Considering Sleep, Mood, and Stress in a Family Context: A Preliminary Study

Background: During the first years of life, parental sleep strongly depends on child’s sleep quality. Poor parental sleep may relate to increased stress and negative mood. However, there is a lack of sleep studies focusing on all family members. This study aimed to investigate the relationship between sleep, mood, and stress in mothers, fathers and children. Methods: Data were obtained from 65 parental couples and 65 children (2 to 36 months). Data on sleep for all family members and stress of parents were completed by both mothers and fathers through questionnaires and sleep diaries. Results: Toddlers’ positive mood before nocturnal sleep was significantly associated with reduced wake times after sleep onset. Mothers reported worse sleep quality compared to fathers. Shorter sleep onset latency in fathers and better sleep efficiency in mothers were linked with better self-reported mood upon awakening. In mothers, but not in fathers, poor sleep quality was associated with higher perceived stress. Conclusion: Results suggest bidirectional relationships between sleep and mood in children, mothers and fathers. Moreover, results evidence poorer sleep in mothers, compared to fathers, which was linked with increased parenting stress. This gender gap should be further considered in studies with larger samples and in clinical contexts.

[1]  C. Morin,et al.  Validation of the Insomnia Severity Index as an outcome measure for insomnia research. , 2001, Sleep medicine.

[2]  B. Sivertsen,et al.  Pediatric sleep problems and social-emotional problems. A population-based study. , 2016, Infant behavior & development.

[3]  C. Lombardo,et al.  Sleep and emotions: a focus on insomnia. , 2010, Sleep medicine reviews.

[4]  H. Hiscock,et al.  Depression and anger in fathers of unsettled infants: A community cohort study , 2017, Journal of paediatrics and child health.

[5]  J. Montplaisir,et al.  Factors associated with fragmented sleep at night across early childhood. , 2005, Archives of pediatrics & adolescent medicine.

[6]  F. Giannotti,et al.  Sleeping habits in Italian children and adolescents , 2005 .

[7]  Luciano Molinari,et al.  Sleep duration from infancy to adolescence: reference values and generational trends. , 2003, Pediatrics.

[8]  J. Trinder,et al.  Mood and Objective and Subjective Measures of Sleep During Late Pregnancy and the Postpartum Period , 2014, Behavioral sleep medicine.

[9]  Melissa Wake,et al.  Adverse Associations of Infant and Child Sleep Problems and Parent Health: An Australian Population Study , 2007, Pediatrics.

[10]  L. Mo-Suwan,et al.  Night waking in Thai infants at 3 months of age: association between parental practices and infant sleep. , 2008, Sleep medicine.

[11]  C. Morin Insomnia Severity Index , 2014 .

[12]  Daniel J Buysse,et al.  The consensus sleep diary: standardizing prospective sleep self-monitoring. , 2012, Sleep.

[13]  Katherine Finn Davis,et al.  Sleep in infants and young children: Part one: normal sleep. , 2004, Journal of pediatric health care : official publication of National Association of Pediatric Nurse Associates & Practitioners.

[14]  Jodi A Mindell,et al.  A nightly bedtime routine: impact on sleep in young children and maternal mood. , 2009, Sleep.

[15]  A. Sadeh,et al.  Cross-cultural comparison of maternal sleep. , 2013, Sleep.

[16]  M. Sateia,et al.  International classification of sleep disorders-third edition: highlights and modifications. , 2014, Chest.

[17]  Kai Spiegelhalder,et al.  Insomnia as a predictor of depression: a meta-analytic evaluation of longitudinal epidemiological studies. , 2011, Journal of affective disorders.

[18]  A. Sadeh,et al.  Bedtime routines for young children: a dose-dependent association with sleep outcomes. , 2015, Sleep.

[19]  Peter Herbison,et al.  Normal sleep patterns in infants and children: a systematic review of observational studies. , 2012, Sleep medicine reviews.

[20]  M. LeBourgeois,et al.  Toddler's self‐regulation strategies in a challenge context are nap‐dependent , 2015, Journal of sleep research.

[21]  A. Sadeh A brief screening questionnaire for infant sleep problems: validation and findings for an Internet sample. , 2004, Pediatrics.

[22]  D. Greenblatt,et al.  The International Classification of Sleep Disorders , 1992 .

[23]  T. Anders,et al.  Nighttime sleep-wake patterns and self-soothing from birth to one year of age: a longitudinal intervention study. , 2002, Journal of child psychology and psychiatry, and allied disciplines.

[24]  Andrew Steptoe,et al.  Positive affect, psychological well-being, and good sleep. , 2008, Journal of psychosomatic research.

[25]  T. Anders,et al.  Developmental course of nighttime sleep-wake patterns in full-term and premature infants during the first year of life. I. , 1985, Sleep.

[26]  K. Karraker,et al.  Intrinsic and extrinsic factors associated with night waking in 9-month-old infants. , 2007, Infant behavior & development.

[27]  P. de Jonge,et al.  Sleep quality predicts positive and negative affect but not vice versa. An electronic diary study in depressed and healthy individuals. , 2017, Journal of affective disorders.

[28]  S. Horiuchi,et al.  Changes in Sleep Patterns of Young Women from Late Pregnancy to Postpartum: Relationships to Their Infants' Movements , 1998, Perceptual and motor skills.

[29]  H. Montgomery-Downs,et al.  Sleep and sleepiness among first-time postpartum parents: a field- and laboratory-based multimethod assessment. , 2013, Developmental psychobiology.

[30]  C. Johnston,et al.  Parental and child cognitions in the context of the family. , 2000, Annual review of psychology.

[31]  Vicki Culpin,et al.  The relationship between sleeping problems and aggression, anger, and impulsivity in a population of juvenile and young offenders. , 2006, The Journal of adolescent health : official publication of the Society for Adolescent Medicine.

[32]  Avi Sadeh,et al.  Parenting and infant sleep. , 2010, Sleep medicine reviews.

[33]  S. Sheldon Sleep in Infants and Children , 2005 .

[34]  R. R. Abidin,et al.  Parenting Stress Index , 2011 .

[35]  Charles M. Morin,et al.  Insomnia: Psychological Assessment and Management , 1993 .

[36]  N. Galambos,et al.  Losing Sleep Over It: Daily Variation in Sleep Quantity and Quality in Canadian Students' First Semester of University , 2009 .

[37]  Daniel J. Taylor,et al.  Epidemiology of insomnia, depression, and anxiety. , 2005, Sleep.

[38]  Sonia Ancoli-Israel,et al.  Recommendations for a standard research assessment of insomnia. , 2006, Sleep.

[39]  H. Montgomery-Downs,et al.  Normative longitudinal maternal sleep: the first 4 postpartum months. , 2010, American journal of obstetrics and gynecology.

[40]  Avi Sadeh,et al.  Sleep, neurobehavioral functioning, and behavior problems in school-age children. , 2002, Child development.

[41]  O. Bruni,et al.  The Sleep Disturbance Scale for Children (SDSC) Construct ion and validation of an instrument to evaluate sleep disturbances in childhood and adolescence , 1996, Journal of sleep research.

[42]  M. Hirshkowitz,et al.  National Sleep Foundation's updated sleep duration recommendations: final report. , 2015, Sleep health.

[43]  B. Goodlin-Jones,et al.  Classification of young children's sleep problems: a pilot study. , 2001, Journal of the American Academy of Child and Adolescent Psychiatry.

[44]  S. Gallagher,et al.  A Cluster Analysis of Reported Sleeping Patterns of 9-Month Old Infants and the Association with Maternal Health: Results from a Population Based Cohort Study , 2015, Maternal and Child Health Journal.

[45]  L. Keltikangas-Järvinen,et al.  Association of hostility with sleep duration and sleep disturbances in an employee population , 2008, International journal of behavioral medicine.

[46]  A. Gafni,et al.  A randomized controlled trial of an intervention for infants’ behavioral sleep problems , 2015, BMC Pediatrics.