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Abstract Body

Objective: Good sleep quality is crucial for optimal infant growth and development. Therefore, this study aimed to elaborate psychosocial factors related to probelmatic infant sleep quality. Psychosocial factors consisted of mother-infant bonding, maternal parity, maternal depression and anxiety, and infant stress.

Method: This study designed as a cross-sectional research that included mothers and their infants (0–36 months of age). Participants were collected by using consecutive sampling mehtod. After signing the inform consent form, mothers were asked to complete the Indonesian version of Mother-Infant Bonding Scale, the Brief Infant Sleep Questionnaire, the Symptoms Checklist-90, and an infant stress questionnaire that was specifically designed for this study. The exclusion criteria was mothers that did not fulfil the questionnaire completely. Data was analyzed by using chi-squared test for bivariate analysis and logistic regression for multivariate analysis with SPSS version 21 for Mac.

Results: The study revealed that the proportion of infants with problematic sleep quality was 33.30%. Three psychosocial factors were significantly associated with problematic infant sleep quality, i.e. mother-infant bonding; infant stress; and maternal parity. However, the logistic regression analysis explained that only mother-infant bonding (odds ratio [OR] 1.66 [95% confidence interval (CI) 1.15–6.12]) and infant stress (OR 1.29 [95% CI 1.07–2.68]) predicted a 38.7% risk for problematic infant sleep quality.

Conclusion: This study raises awareness of the importance of mother-infant bonding and infant stress towards problematic infant sleep quality. Thus, early detection of mother-infant bonding and infant stress is very important during the perinatal period especially at primary health care facilities.