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Cited by 27Infant Health and DevelopmentSleep and related disordersMaternal Mental Health During Pregnancy and Postpartum

The joy of parenting: Infant sleep intervention to improve maternal emotional well-being and infant sleep

Open access
Symon, B, Crichton, GE·2017·Singapore Medical Journal
DOI 10.11622/smedj.2016046PMC PMC5331130
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Abstract

INTRODUCTION: This study aimed to examine how improving infant sleep impacted the emotional well-being of mothers. METHODS: The participants were 80 mothers of infants aged 6-12 months; they attended a primary care medical clinic in Adelaide, Australia, for assistance with infant sleep problems. Behavioural intervention consisted of a 45-minute consultation, where verbal and written information describing sleep physiology and strategies to improve infant sleep was provided. Mothers were followed up 2-6 weeks later. Mothers rated their confidence (C), pleasure (P) and frustration (F) on a scale from 0 to 10, and completed the Depression Anxiety Stress Scale 21 at each consultation. The number of night-time awakenings and time taken to see an improvement in infant sleep were also reported. RESULTS: There was a significant increase in the C and P scores, and a significant decrease in the F scores (all p < 0.001). The mean total CPF score increased significantly from 14 to 25 (maximum score = 30). There was also a significant decrease in depression, anxiety and stress in the mothers (all p < 0.001). The mean number of maximum night awakenings also decreased significantly, from 4.9 to 0.5 (p < 0.001). The mean time taken to see improved infant sleep, as reported by the mothers, was 2.8 nights. CONCLUSION: A single consultation using a behavioural strategy to improve infant sleep was effective in improving infant sleep and in increasing maternal emotional well-being. In particular, the scores for 'pleasure in being a mother' increased dramatically.

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  • The traditional intervention strategy for ISD has been targeted and treatment-oriented, aiming to improve disrupted parental sleep by eliminating infant 'sleep problems'.

    “In contrast the traditional intervention strategy for ISD has been targeted and treatment-oriented, aiming to improve disrupted parental sleep by eliminating infant ‘sleep problems’ [22–24].”

    From Development and evaluation of ‘Sleep, Baby &amp; You’—An approach to supporting parental well-being and responsive infant caregiving (2020) · cites this paper as [23]

    The Introduction describes behavioural interventions for infants with established sleep problems, and the Discussion says this intervention aimed to improve infant sleep and maternal well-being (page numbers unavailable). The paper does not characterize such interventions generally as a traditional, targeted strategy to restore disrupted parental sleep; it addresses maternal psychological well-being rather than measuring parental sleep. (LLM, conf=0.83)

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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 &amp; You’—An approach to supporting parental well-being and responsive infant caregiving (2020) · cites this paper as [23]

  • 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 &amp; You’—An approach to supporting parental well-being and responsive infant caregiving (2020) · cites this paper as [23]

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Authors
Symon, B., & Crichton, G.
Affiliations
  • The University of Adelaide (AU)
  • University of South Australia (AU)
Corresponding author
Crichton, GE
Venue
Singapore Medical Journal
Publisher
Medknow
Published
2017-01
Volume
58
Issue
1
Pages
50-54
ISSN
0037-5675 (ISSN-L)
DOI
10.11622/smedj.2016046
PMC
PMC5331130
OpenAlex
W2411930478
Cited by
27
References
28
Citations by year
2025: 5 · 2024: 3 · 2023: 2 · 2022: 3 · 2021: 3 · 2020: 4 · 2019: 1 · 2018: 2 · 2017: 3 · 2015: 1
FWCI
4.61
Type
journal article
Language
en
Open access
Licence
cc-by-nc-sa
Locations
  • Singapore Medical Journal (publishedVersion, cc-by-nc-sa)
  • Europe PMC (PubMed Central) (publishedVersion)
  • PubMed Central (publishedVersion)
  • PubMed (publishedVersion)
  • UniSA Research Outputs Repository (University of South Australia) (submittedVersion)
  • Adelaide Research & Scholarship (AR&S) (University of Adelaide) (submittedVersion)
Topics
  • Health Sciences › Health Professions › Pharmacy › Infant Health and Development
  • Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Maternal Mental Health During Pregnancy and Postpartum
Keywords
infant sleep problems, maternal emotional well-being, maternal depression, maternal anxiety, maternal stress, parental confidence, nocturnal awakenings, behavioral interventions, primary care
MeSH terms
Adult, Australia, Female, Humans, Infant, Infant Care, Middle Aged, Mother-Child Relations, Mothers, Psychiatric Status Rating Scales, Sleep Wake Disorders, Depression, Postpartum

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