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Five-Year Follow-up of Harms and Benefits of Behavioral Infant Sleep Intervention: Randomized Trial.
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- Author(s): Price, Anna M. H.; Wake, Melissa; Ukoumunne, Obioha C.; Hiscock, Harriet
- Source:
Pediatrics. Oct2012, Vol. 130 Issue 4, p643-651. 9p. 3 Charts. - Source:
- Additional Information
- Subject Terms: SLEEP disorders treatment; BEHAVIOR therapy; CONFIDENCE intervals; EPIDEMIOLOGY; HYDROCORTISONE; INFANT psychology; MENTAL health; HEALTH outcome assessment; PARENT-child relationships; QUESTIONNAIRES; RESEARCH funding; PSYCHOLOGICAL stress; LOGISTIC regression analysis; DATA analysis; RANDOMIZED controlled trials; TREATMENT effectiveness; DATA analysis software; CHILDREN
- Subject Terms:
- Abstract: BACKGROUND AND OBJECTIVES: Randomized trials have demonstrated the short-to medium-term effectiveness of behavioral infant sleep interventions. However, concerns persist that they may harm children's emotional development and subsequent mental health. This study aimed to determine long-term harms and/or benefits of an infant behavioral sleep program at age 6 years on (1) child, (2) child-parent, and (3) maternal outcomes. METHODS: Three hundred twenty-six children (173 intervention) with parent-reported sleep problems at age 7 months were selected from a population sample of 692 infants recruited from well-child centers. The study was a 5-year follow-up of a population-based cluster-randomized trial. Allocation was concealed and researchers (but not parents) were blinded to group allocation. Behavioral techniques were delivered over 1 to 3 individual nurse consultations at infant age 8 to 10 months, versus usual care. The main outcomes measured were (1) child mental health, sleep, psychosocial functioning, stress regulation; (2) child-parent relationship; and (3) maternal mental health and parenting styles. RESULTS: Two hundred twenty-five families (69%) participated. There was no evidence of differences between intervention and control families for any outcome, including (1) children's emotional (P = .8) and conduct behavior scores (P = .6), sleep problems (9% vs 7%, P = .2), sleep habits score (P = A), parent- (P = .7) and child-reported (P = .8) psychosocial functioning, chronic stress (29% vs 22%, P = .4); (2) child-parent closeness [P = .1) and conflict (P = .4), global relationship (P = .9), disinhibited attachment (P = .3); and (3) parent depression, anxiety, and stress scores {P = .9) or authoritative parenting (63% vs 59%, P = .5). CONCLUSIONS: Behavioral sleep techniques have no marked long-lasting effects (positive or negative). Parents and health professionals can confidently use these techniques to reduce the short- to medium-term burden of infant sleep problems and maternal depression. [ABSTRACT FROM AUTHOR]
- Abstract: Copyright of Pediatrics is the property of American Academy of Pediatrics and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. 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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