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Published on: October 2, 2019
Co-sleeping and clinical correlates in children seen at a child guidance clinic
R Mahendran1, J A Vaingankar, S Mythily
1Department of General Psychiatry, Institute of Mental Health, 10 Buangkok View, Singapore. rathi_mahendran@imh.com.sg
Insights
Co-sleeping, or bed-sharing, was common in 72.7% of children at a child guidance clinic and did not correlate with significant sleep issues. This practice may help resolve existing sleep problems in children.
Area of Science:
- Pediatric Sleep Medicine
- Child Psychology
- Behavioral Pediatrics
Background:
- Co-sleeping (bed-sharing) is a prevalent practice with limited research.
- It is often perceived as cultural but may stem from parental responses to sleep disturbances.
- Existing studies suggest potential links between co-sleeping and behavioral difficulties.
Purpose of the Study:
- To investigate the prevalence of co-sleeping among children and adolescents at a child guidance clinic.
- To examine the relationship between co-sleeping and reported sleep problems in this cohort.
- To understand the role of co-sleeping as a potential parental strategy for sleep issues.
Main Methods:
- A questionnaire-based study was conducted with new patients at a child guidance clinic.
- Parents/guardians provided consent and completed surveys on socio-demographics and sleep problems.
- The survey included data on the frequency of nine common sleep problems over the past six months.
Main Results:
- Co-sleeping was reported by 72.7% of the study cohort.
- Children who co-slept were significantly younger, with prevalence decreasing by age.
- Children sleeping alone experienced significantly more sleep starts and nightmares.
Conclusions:
- Co-sleeping was not associated with significant sleep problems in the studied child guidance clinic cohort.
- The practice may initiate as a response to sleep issues but can ultimately resolve them.
- Restricting co-sleeping might exacerbate sleep problems, leading to increased sleep starts and nightmares.
Introduction:
Co-sleeping or bed-sharing is a common practice that has been little researched. While often viewed as being "cultural" in nature, there is a suggestion that it may be a parental response to sleep problems. Some studies link co-sleeping with behavioural and temperamental difficulties. The objectives of the current study were to determine the prevalence of co-sleeping and how they relate to sleeping problems among a cohort of children and adolescents seen in a child guidance clinic.
Methods:
Parents or guardians of all new patients seen at the child guidance clinic were asked to complete a questionnaire upon their consent to participate in the study. The questionnaire included socio-demographical data and frequency of sleep problems in the past six months. A list of nine common sleep problems was included.
Results:
The prevalence of co-sleeping was found to be 72.7 percent. The children who co-sleep were significantly younger and there was a decrease in the practice with increasing age. Sleep starts and nightmares were significantly more among those sleeping alone.
Conclusion:
Co-sleeping was not associated with significant sleep problems in our cohort. Co-sleeping may have been initiated in response to an existing sleep problem but eventually resolved the problem. If co-sleeping is not permitted, the sleep problem could be compounded, giving rise to a higher prevalence of sleep starts and nightmares among those in our cohort who slept alone.
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