Journal article
Maternal Perception of Infant Sleep and Bonding in Opioid Use Disorder
Journal of addiction medicine, Vol.19(1), pp.83-88
01/2025
DOI: 10.1097/ADM.0000000000001381
PMID: 39259033
Abstract
Infant sleep problems are common in early infancy and can negatively influence maternal-infant bonding. As opioid-exposed neonates are at increased risk of sleep difficulties, we examined the association between maternal perception of infant sleep difficulties and maternal-infant bonding among dyads affected by maternal opioid use disorder (OUD), from birth through 6 months.OBJECTIVEInfant sleep problems are common in early infancy and can negatively influence maternal-infant bonding. As opioid-exposed neonates are at increased risk of sleep difficulties, we examined the association between maternal perception of infant sleep difficulties and maternal-infant bonding among dyads affected by maternal opioid use disorder (OUD), from birth through 6 months.We enrolled 100 birthing people (participants) between 6 months and 2 years postpartum who had received medications for OUD during their pregnancy. Participants answered questions regarding maternal and infant characteristics, as well as the Postpartum Bonding Questionnaire (PBQ), on which higher scores indicate decreased maternal-infant bonding. Unadjusted and adjusted linear regression models were used to examine the association between infant sleep and bonding.METHODSWe enrolled 100 birthing people (participants) between 6 months and 2 years postpartum who had received medications for OUD during their pregnancy. Participants answered questions regarding maternal and infant characteristics, as well as the Postpartum Bonding Questionnaire (PBQ), on which higher scores indicate decreased maternal-infant bonding. Unadjusted and adjusted linear regression models were used to examine the association between infant sleep and bonding.Of 100 study participants, 91 completed the PBQ. Of these, 55% reported difficulties with their infant's sleep during the first 6 months postpartum. Although bonding scores were overall strong, those who reported infant sleep difficulties scored on average 10.40 points higher on the PBQ (β = 10.40; 95% confidence interval, 5.94-14.85) than participants who did not report sleep difficulties, indicating the negative association between infant sleep problems and bonding. This effect remained after adjusting for relevant maternal-infant characteristics (β = 6.86; 95% confidence interval, 2.49-11.24).RESULTSOf 100 study participants, 91 completed the PBQ. Of these, 55% reported difficulties with their infant's sleep during the first 6 months postpartum. Although bonding scores were overall strong, those who reported infant sleep difficulties scored on average 10.40 points higher on the PBQ (β = 10.40; 95% confidence interval, 5.94-14.85) than participants who did not report sleep difficulties, indicating the negative association between infant sleep problems and bonding. This effect remained after adjusting for relevant maternal-infant characteristics (β = 6.86; 95% confidence interval, 2.49-11.24).In this study among postpartum individuals with OUD, maternal perception of infant sleep problems was associated with reduced maternal-infant bonding. This relationship between infant sleep and bonding offers a target for supporting dyads affected by OUD.CONCLUSIONSIn this study among postpartum individuals with OUD, maternal perception of infant sleep problems was associated with reduced maternal-infant bonding. This relationship between infant sleep and bonding offers a target for supporting dyads affected by OUD.
Details
- Title: Subtitle
- Maternal Perception of Infant Sleep and Bonding in Opioid Use Disorder
- Creators
- Joyce H Xu - University of Cincinnati Medical CenterStephanie L MerharEmily A DefrancoJennifer M McAllisterMishka TerplanNichole L Nidey
- Resource Type
- Journal article
- Publication Details
- Journal of addiction medicine, Vol.19(1), pp.83-88
- DOI
- 10.1097/ADM.0000000000001381
- PMID
- 39259033
- NLM abbreviation
- J Addict Med
- ISSN
- 1935-3227
- eISSN
- 1935-3227
- Publisher
- LIPPINCOTT WILLIAMS & WILKINS
- Grant note
- Division of Biostatistics and Epidemiology within Cincinnati Children's Hospital Medical CenterWomen's Health Scholars Program of the Department of Obstetrics and Gynecology
NLN received an internal award from the Division of Biostatistics and Epidemiology within Cincinnati Children's Hospital Medical Center to support this work. JHX received a funding from the Women's Health Scholars Program of the Department of Obstetrics and Gynecology. The authors state that they have no proprietary interest in the products named in this article.
- Language
- English
- Electronic publication date
- 09/11/2024
- Date published
- 01/2025
- Academic Unit
- Epidemiology; Addiction Medicine; Craniofacial Anomalies Research Center
- Record Identifier
- 9984704623902771
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