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Longitudinal changes in term and preterm infant night wakings: The role of caregiver anxious-depression
Michelle Lobermeier1, Amanda Hicks1, Angela D Staples1
1Eastern Michigan University, Ypsilanti, Michigan, USA.
Insights
Caregiver anxious-depressive symptoms are linked to infant night waking. Addressing caregiver mental health may help reduce infant sleep disturbances.
Area of Science:
- Developmental Psychology
- Perinatal Mental Health
- Infant Sleep
Background:
- Infant night waking is influenced by individual and family factors, including caregiver mental health.
- Understanding the interplay between caregiver psychological state and infant sleep is crucial for early intervention.
Purpose of the Study:
- To investigate the association between infant night waking and caregiver anxious-depressive symptoms in the first year of life.
- To examine both between-person and within-person effects of caregiver symptoms on infant sleep patterns.
Main Methods:
- Longitudinal study of 445 diverse caregivers and their preterm/term infants from 2 to 9 months.
- Data collected via caregiver-reported measures of anxious-depression and infant night waking at four time points.
- Analysis considered between-person differences and within-person changes in symptoms and sleep.
Main Results:
- Infant night wakings naturally decreased from 2 to 9 months.
- Higher average caregiver anxious-depressive symptoms were associated with more infant night wakings.
- No significant within-person effect of fluctuating caregiver symptoms on infant waking was found.
Conclusions:
- Caregiver anxious-depression is significantly associated with infant night waking, particularly when considering average symptom severity.
- Healthcare providers can use caregiver mental health status to tailor infant sleep interventions.
- Improving caregiver mental well-being may lead to a reduction in infant night waking.
Abstract:
Changes in infant night waking during the first year of life are associated with individual (e.g., prematurity) and family (e.g., caregiver psychopathology) factors. This study examined the association between infant night waking and caregiver anxious-depressive symptoms during the first year of life in preterm and term infants. We considered between-person differences and within-person changes in caregiver anxious-depressive symptoms in relation to changes in infant night waking from 2- to 9-months. Racially (30.0% Black, 60.4% White, 9.5% multiracial/other) and socioeconomically (40.0% below median household income) diverse caregivers (N = 445) of full term (n = 258) and preterm (n = 187) infants were recruited from hospitals and clinics in two midwestern states. Caregivers completed measures of anxious-depression and their infant's night waking at four sampling periods (2-, 4-, 6-, and 9-months). Infant night wakings declined from 2- to 9-months. Between-person differences were observed, such that caregivers with higher average anxious-depressive symptoms or infants born full term reported more night wakings. Within-person effects of caregiver anxious-depressive symptoms were not significant. Caregiver anxious-depression is closely associated with infant night wakings. By considering a caregiver's average severity of anxious-depression, healthcare providers can more effectively plan infant sleep interventions. If caregiver anxious-depressive symptoms are ameliorated, night wakings may also decrease.
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