Comparison of two strategies to improve infant sleep problems, and associated impacts on maternal experience, mood and infant emotional health: A single case replication design study
Abstract
Background Infant sleep problems (ISP) are common and have known effects on parental mood. There is debate as to whether treatment strategies may impact on the infant's emotional health.Aims To compare the effectiveness of two treatment strategies for ISP on the infant's sleep, maternal mood, and the infant's emotional health. The two strategies are 1) systematic ignoring with minimal check ('SI-mc': commonly known as 'controlled crying'), and 2) a new, but similar, method where parents feign sleep inside the infant's room before intervening (parental presence with minimal check: 'PP-mc').Design Participants were randomised to one of the two conditions. Measures were taken at baseline, then three weeks and four months post-intervention.Subjects Data were collected from 16 families with infants aged 6-18 months who were seeking professional help with their infant's sleep difficulties.Outcome measures Measures of infant sleep, maternal experiences and mood, and infant emotional health were collected.Results Both treatments were effective, with a third to a half of families reporting decreased ISP by 3 week post intervention, and nearly all reporting decreased ISP by follow-up. Similarly, most mothers in both treatments reported improvements to their experiences or mood, and there was no discernable disruption to infant emotional health.Conclusions These findings support previous research into the effectiveness of SI-mc. The study also expands the research into the effectiveness of parental presence by showing that with the inclusion of the minimal check component, which may be preferred by both parents and clinicians over non-responding to the crying infant, the strategy is as effective as SI-mc.
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Treatment-oriented interventions often involve extinction techniques applied to infants who are causing parental sleep disruption.
“Treatment-oriented interventions often involve extinction techniques applied to infants who are causing parental sleep disruption [22,23,25–27].”
From Development and evaluation of ‘Sleep, Baby & You’—An approach to supporting parental well-being and responsive infant caregiving (2020) · cites this paper as [25]
Several trials have tested the effectiveness of educational interventions (based on sleep hygiene, self-settling, and the use of routines) alone or in combination with other psychological approaches.
“Although several trials have tested the effectiveness of educational interventions (based on sleep hygiene, self-settling, and the use of routines) alone or in combination with other psychological approaches [13,23–25]”
From Development and evaluation of ‘Sleep, Baby & You’—An approach to supporting parental well-being and responsive infant caregiving (2020) · cites this paper as [25]
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- Authors
- Matthey, S., & Črnčec, R.
- Affiliations
- South Western Sydney Local Health District (AU)
- UNSW Sydney (AU)
- Venue
- Early Human Development
- Publisher
- Elsevier BV
- Published
- 2012-06
- Volume
- 88
- Issue
- 6
- Pages
- 437-442
- ISSN
- 0378-3782 (ISSN-L)
- OpenAlex
- W2123942603
- Cited by
- 18
- References
- 28
- Citations by year
- 2025: 1 · 2024: 1 · 2022: 2 · 2021: 1 · 2020: 3 · 2019: 1 · 2018: 1 · 2017: 1 · 2016: 1 · 2015: 3 · 2014: 2 · 2012: 1
- FWCI
- 2.27
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Early Human Development (publishedVersion)
- PubMed (publishedVersion)
- Funders
- University of Western Sydney
- Topics
- Health Sciences › Health Professions › Pharmacy › Infant Health and Development
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
- Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
- Keywords
- infant sleep problems, parental presence, infant crying, maternal mood, maternal experience, sleep interventions
- MeSH terms
- Adult, Affect, Affective Symptoms, Anxiety Disorders, Child Rearing, Emotions, Female, Humans, Infant, Sleep Initiation and Maintenance Disorders, Male, Mental Health, Mother-Child Relations, Mothers, Infant Behavior
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