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609 Comparing parental sleep goals for younger versus older toddlers
Introduction This study aimed to assess parental sleep goals, comparing younger (12-23.9-month-olds) and older toddlers (24-35.9-month-olds) in consideration of developmental differences. Methods Parents (98.0% mothers) of 401 toddlers (12–35 mos; M=22.49 mos; 49% male) in the US completed an online survey, including an abbreviated Brief Infant Sleep Questionnaire and a list of 58 desired areas of change (DACs). There were 230 one-year-olds (1yos; M=17.42mos) and 171 two-year-olds (2yos; M=29.30mos), with no difference in parent age between groups (M=34.41 years). Results 25.7% reported a perceived sleep-problem, whereas 94.8% indicated at least one sleep-related DAC. Parents of one- and two-year-olds reported similar rates of DAC for overnight sleep (58% vs. 49%), morning sleep (55% vs. 52%), and naps (70% vs. 64%), p>.05. Parents of 2yos, however, reported bedtime as a DAC at a higher rate (59% vs. 79%), p<.001. Twenty-five percent of specific bedtime DACs (n=8) were endorsed by ≥10% of parents. Parents endorsed falling asleep without an adult (17% of 1yos vs. 22% of 2yos) and falling asleep without nursing (10% vs. 9%) at similar rates, p>.05. Parents of two-year-olds were more likely to endorse: getting through bedtime routine quickly/easily without stalling (10% vs. 30%,), earlier bedtime (10% vs. 24%), falling asleep faster at bedtime (24% vs. 10%), falling asleep without a pacifier (11% vs. 19%), falling asleep faster while alone (8% vs. 16%), and falling asleep without stalling/making requests (3% vs. 18%), p<.05. Conclusion The majority of parents of toddlers endorsed a sleep-related desired area of change, with two-thirds wanting to change something about bedtime and naps, and over half wanting to change something about overnight and morning sleep. Parents of older toddlers (2yos) were more likely to desire changes at bedtime than parents of younger toddlers (1yos), especially related to stalling and discontinuing pacifier use. As toddlers age, bedtime problems are more likely. Health care providers should be aware of developmental changes, such as increased language and assertions of independence, that seem to mostly affect bedtime when addressing sleep issues in toddlers. Support (if any) Johnson & Johnson Consumer Inc., Skillman, NJ, USA.
Journal Article
0753 Mothers’ sleep and executive function: Downstream implications for parenting and toddlers’ executive function
Introduction Mothers’ sleep is positively associated with positive parenting (e.g., responsiveness) — what has not been established is how mothers’ executive function (EF) could mediate this association, and how, in turn, mothers’ parenting could influence the development of their toddlers’ EF. Methods Mothers and toddlers (N = 351) were followed at child ages 30, 36, and 42 months. Mothers were M = 32.70 years old (SD = 5.03); 49% of toddlers were male. The sample was largely middle class and 90% White. Fifteen percent of mothers were single. Thirty-one percent of mothers did not work outside the home, and 28% worked full time. Mothers’ sleep was measured via actigraphy. Mothers’ positive parenting was measured both in the home and the lab. At home, the toddlers’ bedtime routine was observed and rated for mothers’ responsiveness and involvement. In the lab, mothers’ positive affect during free play with their toddler was coded (with independent, inter-rater reliability of ICC = .80). The lab measure was correlated with the home visit measure (r = .22, p < 0.01). Mothers’ EF was measured via self-report on the Behavior Rating Inventory of Executive Function-Adult Version (BRIEF), which assesses everyday metacognition, behavior regulation, and emotion regulation. The average, where higher scores reflect worse EF, was used. Toddlers’ EF was measured by coders’ ratings of toddlers’ ability to sustain focused attention during independent free play in the lab visit (ICC = .83). Results Cross-sectionally, mothers’ sleep was associated with their EF (B = .12, p<.05). In a structural equation model across time, mothers’ actigraphic sleep that was shorter, later, and more variable predicted worse EF (B = 0.07), which in turn predicted less positive parenting (B = - 0.08), at levels trending towards significance. Mothers’ positive parenting was associated with toddlers’ observed sustained, focused attention, both within (r = .13, p < 0.05) and across time (r = .13, p < 0.05). Conclusion These findings suggest that a mother’s sleep can affect her EF and parenting, which can then support toddlers’ sustained attention development, an important aspect of executive function. Support (if any) Grants MH099437 from NIMH and HD073202 from NICHD
Journal Article
Princess Baby
A toddler does not like any of the nicknames her parents have for her; she wants to be called by her \"real\" name, Princess Baby.
Book
Correction: Social robots in research on social and cognitive development in infants and toddlers: A scoping review
[This corrects the article DOI: 10.1371/journal.pone.0303704.].
Journal Article
Sensory Processing and Sleep in Infants and Toddlers in Health Provider Shortage Areas - A Cohort Study
Background: This study delves into the interplay between sleep quality and sensory processing in infants and toddlers in underserved rural areas in the U.S. Despite established links between these variables in typically developing children, limited research explores this relationship in communities facing elevated rates of mental, behavioral, and developmental disorders. Methods: We aimed to examine the connections between sensory processing at 10, 14, and 18 months postpartum and sleep quality at 18 months in a rural and medically underserved setting. A total of 44-53 participants completed the questionnaire and survey measures at the specified time points. Results: Utilizing the Infant Toddler Sensory Profile-2 and the Infant Health and Sleep Questionnaire adapted from the Pregnancy Risk Assessment Monitoring System, our analysis revealed that infants within the majority range for registration at 10 and 18 months displayed enhanced sleep quality at 18 months, with the 14-month analysis showing a trend towards statistical significance. Conclusion: These findings underscore the need to further explore the sensory processing domain of registration, given its consistent relationship with sleep outcomes across different ages in the sample. Infants in the majority range for sensation avoiding at 18 months exhibited improved sleep quality, suggesting that appropriately limiting exposure to noxious stimuli may contribute to more restorative sleep or vice versa. Comments The authors declare that they have no competing financial, professional, or personal interest that might have influenced the performance or presentation of the work described in this manuscript. Keywords infants, toddlers, sensory processing, sleep, neurotypical
Journal Article