Tuesday, April 15, 2008

Parental Behaviour Affects Quality of Child's Sleep

A new study done at Montreal's Sacre Coeur Hospital and set to be published in Archives of Pediatrics & Adolescent Medicine shows that parental behaviour can dramatically affect the way kids sleep.

Parents also reported their behavior at children’s bedtime (including whether they lulled children to sleep, laid them down awake or stayed with them until they fell asleep) and during nighttime awakenings (including comforting children in bed, taking them out of bed, giving them food or bringing them to the parental bed for cosleeping).

“Early (age 5 to 17 months) sleep disturbances predicted maladaptive parenting behaviors (e.g., mother present at sleep onset, giving food/drink after child awakens) at ages 29 and 41 months,” the authors write. “Some parental behaviors in turn predicted future bad dreams, total sleep time of less than 10 hours per night and sleep-onset latency [delays in falling asleep] of 15 minutes or more. However, most relationships did not remain significant in adjusted models that controlled for early sleep problems.” Cosleeping after nighttime awakening remained associated with more than 15-minute delays in returning to sleep, while the mother’s presence at the beginning of sleep appeared protective against such delays.

The results support the notion that some parental behaviors develop in response to early sleep problems, the authors note. However, they also indicate that such parental behaviors could have negative effects. “Parental strategies that were effective for early sleep difficulties (e.g. giving food or drink) may later become inappropriate to the child’s age and needs. Mothers might adopt the inappropriate response of giving food or drink to 29- to 41-month-old children awakening (which is associated with bad dreams and shorter total sleep time at age 50 months) because they commonly attribute infant cries to hunger and come to believe that infants cry only when hungry,” the authors write.

“Our findings clarify the long-debated relationship between parental behaviors and childhood sleep disturbances,” the authors conclude. “They suggest that cosleeping and other uncommon parental behaviors have negative consequences for future sleep and are thus maladaptive.”

This last paragraph surprises me. My understanding, from my experience with both kids, and from reading the article, is that the real problem is that parents fail to adapt their behaviour as children get older. Cosleeping with infants is one thing, cosleeping with a toddler or young child is another. Parents need to remember that their kids needs change, sometimes very rapidly and it is important to be aware when a strategy is no longer working.

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2 comments:

Anonymous said...

Hi. Been reading your blog for a while. Thanks for offering a thoughtful/Canadian perspective on child rearing.

Can you share the reference to this particular study? Thanks!

Cheers.
SK

Michael Lautman said...

SK,
The entire April 2008 issue is related to pediatric sleep disorders.
You can see it here:


http://archpedi.ama-assn.org/cgi/content/full/162/4/297