Sleep disordered breathing symptoms and daytime sleepiness are associated with emotional problems and poor school performance in children.
Sleep disordered breathing symptoms and daytime sleepiness are associated with emotional problems and poor school performance in children.
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DOI：
10.1016/j.psychres.2016.05.017
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发表时间：
2016-08-30
影响因子：
11.3
通讯作者：
Chen X
中科院分区：
文献类型：
--
作者：
Liu J;Liu X;Ji X;Wang Y;Zhou G;Chen X
本研究调查了中国儿童睡眠呼吸障碍（SDB）症状的患病率及其与白天嗜睡、情绪问题和学校表现的关系。参与者包括来自中国江苏省金坛市四所小学的 3,979 名儿童（10.99 ± 0.99 岁）。儿童完成了有关睡眠行为和情绪问题的自填问卷，而父母则完成了儿童睡眠习惯问卷（CSHQ）。 SDB症状包括3项：鼾声大、呼吸停止、睡眠时打鼾/喘气。老师对孩子们在学校的表现进行了评分。家长和自我报告的 SDB 症状的患病率，“有时”为 17.2% 和 10.1%，“通常”为 8.9% 和 5.6%。 SDB 症状在男孩中比女孩更常见，增加了抑郁、孤独和学业成绩不佳的风险。白天嗜睡介导了 SDB 症状与抑郁、孤独和学业成绩差之间的关系。这项研究表明了早期筛查和干预 SDB 和日间嗜睡对儿童行为和认知发展的重要性。
This study examined the prevalence of sleep disordered breathing (SDB) symptoms and their associations with daytime sleepiness, emotional problems, and school performance in Chinese children. Participants included 3,979 children (10.99 ± 0.99 years old) from four elementary schools in Jintan City, Jiangsu Province, China. Children completed a self-administered questionnaire on sleep behavior and emotional problems, while parents completed the Child Sleep Habit Questionnaire (CSHQ). SDB symptoms included 3 items: loud snoring, stopped breathing, and snorting/ gasping during sleep. Teachers rated the children's school performance. The prevalence rates of parent- and self-reported SDB symptoms were 17.2% and 10.1% for “sometimes” and 8.9% and 5.6% for “usually”. SDB symptoms, more prevalent in boys than in girls, increased the risks for depression, loneliness, and poor school performance. Daytime sleepiness mediated the relationship between SDB symptoms and depression, loneliness, and poor school performance. This study suggests the importance of early screening and intervention of SDB and daytime sleepiness in child behavioral and cognitive development.