Sleep of preschoolers during the coronavirus disease 2019 (COVID-19) outbreak
Sleep of preschoolers during the coronavirus disease 2019 (COVID-19) outbreak
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2019 年冠状病毒病 (COVID-19) 爆发期间学龄前儿童的睡眠
DOI：
10.1111/jsr.13142
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发表时间：
2020-07-27
影响因子：
4.4
通讯作者：
Owens, Judith
中科院分区：
文献类型：
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作者：
Liu, Zhijun;Tang, Hui;Owens, Judith
2019 年冠状病毒病 (COVID-19) 已导致大量心理后果，包括睡眠健康。本研究评估了 COVID-19 爆发期间中国学龄前儿童在家中的睡眠模式、睡眠障碍和相关因素。 2020 年 2 月 17 日至 19 日，从贵州省遵义市 11 所幼儿园招募的 1619 名学龄前儿童（4-6 岁）的保育员完成了《儿童睡眠习惯问卷》（CSHQ）。数据与 2018 年社会人口学相似的学前儿童样本（包括在 11 所幼儿园）进行了比较。与 2018 年样本相比，学龄前儿童的睡眠模式发生了变化，其特征是入睡和起床时间较晚、夜间睡眠时间较长、午睡时间较短、24 小时睡眠时间相当，以及看护者报告的睡眠障碍较少。此外，行为习惯（睡眠安排、减少电子设备使用、规律饮食）和养育方式（和谐的家庭氛围和增加亲子沟通）与有限样本中较少的睡眠障碍有关。本研究首次描述了 COVID-19 爆发期间长期居家隔离对学龄前儿童睡眠模式和睡眠障碍的影响，并强调了睡眠健康与家庭因素之间联系的重要性。鉴于睡眠中断和睡眠不足与免疫系统功能障碍有关，我们的研究结果也对幼儿在 COVID-19 大流行期间抵抗感染的能力具有潜在影响。未来的研究应进一步探讨睡眠不足作为冠状病毒感染的危险因素。
Coronavirus disease 2019 (COVID-19) has resulted in a significantly large number of psychological consequences, including sleep health. The present study evaluated sleep patterns, sleep disturbances, and associated factors in Chinese preschoolers confined at home during the COVID-19 outbreak. Caregivers of 1619 preschoolers (aged 4-6 years) recruited from 11 preschools in Zunyi, Guizhou province completed the Children's Sleep Habit Questionnaire (CSHQ) between 17th and 19th February 2020. Data were compared to a sociodemographically similar sample of preschoolers (included in the 11 preschools) in 2018. Compared to the 2018 sample, the confined preschoolers demonstrated changes in sleep patterns characterized by later bedtimes and wake times, longer nocturnal and shorter nap sleep durations, comparable 24-hr sleep duration, and fewer caregiver-reported sleep disturbances. Moreover, behavioural practices (sleeping arrangement, reduced electronic device use, regular diet) and parenting practices (harmonious family atmosphere and increased parent-child communication) were associated with less sleep disturbances in the confined sample. The present study provides the first description of the impact of prolonged home confinement during the COVID-19 outbreak on sleep patterns and sleep disturbances in preschoolers, as well as highlighting the importance of the link between sleep health and family factors. Given that disrupted and insufficient sleep has been linked to immune system dysfunction, our findings also have potential implications for resilience to infection in young children during the COVID-19 pandemic. Future studies should further explore deficient sleep as a risk factor for coronavirus infection.