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Cited by 58Sleep and related disordersInfant Health and DevelopmentMaternal Mental Health During Pregnancy and Postpartum

Relationships between parental sleep quality, fatigue, cognitions about infant sleep, and parental depression pre and post-intervention for infant behavioral sleep problems

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Hall, Wendy A., Moynihan, Melissa, Bhagat, Radhika, Wooldridge, Joanne·2017·BMC Pregnancy and Childbirth
DOI 10.1186/s12884-017-1284-xPMC PMC5379718
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Abstract

BACKGROUND: Maternal and paternal depression has been associated with infants' behavioral sleep problems. Behavioral sleep interventions, which alter parental cognitions about infant sleep, have improved infant sleep problems. This study reports relationships between parental depression, fatigue, sleep quality, and cognitions about infant sleep pre and post-intervention for a behavioral sleep problem. METHODS: This secondary analysis of data from Canadian parents (n = 455), with healthy infants aged 6-to-8-months exposed to a behavioral sleep intervention, examined baseline data and follow-up data from 18 or 24 weeks post intervention (group teaching or printed material) exposure. Parents reported on sleep quality, fatigue, depression, and cognitions about infant sleep. Data were analyzed using Pearson's r and stepwise regression analysis. RESULTS: Parents' fatigue, sleep quality, sleep cognitions, and depression scores were correlated at baseline and follow-up. At baseline, sleep quality (b = .52, 95% CI .19-.85), fatigue (b = .48, 95% CI .33-.63), doubt about managing infant sleep (b = .44, 95% CI .19-.69), and anger about infant sleep (b = .69, 95% CI .44-.94) were associated with mothers' depression. At baseline, fathers' depression related to sleep quality (b = .42, 95% CI .01-.83), fatigue (b = .47, 95% CI .32-.63), and doubt about managing infant sleep (b = .50, 95% CI .24-.76). At follow-up, mothers' depression was associated with sleep quality (b = .76, 95% CI .41-1.12), fatigue (b = .25, 95% CI .14-.37), doubt about managing infant sleep (b = .44, 95% CI .16-.73), sleep anger (b = .31, 95% CI .02-.59), and setting sleep limits (b = -.22, 95% CI -.41-[-.03]). At follow-up, fathers' depression related to sleep quality (b = .84, 95% CI .46-1.22), fatigue (b = .31, 95% CI .17-.45), sleep doubt (b = .34, 95% CI .05-.62), and setting sleep limits (b = .25, 95% CI .01-.49). CONCLUSIONS: Mothers' and fathers' cognitions about infant sleep demonstrate complex relationships with their depression scores. While mothers' setting sleep limit scores are associated with decreased depression scores, fathers' setting limits scores are associated with increased depression scores. Parental doubts about managing infant sleep and difficulties with setting sleep limits require attention in interventions.

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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 [27]

    The Discussion (page not provided) reports a trial using graduated extinction, also called controlled comforting, for infant sleep problems. The Methods describe this paper’s own intervention as information about managing infant sleep problems, without specifying extinction techniques. One reported trial does not establish that treatment-oriented interventions often use those techniques. (LLM, conf=0.82)

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  • Although it is often stated that behaviourally-based interventions are highly efficacious for resolving infant sleep problems, the most robust evidence for their effectiveness comes from trials conducted with children beyond infancy, in controlled settings with direction from a trained professional.

    “Although it is often stated that behaviourally-based interventions are highly efficacious for resolving infant sleep problems the most robust evidence for their effectiveness comes from trials conducted with children beyond infancy, in controlled settings with direction from a trained professional [27,28].”

    From Development and evaluation of ‘Sleep, Baby & You’—An approach to supporting parental well-being and responsive infant caregiving (2020) · cites this paper as [27]

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Authors
Hall, W. A., Moynihan, M., Bhagat, R., & Wooldridge, J.
Affiliations
  • University of British Columbia (CA)
  • Vancouver Coastal Health (CA)
Corresponding author
Hall, Wendy A.
ORCID
Venue
BMC Pregnancy and Childbirth
Publisher
Springer Science and Business Media LLC
Published
2017-04-04
Volume
17
Issue
1
Pages
104-104
ISSN
1471-2393 (ISSN-L)
DOI
10.1186/s12884-017-1284-x
PMC
PMC5379718
OpenAlex
W2604276902
Cited by
58
References
47
Citations by year
2026: 6 · 2025: 10 · 2024: 6 · 2023: 5 · 2022: 8 · 2021: 10 · 2020: 7 · 2019: 1 · 2018: 2 · 2017: 3
FWCI
4.63
Type
journal article
Language
en
Update notices
correction (2017-06-19)
Open access
Licence
cc-by
Locations
  • BMC Pregnancy and Childbirth (publishedVersion, cc-by)
  • Europe PMC (PubMed Central) (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • cIRcle (University of British Columbia) (submittedVersion, cc-by)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
  • Open Collections
Funders
Institute of Human Development, Child and Youth Health (MCT 94839)
Topics
  • Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
  • Health Sciences › Health Professions › Pharmacy › Infant Health and Development
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Maternal Mental Health During Pregnancy and Postpartum
Keywords
infant sleep problems, parental depression, parental fatigue, sleep quality, behavioral sleep interventions, infant sleep training, maternal depression, paternal depression, group instruction, print materials
MeSH terms
Adult, Cognition, Depression, Fathers, Fatigue, Female, Humans, Infant, Male, Middle Aged, Mothers, Pregnancy, Sleep, Sleep Wake Disorders, Cognitive Behavioral Therapy, Infant Behavior, Young Adult, Actigraphy

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