0815 Child Behavioral Problems Mediate The Relationship Between Maternal Emotions During The Prenatal And Postnatal Period And Kindergarten Children'S Sleep Disturbances. (27th April 2018)

• Record Type: Journal Article
• Authors: Liu, J; Ji, X; Wang, G; Li, Y; Pinto Martin, J
• Is Part Of: Sleep. Volume 41(2018)Supplement 1
• Page Start: A302
• Page End: A303
• Publication Date: 2018-04-27
• Subjects: Sleep -- Physiological aspects -- Periodicals; Sleep disorders -- Periodicals; Sommeil -- Aspect physiologique -- Périodiques; Sommeil, Troubles du -- Périodiques; Sleep disorders; Sleep -- Physiological aspects; Sleep -- physiological aspects; Sleep Wake Disorders; Psychophysiology; Electronic journals; Periodicals; 616.8498
• DOI: 10.1093/sleep/zsy061.814
• Languages: English
• ISSNs: 0161-8105

Abstract

Abstract: Introduction: Studies have shown that maternal emotion and mood during and after pregnancy is associated with young children's sleep disturbances. However, few studies have examined this relationship for different trimesters of pregnancy, and sleep assessments have been limited to infancy. Furthermore, studies examining this relationship with both positive and negative emotions for different trimesters of pregnancy are lacking. Importantly, potential mediators of this relationship are unclear. We aimed to tackle these gaps in a longitudinal cohort study in kindergarten children. Methods: Participants included 833 kindergarteners with mean age 5.57(0.40) years. Women's emotional status, including prenatal/postnatal depressive emotion and perceived happiness throughout trimesters, was rated by a self-designed set of questions with a 5-point scale for happiness and a 3-point scale for depression. Sleep problems were assessed using the sleep subdomain of the Child Behavior Checklist (CBCL). Child behavioral problems were measured using the CBCL total score. General linear models were performed to examine the adjusted associations between childhood sleep problems and maternal emotional status. Results: Adjusted models: showed that children of women who expressed either depressive emotion during the postnatal period (β=3.13, p=0.003) or during both the prenatal and postnatal periods (β=2.65, p=0.04) were more likely to exhibit sleep disturbances. Similarly, increased levels of happiness in the second (β=-1.45, p=0.01) and third (β=-1.46, p=0.02) trimester were significantly associated with decreased risk for children's sleep problems. We found a significant mediation effect of child's behavior on the maternal emotion and child sleep relationship. Conclusion: Maternal depressive emotion during the prenatal and postnatal periods are associated with children's sleep problems while increased happiness during pregnancy decreased children's sleep problems. This relationship may be mediated by children behavioral problems, Measures promoting maternal emotional status may help minimize children's behavioral problems and further alleviate sleep disturbances in children. Support (If Any): Funding was provided by the National Institute of Environmental Health Sciences/NIH/NIEHS grants (K01-ES015877, K02-ES-019878 and R01-ES-018858).