Sleep problems in childhood: A longitudinal study of developmental change and association with behavioral problems
Sleep problems in childhood: A longitudinal study of developmental change and association with behavioral problems
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DOI：
10.1097/00004583-200208000-00015
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发表时间：
2002-08-01
影响因子：
13.3
通讯作者：
O'Connor, TG
中科院分区：
文献类型：
--
作者：
Gregory, AM;O'Connor, TG
目的：本研究的目的是研究儿童睡眠问题和行为问题之间的特异性、出现顺序和发育变化。方法：从一项对科罗拉多州收养家庭和非收养(生物)家庭中成长的儿童进行的大规模纵向研究中挑选出490名儿童。儿童行为量表上的儿童睡眠和行为问题的父母评分是从4岁到15岁获得的。结果：从4岁到青春期中期，睡眠问题有所减少，但在这个年龄范围内，个体差异具有适度的稳定性(r=0.29)。回归分析表明，在考虑了儿童性别、收养状况和行为/情绪问题的稳定性后，4岁时的睡眠问题预示着青春期中期的行为/情绪问题。最后，睡眠问题与抑郁/焦虑之间的相关性在这一年龄段显著增加，从4岁的r=0.39上升到青春期中期的r=0.52。结论：早期睡眠问题可能预示行为/情绪问题，睡眠问题和行为/情绪问题之间的重叠可能存在重要的发育变化。
Objective: The objective of the study was to examine specificity, order of appearance, and developmental changes in the relationships between sleep problems and behavioral problems in children. Method: Four hundred ninety children were selected from a large-scale longitudinal study of children growing up in adoptive and nonadoptive (biological) families in Colorado. Parental ratings of children's sleep and behavioral problems on the Child Behavior Checklist were obtained from ages 4 to 15 years. Results: Sleep problems decreased from age 4 years to mid-adolescence, but there was modest stability of individual differences across this age range (r = 0.29). Regression analyses indicated that sleep problems at age 4 predicted behavioral/emotional problems in mid-adolescence after accounting for child sex, adoptive status, and stability of behavioral/emotional problems. Finally, the correlation between sleep problems and depression/anxiety increased significantly during this age period from r = 0.39 at age 4 years to r = 0.52 at mid-adolescence. Conclusions: Early sleep problems may forecast behavioral/emotional problems, and there may be important developmental change in the overlap between sleep problems and behavioral/emotional problems.