Carter Mikaela L, Paine Sarah-Jane, Sweeney Bronwyn M, Taylor Joanne E, Signal T Leigh
Sleep/Wake Research Centre, Massey University, Wellington, New Zealand.
Faculty of Medical and Health Sciences, University of Auckland, Auckland, New Zealand and.
Sleep. 2025 Apr 11;48(4). doi: 10.1093/sleep/zsae255.
(1) To describe sleep in infancy and early childhood among children born to mothers with and without clinically significant depressive symptoms, and (2) to explore the relationships between maternal depressive symptoms and sleep patterns and problems during infancy and early childhood.
Secondary analysis of longitudinal data from the Moe Kura: Mother and Child, Sleep and Wellbeing in Aotearoa/New Zealand study. Data were collected in pregnancy (T1), 12 weeks postpartum (T2), and 3 years post-birth (T3). Participants were 262 Māori and 594 non-Māori mother-child dyads. Chi-square and independent t-tests measured bivariate associations between maternal mood (T1, T2, and T3) and child sleep characteristics (T2 and T3). Binary logistic regression models examined longitudinal and concurrent associations between maternal depressive symptoms and infant and preschooler sleep. Adjusted models accounted for key socio-demographic variables, as well as infant sleep variables in preschooler models.
Bivariate associations were found between prior and concurrent depressive symptomology and many of the infant and preschooler sleep outcomes. In adjusted models, prenatal depressive symptoms remained independently associated with shorter-than-recommended sleep durations in preschoolers. In these models, concurrent depression was also associated with night waking, night LSRSP, and perceived sleep problems at 12 weeks postpartum, and CSHQ-determined and perceived sleep problems at 3 years post-birth.
Longitudinal and cross-sectional associations were found between maternal depressive symptoms and child sleep. Sleep appears to be one pathway by which maternal depression confers risk for suboptimal child health outcomes. Findings support the need for earlier and better maternal mental health services.
（1）描述有和没有临床显著抑郁症状的母亲所生孩子在婴儿期和幼儿期的睡眠情况，以及（2）探讨母亲抑郁症状与婴儿期和幼儿期睡眠模式及问题之间的关系。
对来自新西兰奥特亚罗瓦的“莫伊库拉：母婴、睡眠与幸福”研究的纵向数据进行二次分析。数据在孕期（T1）、产后12周（T2）和出生后3年（T3）收集。参与者为262对毛利族母婴和594对非毛利族母婴。卡方检验和独立t检验测量了母亲情绪（T1、T2和T3）与儿童睡眠特征（T2和T3）之间的双变量关联。二元逻辑回归模型检验了母亲抑郁症状与婴儿和学龄前儿童睡眠之间的纵向和同时期关联。调整后的模型考虑了关键的社会人口学变量，以及学龄前儿童模型中的婴儿睡眠变量。
在先前和同时期的抑郁症状与许多婴儿和学龄前儿童的睡眠结果之间发现了双变量关联。在调整后的模型中，产前抑郁症状仍然与学龄前儿童睡眠时间短于推荐时长独立相关。在这些模型中，同时期的抑郁症还与产后12周的夜间醒来、夜间长时间睡眠不安稳和感知到的睡眠问题，以及出生后3年由儿童睡眠习惯问卷（CSHQ）确定的和感知到的睡眠问题有关。
在母亲抑郁症状与儿童睡眠之间发现了纵向和横断面关联。睡眠似乎是母亲抑郁导致儿童健康结果不佳风险的一条途径。研究结果支持需要更早和更好的母亲心理健康服务。
