Maternal Prenatal Depressive Symptoms and Infant Sleep Problems: The Role of Infant Temperament and Sex.

IF 2.2 3区医学 Q3 CLINICAL NEUROLOGY Behavioral Sleep Medicine Pub Date : 2023-11-02 Epub Date: 2022-12-19 DOI:10.1080/15402002.2022.2155162

Cláudia Castro Dias, Tiago Miguel Pinto, Bárbara Figueiredo

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Abstract

Objectives: We aimed to analyze whether (1) infant temperament mediates the impact of maternal prenatal depressive symptoms on infant sleep problems and (2) the mediation role of infant temperament was moderated by the infant's sex.

Methods: The sample was comprised of 172 mother-infant dyads. Mothers completed self-reported measures of prenatal and postnatal depressive symptoms, infant temperament (negative affectivity, surgency/extraversion, and orienting regulation), and sleep problems.

Results: While controlling for maternal postnatal depressive symptoms, our results revealed that (1) infant negative affectivity at two weeks partially mediated the impact of maternal prenatal depressive symptoms on sleep anxiety at six months, and (2) this mediation is independent of the infant's sex.

Conclusions: Our findings provided evidence that negative affectivity can be an early specific marker of sleep anxiety and can partially explain the negative impact of maternal prenatal depressive symptoms on further sleep problems in the infant.

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母亲的产前抑郁症状和婴儿睡眠问题：婴儿气质和性别的作用。

目的：我们旨在分析（1）婴儿气质是否介导母亲产前抑郁症状对婴儿睡眠问题的影响；（2）婴儿气质的介导作用是否受婴儿性别的调节。方法：样本由172对母婴组成。母亲们完成了产前和产后抑郁症状、婴儿气质（消极情感、暴躁/外向和定向调节）和睡眠问题的自我报告测量。结果：在控制母亲产后抑郁症状的同时，我们的研究结果表明：（1）两周时婴儿的负情感在一定程度上介导了母亲产前抑郁症状对六个月时睡眠焦虑的影响，（2）这种介导与婴儿的性别无关。结论：我们的研究结果提供了证据，证明消极情绪可能是睡眠焦虑的早期特定标志，并可以部分解释母亲产前抑郁症状对婴儿进一步睡眠问题的负面影响。

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来源期刊

Behavioral Sleep Medicine CLINICAL NEUROLOGY-PSYCHIATRY

CiteScore

7.20

自引率

3.20%

发文量

审稿时长

>12 weeks

期刊介绍： Behavioral Sleep Medicine addresses behavioral dimensions of normal and abnormal sleep mechanisms and the prevention, assessment, and treatment of sleep disorders and associated behavioral and emotional problems. Standards for interventions acceptable to this journal are guided by established principles of behavior change. Intending to serve as the intellectual home for the application of behavioral/cognitive science to the study of normal and disordered sleep, the journal paints a broad stroke across the behavioral sleep medicine landscape. Its content includes scholarly investigation of such areas as normal sleep experience, insomnia, the relation of daytime functioning to sleep, parasomnias, circadian rhythm disorders, treatment adherence, pediatrics, and geriatrics. Multidisciplinary approaches are particularly welcome. The journal’ domain encompasses human basic, applied, and clinical outcome research. Behavioral Sleep Medicine also embraces methodological diversity, spanning innovative case studies, quasi-experimentation, randomized trials, epidemiology, and critical reviews.