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母婴同睡:研究婴儿睡眠的合适背景及对婴儿猝死综合征(SIDS)研究的意义。

Parent-infant cosleeping: the appropriate context for the study of infant sleep and implications for sudden infant death syndrome (SIDS) research.

作者信息

Mosko S, McKenna J, Dickel M, Hunt L

机构信息

University of California Irvine Medical Center, Orange 92668.

出版信息

J Behav Med. 1993 Dec;16(6):589-610. doi: 10.1007/BF00844721.

Abstract

Nearly all laboratory research on human infant sleep assumes that solitary sleeping is the normal and desirable environment. Yet solitary sleeping in infancy is a very recent custom limited to Western industrialized societies, and most of the world's people still practice parent-infant cosleeping. A hypothesis is presented that cosleeping provides a sensory-rich environment which is the more appropriate environment in which to study normal infant sleep. In addition, two preliminary, in-laboratory, polygraphic investigations of mother-infant cosleeping are reported in normal infants within the peak age range for sudden infant death syndrome (SIDS). Five mother-infant pairs coslept for 1 night in the first study; in the second, three additional pairs slept separately for 2 nights and coslept the third consecutive night. The results suggest that cosleeping is associated with enhanced infant arousals and striking temporal overlap in infant and maternal arousals. Infant sleep also showed subtle alterations with cosleeping, as manifested in increased overlap with corresponding maternal sleep stages and decreased amount of Stage 3-4. These are the first in-laboratory investigations of parent-infant cosleeping. The implications of the hypothesis and preliminary results for research on the normal development of infant sleep and on SIDS are discussed.

摘要

几乎所有关于人类婴儿睡眠的实验室研究都假定独自睡眠是正常且理想的环境。然而,婴儿期独自睡眠是一种非常新近的习俗,仅限于西方工业化社会,而世界上大多数人仍然实行母婴同睡。本文提出了一个假说,即同睡提供了一个感官丰富的环境,是研究正常婴儿睡眠更合适的环境。此外,还报告了两项针对婴儿猝死综合征(SIDS)高发年龄范围内正常婴儿的母婴同睡的初步实验室多导睡眠图调查。在第一项研究中,五对母婴同睡了1晚;在第二项研究中,另外三对母婴分开睡了2晚,然后连续第三晚同睡。结果表明,同睡与婴儿觉醒增强以及婴儿和母亲觉醒之间显著的时间重叠有关。婴儿睡眠也因同睡而表现出细微变化,表现为与相应母亲睡眠阶段的重叠增加以及3-4期睡眠量减少。这些是首次在实验室对母婴同睡进行的调查。本文讨论了该假说和初步结果对婴儿睡眠正常发育研究以及SIDS研究的意义。

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