PERSISTENCE OF SLEEP DISTURBANCES IN PRESCHOOL-CHILDREN

PERSISTENCE OF SLEEP DISTURBANCES IN PRESCHOOL-CHILDREN
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DOI:
10.1016/s0022-3476(87)80571-1
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发表时间:
1987-04-01
影响因子:
5.1
通讯作者:
TREVATHAN, GE
TREVATHAN, GE
中科院分区:
医学2区
文献类型:
--
作者:
KATARIA, S;SWANSON, MS;TREVATHAN, GE

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我们研究的目的是确定幼儿常见的睡眠障碍,如夜醒和睡前挣扎,是否倾向于持续存在;它们是否与环境压力因素有关,并伴有其他行为问题;以及它们的持续性是否与其他因素有关。60名年龄在15至48个月(平均年龄26.4个月)的儿童进行了研究,最初和3年后采访他们的母亲。有睡眠障碍和没有睡眠障碍的儿童进行了比较,后者作为对照组。25个(42%:夜醒占22%;睡前挣扎,13%;夜醒和睡前挣扎,7%)的60名儿童在最初的采访中有睡眠障碍,在这25名儿童中,21名(84%)在3年后仍有睡眠障碍。持续性睡眠障碍与环境中应激因素频率增加有显著相关性(P < 0.01)。30%的睡眠障碍儿童和19%的非睡眠障碍儿童存在其他广义行为困难(P = NS)。睡眠障碍儿童(34%)与非睡眠障碍儿童(16%)相比,更经常与父母或兄弟姐妹共睡。20%的母亲在最初的采访和30%在3年的后续行动认为他们的孩子的睡眠障碍,为他们和他们的家庭生活的压力。及早发现有睡眠障碍的儿童,并及时进行干预,对儿童和家庭都有帮助。
The purpose of our study was to determine if common sleep disturbances in young children, such as night waking and bedtime struggle, tend to persist; if they are related to environmental stress factors and are accompanied by other behavior problems; and if their persistence is related to other factors. Sixty children aged 15 to 48 months (mean age 26.4 months) were studied by interviewing their mothers initially and after 3 years. Children with and without sleep disturbances were compared, with the latter serving as the control group. Twenty-five (42%: night waking, 22%; bedtime struggle, 13%; both night waking and bedtime struggle, 7%) of 60 children had sleep disturbances at the initial interview, and of these 25 children, 21 (84%) had persistence of sleep disturbances after 3 years. Persistent sleep disturbances had a significant relationship with increased frequency of stress factors in the environment (P < 0.01). Other generalized behavior difficulties were present in 30% of sleep-disturbed and 19% of non-sleep-disturbed children (P = NS). Co-sleeping (sleeping with a parent or sibling) was noted more frequently in sleep-disturbed (34%) than in non-sleep-disturbed (16%) children. Twenty percent of the mothers at initial interview and 30% at 3-year follow-up perceived their child''s sleep disturbances as stressful to them and to their family life. Early identification of the child with sleep disturbances and timely intervention would help both the child and the family.