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Updated: Jun 7, 2026

Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale
Published on: August 25, 2014
Daytime sleep and parenting interactions in infants born preterm
A J Schwichtenberg1, Thomas F Anders, Melissa Vollbrecht
1Department of Psychiatry and Behavioral Sciences, MIND Institute, University of California, Davis, CA 95817, USA. ajschwichtenberg@ucdavis.edu
Insights
Infants born preterm who napped more had more positive maternal interactions. More naps in infants predicted better maternal interactions later, showing a bidirectional link between infant sleep and parenting.
Area of Science:
- Developmental Psychology
- Pediatric Sleep Medicine
- Maternal-Child Interaction
Background:
- Nighttime parent-child interactions are known to influence nighttime sleep.
- Daytime sleep behaviors in infants are an understudied area.
- Transactional processes between sleep and parenting are crucial for development.
Purpose of the Study:
- To examine the longitudinal associations between infant daytime sleep and maternal play interactions.
- To explore concurrent and time-lagged relationships in preterm infants.
- To understand the bidirectional influence of sleep and interaction.
Main Methods:
- Longitudinal study of 134 families with preterm infants.
- Data collected at NICU discharge and 4, 9, 24 months postterm.
- Methods included sleep logs, sociodemographic data, and video-taped play sessions.
Main Results:
- Infants with more naps had mothers with more positive/communicative interactions at 4, 9, and 24 months.
- More infant naps predicted more optimal maternal interactive behaviors later.
- Maternal negative affect predicted increased infant daytime sleep later.
Conclusions:
- Daytime sleep significantly influences daytime parent-child interactions.
- Supports a longitudinal, bidirectional relationship between infant sleep and maternal interactions.
- Highlights the importance of studying daytime naps in early childhood development.
Objective:
After a transactional perspective, this longitudinal study assessed concurrent and time-lagged associations between infant daytime sleep behaviors and maternal play interactions within a sample of infants born preterm.
Method:
Data were collected from 134 families recruited from 3 Wisconsin neonatal intensive care units. Multiple methods were used to collect data at infant neonatal intensive care unit discharge and when infants were 4, 9, and 24 months postterm, including parent report infant sleep logs, family sociodemographic assets, and a 15-minute video-taped play session.
Results:
Within time points, infants who napped more had mothers who were rated as more positive and communicative or less negative during play interactions at 4, 9, and 24 months compared with infants who napped less. Time-lagged findings indicated that infants who took more naps experienced more optimal maternal interactive behaviors later in development than infants who took fewer naps. In addition, mothers who expressed more negative affect at 4 or 9 months predicted more infant daytime sleep later in development.
Conclusion:
Previous studies document that nighttime parent-child interactions influence nighttime sleep. This study presents the natural extension that daytime sleep influences daytime interactions. This study draws attention to the understudied area of daytime naps in young children and provides support for the longitudinal bidirectional processes between sleep and parenting interactions.
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