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Published on: October 2, 2019
The Family Context of Toddler Sleep: Routines, Sleep Environment, and Emotional Security Induction in the Hour before
Caroline P Hoyniak1, John E Bates2, Maureen E McQuillan3
1Department of Psychiatry, Washington University in St. Louis School of Medicine, St. Louis, Missouri.
Insights
Family routines and a secure home environment significantly impact toddler sleep. Consistent bedtime routines and positive emotional support are key for better sleep timing and consistency in young children.
Area of Science:
- Child Development
- Sleep Science
- Family Studies
Background:
- Pre-bedtime family processes are crucial for toddler sleep but under-researched.
- Existing research often overlooks the nuanced family dynamics influencing infant and toddler sleep patterns.
Purpose of the Study:
- To investigate the association between pre-bedtime family processes and toddler sleep.
- To examine the roles of bedtime routines, home sleep environment, and emotional security in toddler sleep.
- To understand how family context mediates socioeconomic disparities in child sleep.
Main Methods:
- Utilized data from a multi-site longitudinal study of 546 toddlers (30 months old).
- Assessed child sleep using actigraphy for duration, timing, variability, activity, and latency.
- Quantified pre-bedtime family processes via parent daily records, observer ratings of home sleep environment, and emotional security induction notes.
Main Results:
- Bedtime routine inconsistency, poor sleep environments, and low emotional security induction correlated with various child sleep outcomes (correlations .11–.22).
- Strongest associations were found between pre-bedtime context and sleep timing and variability.
- Pre-bedtime factors mediated the relationship between family socioeconomic status and child sleep.
Conclusions:
- Family processes, including routines, environment, and emotional security, are vital for toddler sleep.
- Consistent routines, quality sleep environments, and positive emotional induction are associated with better sleep.
- Addressing family context is essential for understanding and improving individual differences in child sleep.
Abstract:
Family processes during the pre-bedtime period likely have a crucial influence on toddler sleep, but relatively little previous research has focused on family process in this context. The current study examined several aspects of family process during the pre-bedtime period, including the use of bedtime routines, the qualities of the child's home sleep environment, and the promotion of child emotional security, in families of 30-month-old toddlers (N= 546; 265 female) who were part of a multi-site longitudinal study of toddler development. These characteristics were quantified using a combination of parent- and observer-reports and examined in association with child sleep using correlation and multiple regression. Child sleep was assessed using actigraphy to measure sleep duration, timing, variability, activity, and latency. Bedtime routines were examined using parents' daily records. Home sleep environment and emotional security induction were quantified based on observer ratings and in-home observation notes, respectively. All three measures of pre-bedtime context (i.e., bedtime routine inconsistency, poor quality sleep environments, and emotional security induction) were correlated with various aspects of child sleep (significant correlations:.11-.22). The most robust associations occurred between the pre-bedtime context measures and sleep timing (i.e., the timing of the child's sleep schedule) and variability (i.e., night to night variability in sleep timing and duration). Pre-bedtime variables, including bedtime routine consistency, home sleep environment quality, and positive emotional security induction, also mediated the association between family socioeconomic status and child sleep. Our findings underscore the value of considering family context when examining individual differences in child sleep.
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