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Whose sleep matters? Untangling the relationships between maternal sleep, child sleep, and maternal depressive symptoms in the first two years of life.

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Title: Whose sleep matters? Untangling the relationships between maternal sleep, child sleep, and maternal depressive symptoms in the first two years of life.
Authors: Kotlar, Bethany (AUTHOR), Kotlar, Alex (AUTHOR), Sadikova, Ekaterina (AUTHOR), Jimenez, Monik (AUTHOR), Yousafzai, Aisha (AUTHOR), Sudo, Mioko (AUTHOR), Kyeong, Yena (AUTHOR), Setoh, Peipei (AUTHOR), Ngoh, Gwendolyn (AUTHOR), Rifkin-Graboi, Anne (AUTHOR), Meaney, Michael J. (AUTHOR), Chen, Helen (AUTHOR), Brockman, Birit F. P. (AUTHOR), Goh, Daniel Y. T. (AUTHOR), Yap, Fabian (AUTHOR), Lee, Yung Seng (AUTHOR), Cai, Shirong (AUTHOR), Tiemeier, Henning (AUTHOR)
Source: European Child & Adolescent Psychiatry. Sep2025, Vol. 34 Issue 9, p2727-2738. 12p.
Subjects: Research funding, Questionnaires, Descriptive statistics, Mother-infant relationship, Longitudinal method, Sleep, Mother-child relationship, Data analysis software, Mental depression, Children
Abstract: Background: Infants frequently experience sleep problems in early childhood. Poor infant sleep can impact not only infants' cognitive development but also maternal sleep and maternal mental health. Studies have reported associations between infant sleep and maternal sleep and between infant sleep and maternal depression. However, methods utilized in these studies are unable to disentangle the directionality of these relationships. The purpose of this study was to assess the bi-directional relationships between child sleep, maternal sleep, and maternal depression in the first two years of life in a multi-ethnic Asian cohort. Data were drawn from the Growing Up in Singapore Towards healthy Outcomes (GUSTO) cohort. Child nighttime sleep duration, maternal sleep (PSQI), and maternal depression scores (BDI) were assessed at 26 weeks gestational age, and when the child was 3, 12, and 24 months old in 1,131 children. We used autoregressive latent trajectory modeling with structured residuals (ALT-SR) to assess associations. Higher maternal depression scores at 3 months were predictive of longer nighttime sleep duration when the child was 12 months (BDI3mo → ChildSleep12mo:ѰStandardized = 0.04, p =.01), but at other timepoints this cross-lagged relationship was not significant, (BDIprenatal → ChildSleep3mo: ѰStandardized = 0.02, p =.49; BDI12mo → ChildSleep24mo: ѰStandardized = 0.03, p =.07). In addition, better maternal sleep at 3 months predicted longer nighttime child sleep duration at 12 months (PSQI3mo → ChildSleep12mo: ѰStandardized = − 0.08, p = 0.01), but not at other timepoints (PSQIprenatal → BISQ3mo: ѰStandardized = -0.06, p =.29; PSQI12mo → ChildSleep24mo: ѰStandardized = -0.05, p = 0.18). When using methods that properly differentiate between-person and within-person effects, we found that higher maternal depression scores were protective of infant sleep, but infant sleep did not affect maternal sleep or depression scores. [ABSTRACT FROM AUTHOR]
Copyright of European Child & Adolescent Psychiatry is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Data: Whose sleep matters? Untangling the relationships between maternal sleep, child sleep, and maternal depressive symptoms in the first two years of life.
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  Data: <searchLink fieldCode="JN" term="%22European+Child+%26+Adolescent+Psychiatry%22">European Child & Adolescent Psychiatry</searchLink>. Sep2025, Vol. 34 Issue 9, p2727-2738. 12p.
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  Data: Background: Infants frequently experience sleep problems in early childhood. Poor infant sleep can impact not only infants' cognitive development but also maternal sleep and maternal mental health. Studies have reported associations between infant sleep and maternal sleep and between infant sleep and maternal depression. However, methods utilized in these studies are unable to disentangle the directionality of these relationships. The purpose of this study was to assess the bi-directional relationships between child sleep, maternal sleep, and maternal depression in the first two years of life in a multi-ethnic Asian cohort. Data were drawn from the Growing Up in Singapore Towards healthy Outcomes (GUSTO) cohort. Child nighttime sleep duration, maternal sleep (PSQI), and maternal depression scores (BDI) were assessed at 26 weeks gestational age, and when the child was 3, 12, and 24 months old in 1,131 children. We used autoregressive latent trajectory modeling with structured residuals (ALT-SR) to assess associations. Higher maternal depression scores at 3 months were predictive of longer nighttime sleep duration when the child was 12 months (BDI3mo → ChildSleep12mo:ѰStandardized = 0.04, p =.01), but at other timepoints this cross-lagged relationship was not significant, (BDIprenatal → ChildSleep3mo: ѰStandardized = 0.02, p =.49; BDI12mo → ChildSleep24mo: ѰStandardized = 0.03, p =.07). In addition, better maternal sleep at 3 months predicted longer nighttime child sleep duration at 12 months (PSQI3mo → ChildSleep12mo: ѰStandardized = − 0.08, p = 0.01), but not at other timepoints (PSQIprenatal → BISQ3mo: ѰStandardized = -0.06, p =.29; PSQI12mo → ChildSleep24mo: ѰStandardized = -0.05, p = 0.18). When using methods that properly differentiate between-person and within-person effects, we found that higher maternal depression scores were protective of infant sleep, but infant sleep did not affect maternal sleep or depression scores. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of European Child & Adolescent Psychiatry is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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        Value: 10.1007/s00787-025-02689-7
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