They were more predictive than how parents responded to sleep issues, but
certain parental responses also seemed to negatively affect future sleep
patterns, the study shows.
At the beginning of the study, researchers from Hopital du Sacre-Coeur de
Montreal and the Universite de Montreal questioned 987 parents about the sleep
behaviors of their then 5-month-old babies and their own rituals and behaviors
directed toward getting the child to sleep.
Each year after this, until the children reached age 6, the parents were
again asked about their children's sleep habits and their responses.
Early Sleep Problems Predictive
The researchers reported that the parents of children with sleep problems
during infancy were more likely than other parents to adopt what they called
"maladaptive" coping behaviors by the time their children had reached
the ages of 2 1/2 to 3 1/2 years.
These behaviors included giving their child food or a drink upon awakening
and putting the child in their own bed when he or she woke during the
Some of these behaviors, in turn, were found to predict future sleep
problems, including bad dreams and total sleep time, but this effect did not
remain statistically significant when the researchers controlled for early
The findings are reported in the April issue of the journal Archives of
Pediatrics and Adolescent Medicine.
"Our findings are consistent with the notion that the child's sleep is
differentially vulnerable to parental behaviors at different developmental
periods," the researchers wrote.
"Parental strategies that were effective for early sleep difficulties
(e.g. giving food or drink) may later become inappropriate to the child's age
Sleep Specialist Weighs In
Pediatric sleep specialist Judith Owens, MD, of Providence, Rhode Island's
Brown Medical School in Providence, R.I., tells WebMD that it is no big
surprise that infants with sleep problems are at greatest risk for sleep
problems when they reach preschool age.
The director of Hasbro Children's Hospital's pediatric sleep disorders
clinic, Owens says that it makes sense that certain parental behaviors in
response to early sleep problems could negatively affect future sleep
"This is especially true of what we call reactive co-sleeping -- when
the parent doesn't really want to co-sleep, but does it for a temporary
fix," she says. "It is clear that this increases the risk of continuing
the pattern," she tells WebMD.
Parents who don't choose to co-sleep should interfere as little as possible
in the natural process of falling asleep, she says.
"Most parents want their babies and young children to sleep in separate
rooms and to fall asleep on their own," she says. "If that is the goal,
the more you insert yourself into that process the longer it is going to take.
Children can learn to fall asleep on their own. But the more a parent does to
facilitate this the more a child learns to depend on the parent."
Simard, V. Archives of Pediatrics and Adolescent Medicine, April
2008; vol 162: pp 367.
Valerie Simard, MSc, MPs, Centre d'etude du sommeil, Hopital du Sacre-Coeur
Judith Owens, MD, associate professor of pediatrics, Brown University
Medical School; director, Pediatric Sleep Disorders Clinic, Hasbro Children's
Hospital, Providence, R.I.; spokeswoman, American Academy of Pediatrics.