Association between sleep disorders and behavioral problems in preschool children

HE Haiyan; NING Man; WANG Rui; WANG Shougui; YU Min; ZHU Min

doi:10.16835/j.cnki.1000-9817.2021.09.016

Volume 42 Issue 9

Sep. 2021

Turn off MathJax

Article Contents

Article Navigation > CHINESE JOURNAL OF SCHOOL HEALTH > 2021 > 42(9): 1344-1347

HE Haiyan, NING Man, WANG Rui, WANG Shougui, YU Min, ZHU Min. Association between sleep disorders and behavioral problems in preschool children[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2021, 42(9): 1344-1347. doi: 10.16835/j.cnki.1000-9817.2021.09.016

Citation:

HE Haiyan, NING Man, WANG Rui, WANG Shougui, YU Min, ZHU Min. Association between sleep disorders and behavioral problems in preschool children[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2021, 42(9): 1344-1347. doi: 10.16835/j.cnki.1000-9817.2021.09.016

Citation:

PDF( 976 KB)

Association between sleep disorders and behavioral problems in preschool children

doi: 10.16835/j.cnki.1000-9817.2021.09.016

1.
Wuhu Maternal and Child Health and Family Planning Service Center (Maternal and Child Health Care Hospital of Wuhu), Wuhu(241000), Anhui Province, China

Received Date: 2021-05-05
Rev Recd Date: 2021-07-30

Available Online: 2021-09-24

Publish Date: 2021-09-24

Abstract

Abstract

Objective To investigate the association between sleep with emotional and behavioral problems of preschool children in Wuhu City. Methods A cluster sampling survey was conducted among senior class of 12 kindergartens in Wuhu City, a total of 1 158 preschool children were investigated. The self-designed questionnaire was used to investigate the general situation and sleep characteristics. Strengths and Difficulties Questionnaire (SDQ) and Sleeping Quality Questionnaire for Children Aged 2-5 years were used to investigate their emotional behavior and sleep disorders. Results About 44.21% of respondents had emotional and behavioral problems, among which peer interaction was the most prominent. There were gender differences in sleeping alone and the need of comforters for sleep. 41.97% of preschool children detected at least one type of sleep disorder, and the detection rate of disturbed sleep was 33.83% in girls, which was higher than that of boys(25.97%). Abnormal sleep and disturbed sleep increased the risk of emotional and behavioral problems in preschool girls(OR=2.33, 95%CI=1.25-4.34; OR=4.92, 95%CI=1.28-19.00), adequate sleep reduced the risk(OR=0.46, 95%CI=0.27-0.77). Abnormal sleep increased the risk of boys' emotional and behavioral abnormalities(OR=1.86, 95%CI=1.08-3.19), while sleeping alone reduced the risk(OR=0.59, 95%CI=0.37-0.95). Conclusion Sleep behaviors are associated with the occurrence of emotional and behavioral problems in preschool children in a sex-specific manner.
- Sleep disorders,
- Emotions,
- Mental health,
- Regression analysis,
- Child, preschool

FullText(HTML)

References(15)

References

[1]	SURESH K. Sleep in neurodevelopmental and neurodegenerative disorders[J]. Seminars Pediatr Neurol, 2015, 22(2): 126-129. doi: 10.1016/j.spen.2015.03.003
[2]	MULAS F, ROJAS M, GANDÍA R. Sleep in neurodevelopmental disorders[J]. Med A(Buenos Aires), 2019, 79(suppl 3): 33-36. http://www.sciencedirect.com/science/article/pii/S2211609516300161
[3]	余爵波, 程泽星, 练状, 等. 儿童阻塞性睡眠呼吸暂停低通气综合征生活质量和焦虑抑郁情绪症状的分析[J]. 中华临床医师杂志(电子版), 2017, 11(6): 896-899. doi: 10.3877/cma.j.issn.1674-0785.2017.06.005 YU J B, CHENG Z X, LIAN Z, et al. Analysis on quality of life and emotion symptoms in children with obstructive sleep apnea-hypopnea syndrome[J]. Chin J Clin(Electr Edit), 2017, 11(6): 896-899. doi: 10.3877/cma.j.issn.1674-0785.2017.06.005
[4]	张伶俐, 胡小平, 万孝先, 等. 学龄前儿童心理行为问题与家长健康素养的关系[J]. 中国儿童保健杂志, 2020, 28(5): 579-582. https://www.cnki.com.cn/Article/CJFDTOTAL-ERTO202005026.htm ZHANG L L, HU X P, WAN X X, et al. Relationship between psychological behavior problems and parents health literacy in preschool children[J]. Chin J Child Health Care, 2020, 28(5): 579-582. https://www.cnki.com.cn/Article/CJFDTOTAL-ERTO202005026.htm
[5]	章景丽, 于伟平, 陈秋, 等. 过敏性疾病对扬州市学龄前儿童睡眠状况的影响[J]. 中国妇幼保健, 2019, 34(12): 2816-2818. https://www.cnki.com.cn/Article/CJFDTOTAL-ZFYB201912051.htm ZHANG J L, YU W P, CHEN Q, et al. Effects of allergic diseases on sleep status of preschool children in Yangzhou[J]. Maternal Child Health Care Chin, 2019, 34(12): 2816-2818. https://www.cnki.com.cn/Article/CJFDTOTAL-ZFYB201912051.htm
[6]	BANKS S, DINGES D F. Behavioral and physiological consequences of sleep restriction[J]. J Clin Sleep Med, 2007, 3(5): 519-528. doi: 10.5664/jcsm.26918
[7]	柴娅. 睡眠剥夺对负性心境的影响及其神经机制研究[D]. 广州: 中山大学, 2020. CAI Y. The effect of sleep deprevation on negative mood and its underlying mechanism[D]. Guangzhou: Sun Yat-sen University, 2020.
[8]	徐小雨, 曾霞, 李秀红, 等. 广州市小学生睡眠时长与心理行为问题的非线性关系[J]. 中国学校卫生, 2019, 40(12): 1784-1787. doi: 10.16835/j.cnki.1000-9817.2019.12.006 XU X Y, ZENG X, LI X H, et al. Nonlinear association study of sleep duration with behavioral problems in school-age children[J]. Chin J Sch Health, 2019, 40(12): 1784- 1787. doi: 10.16835/j.cnki.1000-9817.2019.12.006
[9]	马颖, 邢艳菲, 蒋琳, 等. 就寝时间和睡眠持续时间对广州市学龄前儿童情绪和行为的影响[J]. 医学与社会, 2019, 32(4): 98-102. https://www.cnki.com.cn/Article/CJFDTOTAL-YXSH201904026.htm MA Y, XING Y F, JIANG L, et al. Effects of bedtime and sleep duration on emotional and behavior symptoms among preschool children in Guangzhou City[J]. Med Soc, 2019, 32(4): 98-102. https://www.cnki.com.cn/Article/CJFDTOTAL-YXSH201904026.htm
[10]	郭媚瑶, 谢传波, 赵晓丽, 等. 学龄前儿童睡床方式与睡眠质量的关系研究[J]. 中国儿童保健杂志, 2019, 27(1): 37-40. https://www.cnki.com.cn/Article/CJFDTOTAL-ERTO201901011.htm GUO M Y, XIE C B, ZHAO X L, et al. Study on the association between sleep arrangement and sleep quality in preschool childre[J]. Chin J Child Health Care, 2019, 27(1): 37-40. https://www.cnki.com.cn/Article/CJFDTOTAL-ERTO201901011.htm
[11]	曾宏, 陈小燕, 徐晓清. 学龄前儿童睡眠问题对心理行为发育的影响及干预措施[J]. 海南医学, 2020, 31(4): 470-475. doi: 10.3969/j.issn.1003-6350.2020.04.017 ZENG H, CHEN X Y, XU X Q. Influence of sleep problems of preschool children on the development of psychological behavior and intervention measures[J]. Hainan Med J, 2020, 31(4): 470-475. doi: 10.3969/j.issn.1003-6350.2020.04.017
[12]	陈洋洋, 周楠. 中国学龄前儿童睡眠问题研究进展[J]. 中国学校卫生, 2020, 41(9): 1433-1437. doi: 10.16835/j.cnki.1000-9817.2020.09.044 CHEN Y Y, ZHOU N. Progress on sleep problems of preschool children in China[J]. Chin J Sch Health, 2020, 41(9): 1433-1437. doi: 10.16835/j.cnki.1000-9817.2020.09.044
[13]	杨青, 彭咏梅, 朱庆庆, 等. 上海市松江区学龄前儿童睡眠状况和睡眠问题的横断面调查[J]. 中国循证儿科杂志, 2019, 14(6): 443-447. doi: 10.3969/j.issn.1673-5501.2019.06.009 YANG Q, PENG Y M, ZHU Q Q, et al. Cross-sectional survey on sleep status and sleep problems of preschool children in Songjiang District of Shanghai[J]. Chin J Evid Based Pediatr, 2019, 14(6): 443-447. doi: 10.3969/j.issn.1673-5501.2019.06.009
[14]	汤路瀚, 任丽, 徐方忠. 学龄前儿童睡眠与行为问题研究[J]. 预防医学, 2020, 32(6): 569-572. https://www.cnki.com.cn/Article/CJFDTOTAL-ZYFX202006007.htm TANG L H, REN L, XU F Z. Sleep behaviors and behavioral problems in preschool children[J]. Prev Med, 2020, 32(6): 569-572. https://www.cnki.com.cn/Article/CJFDTOTAL-ZYFX202006007.htm
[15]	马薇, 杨军, 陈雪萍, 等. 阻塞性睡眠呼吸暂停对学龄前期儿童认知功能及行为影响的研究[J]. 中国耳鼻咽喉头颈外科, 2020, 27(12): 712-714. https://www.cnki.com.cn/Article/CJFDTOTAL-EBYT202012011.htm MA W, YANG J, CHEN X P, et al. Study on the effects of obstructive sleep apnea on cognitive function and behavior of preschool children[J]. Chin Arch Otolaryngol Head Neck Surg, 2020, 27(12): 712-714. https://www.cnki.com.cn/Article/CJFDTOTAL-EBYT202012011.htm