzi, Han Lu, Slack Julia Elise, Bai Jinbing, Chen Hong, Liu Yanqun
Center for Women's and Children's Health, Wuhan University School of Nursing, Wuhan University, Wuhan, China.
Emory University Nell Hodgson Woodruff School of Nursing, Atlanta, Georgia, USA.
Sleep Health. 2023 Oct;9(5):662-671. doi: 10.1016/j.sleh.2023.06.010. Epub 2023 Jul 31.
Infant sleep problems are prevalent and have a negative impact on infant growth and development, maternal sleep, and maternal mood. The effects of psychosocial sleep interventions on infant sleep and maternal sleep and mood are unclear. This study aimed to systematically evaluate the effects of psychosocial sleep interventions on improving infant sleep, including nocturnal total sleep time, daytime total sleep, total sleep time, night wakings, and maternal sleep and mood problems (ie, depression and fatigue). We searched PubMed, Web of Science, Cochrane Library, Embase, EBSCO, OpenGrey, DeepBlue, China National Knowledge Infrastructure, and Wanfang databases. We focused on randomized controlled trials examining the effectiveness of psychosocial sleep interventions on infant sleep. The study was preregistered at the International Prospective Register of Systematic Reviews (CRD42022301654). Thirteen studies from 5889 articles were included in the review, which found that psychosocial sleep interventions improved infant nocturnal total sleep time (0.28 [0.04-0.52], p < 0.05, I = 83.9%) and maternal depression (-0.10 [-0.28 to -0.08], p < 0.05, I = 8.7%). To test and explore heterogeneity, we used the I statistic, influence analysis, subgroup analyses, and subgroup meta-analyses. Funnel plots and Egger's tests revealed no evidence of publication bias. Psychosocial sleep interventions improved infant nocturnal total sleep time and maternal depression. Future research should include more randomized controlled trials examining the effect of psychosocial sleep interventions on the improvement of maternal sleep and fatigue.
婴儿睡眠问题很普遍，会对婴儿的生长发育、母亲的睡眠和情绪产生负面影响。心理社会睡眠干预对婴儿睡眠、母亲睡眠和情绪的影响尚不清楚。本研究旨在系统评价心理社会睡眠干预对改善婴儿睡眠的效果，包括夜间总睡眠时间、白天总睡眠时间、总睡眠时间、夜间觉醒次数，以及对母亲睡眠和情绪问题（即抑郁和疲劳）的影响。我们检索了PubMed、科学网、考克兰图书馆、Embase、EBSCO、OpenGrey、DeepBlue、中国知网和万方数据库。我们重点关注检验心理社会睡眠干预对婴儿睡眠有效性的随机对照试验。该研究已在国际前瞻性系统评价注册库（CRD42022301654）进行了预注册。纳入综述的13项研究来自5889篇文章，结果发现心理社会睡眠干预改善了婴儿夜间总睡眠时间（0.28[0.04 - 0.52]，p < 0.05，I² = 83.9%）和母亲抑郁情况（-0.10[-0.28至-0.08]，p < 0.05，I² = 8.7%）。为了检验和探索异质性，我们使用了I²统计量、影响分析、亚组分析和亚组合并分析。漏斗图和埃格检验未发现发表偏倚证据。心理社会睡眠干预改善了婴儿夜间总睡眠时间和母亲抑郁情况。未来的研究应纳入更多检验心理社会睡眠干预对改善母亲睡眠和疲劳效果的随机对照试验。
