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Do responsive sleep interventions impact mental health in mother/infant dyads compared to extinction interventions? A pilot study
Methods to improve sleep in infants commonly involve some ignoring (extinction) but are often unpopular with mothers worried about infant distress when left to cry. Alternative more responsive methods are needed. This pilot study evaluated stress, maternal depressive symptomology and sleep in mother...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Springer Vienna
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9072263/ https://www.ncbi.nlm.nih.gov/pubmed/35380237 http://dx.doi.org/10.1007/s00737-022-01224-w |
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author | Blunden, Sarah Osborne, Joanne King, Yaroslava |
author_facet | Blunden, Sarah Osborne, Joanne King, Yaroslava |
author_sort | Blunden, Sarah |
collection | PubMed |
description | Methods to improve sleep in infants commonly involve some ignoring (extinction) but are often unpopular with mothers worried about infant distress when left to cry. Alternative more responsive methods are needed. This pilot study evaluated stress, maternal depressive symptomology and sleep in mother/infant dyads, between Responsive, Controlled Crying and Control groups. From 199 mother/infant dyads from any cultural background, 41 infants 4–12 months were randomly allocated to Responsive (RG, n = 15), Controlled Crying (CCG, n = 18) or Controls (Treatment as Usual, TAUG, n = 8), with 10 withdrawing after randomisation. Infant sleep (7-day sleep diaries) and stress (oral cortisol on two nights), maternal self-reported stress (Subjective Units of Distress, SUDS), maternal perceived infant distress (MPI-S) and symptoms of maternal depression (Edinburgh Post-natal Depression Scale, EPDS) were measured four times across 8 weeks. Sleep duration was not different between groups but Responsive woke less (p = .008). There were no differences in cortisol between groups across time points. Maternal SUDS was positively correlated with infant cortisol and MPI-S (p < 0.05) and mothers in the Responsive group were significantly less stressed (p = 0.02) and reported less symptoms of depression (p < 0.05). Findings in this small sample show Responsive methods are comparable to the extinction (Controlled Crying) in sleep outcomes but from a relational and maternal mental health perspective, are less stressful, offering families potential choices of sleep interventions. |
format | Online Article Text |
id | pubmed-9072263 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Springer Vienna |
record_format | MEDLINE/PubMed |
spelling | pubmed-90722632022-05-07 Do responsive sleep interventions impact mental health in mother/infant dyads compared to extinction interventions? A pilot study Blunden, Sarah Osborne, Joanne King, Yaroslava Arch Womens Ment Health Original Article Methods to improve sleep in infants commonly involve some ignoring (extinction) but are often unpopular with mothers worried about infant distress when left to cry. Alternative more responsive methods are needed. This pilot study evaluated stress, maternal depressive symptomology and sleep in mother/infant dyads, between Responsive, Controlled Crying and Control groups. From 199 mother/infant dyads from any cultural background, 41 infants 4–12 months were randomly allocated to Responsive (RG, n = 15), Controlled Crying (CCG, n = 18) or Controls (Treatment as Usual, TAUG, n = 8), with 10 withdrawing after randomisation. Infant sleep (7-day sleep diaries) and stress (oral cortisol on two nights), maternal self-reported stress (Subjective Units of Distress, SUDS), maternal perceived infant distress (MPI-S) and symptoms of maternal depression (Edinburgh Post-natal Depression Scale, EPDS) were measured four times across 8 weeks. Sleep duration was not different between groups but Responsive woke less (p = .008). There were no differences in cortisol between groups across time points. Maternal SUDS was positively correlated with infant cortisol and MPI-S (p < 0.05) and mothers in the Responsive group were significantly less stressed (p = 0.02) and reported less symptoms of depression (p < 0.05). Findings in this small sample show Responsive methods are comparable to the extinction (Controlled Crying) in sleep outcomes but from a relational and maternal mental health perspective, are less stressful, offering families potential choices of sleep interventions. Springer Vienna 2022-04-05 2022 /pmc/articles/PMC9072263/ /pubmed/35380237 http://dx.doi.org/10.1007/s00737-022-01224-w Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . |
spellingShingle | Original Article Blunden, Sarah Osborne, Joanne King, Yaroslava Do responsive sleep interventions impact mental health in mother/infant dyads compared to extinction interventions? A pilot study |
title | Do responsive sleep interventions impact mental health in mother/infant dyads compared to extinction interventions? A pilot study |
title_full | Do responsive sleep interventions impact mental health in mother/infant dyads compared to extinction interventions? A pilot study |
title_fullStr | Do responsive sleep interventions impact mental health in mother/infant dyads compared to extinction interventions? A pilot study |
title_full_unstemmed | Do responsive sleep interventions impact mental health in mother/infant dyads compared to extinction interventions? A pilot study |
title_short | Do responsive sleep interventions impact mental health in mother/infant dyads compared to extinction interventions? A pilot study |
title_sort | do responsive sleep interventions impact mental health in mother/infant dyads compared to extinction interventions? a pilot study |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9072263/ https://www.ncbi.nlm.nih.gov/pubmed/35380237 http://dx.doi.org/10.1007/s00737-022-01224-w |
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