Armstrong K L, O'Donnell H, McCallum R, Dadds M
Community Child Health Service, Fortitude Valley, Queensland, Australia.
J Paediatr Child Health. 1998 Jun;34(3):263-6. doi: 10.1046/j.1440-1754.1998.00214.x.
To determine whether problems with childhood sleep behaviour are associated with either maternal sleep patterns and emotional status during the pregnancy period, or levels of maternal distress and depression during the postnatal period.
A case/control comparison study. Cases were families presenting for admissions to a mother/baby hospital in Brisbane with the major presenting problem being the child's sleep behaviour. The control group consisted of families presenting for well child health care to one of four child health centres in suburban Brisbane. Each participating mother provided information by way of a self-report questionnaire on social and demographic variables, children's sleep patterns, maternal emotional adjustment and maternal sleep pattern during the pregnancy, and current problem with child's sleep behaviour. Current level of maternal distress/depression, was measured using the Edinburgh Postnatal Depression Scale. Cases were compared with controls on all these variables.
Significant differences were found between groups in childhood sleep parameters, degree of problem related to childhood sleep, maternal sleep variables during the entire pregnancy, and current levels of maternal distress/depression.
The origins of problematic childhood sleep behaviour may lie in the pregnancy period. Levels of maternal distress and depression are associated with problematic childhood sleep behaviour. The issue of whether childhood sleep problem predisposes to maternal distress/depression needs exploration. Assessment of maternal mood disorder or childhood sleep problems should be comprehensive and involve both the maternal infant dyad and the family network.
确定儿童睡眠行为问题是否与孕期母亲的睡眠模式和情绪状态，或产后母亲的困扰和抑郁水平相关。
一项病例对照比较研究。病例组为前往布里斯班一家母婴医院就诊的家庭，主要问题是孩子的睡眠行为。对照组由前往布里斯班郊区四个儿童健康中心之一进行儿童健康护理的家庭组成。每位参与研究的母亲通过自我报告问卷提供有关社会和人口统计学变量、孩子的睡眠模式、孕期母亲的情绪调整和睡眠模式以及当前孩子睡眠行为问题的信息。使用爱丁堡产后抑郁量表测量母亲当前的困扰/抑郁水平。在所有这些变量上对病例组和对照组进行比较。
在儿童睡眠参数、与儿童睡眠相关的问题程度、整个孕期母亲的睡眠变量以及母亲当前的困扰/抑郁水平方面，两组之间存在显著差异。
儿童睡眠行为问题的根源可能在于孕期。母亲的困扰和抑郁水平与儿童睡眠行为问题相关。儿童睡眠问题是否易引发母亲的困扰/抑郁这一问题需要进一步探究。对母亲情绪障碍或儿童睡眠问题的评估应该是全面的，并且应涉及母婴二元组和家庭网络。
