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Published on: October 2, 2019
Infant attachment and toddlers' sleep assessed by maternal reports and actigraphy: different measurement methods
Valérie Simard1, Annie Bernier, Marie-Ève Bélanger
1Department of Psychology, Université de Sherbrooke (campus Longueuil), 150 place Charles-Le Moyne, Bureau 200, Longueuil, QC, Canada, J4K 0A8. valerie.simard@usherbrooke.ca
Insights
Maternal reports of resistant attachment in toddlers correlate with sleep disturbances, but objective sleep measures show no direct link. High sensitivity and smoothed actigraphy algorithms best capture sleep patterns.
Area of Science:
- Child psychology
- Sleep science
- Developmental pediatrics
Background:
- Attachment security influences child development.
- Objective and subjective sleep measures offer different insights.
- Actigraphy is a common tool for sleep assessment in children.
Purpose of the Study:
- To examine the relationship between child attachment and sleep patterns.
- To evaluate objective (actigraphy) and subjective (maternal diary) sleep measures.
- To identify the optimal actigraphy algorithm for toddler sleep assessment.
Main Methods:
- 55 mother-child dyads participated.
- Attachment was assessed using the Strange Situation Procedure at 18 months.
- Sleep was measured via actigraphy and maternal diaries at 2 years.
Main Results:
- High sensitivity and smoothed actigraphy algorithms yielded the most reliable sleep data.
- Maternal diaries overestimated sleep duration and underestimated wakefulness compared to actigraphy.
- Resistant attachment was linked to longer maternal-reported nighttime wakefulness and reduced actigraphy-diary discrepancies.
Conclusions:
- Mothers of children with resistant attachment are more attuned to nighttime awakenings.
- Actigraphy and maternal diaries provide complementary, yet distinct, sleep information.
- Careful selection of sleep measurement tools is crucial for research and clinical practice.
Objective:
To investigate relations between children's attachment and sleep, using objective and subjective sleep measures. Secondarily, to identify the most accurate actigraphy algorithm for toddlers.
Methods:
55 mother-child dyads took part in the Strange Situation Procedure (18 months) to assess attachment. At 2 years, children wore an Actiwatch for a 72-hr period, and their mothers completed a sleep diary.
Results:
The high sensitivity (80) and smoothed actigraphy algorithms provided the most plausible sleep data. Maternal diaries yielded longer estimated sleep duration and shorter wake duration at night and showed poor agreement with actigraphy. More resistant attachment behavior was not associated with actigraphy-assessed sleep, but was associated with longer nocturnal wake duration as estimated by mothers, and with a reduced actigraphy-diary discrepancy.
Conclusions:
Mothers of children with resistant attachment are more aware of their child's nocturnal awakenings. Researchers and clinicians should select the best sleep measurement method for their specific needs.
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