母亲教养压力与小学一年级学生睡眠问题的关系

奴比娅·阿马尔江; 肖惠迪; 加吾兰·祖农; 李梦龙; 李子昂; 胡翼飞

doi:10.16835/j.cnki.1000-9817.2022.05.007

母亲教养压力与小学一年级学生睡眠问题的关系

doi: 10.16835/j.cnki.1000-9817.2022.05.007

首都医科大学公共卫生学院儿少卫生与妇幼保健学系，北京 100069

基金项目:

国家自然科学基金项目 82073574

北京市自然科学基金资助项目 7202009

详细信息

作者简介:
奴比娅·阿马尔江(1995-)，女，新疆墨玉县人，在读硕士，主要研究方向为儿童青少年期慢性病预防

通讯作者:
胡翼飞，E-mail: huyifei@yahoo.com

利益冲突声明 所有作者声明无利益冲突。
中图分类号: G78 R179 B844.1
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出版历程
- 收稿日期: 2021-12-17
- 修回日期: 2022-02-09
- 网络出版日期: 2022-05-20
- 刊出日期: 2022-05-25

Association between maternal parenting stress and sleep problems among first-grade primary students

Department of Child, Adolescent Health and Maternal Care, School of Public Health, Capital Medical University, Beijing (100069), China

摘要

摘要: 目的了解北京市6~8岁小学一年级儿童睡眠现状，探索母亲教养压力与儿童睡眠之间的关系，为减少儿童睡眠问题的发生提供科学依据。方法对北京儿童生长与健康队列(PROC)的参与者开展线上调查。由家长完成儿童睡眠习惯问卷(CSHQ)和父母教养压力问卷(PSI-SF)，纳入同时完成两份问卷且父母教养压力问卷由母亲回答的1 136对小学一年级学龄儿童及其母亲作为研究对象。采用Logistic回归分析母亲教养压力与儿童睡眠之间的关联。结果小学一年级学生睡眠问题发生率为78.52%，有睡眠问题儿童的母亲教养压力问卷得分(86.66±17.31)高于无睡眠问题儿童的母亲(78.59±17.75)(t=6.42，P < 0.01)。在调整混杂因素后，多因素Logistic回归结果显示，与没有教养压力的母亲相比，母亲有教养压力时儿童存在睡眠问题的风险增加(OR=2.52，95%CI=1.55~4.11，P < 0.01)；在以PSI-SF中3个维度为自变量进一步分析时，结果显示, 相比母亲在育儿压力、困难儿童2个维度没有压力的小学生，母亲有压力的小学生存在睡眠问题的风险增加(OR值分别为1.66，1.76，P值均 < 0.05)。结论小学一年级学生普遍存在不同程度的睡眠问题，为母亲提供心理支持以减少母亲教养压力的发生，可以减少儿童睡眠问题。
- 母亲 /
- 压力 /
- 睡眠 /
- 学生 /
- 精神卫生 /
- 回归分析
Abstract: Objective To investigate the sleeping status of the first-grade primary students aged 6-8 in Beijing, to investigate the association between maternal parenting stress and children's sleep, and to inform intervention of addressing sleep problems among children in Beijing. Methods Online survey was conducted based on the child cohort study designed to study puberty, obesity, and cardiovascular risk (PROC). The Children's Sleep Habits Questionnaire (CSHQ) and Parenting Stress Index-Short Form (PSI-SF) were completed by parents, and 1 136 school-aged children and their mothers were included as study participants. Logistic regression models were used to determine the association between maternal parenting stress and children's sleep. Results The prevalence of sleep problems among first-grade primary students was 78.52%. Among the children who received PSI-SF, the score of children with sleeping problems(86.66±17.31) was higher than that of the children with no sleeping problems(78.59±17.75)(t=6.42, P < 0.01). After adjusting sociodemographic characteristics, multivariable logistic regression results showed children of mothers with parenting stress were more likely to have sleep problems (OR=2.52, 95%CI=1.55-4.11, P < 0.01). Taking 3 dimensions in PSI-SF as independent variables, the analysis indicated that compared with the children having mothers free from parental stress and difficult children, the children with mothers with parental stress were more likely to suffer from the sleeping problems(OR=1.66, 1.76, P < 0.05). Conclusion Sleep problems are prevalent among first-grade primary students, and it underscores providing psychological support to alleviate maternal parenting stress to address children's sleep problems.
- Mothers /
- Pressure /
- Sleep /
- Students /
- Mental health /
- Regression analysys
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表 1 有无睡眠问题儿童PSI-SF得分比较(x±s)

Table 1. Comparison of maternal PSI-SF scores in children with and without sleep problems(x±s)

睡眠问题	人数	育儿压力	亲子互动失调	困难儿童	总分
有	892	30.62±7.12	27.41±6.19	28.64±6.52	86.66±17.31
无	244	28.00±7.33	25.31±6.25	25.27±6.50	78.59±17.75
t值		5.05	4.67	7.15	6.42
P值		< 0.01	< 0.01	< 0.01	< 0.01

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表 2 母亲教养压力对儿童睡眠问题影响的Logistic回归分析(n=1 136)

Table 2. Logistic analysis of the effect of maternal parenting stress on children's sleep problems(n=1 136)

自变量	调整前		调整后
自变量	OR值(OR值95%CI)	P值	OR值(OR值95%CI)	P值
模型1
母亲教养压力	2.54(1.56~4.14)	< 0.01	2.52(1.55~4.11)	< 0.01
模型2
育儿压力	1.98(1.28~3.05)	< 0.01	1.66(1.05~2.61)	0.03
亲子互动失调	1.91(1.20~3.04)	< 0.01	-	-
困难儿童	2.12(1.33~3.40)	< 0.01	1.76(1.07~2.88)	0.02
注：自变量均以无为参照组。

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