Photo by: Hassan Abdel-Rahman

Developmental Researchers Finally Focus Attention on Infant Sleep

by Amy of "The Thoughtful Parent"
Photo by: Hassan Abdel-Rahman

Since becoming a parent, sleep has become a major issue in my life. Probably like many of you other parents out there, I was somewhat unprepared for months of interrupted sleep and how this would affect my overall well-being. Once my son was born, I began reading everything I could get my hands on about infant/childhood sleep in an effort to understand how to get my son to sleep better. This was not only a selfish endeavor, of course, as I knew he needed good sleep and it obviously made him feel better and be more engaging in learning and exploring. I was somewhat disappointed when I found that child development researchers seem to have overlooked the issue of sleep. I found many books/articles written my pediatricians that were helpful but I still felt there was a gap in the child development research concerning infant/toddler sleep, it’s role in children’s behavior, and the role of parents’ behavior in helping children learn to sleep.

Then, just last week I came across this great study conducted by child development researchers (yeah!) on the topic of sleep and parental responsiveness. I was excited to see this study and the fact that it was conducted at Pennsylvania State University, one of the top programs in Human Development and Family Studies, gave me hope that it would be a well-thought out study. This particular study examined parents’ emotional responsiveness to infants/toddlers at bedtime and its association to how easily the child went to sleep and how well the child stayed asleep.

Like me, many parents had always heard that a bedtime routine is key in helping an infant or toddler go to sleep easily and sleep peacefully. This study somewhat debunks this long-held thought. The researchers studied infants and young children (2 years and under) and their parents using direct observation via video cameras in their bedrooms. The results showed that parents’ emotional responsiveness to children’s moods and needs prior to bedtime were a better predictor of children’s sleep than any sort of bedtime routine (i.e., reading books, quiet activities, etc.). So what does emotional responsiveness really mean? Well, it’s probably many of the things parents commonly do with their child—speaking softly if the child seems upset, changing activities if the child seems uninterested with the current one. The researchers point out that being emotionally available to the child at bedtime helps them feel safe and this, in turn, makes it easier for them to go to sleep without a struggle.

Personally, I don’t think this means that you should throw out your bedtime routine, but it did make me think about the importance of flexibility. I think bedtime routines can be useful and also make children feel safe, however, children are different from day to day. Some nights reading a book and rocking in a chair may work great, but other nights a child may not be into reading a book. The key, it seems from this research, is to be attentive to the child’s emotional needs at that particular moment. If the child doesn’t seem interested in a book, the best option may be to move on to something else and not worry too much about the routine. This research seems to indicate that if you get to caught up in keeping the routine exactly the same (even if the child is resistant) it may end up making it more difficult for them to fall asleep.

Hopefully more great research on sleep is coming down from the ivory tower soon!

Amy is a wife and stay-at-home mom with a PhD in Human Development and Family Sciences. She created her blog, The Thoughtful Parent, as a way to translate child development/parenting research into a parent-friendly format.

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29 Comments

Hello,

Thank you for writing about this topic. GREAT! In light of the study, "meeting the child's emotional needs", where does that leave the "Cry It Out" method? I've always hated the cry it out method, never used it and hope that this type of study/article helps to remove it as a "good" way to get kids to sleep...

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Monica, My daughter was waking at night consistently until she was two, when we better figured out her food allergies. I was hearing from everyone that I had to let her "cry it out" and had I given in to all that pressure in spite of my gut feelings that she needed me, I would have regretted it for the rest of my life. We have since gotten her allergy treatments, and she sleeps like a rock. When she doesn't, we usually know there is an allergy issue going on. Good luck.

I think we as a culture get WAY too concerned about our babies being too dependent and not sleeping "properly." As though their natural process isn't right and we have to train them out of it. And if they aren't "sleeping through the night" then we are failing somehow as parents. If you really think about it they are little for such a short time. And what we do with them around sleep, our attitudes, our behavior, our energy, makes a lasting impression on their psyches...

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It sounds to me like this study and the article are focused on toddlers rather than infants. Being responsive to toddlers so that you are not stuck in a rigid routine makes sense. However, I disagree with some of the posters who have suggested that not all kids "want or need a good night's sleep." ALL kids (and adults for that matter) NEED a good night's sleep to function at their best and be able to handle the ups and downs that life brings on a daily basis without completely losing it...

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I agree with the moms above who have used the Weissbluth method.. I particularly liked it because the book cites a lot of sleep research to support its methods and help parents understand their child's sleep. I have used the method with my son since he was 4 months old and it works great. He has his off nights, but 95% of the time he sleeps from 7p to 7am since he was 6 months old (he's now 14 months)...

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I have never done a bedtime routine and all 3 of my kids have been amazing sleepers (like 10-11 hours straight and sometimes 12) (I have a 9 month old, a 21 month old and a 6 year old). I'm glad I have done something right with this crazy job called parenting. Everyone always ask me how I do it and now I know...no routine and we are just responding to their emotional needs and they get tired and sleep all the way through feeling safe :)

Not sure what you think the discrepancy is,' the parents' emotional responsiveness to child's mood's and needs prior to bedtime' IS a bedtime routine. Any parent knows that a routine can not be adhered to perfectly every night, we just go with the flow and keep things warm and cozy.

I just have to re-emphasize that every child is different. There are some (god bless 'em) that do sleep through the night from week 2 of life. There are some that don't. And neither one of those situations is WRONG. Just different personalities, situations etc.
I have a 4 year old boy who only now is starting to sleep through the night with no accidents, get up on his own to pee and go back to sleep...

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I don't believe in a "cry-it-out" method for a child under 1 for sure, because for a BABY, their wants are their needs. Our pediatrician told us that for a BREASTFED baby, it is very normal for them to wake up more than once a night at least until they are 1 yrs old. After that though, it gets a bit fuzzier...

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I just had to say that I am always amazed at the comments I see about Ferber. The critics almost always get it wrong. I think people hear that there is some crying involved and immediately condemn it before really understanding it. Ferber does not recommend using his method until a child is emotionally and developmentally ready for it - somewhere around 5-6 months of age, give or take depending on the child. He does NOT advocate a child under that age be left to cry...

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What an awesome topic! Even though I'm reading this a little late (now that my night owl is 5 yrs old and sleeps better than ever!)I can relate with the "sleepless nights" stories. You wouldn't believe if I tell you the "pain" my husband and I used to go through to get our daughter to sleep at night. As soon the second baby came home, our focus/obsession to get our toddler to sleep changed and with the change our little owl started sleeping all night...

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In addition to a get ready for bed routine we've always sat quietly in a chair with her & talked briefly about the day. She knows she'll always get 5min quiet time with mom or dad before going down & it's a great transition.

I totally agree! Kids are moving targets at any age, and just "reading the weather" makes everything easier! That and giving yourself a time out now and again helps mama's attitude:)

All I know is that what works for one, dosent work for the other. I have a seven year old who slept through the night by 6 weeks, a very easy going personality. My 4 mo. however is a whole differnt story. The first 3 mo. she would sleep 3-5 hr. segments, but then started waking up frequently through the night...

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