Aggressive behavior, bullying, snoring, and sleepiness in schoolchildren.

Aggressive behavior, bullying, snoring, and sleepiness in schoolchildren.
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DOI:
10.1016/j.sleep.2010.11.012
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发表时间:
2011-08
期刊:
影响因子:
4.8
通讯作者:
Chervin, Ronald D.
Chervin, Ronald D.
中科院分区:
医学2区
文献类型:
--
作者:
O'Brien, Louise M.;Lucas, Neali H.;Felt, Barbara T.;Hoban, Timothy F.;Ruzicka, Deborah L.;Jordan, Ruth;Guire, Kenneth;Chervin, Ronald D.

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评估有攻击性行为的城市学童是否比同龄人更有可能出现睡眠呼吸紊乱的症状。学龄儿童睡眠和行为的横断面调查。行为问题(Connor‘s评定量表)、欺凌行为和睡眠呼吸障碍(儿童睡眠问卷)的有效筛查评估由父母完成。教师们完成了康纳的教师评定量表。在341名受试者中(51%为女性),110名(32%)被父母或老师评为有品行问题(T-Score≥65),78名(23%)有睡眠呼吸障碍的症状。与没有攻击性的同龄人相比,有品行问题、欺凌或纪律转介的儿童更容易出现睡眠呼吸紊乱的症状(每个P<0.05)。有品行问题的儿童与没有品行问题的儿童相比,更有可能习惯性地打呼噜(p<.5)。然而,在考虑了年龄、性别、社会经济地位的衡量标准和兴奋剂的使用后,嗜睡分量表本身,而不是鼾声分量表,可以预测行为问题。有攻击性行为的城市学童可能会出现睡眠呼吸紊乱的症状,频率不成比例。嗜睡可能会损害控制攻击性所必需的情绪调节。
To assess whether urban schoolchildren with aggressive behavior are more likely than peers to have symptoms suggestive of sleep-disordered breathing. Cross-sectional survey of sleep and behavior in schoolchildren. Validated screening assessments for conduct problems (Connor's Rating Scale), bullying behavior, and sleep-disordered breathing (Pediatric Sleep Questionnaire) were completed by parents. Teachers completed Connor's Teacher Rating Scale. Among 341 subjects (51% female), 110 (32%) were rated by a parent or teacher as having a conduct problem (T-score ≥65) and 78 (23%) had symptoms suggestive of sleep-disordered breathing. Children with conduct problems, bullying, or discipline referrals, in comparison to non-aggressive peers, more often had symptoms suggestive of sleep-disordered breathing (each p<.05). Children with vs. without conduct problems were more likely to snore habitually (p<.5). However, a sleepiness subscale alone, and not a snoring subscale, predicted conduct problems after accounting for age, gender, a measure of socioeconomic status, and stimulant use. Urban schoolchildren with aggressive behaviors may have symptoms of sleep-disordered breathing with disproportionate frequency. Sleepiness may impair emotional regulation necessary to control aggression.
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