Evidence map›Paper›PMID 40993443›Full record

ArticleArchives of women's mental health2025

Postpartum maternal sleep disruption is associated with perception of infant temperament: findings from a 6-month longitudinal study.

Rebecca C Cox, Michele L Okun

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Article in Archives of women's mental health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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1citing papers in PubMed
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1 citing paper in PubMed.

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5 · Who and what money

Authors and funding

2 authors.

Rebecca C CoxSleep, Circadian Rhythms, and Psychopathology Laboratory, Department of Psychological and Brain Sciences, Washington University in St. Louis, St. Louis, MO, USA.ORCID 0000-0001-8964-4360
Michele L OkunSleep and Biobehavioral Health Research Laboratory, BioFrontiers Center, University of Colorado Colorado Springs, Colorado Springs, CO, USA. mokun@uccs.edu.ORCID 0000-0002-9318-7120

Funding

Light therapy for obsessive-compulsive disorder: A circadian medicine approachK23MH137376 · NIMH · WASHINGTON UNIVERSITY · PI Rebecca C Cox · 2024 to 2026
$593k
Happiest Baby, Inc. Happiest Baby, Inc.NIMH NIH HHS K23 MH137376
6 · The paper itself

Abstract

purposeInfant temperament is influenced by environmental factors, such as maternal depression and anxiety. However, the association between maternal sleep and infant temperament is unclear. We examined the associations between maternal postpartum sleep and maternal perception of infant temperament and the moderating effect of maternal depression and anxiety over 6 months following delivery.

methodsPostpartum women with a history of depression (N = 166) completed the Pittsburgh Sleep Quality Index, Edinburgh Postnatal Depression scale, Generalized Anxiety Disorder Scale-7, and Infant Behavior Questionnaire-Very Short Form once per month for 6 months post-delivery. Associations between maternal sleep and infant temperament and interactions with maternal anxiety and depression were tested via 2-level multilevel models.

resultsAt the month-level, shorter sleep duration and greater sleep disturbance were significantly associated with higher infant negative affectivity, and shorter sleep duration, greater sleep disturbance, and lower sleep efficiency were associated with significantly lower infant orienting/regulation (p's < 0.05). At the person-level, lower sleep efficiency and greater sleep disturbance were significantly associated with higher infant negative affectivity (p's < 0.05). Both person-level effects were significantly moderated by depression symptoms, whereas only the effect of sleep efficiency was moderated by anxiety symptoms (p's < 0.05).

conclusionsMaternal perception of infant orienting/regulation may be sensitive to acute sleep disruption, whereas maternal perception of infant negative affectivity is linked both acute and trait-like maternal sleep disruption. Lower depression symptoms may buffer trait-like effects of maternal sleep disruption on perception of infant negative affectivity, whereas higher anxiety symptoms may be sensitizing. These findings highlight the importance of maternal sleep health for infant outcomes.

Indexed as

Depression, PostpartumInfant BehaviorMothersPostpartum PeriodSleepSleep Wake DisordersTemperamentAdultAnxietyDepressionFemaleHumansInfantLongitudinal StudiesMother-Child RelationsPerceptionAnxietyDepressionInfant temperamentPostpartumSleep

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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.