Survey of sleep problems amongst Singapore children in a psychiatric setting

Survey of sleep problems amongst Singapore children in a psychiatric setting
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新加坡精神科儿童睡眠问题调查

DOI:
10.1007/s00127-006-0076-9
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发表时间:
2006
影响因子:
4.4
通讯作者:
Y. Chan
Y. Chan
中科院分区:
医学2区
文献类型:
--
作者:
R. Mahendran;M. Subramaniam;Yiming Cai;Y. Chan

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背景睡眠问题在儿童中很常见,从短暂的睡眠问题到打鼾、梦游症和尿床等慢性问题。睡眠问题反过来影响儿童的健康、学习、学业表现、生活质量,而且往往与心理健康问题密切相关。基于人口的调查也揭示了睡眠问题与儿童行为和情绪症状之间的密切联系。我们的研究的目的是估计在新加坡的儿童和青少年参加精神科服务的睡眠问题的患病率,并确定在此population.MethodsA共490父母/监护人陪同他们的孩子到儿童指导诊所同意完成一份问卷,这是用来收集社会人口数据和睡眠问题的频率。这些包括睡眠开始、意识模糊性觉醒、梦话、磨牙症、梦游、睡眠恐惧、噩梦、睡眠瘫痪和夜间遗尿。精神病诊断确定从病历调查的参与subjects.ResultsAbout 62.2%(95%CI 57.8%-66.6%)的儿童患有至少一个问题。女生睡眠问题发生率显著高于男生(χ2 = 8.5,P < 0.005)。睡眠问题的显着预测因素是性别,诊断发育障碍和睡眠problems.ConclusionsThe研究强调需要儿童和青少年精神科医生询问睡眠问题,因为儿童的睡眠障碍是频繁的,可能不会自我报告。
BackgroundSleep problems are common among children and range from transient ones to chronic problems like snoring, somnambulism and bedwetting. Sleep problems in turn impact on children’s health, learning, school performance, quality of life and are often closely related to mental health problems. Population based surveys have also revealed a strong association between sleep problems and behavioral and emotional symptoms in children. The objectives of our study were to estimate the prevalence of sleep problems in children and adolescents attending psychiatric services in Singapore and to identify the correlates of sleep problems in this population.MethodsA total of 490 parents/guardians accompanying their children to the child guidance clinic consented to complete a questionnaire, which was used to collect both sociodemographic data and the frequency of sleep problems. These included sleep starts, confusional arousal, sleep talking, bruxism, sleep walking, sleep terrors, nightmares, sleep paralysis and nocturnal enuresis. Psychiatric diagnosis was determined from case record survey of the participating subjects.ResultsAbout 62.2% (95% CI 57.8%–66.6%) of the children suffered from at least one problem. Girls were significantly more likely to suffer from sleep problems when compared with boys (χ2 = 8.5, P < 0.005). The significant predictors for sleep problems were gender, diagnosis of developmental disorders and a family history of sleep problems.ConclusionsThe study highlights the need for child and adolescent psychiatrists to enquire about sleep problems since sleep disturbances of children are frequent and may not be self-reported.
DOI: 10.1097/01.alc.0000121651.75952.39
发表时间: 2004-04
期刊: Alcoholism, clinical and experimental research
影响因子: --
作者:
M. Wong;K. Brower;H. Fitzgerald;R. Zucker
通讯作者: M. Wong;K. Brower;H. Fitzgerald;R. Zucker
DOI: 10.1542/peds.111.3.554
发表时间: 2003-03-01
期刊: PEDIATRICS
影响因子: 8
作者:
O'Brien, LM;Holbrook, CR;Gozal, D
通讯作者: Gozal, D