Cited by 113Infant Health and DevelopmentMaternal Mental Health During Pregnancy and PostpartumSleep and related disorders

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Do psychosocial sleep interventions improve infant sleep or maternal mood in the postnatal period? A systematic review and meta-analysis of randomised controlled trials

Kempler, Liora, Sharpe, Louise, Miller, Christopher B., Bartlett, Delwyn J.·2016·Sleep Medicine Reviews

DOI 10.1016/j.smrv.2015.08.002

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Abstract

Sleep complaints are common amongst mothers of infants and insufficient, inefficient or fragmented sleep is associated with postnatal depression. The aim of this review is to determine whether psychosocial sleep-focused interventions offered in the perinatal period improve infant sleep or maternal mood. We searched PubMed, PsycInfo, EMBASE and CINAHL with no date restriction. We reviewed 1097 articles, resulting in nine papers (n = 1,656) that fit the eligibility criteria for inclusion in the analyses. The primary outcome was infant sleep, defined as maternal reports of infant nocturnal total sleep time and number of night-time wakes. The secondary outcome was maternal mood. The meta-analysis indicated improvements in reported infant nocturnal total sleep time (Hedge's g = 0.204, p < 0.01). However, there was no evidence for reducing infant night wakes (Hedge's g = 0.103, p = 0.134). There was evidence of maternal mood improvements (Hedge's g = 0.152, p = 0.014), however, this could have been influenced by publication bias. Psychosocial sleep interventions appear to impact the amount of sleep that a mother reports her baby to have, although the infants continue to wake as frequently. More research is needed to confirm whether sleep-related improvements can translate into improvements in maternal mood.

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Skúladóttir, A., Sigurðardóttir, A. Ó., & Svavarsdóttir, E. K. (2021) · Nordic journal of nursing research · doi:10.1177/20571585211044503 · Cited by 4
“Moreover, Kempler et al.(10) conducted a systematic review and meta-analysis of randomized controlled trials (RCTs) on psychological sleep interventions, with nine studies in the review.”
BackgroundMethodInfluential
An Educational Intervention for Improving Infant Sleep Duration—Why Won’t You Sleep, Baby?
Hiscock, H. (2019) · JAMA Network Open · doi:10.1001/jamanetworkopen.2019.18061 · Cited by 4
Understanding the Economic Value of Interventions Addressing Perinatal Mental Health Problems: A Literature Review and Methodological Considerations
Bauer, A., Grégoire, A., Salehi, N., Weng, J. Y., & Knapp, M. R. J. (2025) · Value in Health · doi:10.1016/j.jval.2025.01.016 · Cited by 3
The Effectiveness of Sleep Training: Fact or Fiction?
Cassels, T. G., & Rosier, J. G. (2022) · Clinical Lactation · doi:10.1891/cl-2021-0004 · Cited by 3
Effectiveness of preventive parental education delivered from pregnancy to 1 month postpartum for improving infant sleep and parental sleep and depression: a systematic review protocol
Matsunaka, E., Ooshige, N., Ueki, S., & Morokuma, S. (2024) · JBI Evidence Synthesis · doi:10.11124/jbies-23-00274 · Cited by 3
High level evidence does not support first wave behavioural approaches to parent-infant sleep
Douglas, P. (2015) · Sleep Medicine Reviews · doi:10.1016/j.smrv.2015.10.007 · Cited by 3
Characterising non-pharmacological infant sleep interventions for theoretical underpinnings and behaviour change techniques: A scoping review
Liebregts, H., Metse, A. P., Steele, A. R., DeMott, J., MacMillan, K. K., Marriott, R., & Almeida, R. A. (2025) · Early Human Development · doi:10.1016/j.earlhumdev.2025.106346 · Cited by 2
Søvnvansker hos barn: Ny metode kan hjelpe
Størksen, H. T., Leksbø, T. S., Drozd, F., Sandtrø, H. P., & Slinning, K. (2022) · Sykepleien Forskning · doi:10.4220/sykepleiens.2022.88549 · Cited by 2
Sleep Problems
Rigney, G., Keys, E., Johnson, M., Paul, J., & Corkum, P. V. (2021) · Cambridge University Press eBooks · doi:10.1017/9781108682053.016 · Cited by 2
Comments on “Soy isoflavone intake and its association with depressive symptoms during pregnancy”: consider sleep and physical activity as possible confounders
Smiley, A., Cullin, J. M., Kaschalk, E., & He, K. (2017) · European Journal of Nutrition · doi:10.1007/s00394-017-1428-9 · Cited by 2
Behavioural Interventions for Problematic Infant Sleeping and Cry/Fuss Behaviour: A Systematic Review and Meta‐Analyses
Stanzel, K., Honda, T., Tran, T. D., & Fisher, J. (2024) · Infant and Child Development · doi:10.1002/icd.2554 · Cited by 4
Postpartum Depressive Symptoms among Bangladeshi Women: A Hospital-Based Cross-Sectional Study
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Do behavioral mother-infant sleep interventions in the first six months affect maternal sleep, anxiety, and fatigue? A randomized controlled trial
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“Furthermore, poor sleep quality may contribute to a number of psychological disturbances including insomnia (Kempler et al., 2016), depression (Becker et al., 2017), anxiety (Gould et al., 2016) and suicide (Bernert et al., 2014).”
Background
Behavioral interventions for infant sleep problems: Efficacy, safety, predictors, moderators, and future directions
Kahn, M., Whittall, H., & Tikotzky, L. (2024) · Elsevier eBooks · doi:10.1016/b978-0-323-82759-1.00023-0 · Cited by 1
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“Several meta-analyses have found that interventions focusing on social-psychological sleep support increase total nighttime sleep duration for infants under 12months but have no effect on reducing the frequency of night awakenings (Douglas & Hill, 2013; Kempler et al., 2016; Owens et al., 1999).”
Gut Microbiota in Brain Development and Disorders of the CNS: Therapeutic Strategies Involving Dietary Modification, Pro- and Prebiotic Intervention, and Fecal Microbiota Transplantation (FMT) Therapy
Tungland, B. C. (2018) · Elsevier eBooks · doi:10.1016/b978-0-12-814649-1.00012-0 · Cited by 1
Response to SMRV-D-15-564: Not yet time to throw the baby out with the bathwater, a paradigm shift is premature
Kempler, L., Sharpe, L., & Bartlett, D. J. (2015) · Sleep Medicine Reviews · doi:10.1016/j.smrv.2015.11.001 · Cited by 1
Self-citation
Response to “Behavioral Management of Sleep Problems in Infants Under 6 Months – What Works?”
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Behavioral infant sleep interventions: helping parents and clinicians make scientifically informed decisions
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Questioning the effectiveness of behavioral sleep interventions for infants
Pattinson, C. L., Edmed, S. L., Smith, S. S., & Douglas, P. (2023) · The Journal of Pediatrics · doi:10.1016/j.jpeds.2023.01.012 · Cited by 1
Exzessives Säuglingsschreien, persistierende Unruhe und Bindungsentwicklung: Plädoyer für einen erweiterten Blick
Bindt, C. (2018) · Monatsschrift Kinderheilkunde · doi:10.1007/s00112-018-0572-5
Integrating Acceptance and Commitment Therapy with other interventions
Whittingham, K., & Coyne, L. W. (2019) · Elsevier eBooks · doi:10.1016/b978-0-12-814669-9.00014-x
Brexanolone injection for post-partum depression treatment
Tufts, J. A. (2019) · The Lancet · doi:10.1016/s0140-6736(19)30727-5
Anormalidades comportamentais no puerpério
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Improving perinatal mental health : a pilot study of the Online Mothers and Babies course with couples
Canfield, S. M. (2021) · MOspace Institutional Repository (University of Missouri) · doi:10.32469/10355/85766
Mad, Sad, or Sleepy? Relationships between Postpartum Maternal Anger, Depression, and Sleep: A Cross-Sectional Survey StudyPreprint
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Authors: Kempler, L., Sharpe, L., Miller, C. B., & Bartlett, D. J.
Affiliations: The University of Sydney (AU)
Woolcock Institute of Medical Research (AU)
Corresponding author: Kempler, Liora
ORCID: Sharpe, Louise
Miller, Christopher B.
Bartlett, Delwyn J.
Venue: Sleep Medicine Reviews
Publisher: Elsevier BV
Published: 2016-10
Volume: 29
Pages: 15-22
ISSN: 1087-0792 (ISSN-L)
DOI: 10.1016/j.smrv.2015.08.002
OpenAlex: W2120815927
Cited by: 113
References: 46
Citations by year: 2026: 7 · 2025: 10 · 2024: 10 · 2023: 11 · 2022: 13 · 2021: 17 · 2020: 9 · 2019: 11 · 2018: 11 · 2017: 7 · 2016: 4
FWCI: 1.63
Type: journal article
Language: en
Open access: closed
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations: Sleep Medicine Reviews (publishedVersion)
PubMed (publishedVersion)
Funders: BUPA Health Foundation
Topics: Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Infant Health and Development
Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Maternal Mental Health During Pregnancy and Postpartum
Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
Keywords: infant sleep, maternal mood, postpartum depression, psychosocial interventions, sleep interventions, perinatal period
MeSH terms: Affect, Female, Humans, Infant, Mothers, Sleep, Randomized Controlled Trials as Topic, Postpartum Period

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Do psychosocial sleep interventions improve infant sleep or maternal mood in the postnatal period? A systematic review and meta-analysis of randomised controlled trials

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