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Published on: August 8, 2019
A longitudinal study of the bi-directional relations between parental bedtime and nighttime involvement and infant
Ofek Matzliach1, Avel Horwitz1, Dar Ran-Peled1
1Department of Psychology, Ben-Gurion University of the Negev, Israel.
Insights
Parental involvement in infant sleep routines, particularly at bedtime and during the night, is linked to poorer infant sleep quality. This study found limited evidence that infant sleep issues drive parental involvement.
Area of Science:
- Child Development
- Sleep Medicine
- Parenting Studies
Background:
- Parental involvement is a key factor in infant sleep development.
- Understanding the bidirectional relationship between parental actions and infant sleep is crucial for early childhood well-being.
Purpose of the Study:
- To examine the prospective, bidirectional associations between parental involvement during bedtime/nighttime and infant sleep quality in the first year of life.
- To investigate how parental actions influence infant sleep patterns and vice versa.
Main Methods:
- Longitudinal study with 207 families assessed at 4, 8, and 12 months.
- Infant sleep measured via actigraphy, sleep diaries, and the Brief Infant Sleep Questionnaire (BISQ).
- Parental involvement recorded daily through sleep diaries.
Main Results:
- Higher parental involvement at bedtime predicted more night wakings and increased wake after sleep onset (WASO) in infants.
- Parental involvement at 4 months predicted increased night wakings from 4 to 8 months.
- Infant sleep problems at 4 months predicted decreased parental bedtime involvement from 4 to 8 months.
Conclusions:
- Increased parental involvement in settling infants to sleep is associated with poorer infant sleep quality.
- The influence of infant sleep on parental involvement appears limited.
Objective:
This longitudinal study assessed the prospective bidirectional links between parental involvement during bedtime and nighttime and infants' sleep during the first year of life.
Methods:
The sample included 207 families at 4 months, 177 at 8 months, and 154 at 12 months. Infant sleep was assessed at home for seven nights using actigraphy, sleep diaries, and the Brief Infant Sleep Questionnaire (BISQ). Parental bedtime and nighttime involvement were reported daily by parents through sleep diaries at all time points.
Results:
Concomitant associations (controlling for sleeping arrangements) were found between parental bedtime and nighttime involvement and between infant objective and reported sleep quality measures (i.e., number of night-wakings, wake after sleep onset [WASO], and subjective infant sleep problems). Structural Equation Modeling analyses demonstrated significant prospective associations: Higher parental bedtime involvement at 4 months predicted an increase in infant number of night-wakings from 4 to 8 months. Moreover, higher levels of parental bedtime and nighttime involvement at 8 months predicted an increase in infant WASO from 8 to 12 months. Only one SEM model demonstrated a significant cross-lagged link from infant sleep quality to parental involvement: More perceived infant sleep problems at 4 months predicted a decrease in parental bedtime involvement from 4 to 8 months.
Conclusions:
The findings suggest that higher levels of parental involvement in soothing the infant to sleep at bedtime and nighttime predict poorer infant sleep quality. Only limited evidence was found for infant-driven links.
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