Associations Between Disruptive Behavior Problems, Parenting Factors, and Sleep Problems Among Young Children.
Associations Between Disruptive Behavior Problems, Parenting Factors, and Sleep Problems Among Young Children.
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DOI：
10.1097/dbp.0000000000000595
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发表时间：
2018
期刊：
影响因子：
--
通讯作者：
Graziano PA
中科院分区：
文献类型：
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作者：
Coto J;Garcia A;Hart KC;Graziano PA
在有外在问题的学龄前儿童的高危/临床样本中检查：a)哪些破坏性行为和注意力障碍症状(注意力不集中、多动/冲动、对立/攻击性)以及b)父母教养的哪些方面(例如，管教做法或压力)与儿童睡眠问题(例如，睡眠习惯和夜间失眠问题)有关。样本包括148名儿童(MAGE=5.06岁，82%为男性)，他们有外在行为问题的风险/临床升高水平，以及他们的主要照顾者。作为一项更大规模研究的一部分，父母们报告了他们的压力和养育方式，以及他们孩子的行为和睡眠功能。在游戏中15分钟的亲子互动中，也观察到了积极和消极的育儿行为(分别是“做”和“不做”的技巧)。对抗性/攻击性是唯一的破坏性行为和注意力障碍症状，与更多的睡眠习惯问题有关。更高水平的不一致的纪律和“不”技能也与更多的睡眠习惯问题有关。在一个组合模型中，出现了一种交互作用，即“不”技能和高睡眠习惯问题之间的关联只在低水平的不一致的纪律下才明显。在夜间唤醒问题方面，只有育儿压力与其他育儿因素与破坏性行为和注意力障碍症状无关。虽然由于我们研究的横截面性质，我们无法确定我们关联的方向性，但这些发现强调了在考虑患有破坏性行为和注意力障碍睡眠困难的幼儿时，父母因素(例如，不一致的纪律和父母的压力)的重要性。
To examine within an at-risk/clinical sample of preschool aged children with externalizing problems: a) which disruptive behavior and attention disorder symptoms (inattention, hyperactivity/impulsivity, oppositionality/aggression) and b) what aspects of parenting (e.g., discipline practices or stress) are related to child sleep problems (e.g., sleep habit and night waking problems). The sample consisted of 148 children (Mage = 5.06 years; 82% male) with at-risk/clinically elevated levels of externalizing behavior problems and their primary caregiver. As part of a larger study, parents reported on their stress and parenting practices and their children’s behavioral and sleep functioning. Positive and negative parenting behaviors (“do” and “don’t” skills, respectively) were also observed during a 15-minute parent-child interaction during play. Oppositionality/aggression was the only disruptive behavior and attention disorder symptom associated with more sleep habit problems. Higher levels of inconsistent discipline and “don’t” skills were also associated with more sleep habit problems. Within a combined model, an interaction emerged such that the association between “don’t” skills and elevated sleep habit problems was only evident at low levels of inconsistent discipline. In terms of night waking problems, there was only an association with parenting stress, whereas the other parenting factors and disruptive behavior and attention disorder symptoms were unrelated. While the directionality of our associations cannot be ascertained due to the cross-sectional nature of our study, these findings nevertheless highlight the importance of parenting factors (e.g., inconsistent discipline and parenting stress) when considering young children with disruptive behavior and attention disorders sleep difficulties.