Evidence map›Paper›PMID 31734620›Full record

ArticleSleep medicine2020

Mothers' postpartum sleep disturbance is associated with the ability to sustain sensitivity toward infants.

Lucy S King, Elizabeth Rangel, Norah Simpson, Liat Tikotzky, Rachel Manber

Registry-linked trialOpen access · greenAbstract read
In one paragraph

Article in Sleep medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01846585 (The Effectiveness of Non-Pharmacological Treatment for Insomnia During Pregnancy), which is not on this map. Cited by 24 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 1 pooled it
5.5field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT01846585 nacompletednot on this map

The Effectiveness of Non-Pharmacological Treatment for Insomnia During Pregnancy

TypeinterventionalSponsorStanford UniversityRan2013 to 2018Enrolled194ConditionsSleep Initiation and Maintenance DisordersArmsArousal Based Therapy for Insomnia, Cognitive Behavioral Therapy for Insomnia
3 · Its place in the literature

Who cites it

24 citing papers in PubMed, 1 synthesis or guideline pooled it, 59 citations in OpenAlex.

  1. Pooled it
  2. Responsive parenting and Black mothers' postpartum sleep: Secondary analysis of a randomized controlled trial.Health psychology : official journal of the Division of Health Psychology, American Psychological Association · 2024
    Trial
  3. Daytime napping and nighttime sleep in pregnant individuals with insomnia disorder.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2023
    Trial
  4. Article
  5. Article
  6. Article
  7. Observational
  8. Sleep, coparenting, and parenting among mothers and fathers prior to kindergarten transition.Journal of family psychology : JFP : journal of the Division of Family Psychology of the American Psychological Association (Division 43) · 2025
    Article
  9. Sleep Across the Lifespan: A Neurobehavioral Perspective.Current sleep medicine reports · 2025
    Review
  10. Article
  11. Article
  12. Review
  13. Article
  14. Interactions between poor sleep and negative social cognition pose risk for lower maternal sensitivity.Journal of family psychology : JFP : journal of the Division of Family Psychology of the American Psychological Association (Division 43) · 2024
    Article
  15. Article
  16. Review
  17. Article
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 2 countries.

Lucy S KingDepartment of Psychology, Stanford University, USA. Electronic address: lucyking@stanford.edu.
Elizabeth RangelDepartment of Psychiatry & Behavioral Sciences, Stanford University, USA.
Norah SimpsonDepartment of Psychiatry & Behavioral Sciences, Stanford University, USA.
Liat TikotzkyDepartment of Psychology, Ben-Gurion University of the Negev, Israel.
Rachel ManberDepartment of Psychiatry & Behavioral Sciences, Stanford University, USA.
Stanford University · USBen-Gurion University of the Negev · IL

Funding

The effectiveness of non-pharmacological treatment for perinatal insomniaR01NR013662 · NINR · STANFORD UNIVERSITY · PI MANBER, RACHEL · 2012 to 2017
$2.7M
NINR NIH HHS R01 NR013662
6 · The paper itself

Abstract

BACKGROUND/

objectiveInfancy is a period of rapid development when the quality of caregiving behavior may be particularly consequential for children's long-term functioning. During this critical period for caregiving behavior, parents experience changes in their sleep that may affect their ability to provide sensitive care. The current study investigated the association of mothers' sleep disturbance with both levels and trajectories of maternal sensitivity during interactions with their infants.

methodsAt 18 weeks postpartum, mothers and their infants were observed during a home-based 10-minute "free play" interaction. Mothers' nighttime sleep was objectively measured using actigraphy and subjectively measured using sleep diaries. Maternal sensitivity was coded in two-minute intervals in order to characterize changes in sensitivity across the free play interaction. We used exploratory factor analysis to reduce the dimensionality of the objective and subjective measures of mothers' sleep, identifying a subjective sleep disturbance and an objective sleep continuity factor.

resultsUsing multi-level modeling, we found that mothers with poorer objective sleep continuity evidenced decreasing sensitivity toward their infants across the interaction. Mothers' self-reports of sleep disturbance were not associated with maternal sensitivity.

conclusionsAlthough future research is necessary to identify the mechanisms that may explain the observed association between poor sleep continuity and the inability to sustain sensitivity toward infants, mothers' postpartum sleep continuity may be one factor to consider when designing interventions to improve the quality of caregiving. CLINICAL

trial registrationClinicaltrials.gov, NCT01846585.

Indexed as

ActigraphyAdultCaregiversDiaries as TopicFemaleHumansInfantMaleMothersPostpartum PeriodSelf ReportSleep Initiation and Maintenance DisordersCaregivingMaternal sensitivityPostpartum sleep

Identifiers

PMID31734620
PMCPMC10173890
OpenAlexW2964573773

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.