Okay, we all know that sleep training is one of the most often-debating topics among parenting circles. Some parents swear by the "cry-it-out" method (I don't care for this term, but it's the common terminology) while others think it's akin to torture for an infant. I have to say, that before having a child I had not given this topic a lot of thought or research. Although I was in grad school in Human Development for 4 years, I do not ever recall reading one single research article on this topic. After having a child, sleep, namely, how to get my son to sleep, became an all-consuming topic for me. I soon realized that I had never read a research article on this topic because there are very few good, solid studies conducted about sleep training, how or if it works, and its effects on children.
Now, my point with this post is not to come down on one side or the other regarding sleep training. Overall, I think it is up to each family to decide how to manage sleep issues in their family based on their values and needs. My point is to illustrate how the media often frames controversial issues like this in a way that is misleading and oversimplifies the research they claim to be referencing.
First, let me discuss a few things that we do know in regards to responsive parenting. These are based on hundreds of research articles:
- infants whose parents respond to them in a responsive way, especially in the first 3 months, but I would say first 6 months, generally develop better overall, learn to self-regulate better, and ultimately cry less
**Note: most pediatricians would not recommend sleep training prior to 6 months of age. Newborns do not have the ability to self-soothe well and must be responded to promptly. Older babies, however, do have the ability to put themselves to sleep (assuming no health problems are present).
- infants whose parents chronically neglect them or their cries for attention have poorer outcomes overall
**Note: if infants' needs are repeatedly ignored, of course, they will not develop ideally. Pediatrician-recommended sleep training methods do not involve chronic neglect of an infant's needs.
- infants of depressed mothers are at risk for poor attachment which can lead to further problems with self-regulation, behavior, and later attachments
**Note: extreme sleep-deprivation is a risk factor for depression, particularly postpartum depression
Several recent articles in the media have claimed to show that new research indicates that sleep training (i.e., cry-it-out) is harmful to babies and their developing brains (posts here, here, and here). First of all, with the exception of one, none of the referenced studies actually looked at sleep training itself. If you look at the titles of many of the referenced studies, they use words like "childhood maltreatment," or "maternal loss". In other words, they are studies of children who have been extremely maltreated, probably to the point of being reported to child protective services. Secondly, several of the studies referenced in these articles used rat studies to test hormone levels as a marker for stress (namely cortisol). Only one of the studies tested hormone levels in human infants.