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Articles

Vol. 1 No. 2 (2022): Cortica II : Brainstorming on mental health

A reduced sleep quality in infants is associated with co-sleeping and parental stress during the COVID-19 pandemic

DOI
https://doi.org/10.26034/cortica.2022.3347
Submitted
September 13, 2022
Published
2022-09-20

Abstract

Children’s sleep patterns change and develop to reach certain stability within their development. These sleep patterns are vulnerable to biological, social, and environmental factors. Recent studies focused on two factors that modulate infants’ sleep, namely parents’ stress and co-sleeping. Likewise, contextual stressors influence the relationship between infants’ sleep and parents’ mental health. Confinement due to the COVID-19 pandemic is a contextual stressor experienced worldwide. The present study investigates the effects of confinement on infants’ sleep, controlling for parents’ stress and infants’ sleeping arrangements. We recruited parents of 352 infants (aged from 0 to 36 months) to answer an online questionnaire. We used the Brief Infant Sleep Questionnaires to measure infants’ sleep, as well as the Perceived Stress Scale and the Well-Being Index for parental stress and well-being. Our results demonstrated that parental stress was negatively associated with infants’ sleep quality. Furthermore, we observed that co-sleeping infants were showing a poorer sleep quality than infants sleeping alone. We suggest increasing awareness concerning mental health, especially in parents, during stressful life events. Additionally, we recommend psychoeducation for parents about normal patterns of infants’ sleep.  

References

  1. Aguilar-Farias, N., Toledo-Vargas, M., Miranda-Marquez, S., Cortinez-O’Ryan, A., Cristi-Montero, C., Rodriguez-Rodriguez, F., Martino-Fuentealba, P., Okely, A. D., & del Pozo Cruz, B. (2021). Sociodemographic Predictors of Changes in Physical Activity, Screen Time, and Sleep among Toddlers and Preschoolers in Chile during the COVID- 19 Pandemic. International Journal of Environmental Research and Public Health, 18(1), 176. https://doi.org/10.3390/ijerph18010176 DOI: https://doi.org/10.3390/ijerph18010176
  2. American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). DOI: https://doi.org/10.1176/appi.books.9780890425596
  3. Benjamini, Y., & Hochberg, Y. (1995). Controlling the False Discovery Rate: A Practical and Powerful Approach to Multiple Testing. Journal of the Royal Statistical Society: Series B (Methodological), 57(1).
  4. https://doi.org/10.1111/j.2517-6161.1995.tb02031.x DOI: https://doi.org/10.1111/j.2517-6161.1995.tb02031.x
  5. Cohen, S., Kamarck, T., & Mermelstein, R. (1983). A Global Measure of Perceived Stress. Journal of Health and Social Behavior, 24(4), 385–396. https://doi.org/10.2307/2136404 DOI: https://doi.org/10.2307/2136404
  6. Dahl, R. E. (1996). The regulation of sleep and arousal. Development and Psychopathology, 8(1), 3–27. https://doi.org/10.1017/S0954579400006945 DOI: https://doi.org/10.1017/S0954579400006945
  7. De Stasio, S., Boldrini, F., Ragni, B., & Gentile, S. (2020). Predictive Factors of Toddlers’ Sleep and Parental Stress. International Journal of Environmental Research and Public Health, 17(7), 2494. https://doi.org/10.3390/ijerph17072494 DOI: https://doi.org/10.3390/ijerph17072494
  8. Hiscock, H., & Wake, M. (2002). Randomised controlled trial of behavioral infant sleep intervention to improve infant sleep and maternal mood. BMJ, 324(7345), 1062. https://doi.org/10.1136/bmj.324.7345.1062 DOI: https://doi.org/10.1136/bmj.324.7345.1062
  9. Hughes, A., Gallagher, S., & Hannigan, A. (2015). A Cluster Analysis of Reported Sleeping Patterns of 9-Month Old Infants and the Association with Maternal Health: Results from a Population Based Cohort Study. Maternal and Child Health Journal, 19(8), 1881– 1889. https://doi.org/10.1007/s10995-015-1701-6 DOI: https://doi.org/10.1007/s10995-015-1701-6
  10. Hysing, M., Harvey, A. G., Torgersen, L., Ystrom, E., Reichborn-Kjennerud, T., & Sivertsen, B. (2014). Trajectories and Predictors of Nocturnal Awakenings and Sleep Duration in Infants. Journal of Developmental & Behavioral Pediatrics, 35(5), 309–316. https://doi.org/10.1097/DBP.0000000000000064 DOI: https://doi.org/10.1097/DBP.0000000000000064
  11. Iglowstein, I., Jenni, O. G., Molinari, L., & Largo, R. H. (2003). Sleep Duration From Infancy to Adolescence: Reference Values and Generational Trends. PEDIATRICS, 111(2), 302–307. https://doi.org/10.1542/peds.111.2.302 DOI: https://doi.org/10.1542/peds.111.2.302
  12. Jiang, F., Shen, X., Yan, C., Wu, S., Jin, X., Dyken, M., & Lin‐Dyken, D. (2007). Epidemiological study of sleep characteristics in Chinese children 1–23 months of age. Pediatrics International, 49(6), 811–816. https://doi.org/10.1111/j.1442- 200X.2007.02449.x DOI: https://doi.org/10.1111/j.1442-200X.2007.02449.x
  13. Leiner, D. J. (2019). SoSci Survey (Version 3.1.06). [Computer software]. https://www.soscisurvey.de
  14. Mao, A., Burnham, M. M., Goodlin-Jones, B. L., Gaylor, E. E., & Anders, T. F. (2004). A Comparison of the Sleep–Wake Patterns of Cosleeping and Solitary-Sleeping Infants. Child Psychiatry and Human Development, 35(2), 95–105. https://doi.org/10.1007/s10578-004-1879-0 DOI: https://doi.org/10.1007/s10578-004-1879-0
  15. Markovic, A., Mühlematter, C., Beaugrand, M., Camos, V., & Kurth, S. (2021). Severe effects of the COVID‐19 confinement on young children’s sleep: A longitudinal study identifying risk and protective factors. Journal of Sleep Research, 30(5). https://doi.org/10.1111/jsr.13314 DOI: https://doi.org/10.1111/jsr.13314
  16. Meltzer, L. J., Montgomery-Downs, H. E., Insana, S. P., & Walsh, C. M. (2012). Use of actigraphy for assessment in pediatric sleep research. Sleep Medicine Reviews, 16(5),463–475. https://doi.org/10.1016/j.smrv.2011.10.002 DOI: https://doi.org/10.1016/j.smrv.2011.10.002
  17. Mindell, J. A., Lee, C., & Sadeh, A. (2017). Young child and maternal sleep in the Middle East. Sleep Medicine, 32, 75–82. https://doi.org/10.1016/j.sleep.2016.11.011 DOI: https://doi.org/10.1016/j.sleep.2016.11.011
  18. Mindell, J. A., Sadeh, A., Kohyama, J., & How, T. H. (2010). Parental behaviors and sleep outcomes in infants and toddlers: A cross-cultural comparison. Sleep Medicine, 11(4), 393–399. https://doi.org/10.1016/j.sleep.2009.11.011 DOI: https://doi.org/10.1016/j.sleep.2009.11.011
  19. Paul, I. M., Hohman, E. E., Loken, E., Savage, J. S., Anzman-Frasca, S., Carper, P., Marini, M. E., & Birch, L. L. (2017). Mother-Infant Room-Sharing and Sleep Outcomes in the INSIGHT Study. Pediatrics, 140(1). https://doi.org/10.1542/peds.2017-0122 DOI: https://doi.org/10.1542/peds.2017-0122
  20. Psychiatric Reasearch Unit (1998). WHO (Five) Well-Being Index. https://www.psykiatri- regionh.dk/who-5/who-5-questionnaires/Pages/default.aspx
  21. R Core Team (2019). R: A language and environment for statistical computing. R Foundation for Statistical Computing. (Version 3.6.1) [Computer software] Vienna, Austria. https://www.R-project.org/.
  22. Sadeh, A. (2004). A Brief Screening Questionnaire for Infant Sleep Problems: Validation and Findings for an Internet Sample. Pediatrics, 113(6), e570–e577. https://doi.org/10.1542/peds.113.6.e570 DOI: https://doi.org/10.1542/peds.113.6.e570
  23. Schoch, S. F., Huber, R., Kohler, M., & Kurth, S. (2020). Which Are the Central Aspects of Infant Sleep? The Dynamics of Sleep Composites across Infancy. Sensors, 20(24), 7188. https://doi.org/10.3390/s20247188 DOI: https://doi.org/10.3390/s20247188
  24. TASK FORCE ON SUDDEN INFANT DEATH SYNDROME, Moon, R. Y., Darnall, R. A., Feldman-Winter, L., Goodstein, M. H., & Hauck, F. R. (2016). SIDS and Other Sleep- Related Infant Deaths: Updated 2016 Recommendations for a Safe Infant Sleeping Environment. Pediatrics, 138(5), e20162938. https://doi.org/10.1542/peds.2016-2938 DOI: https://doi.org/10.1542/peds.2016-2938
  25. Teti, D. M., & Crosby, B. (2012). Maternal Depressive Symptoms, Dysfunctional Cognitions, and Infant Night Waking: The Role of Maternal Nighttime Behavior. Child Development, 83(3), 939–953. https://doi.org/10.1111/j.1467-8624.2012.01760.x DOI: https://doi.org/10.1111/j.1467-8624.2012.01760.x
  26. Teti, D. M., Shimizu, M., Crosby, B., & Kim, B.-R. (2016). Sleep arrangements, parent-infant sleep during the first year, and family functioning. Developmental Psychology, 52(8), 1169–1181. https://doi.org/10.1037/dev0000148 DOI: https://doi.org/10.1037/dev0000148
  27. World Health Organization (2020, March 11). Allocution liminaire du Directeur général de l’OMS lors du point presse sur la COVID-19—11 mars 2020. https://www.who.int/fr/director-general/speeches/detail/who-director-general-s- opening-remarks-at-the-media-briefing-on-covid-19---11-march-2020
  28. Ystrom, H., Nilsen, W., Hysing, M., Sivertsen, B., & Ystrom, E. (2017). Sleep problems in preschoolers and maternal depressive symptoms: An evaluation of mother- and child- driven effects. Developmental Psychology, 53(12), 2261–2272. https://doi.org/10.1037/dev0000402 DOI: https://doi.org/10.1037/dev0000402