Document Detail

The role of infant sleep in intergenerational transmission of trauma.
MedLine Citation:
PMID:  21966069     Owner:  NLM     Status:  MEDLINE    
INTRODUCTION: Children of parents who experienced trauma often present emotional and behavioral problems, a phenomenon named inter-generational transmission of trauma (IGTT). Combined with antenatal factors, parenting and the home environment contribute to the development and maintenance of sleep problems in children. In turn, infant sleep difficulty predicts behavioral and emotional problems later in life. The aim of this study was to investigate whether infant sleep problems predict early behavioral problems indicative of IGTT.
METHODS: 184 first-time mothers (ages 18-47) participated. N=83 had a history of childhood abuse and posttraumatic stress disorder (PTSD+); 38 women reported childhood abuse but did not meet diagnostic criteria for PTSD (PTSD-); and the control group (N=63) had neither a history of abuse nor psychopathology (CON). Depression, anxiety, and sleep difficulty were assessed in the mothers at 4 months postpartum. Infant sleep was assessed using the Child Behavior Sleep Questionnaire (CSHQ). Outcome measures included the Parent Bonding Questionnaire (PBQ) at 4 months and the Child Behavior Check List (CBCL) at 18 months.
RESULTS: Infants of PTSD+ mothers scored higher on the CSHQ and had more separation anxiety around bedtime than PTSD- and CON, and the severity of their symptoms was correlated with the degree of sleep disturbance. Maternal postpartum depression symptoms mediated impaired mother-infant bonding, while infant sleep disturbance contributed independently to impaired bonding. Mother-infant bonding at 4 months predicted more behavioral problems at 18 months.
CONCLUSIONS: Infant sleep difficulties and maternal mood play independent roles in infant-mother bonding disturbance, which in turn predicts behavioral problems at 18 months.
Ilana S Hairston; Ellen Waxler; Julia S Seng; Amanda G Fezzey; Katherine L Rosenblum; Maria Muzik
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Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't     Date:  2011-10-01
Journal Detail:
Title:  Sleep     Volume:  34     ISSN:  1550-9109     ISO Abbreviation:  Sleep     Publication Date:  2011 Oct 
Date Detail:
Created Date:  2011-10-03     Completed Date:  2012-02-01     Revised Date:  2014-09-22    
Medline Journal Info:
Nlm Unique ID:  7809084     Medline TA:  Sleep     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1373-83     Citation Subset:  IM    
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MeSH Terms
Child Abuse / psychology
Child Behavior
Child of Impaired Parents / psychology*
Child, Preschool
Depression, Postpartum / psychology
Middle Aged
Mother-Child Relations*
Psychiatric Status Rating Scales
Sleep Disorders / etiology,  psychology
Stress Disorders, Post-Traumatic / psychology
Young Adult
Grant Support
5R37AA007065-S1/AA/NIAAA NIH HHS; K23-MH080147/MH/NIMH NIH HHS; R01 NR008767-01 A1/NR/NINR NIH HHS; R37 AA007065/AA/NIAAA NIH HHS

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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